[Nervousness] a pleurisy but may a pneumonia.



3





Blister is more slow and more permanent than rubefacient 
and produces more structural change.
Rubefacient is more rapid and more general in active - used
in congestions and nerve irritations.- Rubefacients go deeper than
blister if left on for a long time
Countre- irritation. - Mar. 17. 1888.
Amaurosis may follow from decayed tooth.
Paraplegia from renal calculus. 
Duodenal ulcer from a burn.
It occurs through the trophic nerves.
Irritation to be placed directly, over
an organ as it has a relation with 
the surface directly over it.
Port annal for the eye.
Anstic's Law - first countre irritation
over the root of nerve supplying
the painful parts.
Sets of Countre- irritants - 3.
I Rubefacients - cause dermititis 
but with no organic change.
II Epispastics - Has organic change
and blisters.
III Those causing structural change
but no blister as Croton oil or 
Antimony.
Seton acts in same way
Issue also
Caroling likewise.
If you wish in affect an organ


having organic change, you must cause
organic change on surface
For congestions and irritations rubefacients
to be used : as in lungs
or bowels.
Peritonitis requires structural changes
for countre - irritation.
For Blistering - Epispastics = vesicatories.
produce inflammation of skin
& antpouring of serum Known as blister)
Spanish Fly (Beetle)
Cantharis - Cantharides
Active principle is cantharides 
Tinct. is used internally dose gtt
Overdose of the fly internally causes
burning pain and soon vomiting of 
mucus & green specks of fly, these bloody,
then shortly diarrhoea not serous
than mucous and bloody, with tenesmus
and small, Sometimes at 
once we have collapse; in a few
hours a 2nd set of symptoms come
on as pains in Loins, pain in bladder,
& frequent desire to micturate
and symptoms of cystite
and even strangury. 


Take it off 1 or 2 hrs before it has drawn & then put on [the]
poultice to draw.
and erotic excitements (aphrodisiac) from small dose,
from larger dose we may get swelling
and sloughing of the scrotum &c,
death from exhaustion with coma.
death is from local action at the 
points of interence & escape.
Treatment of poisoning - Wash out
stomach and intestine with demulcent
drinks but no oils & cathartics &
give Opium. - or even Anaesthetics - Leeches to epigastrium.
Write for plaster thus. On Adhesive plaster with a free uncovered edge.
Rx
Ceratum cantharidis q.s.
Pimples vj x IIII urine
If absorbed the cantharides may
cause strangury, to avoid this
only keep on the plaster a brief
time (early removal), and thus also the pain suffering will
be far less, - 5 or 6 hrs contact is 
enough followed by flaxseed
or bread and milk poultice for 
5 or 6 hrs more, after the blister 
is raised clip in with scissors
and then may cover with ointment
Chartula 


in keep in from healing use Basilicon ointment (Cerat.
Resinal)
For Strangury - Opium peridium & Hot bath. leeches to epigastrium
For nervous irritation - In typhoid fever convulsions 3rd week by applying to Scalp.
In D.T. but there is danger of scalp sore
to heal in quickly use Goulards
[crossed out] ointment. - Or use Simple
cerate. If slow in heal use Ung
Zinci or Ung Iodoform.
Blister is most useful for serous
inflammation than that of organs.
- only in advanced stage of pneumonia,
Often good in catarrhal
pneumonia & capillary bronchitis.
Blisters are more useful in later than in early stages of inflammation.
Rubefacients - Plaster
- Poultice
- Liquids as liniments.
Liniments - used for chronic rheumatism
or after exertion, but not 
as efficient as they are popular.
No specific action in any one liniments.
May use Aqua Ammon fortior
with Ol olivum, may add Ol
Terebinth, and Oil of Sassafras
Cantharidal collodium (Collodium 
cure cantharide) is too powerful
for using.


Turpentine stripes - In typhoid fever
- In Amenorrhea with Dovers &c.
Aqua Ammon under watch crystal.
As Plasters 
Pices. Pix Burgundica - x (as Plaster [crossed out])
Mourning plaster = Emplast. Picis cum
Cantharidis will blister 3 out of 6
persons - they act slowly & for 
days; for moral comfort: - In
chronic bronchitis of old persons of service
x (Pix Canadensis as Emp Picis Canaden)
- In nervous pain of women for prolonged mild effect.
Sinapis - mustard
Is more valuable
1. Sinapis nigra = acts in 10 mins black mustard is more 
powerful, of equal parts with flour.
2. Sinapis alba = acts in 15 mins. white or yellow mustard.
Mustard is a soothing persistent plaster - use in 
not too strong so as to keep it on longer.
- In newspaper
Mustard plaster for 1/2 hr, in blister
there is more pain and harder to 
heal them from cantharides.
- Used in intense internal irritation,
no good in collapse and apoplexy
and as there is no sensibility here
it may be left on too long - In
internal irritations the next 

1 Part Black mustard & 2 parts flour. Kept on 20 mins.
or Equal parts of yellow mustard & flour - mixed with water.
day after after using the plaster a 
furious dermititis may appear by reaction.
The mustard leaves of the drug
strups are abominations.
By diluted with flour & [crossed out] molasses it checks
its rapid action
Spiers. - for steady & continuous mild influence
in enteritis. - may use tincture of the spiers
on cloth & cover with oiled silk.
Escharotics are drugs used to 
destroy diseased or sound tissue.
Pain is the difficulty but creaine
now prevents this, is in chancre
before using nitric acid.
Nitrate of Silver is powerful but 
does not go deep.
Acid nitrate of mercury acts about
as nitric acid, applied on 
splinter or glass rod, arrest their 
action with soapy water.
Chronic acid is powerful, for 
epidurral growths especially, as 
warts venereal or not by placing
a crystal on it & then wash off with H2O.


Bromine is most powerful - use
glass rod - acts in dead and living
tissue alike, used for Hospital
gangrene but is too uncontrollable
for organic growths.
Sulphuric acid may also be 
used.
Corrosive sublimate - is most 
dangerous from its absorption.
Potash or Potasse cum calce 
(Vienna paste) - it takes up the 
water, acts in the fat, oxidizes the 
fibres - for small masses - is too
uncontrollable - punctralis deeply
- used in make an issue
- apply by making a hole in a 
piece of sticking plaster [illustration] &
cover the edges with cerate oil, apply
the caustic for 10 or 15 min
then wash with vinegar
The Vienna paste does not run
as the Potassa does.
Zinci Chlorid - bitter as Canquoiris 
paste, & making arrows in thrust 

around base of tumor.
Acidum arseniosum - (As2 O3) bains of 
quack remedies. Cancer tissue is 
more readily destroyed than round
tissue - pain is atrocious, but cocaine
checks this - It may be 
absorbed but by using large amounts
this danger is less
as the tissues die so quickly.
Anthhelmintres Mar 22, 1888.
Worms. I Ascaridis Seat worms.
II Lumbricoid - Round worms.
III Taeniae - Tape worms.
I. For Seat worms fist wash out the 
rectum by injection of salt water,
and follow this by an injection of 
Qaussia 3ji. in Ojss boiled down to Oj.
inject this each slowly and hold it 
as long as possible.
Vinegar has also been used. 


Spigelia Pinkroot
Ext fluid dose fzj
Ext spigeliae in Sermac fl (not officinal any
more) has aromatics in it, good for children.
adult dose 3ss - 2 yr child fzs-j every
4 hrs till in purges.
Symptoms of Overdose of Spigelia - much
as a mydriatic - dilated pupil, heart
acceleration, heat & dry skin, delirium.
It probably contains Spigeline which 
is a cardiac depressant.
Spigelia narcotizes the round worms
hence in 1 hr afterwards follow with
castor oil.
Azedarach
Decoction (3ij to Ojss boiled to Oj)
dose tablespoonful every 2 to 3 hrs
till bowels are affected.
Chenopodioum - Wormseed
Oil is to be used - dose in capsules
or on sugar gtt x to 3 yr child every 3 hrs.


Santonica
Levant wormseed contains Santonica
also called Santoninic acid & can form
salts.
Santoniates are freely soluble.
Santonin is insoluble.
Action - First symptom is often yellow
vision (zanthopsia) due to staining the 
humours yellow, and urine is red looking
from the santonin & its derivatives but not bloody,
tremblings, vomiting but mostly not,
and the symptoms are not those of 
gastro-enteritis it exerts its power
over the nerve centres, & with loss 
of consciousness & dilated pupil.
Summary I. Zanthopsia. 2 Tremblings
and muscular (?) apathy & unconsciousness
& epileptiform convulsions.
3. Collapse.
Santonin has produced death - 6 grs
has killed strong adult: as it is insoluble
the persons have often escaped,
Solubility is not wanted hence
sodium cantanate is not to be used, 


but give the santonin itself in its crystalline
form (not pulverized)
Adult dose gr ij - iv
Child dose gr 1/4 - 1/2
follow it in 2 hrs with castor oil with 
a little turpentine added to it 
Turpentine - doses of f3ss j always
with twice its bulk of castor oil has 
been used for all worms.
III For taenia must have the intestines
empty may give as follows
1. Supper to night, bread milk & tea.
2. Medicine at 7 tomorrow morning.
3. 1 hr later (8 A.M.) coffee
4. 3 hrs later little milk toast (1/2 hr before
2nd medicine = cathartic)
Pepo. Pumpkin seed,
Wood mostly uses this for taenia.
It must not too old.
3j - ij beaten up with sugar & aromatic
oil & taken as the breakfast.


at 10 A.M take tablespoonful castor oil
& teaspoonful turpentine, and 1/2 hr later
may eat.
Be present at the delivery of the worm
& if it comes down by giving a large
rectal injection as of salt water to 
bring the head along.
Aspidium - Filix Mas. Male fern
Oleoresin is alone to be used
It can produce fatal gastro-enteritis.
-not safe to give over 3ss - j after
starving &c
Brayera Koosso
Has Resin Koosin (Taenin)
Wood never used this
x (3ss powdered leaves suspended in water
in the morning, or 20-40 grs Koossin. It
generally purges itself - case in pregnancy.)
Cathartic 2 or 3 hrs afterwards.
Pomegranate Rind - Granatum
Decoction of the fine twigs is better
3ij Ojss boiled to Oj.
Alkaloids - Pelletierine} taenicides
Isopelletierine}
{more

French dose of alkaloid is gr iv - vj.
On animals it produces temporary motor
paralysis [crossed out] of peripheral motor nerves
as with curare
Antacids
Drugs to neutrallize acidity of primae viae.
(in Stomach or Intestines with constipation 
or diarrhoea)
In gastric acidity we have acid eructations,
and may cause headache (sick) coming
on with blindness & sudden dizziness
& early stomach symptoms
& is across the whole brow & not on
our spot as in neuralgic headache;
for acid sick headache Remedy is to act immediately hence use Ammonia
gtt xx-xxx or Spirits or Spts. aromat.
Acidity is due more to fermentation
than to perverted secretion.
Sodium
Soda bicarbonate acts on Stomach
and Urine but not on general system.
Preparation - 1. - Carbonate
2. Bicarbonate is less
irritant - given in soda mint.
For Burns when no cuticle is 


Lime water not given for vomiting of acute gastritis 
destroyed put on a paste of the Bicarb
it does good apparently by breaking up
the emboli or thrombi of the burn.
It dissolves uric acid hence used
in gravel, but can not dissolve any 
formed calculus, hence to only [crossed out] make
the urine alkali in Soda bicarb grx -xx t.d.,
but to purify the system use Potass
Lime. - Calx. - 2 forms. 1. Caustic Lime.
2. Aq. Calcis.
Aq calcis (lime water) prevents coagulation
of milk in stomach hence good
for delicate stomachs as in milk punch
add tablespoonful or more.
It is astringent and sedative to 
mucous membrane, has solvent power
on mucus, used for gastric irritation
especially with milk as for 
puerperal vomiting 1 part to 3 of milk
up in 6 of milk, in small doses of the 
mixture at first as f3ss.
In vomiting lime water alone is good.
In laryngitis (early) lime water in 


atomizer every hour is best remedy.
In children with nose stuffed shut
with thick mucus it dissolves it.
In Diptheria lime water has no power.
x(Syrup Calcis dose fzi - ij) Liniment Calcis 
= Carron oil for burns.
Chalk - 1. Cretae Prep. 
2. Calcii. Carbon. Praecipt.
Both these forms of chalk act alike.
Slowly acting antacids. - well given
internally as mist Cretae (gr xxx to f3j) dose
is f3ss - j. - it is also feebly astringent,
and as dessicants in powder form, and 
acts as protective, good for diarrhoeas
of irritation, and also in those of relaxation.
(from acidity is in Summer)
In intertrigo, feet sweating &c. as dessicants 
& protection.
(Oyster Shell in Castillon powder for summer diarrhoea)
(Dose carbonate gr xx - 3j
Saccharin.
Prepared from coal tar,
Is 250 times as much as Sugar.
It escapes unchanged from the urine
and makes it sweet & antiseptic.
It has no physiological setron on



the animal organism and does not affect
the nutrition of patients.
Uses. - In diabetic to sweeten the food.
In obese persons.
It is insoluble in water but in soluble
in glycerine.
Disinfectants - Mar. 24 1888.
To destroy noxious miasmata.
Wood divides poisons in 2 Classes.
1. Miasmata
2. Contagious.
1. Miasm is not a germ but is gaseous
emanations but these can be infected
as with typhoid.
2. Contagion is a germ.
Filth may be in air, water, or solid.
The atmosphere can only be purified
by dispersion, & not by bonfires &c
as any agent that will kill the germ
will kill man also.
Chlorinalia lime in the sick room
is no good it only covers the other
odor by its own.
Sewerage. can only be purified by   

Germicides kill live germs
Antiseptic kill them in embryo & prevents their development.
1 dispersion & by 2 oxidation.
Solid filth - can only be deleterious if 
moist, - dry earth of "cat style" is good
hence well to keep barrel of 1/2 plaster
and 1/2 dry earth is with 1/4 part dry lime
in county privy to throw down each
time.
Lime (Alkalin) favors oxidation
by forming ozone.
Lime in a privy brings up emanations
of Ammonia & other poisonous
matters.
Mode of disposing of non - infected
filth - I Dispersion
II Dryness.
III Lime.
Cleanliness of rooms as by washing
is best - dispersion
You can not disinfect large masses
in never or privy, hence destroy the 
first stool as it comes from the typhoid
patient. -place the disinfectant 
in the [chamber] bed pan
before the patient uses it. 


In infected filth you must use a 
germicide as 1 Chlorinated lime,
2 Corrosion Sublimate or 3 Acid carbolic.
Chlorinated lime is the cheapest,
1 part to 100 of water destroys all forms
of living organism used either in solid
but [crossed out] better in liquid form, put 3iv - v
in pan before defecation do not pour away the stools
immediately after being discharged.
In using corrosion sublimate use it 
1 to 500 of the stools, always kept in solution
& colored with amline or fuchsyne.
Acid carbolic is effectual - 1 to 200
of the stools at least.
Sweetening of Closet and Pipes - use 
copperas (FeSO4)
To disinfect sick room - wall paper
had but be taken off and the walls
and floor washed with HgCl2 1 to 1000
followed by ordinary water.
Bedding had best be treated by fire
or by boiling.
No upholstered furniture is to be 
in a sick room.

For blankets be may use dry or better
moist heat of tempt 250 F - the goods
to be spread out. - May boil the 
clothes in salt water.
Corpse of infections disease to
be sealed in close coffin and buried
immediately and privately: may 
inject in at once with corrosive sublimate
to disinfect the corpse.



















[crossed out]
1
O.K.
Pepper. Oct 6 1887.
Memb Lar - is inflam
with Pseudo. memb
formative in memb
- Known as membranous
or true Croup.
It is Idiopathic or Secondary
Inset put as abrupt as 
Cap fr
Begin with slight fever
increasing Cough is hoarse
becoming weak & small
called also Crooping Croup.
Sympts of obstructive
voice becomes smaller
& whisping almost suppressed 
cough become
wheezy & feeble

breath more labored
Angle of more play.
bring Stude with wear
Rest murmur.
Supra - gt violet [crossed out]
sinks & at bare of chest.
It turns spells of Spasmodic 
differently in 
breathing for livid - childs
in sweat. time about -
airs of apnoea
May kill in 48 hrs in 5. 6. 7 day.
It may come on in perfect
health but in majority
of cases you may
find flaks [crossed out] fancis.
but rarely Albumen in 
urine.
Diag - Dr is usually in 
children
Progressive character of  


2
O.K.
If Sympts progress after
using Calomel than conride
Tracheotomy or Intubation
Indication for Tracheotomy
&c are Obstructive Spasmodic
attacks &c memb. Croup.
Entrance of food & liquids
sometimes interferes with 
its use.
Pepper prefers Intubation.
Bronchial Tubes
Bronchitis inflm of lining
memb of B Tubes -
acute or Ch - Prin in 
See - alter from pain
cough. Expect & Physician
Signs.


Acute B 1 Of large tubes
2 " Capillar "
Prim or Idiopath Branch
come from common
causes of Cat inflam
as Irrition of vapor a particles
but more common is 
chilling of body or 
exposure of relaxed body. 


Tremor or multiple sclerosis
cease during sleep or by sitting
them down - they bring excitedly
by exertion.
RX Hyoscine is but remedy
& quick its movements of 
Paralysis agitans - Hyoscyamine 
may also be used. 
Cases of central Paralysis of 
facial nerve are partial,
here its Orbicularis Palpebral
In generally escapes.

Convulsion -
Chorea - no to & from
Tremors - to & from movements
by antagonistic groups of Maint
of movement is less
than Chorea. 
Wide spread tremors Cause
Chronic alcoholism. Pb & As
Organic lesions of Cord or 
Central. - Or as result of 
old age.
Senile tremor usually
begins at its head -
Pathological causes.
General paralysis of Insomn- 
Parkisons disease -
- Paralysis agitans - Multiple
cerebro spinal Sclerosis.

Sympts of voice cough &
Fever in this form.
Laryngoscope can not be 
used in Children.
If uncertain regard it 
as membranous.
Pug. Very grave - worse
when diphtheritic but
very grave even when 
primary or idiopathic.
Large percentage die with
or without operation
Treatment - As soon as 
diagnosed.
Count. Irrit, mild as by 
Lr Iodine.
gt. Atomize repeatedly but 
with gentleness - as with
alkali or Zinc H2O - KCLO3
NH4CL - Solutn of Boronic 
Acid - Weak Solute of Tannic
Acid


Peprine with Bracia
or Lactic Acid. -Solution
not irritate - use them
every hour.
Internal - Calomel from 
beginning - large dose followed
by another large dose
until bowel move 1 or 2 
time the small doses
Child (5 yrs) - 5 grs followed
in few hrs by 5 grs, then
reduce to 1/2 gr dose at 3 hrs
Alkali as KClO3 or Bicent
find combined with 
the Calomel.
Muriate of Arm may be
given with KClO3 but is
feeble compared with Calomel

Lecture.
Stelwagon - Vol 7. 1887
Macula = Primary Lesions 
Spot.
Cloasma 
Papula = Pin point to Split pea
Solid elevation of Slein
[crossed out]
Vesicle = elevation with 
serous or sero-purulent 
contents as fever blister
Pusticle is advanced Stage
of vesicle usually, they
are filled with pus
Bleb = large blister with
serous or Sero-purulent
contents.
Wheat = as in hives- flat
rounded elevation having 
often yellow centre
as in nettle - rash.

Tubercle - Very similar
to papule but is despair
& larger than papule.
Tumor
Secondary Lesions
Crust - Extraneous drink
Scales - Cast off masses
of epithelium
Excriation = Scratch mark
Fissures
Ulcers
Scars = new growth. (cicatricial)
Patch in may be uniform
(of one kind) or 
multiform (of different
kinds - bullous -
Discrete = Separate
Concrete = Running together

Typus 
Circinate = when forming
a circle or part of 
one.
Serpiginous = when like
a serpent.
Irris - different colors
Marginate when edges
are sharp.
Annular = round with 
centre clear


For Hyperidrosis
1) Rx Tannic j 2) RX Alum 3j - ij to g.
Alcohol Oss.
Rx Ung Diachylon
or Ung Acid Tannici 

1
O.K.
Pepper - Oct 10. 87.
Cat Biurets = Biurets
Cat = most common
layer tubes ordinarily,
capillary form in its 
smaller tubes.
Sympts. Fever in mild
cases very triffling may
walk about in ordinary
from 101° - 102° in [illegible]
to 103° - 104° approaching limits
of Pneumonia.
Slughs changes in 
mild case [crossed out] Rest & Pulse
no dysfuon to extreme
in bad case.
Pulse from no disturbance 
to frequent
& small 

Rest & Pulse less affect
than in Pneumonia
Cough prominent = loud
often paroxysm - painful
dry in early stage with
sub-sternal soreness with
tearing [???tion] - increased
by talking or worse
as if comes on
at night - Paroxysm
may be exhausting if
severe.
Abscess of light, exhaustion
from in [illegible]
allows is to become more 
in coming as in Laryngitis.
By 2 or 3 day comes on
expectoration - [illegible]
at first tenacious &
grayish with Saline
become loose yellow

2
O.K. - Oct 10 . 1887
Persons negative in all 
form of Bronchitis, save
in severe bronchitis in 
feeble children when 
& portion of Lung collapse
by plug of mucous & this 
may give dullness generally
at periphery of
Lung (wedge shaped) but
not with other physical
signs of Pul consolidation 
Pug. - Diffrs. Good in
all except Cup form as 
to life. but guarded as 
to return & duration
Grave in old & feeble
persons.

Draq. Easy
Treat of acute primary
Bronchitis
Rest & Protection.
Our evenly heated room
&c & to bed if case be 
urgent not even in get
up for calls of nature.
Comp Irrit = by mustard
learn or plaster or liniments
or Iodine in 
Sternal or Inter-scapular
region
Inhalation if warm
medicated vapor by
Steam atom - as For [Corri?]
of Chloroform (Antropan)
Lime or Borax or NH4CL
as alkali to form Secretion.
Carb &c. Cream 

Oct 10 1887
O.K. 3
The Rx are for early 
stage, - when Secretion
come it is not necessary
to use Expect
& use less Opium.
Cap from is danger
from Exhausn by Rest
In & It's & collapse to
asphyxia
Seat of Cap Burn
Dry cupping at roots
of Lungs daily or even
liver daily.
Stimulating remedies
here called from as An
5 gt an 2 or 3 hrs for a with
Carb & sedative & Bella
or Hyoscyam or Le Corrium


add age to 12 & divide by age for 
the size of dose
Strychine is best in
strength Rest M + 1 is
given frequent & freely
with internally or hypodermically
in the region.
Begin with 1/4 gr repeated
in 3 or 4 hrs for 
a few days.
Alcohol must often
be combined first in 
small doses - come well
by children.
[cross out] Jacket of Rare
Cotton. -
Fihirrous Bronchitis
Membranous form must often
with Diph.

Rement that acute Branch
is a Sympt of vile affection
as Secondary forms. - Measles. - Typhoid
fever - Diph -
but not usually grave



Iodine as astringents
Use the weak at finer
until well borne
Internally. 1) Allay [fr??er]
2) Cough 3) [Pr???i] Expect
4) Allay infla.
Quine & Aerium
6-12 grs of [Q???] to Adult
Aerium 1 grs an hr in
adult
For Cough. Antispasmodic 
& Opiate.
Bellad or Hyoscyamine
sometimes
[crossed out] Morphine Sulp gr j
Am Muriat ʒ ij
Syr Ipeca fʒ iij
Syr Squill fʒ vj
Ext purmos fʒ vj
Glycine f℥ss
Aqua E.S. ed f℥iij
S - fʒj h.r.n.

[B????id?] of Am or [Iodine]
may be substitute for 
its Nld4Cl if Spasmodic
tendency be great.
If few is sharpen
use this.
Rx Morphine Sulp grj
Linar Aconit Rad grt XXX
Am muriat gr C
Lig Am Acetar q 3rd f℥ V
S - fʒij h.r.n.
But danger of mixing 
powerful & mild remedies
known with use 
Aconit from separate
bottle until tempr drops
as Known by thermometer

& purulent & more copious.
Auscult - On both sides
of chest = Bronchitis Rales
= Sonorous & sit rales in 
large tubes with course
moist ones in smaller
tubes,, - becoming more 
abundant as expectoration
increasing,, - most 
marked over large tubes
Heard booth is In & Ex
very changeable - as then
swelling of memb is with 
the Secretion.
Bunch families may 
even recur
These physical signs increases
as night comes on.
Capillary form given
all the Sympt more 


aggravated. - depending upon 
the the condition of the
[crossed out] System or congenital anatomical 
changes.
Fever higher. Rest disordered
greatly - 50 - 60 - 80
in child = 46 - 55 on adult
Dyspnea. Play of Al
Pulse frequent & soon
[illegible] force suffering
from non-aerated blood.
Cough - smothered - wheezing
ineffectual
Phys Signs of Cat Bronch.
Bilateral - not most 
but at periphery in
laryntritis Sub-crepitant
(coarse - crackling) in with
Inst & Ex ( more in Ins


Chrom B {Bronchial Dilate
Allied af {Emphysema
pectin {Asthma
1
O.K.
Pepper - Oct - 11 - 1887
Chrom - Bronch = Chronic
inflam of Bronch Memb.
Causes - 1) Repeated acute attacks
2) Glow operation of 
ordinary causes of Acute Attacks
3) Constitutional predisposition
as Rheumatic
or [illegible] Rickety & Scrofulous
in younger persons.
4) Persons with a tendency
to Chr Bronch. 5) Occupations
Sympts of Chr Bronch.
Often very mild as to its
disturbing general health,
but in other cases the 
general health runs to
have invited it & then
a break follows. 


Some given cases break
in general health by often
in less of flesh in Strength &c
Cough occur in paroxysm
& very annoying
not occuring at any one
period of the day. attended
with expectant of very
copious & glary it is called
Bronchorrhea - or 
purulent & smaller or larger
in amount according affecting
the general health.
Ex shows lencorits altered
epithol & marcinus 
bacilli or lung shreds.
Hemoptysis is rare.
Ph Sign - Decllum
negative &c. 
Sonorous & Sit Rales at  
lower portion part of both


O.K.
2
Oct 11-1887
Residual air in ocean
Tidal " Deceased.
Excitmnt & Exertion increase
in Dyspnea & also
[crossed out] Bronchtit exaggeration
This followed by weakness
& bad color & flabby
not necessarily thin
very worst effect is upon
the H's & results is dilates
of R't H't with minfiensine
of Tricupsid valves
& following this a general
venous obstruction & ascending
dropsy.
P Signs of vis Cmph.
Inpher
Chest constantly distended.
Ribs raised & more
horizontal - Sternal round

Ant Port diam in [evacuant]
Bounded - Short - Chest
no movement of expansion
& retraction but exaggerated
movement up
Percuss - Ana Resonium
increased & exaggerated.
It's covered - ex brat.
Vocal. Fren & Reson
are both decreased
Rest [h???r] - Respiratory
element is very weak & short.
Exp element is prolonged
It affects both sides
Diag of Che Branch.
Hist of Can. long continuance
of cough - good general
health remaining good
not its case in Phihro
Micneipe Ex of Shute


Both Sides equally. - Sear
change from time to time
-no Sign of consolidation
-Dilated Branches may
suggest cavity (vomica)
- no from so very little.
- no Hem - or diarrhoea
no laryngitis in nearly
all cases.
The look to its
Prog - Uncertain - Recur
- very good for duration of 
life.
Asthma.
Associated with Ch Bronch.
It is not of Bronchial
Cough.
Morbid irritability in
most cases of Asthma
of Bronch mucous memb
in different persons 


As Rest & Hay Asthmas in
Changes of Climate Residence
Temps & moisture of air
in person of spasmodic tendency.
Asth is an [crossed out] condit
of Spasmodic dyspnoea Associated
with most condit
of Bronchiat muscus memb
& with Spasm or parisis of 
muscle of Rest.
Some muscle are in state
of spasm as Bronch & Interental other are in state
of exhaustion


Lungs - Signs show remarkable
fluctuations
by season &c.
The Chr Inflam in the
tubes of low vitality already 
may came Sacular
Dilation at roots - 2 in
diameter rounded or from
form - thickened walls. - In
causes as much trouble
as an abscess except diameter
of tissue as decompressing 
sputa, pectin
fever
Phys Sign of Cavity
-On one of big tubes - More
common behind ever Root
Deep rested percussion or
tympany - Tubula colouring
in Inop & Exp. Pector.
[i??in]. & Sign of Cavity.

2) Mirfn dilatate like a 
glove.
Emphysema (vesicular)
is another accompaniment
of Chr Bronch [crossed out] It is state
of permanent over distention
of air cells of the Lungs.
Causes producing is
General weakness of Lung
tissue, & its air can not 
get out of Bronch tubes in
Coughing hence is distend
the spies & Borders of Lungs
It may follow whooping C.
but this passes away.
Phys Sign,
Progressive & Permanent
Habitual abiding Dyspnea
as elasticity of air cells
is lost 

OK.
H.C. Word. Oct 29 1887
Tonics - used in overcome
debility if cause be removed
or help life along if in 
can not be removed.
Debility is often the result
of intestinal catarrh of which
diarrhea is its result
[crossed out] Groups - Vegetable
-Mineral =
-Fungines
Veg Tonics } Simple .1
Peculiar .2
Aromatics. .3
1) Have principle as stimulants
to it Skin
2) Having added some other
peculiar properties
Exem up 1 an irritants
nans & voom-Corrts 2-Inrritation
of Sarh memb

Indication for 1 is a loss of 
apetite. -
After overwork.
Actively of spring time.
Convalescence of acute disease
Quassia.
Seinant Ex
Certain quassia this produce
convulsion movement in lower
animals - gastric irritation
& headache in man. 
Principle in men in
Exh - in pill 1/2 - 1 gr.
Tinct - gtr XV - XXX w XL
Inf for Seativorus 1 y to 1/12 pn
boiled in 1 pint. 
Gentian
Solid Ext is 2/3 of quassia
Tinct Co is most elegant
of all the bitter pick

2
OK.
XX
with ZN804 or P.B (C2H3O2) 2.
or 5 grs of improper alkaloid.
In Chemis gastic calaiet
with hepatic tripe as result
of use of alcohol - always
in pill-form.
Marked uterine contractions
by injecting it into 
bitches - for menorrhagia
for cervicitis & vaginal inflam.
- in [illegible] - in nasal cath
- in conjunctivitis.
Eupatorium (Bone - rub)
Infus is with time
Oy. to pint ] hon H2O on 
going to bid by acting as a 
sudorific
Bark of Comus 

Arcuation
Activity depends on presence
in Chr of volatile oil.
Active in common in this class.
1 Stir in gash intent memb
incline for in time being 
not kept up long as in Simple
times. Carminative of expelling
in gas. Reflex peristalsis
Affect in it's causing drastive
arrest.
Ol Caryrrh.
Acts as local anasthetic
-powerful poison to all tissue
but this alow absorption prevents
this.
Cloves
Ginger
Pepper
Cinamon
Cardamom
Mints - Vir
" Pip

OK.
Ol Sassafras.
-Comp In. In grap - Cheat.
[h???] for liniment.
Ol Savlth.
Salicylate of methyl acts
as Salicylic Acid.
Oil Nutmeg.
Feeble in local influc -
& in It's - Acts specially on 
cerebrum [h??] capable of 
use as soporific [h???] in 
hysteria - can poison persons.
- for hysterial unrest
grr X-XY Oil - gr XXX-XL nutmeg.
Anthemis (Chamomile)
Mild Stimulant is Stone &
satisfy. the meal needs.
1 oz in pint, wine place at 
matter.


Serpentaine
Weak - never used by itself
Peculiar Bitter
Prunus Virg - Wild cherry bark.
[C????] Tannic Acid, Bill
time principle, Crulkin &
Amygdalin the form HCy
was used in Phthisis but 
its action is too fugitive
Syr. as vetricle is enough [wi?h]
by adding morphine
Eucalyptus.
Local action is sleight - hence
can not be used as Corut In
or carminative.
Absorbed run freely than 
the other oils.
Gtt X-XX produce & single
of warmth in its Stone - [S????]
of calum , mulax. It's as 
low as 50 - more of numb.
uses in [?cli?n] nerve.- abolih.
of muscular nerve
Cuonnous dose/ paralysis 


death from paralysis act
by act on Spinal [en?i].
Fall of Pre by effect or It's
[Su?????]. Sedal is when
system but on Case & It's 
must.
Clive from lungs & urine
Und. for acts or mucous
memb in Bronchitis
after first stages
in Asthma will it - Intern.
Cath - Antiseptic Surgeon
is [inp???] - Antiperiod
is unreliable.



Anise
Fennel
Tannic Acid in Cinnamon.
Ol-live dose grr - ij for Col.
for Intub relax with diarrh.
[sti?s] it by stimulating it [illegible]
normal time in its serous
diarrh.
[crossed out] - Cinnamon
Oil Cirr gtr ij-V  - flavouring
Linen - 1) Mild diarrhoea of
relaxation is with H28O4 Aro
& Symph. 2) Menorrhagia in
fʒj is case of want of tou.
Card.
Tinct Co. -
added to
Tinct Co
Tinct gent.
H2804 w Aq. Req.
Symph.
Strong Chr.
Orang P. flavouring

Ol Ced.
Ol-Anise - carminative
Ginger
Has an alcoresin beside its Ol
as addition to tonic pill.
as in Black pepper & Red pep. 
Vol oils eliminated through
its Renal organ & can produce
strangury.
Ginger. 1 tap Inf. as murdorifin
in suddenly ruptured
menstrual in 
abdom colic.
Menthol
From tupentine
[crossed out] for neuralgia pains

Barbery.
Certain berberin. 3-5 grs rest
official - convulsion in lower
animals in toxic doses.
Columba.
No Solid Ext.
Exp fl -
Tinct - fʒj
Chirett
Solid Ext gr j = 2/3 of Quas Ext
Acts in Liver especially after
malaria & debility following the 
heat of the liver
Hydrastis.
Golden Seal
3 Alkaline - Berber
- Hydrastine
- Zanthopoxis.
Pure hydrastis is colorless
berberine is yellow.

Hydrastis
1 { has distinct power of over circulating
& nervous system -
- spinal convulsions as in
Stiydrun death may occur
for cramp of Rest m.
Small doses increase the Act
Pus - Large dose decrease.
This depressant to It's muscle
causes diastolic arrest -
It [means] to act in Vm.
Centre thus causing it
rise of act pressure.
Local paralyzant of new 
of sensation.
Und - for mucous membs.
- acts well locally - & also
some in Intest.
In gonorrhea after the
Bi period is period - con -
curtal flow Cx V mx - XX - iʒ

Mills - Bleckly - Nov 19 - 1887.
Gymnastics [for] Nervous Diseases.
1. Manager
2. Movements.
3. Electrical.
In [crossed out] movements we have
active and passive - or semi active 
and semipassive or duplicated
active Swedish movements.
Zander method, is where these
is & stram apparatus, are of limited
use only.
Resistance apparatus are useful
in more cases - elastic tube &c.
Respiratory gymnastics: As in 
Blakey's book - taking a full
respiration as each movement. 


Begin with light dumb-bells or 
no weights at all.
1 - Dumb-bells above the head,
taking a deep inspiration &
lower hands laterally and expire
while raising them.
2. Put 1 foot forwards, throwing
dumb bells back & chests forward
& taking in 
3. Hand against [illegible] through
dumb-bell against its into of 
other shoulder.
4. Dumb-bells behind neck & go
down.
Place patient on back then
let him raise with its foot
or the body.
In Hemiplegia (central) make
a quick movement with
round limb & quickly follow 

with same movement of 
palsied limb.
Paralyses and atrophics &
Choreas are benefited by movements.
In choreas get them to 
come after you as you
perform movements for 
them.
Habit choreas are most 
difficult to cure.
Movements are good for 
certain forms of insanity
as melancholia  



OK.
Pepper - Feb 9 . 1888 1)
Small Pox.
As Sp from of about 20 days
high contag & epidermic - witness
anatomical line, characterized
by striking & peculiar
erupt & powerfully influenced by vaccination:
3 ft in open space
Thrown up Carried.
From Body - by stomach - by Rest
tract or may be swallowed. -
can be carried by fomites.
It spares no sex nor age.
Complication - Nephritis - Endocarditis
& Myocarditis - Extensive
of erupts to mucous surface
as Laryngitis pustular -Bronchitis.
Blood - crasis dissolved in bad
cases -
It's form has not been isolated
Incubate maximum 2 wks:

no matter how long.
vaccinate 1 or 2 days after exposure
[pro??] will check it or modify it.
Invasion - Abrupt with chill &
violent headache, frightful backache
& intense pains in limbs 
- with pre-emptive stage is also
marked by vomiting loss of Apet.
fever, 102° - 103° - 104° flushed face, rapid full
putin - lasts for 3 days.
Stage of Eruption
Papule disaile exposed parts first, or face neck
rounded hard - short - like - of 
red color - 3 days
Vesicular Stage - Seem form at
summit & become a vesicle & umbilicated.
It is a cellular structure,
none the general symph subside
fever goes down, headache
& backache
Pustula Stage - 3 end oz 6 th
day the consists - become turbid
& purulent - It is [illegible] neon. 

OK.
Pepper - Feb 9. 1888 2.
Myocardit disper to Cardia collapse.
or weaker - Deaftness
- Perforate of humor & blindness.
Segmt - Disfiguration by reticulated
cicatrices - Scarcely ever
airy pitting in Varioloid.
Convulsion is usually prompt
rapid & complete.
In stage of duricate a cure
by disease may occur - 1 gal
a day. - Spe 1.001 - Limpid
Diagnosis - Shrend green in
fore-eruptic stage - or on history
of exposure & no vaccination.
& pain & fever.
Erupt in 3rd day of sickness.
- Measle & Typhus fevers
measle. Cath Sympts - Cough
& no marked pain & drowsy
& heavy. - flat macul, eriseints
- disappearing on pressure genera
of upon go down in S.P. 



day from - maturation five
the purtial vomiting here
less its umbilicatis [crossed out] to
in about 3 days the partial 
become shriveled grm the absorption 
of the [mater]
Decication - 3 days.
Desquamation - 3 days. &c.
[Pri??] for depends upon amt of 
blood press.
Second from depends upon the 
amount of eruption. - ends by
lyin by 17th day.
Kinds of eruption.
-Discrete.
-Confluent.
Varieties
Mild Very.
Ordinary
Gram from amt of pain
a well as amt of eruption
Malig - Black - Blood disintegrate-
bloody liquid in


Incubation = 2 wks.
Invasion & per. 
eruption Stage. 3 days = Primary from
Eruption {Papula 3
{ Vesicular. 3
{ Pustula. 3 = 2nd form.
{ Desricate 3
{ Desquam 3
vesicle - general prostrate -
Here from membranes. - & death
from Pap in Push stage invariable
Varioloid - Stage of invasion may
be intense - eruption & relief of sympts
pap variable & [crossed out] but now
the secondary fevers more or 
very stright when the tendency
is to purtulation or & a
loctn occur - incubate come
is 10-14 days.
May be discrete (more likely the
mall-pox) or confluent.
Complicate - Very intense
secondary fever. Extreme in
mucous passages. - Endocarditis
will be valuable murmur.


OK.
Mood - Feb 9. 1888 1
It's odor is objectional. %.
Iodol - I used in H2O - No odor
acts as Iodoform - Poisoning
also possible - & fatty degree.
acts by its - decomposition products -
as Iodoform. Iodol
is decomposed more slowly
than Iodorm. Is more apt to -
cake than Iodoform.
I used as Iodoform - In tuberculous
ulcers of Larynx. &c.
- High Cort:
In chronic Sypt - grs 30-60. -N.S.
Cod - Liver - Oil.
Biliary acids - Iodine - &c.
Sodium in not its active principle
but has no one active principle
In health in lower Animals -
cause accumulate of fat but if 
given too freely it disturbs digest
& ceases to accumulate fat.


Increases Red Crops. & diminishes amt
of fibre.
It's case of absorption & oxidation
[crossed out]
makes it valuable - It also acts
as alternative
Mrs- In tendency to emaciation
but depends upon it cause as 
in tumor it will only retard
it, but if more generalized as 
in Phthisis especially in the condition
of depravity preceding the 
Phthisis. by its apparently causeless - 
continually catching cold
- Cod - L. Oil - Whiskey & avoidance
of cough mixtures. - If organic
changes be present we can
protect life by Cod - L.O. - Whiskey
& fresh air.
In Scrofulous of great service
combined by Lactic - [phosphate] 
if Liver in Gland swelling &c.
(standard remedy.) 


Wood Feb 9 - 1888 2
OK
fatal gastro - enteritis.
In urine. urea differs. - amt of 
urine differs as when purging
or not.
Wns- In Gout in large dose
will cut short suspend paroxysm. - in
other subjects with acute
gout but not in asthenia
- as it causes recedent or internal
gout by the blood
going in - Dangerous in acute
gout in large doses & recurs 
soon.
In chronic gout by small
amt - 10 gtr t.d. within diarrhoea
limit with K1 often
good.
Poison - Tan acid - Opii &
as gast - enter Amtal.

Woods
Mezerum.
Sarsaparilla some good in
chronic syphilis - Zyphnar
decoct alternated with Symph
Sarap Co. -
Sarap Ex fl with Iodine
is but now.
Symph Co - as vetricle 
[illegible]

In chronic rheumat if with 
Sypt turs.
In Skin disease.
In neuralgia attended with 
loss of tone
In these condition it is not a 
specific but builds up nutrition.
But given in soft capsules
holding ʒj - or pinch of dry salt
- In whiskey & water - In ale
- In emulsion with oil of bitter
almonds.
Dose. Tendency to diarrhoea
is correct irrita.
At night in weak stomach
Digest of patient is the 
measure of the amount.
Phosphates.
Phosphatic acid is stomachic
tonic for dyspepsia as 
Horsfords acid phosphate 

and does not affect on system.
Herd of Cows in meadow born calves
rachitic - In dogs of keeping phosphates
from its food.
In many children with ill 
teeth from a deficiency in phosphates
as is case in such nurse
as in Wood's child . can increase
the amt in the milk of such 
nurse - They are largely eliminated
from munt of Intest.
To be given in Solution - with 50%
Cod - L. Oil in Rachitic child.
Colchicum 
Colchicine urine alone to be used
10 gtr = no Sympts usually - or 
inlist disturbance
40 gtr - purgin - serous - pain &
large.
Larger - Vomiting - purging - pain
is very great - pector falls to
collapse with cramps.
Rapidity of death not depending
upon size of dose. - acts - but
little in It's or h system -
but kills by producing -

OK,
Pepper Feb 13. 1888. 1
Treatment - no specific for the poison.
- Only assist patient - Adapt
the nourishment in state of patient
as in diet & stimuli.
May control the fever but do 
not injure the heart nor nervous
system.
Primary fever does not often give
hyperpyrexia.
In Secondary fever about 9th day
the fever (surgical) may be very
high. - Sedative as Opiate to 
allay irritation. Mild derivatives 
as diuretics or gentle laxatives
do not attack with powerful
antipyretics. no effusive of 
cold water except in pre-eruptive
stage. Inunction for 
its cuticle as in Scarlet
fever, Ung tets Vesicle appear  

Cath - 3 
Typhoid. 
Measles
Influenza. 
Skin 2-
Scarlet
Small Pox
and the burst on liquid [emmulsion]
Stimulants when indicated.
Sedative for the pain & irritation
as Opii per Olimet & Rective
in small doses - or Bromides
of Chloral or Canrub Ind.
To prevent pitting - Make inflam
milder, if only 12 pustule opi
then cautiously & touch with GNO3,
if mercurous exclude light
keep cuticle soft & prevent it 
thick crust - Ung Hydray & Ung
Petroleum while face shield.
Sat Sol is Gutter - P in Chloroform.
Stimulant in typhoid form
as Serpentine & Am Carb &c
Mortality is small except
in old & weak.
Typhus.
T. abdominalis = Typhoid
T. cerebro. spinal = Spotted fever. C.C. meningitis.
T. recurrence. = Relapsing fever.


OK. Pepper Feb 10, 1888 2
Fever runs high & stays steady (high
of cout from) Skin acid & burning
both. - color mordex.
100-135
Breath & Pulse much disorders
corresponding to amt of free
Pulse is weak & collapse easily
& soon small - Hypostab congestion 
of base of lung bilinal
is soon developed (blood logged)
not skull & imperfect.
No digest sympt - no distraction
no pain - bowels costive or quiet.
Tongue is heavily coated, thirst
& may keep his apetite
Urine intensely febrile
On 3rd day eruption in single
crop, - the amt of eruption bears
a proportion to the seriousness of 
the disease no [chan] in your
numerous small rounded, mulberry red maculabrary
elevated, not coalesce
disappear on Prm at first. this
become petechial (blood effused)
- The darker the eruption & the 
sooner so - the more danger 


lasts until case of disease & the 
slowly fail. Tendency in sedulation
Bed room are very common in
very five days
Duration - about 10 - 12 et day.
Often ends by crise or purging
or urine or sweating
Complicate but few.
Segmts. as parotitis - bed sores
Weakness of legs as [approastion]
paralysis, or Weakin of Brain.
Mortality. - great - 50 - 33- 25%


-Typhoid state is common in this
class - typhous symptoms.
Typhus Fever.
As Spe fever, contag. end & epid
without [anation] lesion save that
of the blood, running course of about 
12-14 day, will high pyrxie
marked typhoid sympt & characteristic eruptn.
-ending often by crisis
Due to specific poison.
One of the most contag ranking
with S Pox & Measles in this respect.
Poison communicated by formile to
carried to great distances.
Crowding & full & destitute favors
this poison greatly - It seems to be 
an animal poisons - In crowded
parts & spips. & rages violently.
All ages & both sexes equally.
Protact strongly against 2nd attack.
Blood is liquid in dead body.
lining of all stained. tissue 

disposed in putrefy & Spt soft
& enlarged as in all from.
Omit abrupt after incubar
of not more than 9 or 10 days but 
may be short. Chill usually
high from immediate, debility
headache & backache & stricken
down immediately.
Appearance -dull expression.
face dearly flushed uniformly,
eye is injected & pupil contracted
(firmly) but dry.
No Sympt - Dull despressing
quickly in Strip, often Deli
of action w violent type, - May not [crossed out]
sleep even if in sleep & Coma
vigil most marked in this 
disease.
Slips down in [burst], longer trem
but, retent of urine, tendon
twitch 

Benzoin acid and to make urine acid as ammoniacal 
w phosphate & for action on the mucous membrane.
Wood. Mar 8 - 1888. OK.
Expectorants. -
To. influ pul turn when desired.
Atomizers. - perfect edges - mouth
from well in - breath deep & slower.
- Artery as tann acid or slow for relaxation,
Mur Ann as stimulant,
Limi nalis for irrit of Laryn & is 
serotin in commencement of acute
laryngitis.
Agents' acting on Nemtrea.
& on muscular from
Strychnine acts in the nerve cents 
- not in acute but in chronic Bronch
of old people.
with or without asthmatic, in 
Emphysema with expectoration
Narcotics - to relieve cough but
remember it is necessary to cough 
to relieve lung of [crossed out] secretion,
but more useful in irritation
cough with but little secretion expectoration
much check secretion as Morphia -
Hyoscyamine to gtr X-XV does not 
check secretion.

Be careful in using Morphia in early 
bronchitis.
Chloroform. - as relief of incurable
condition as fibroid phthisis as 
whiskey glycerin & chloroform &
good use in ordinary bronchit
Morphia gr 1/25 - 1/30.
Alteration
Arsenic - for chronic bronchial [crossed out]
as in fibroid phthisis & turphets
with no tendency to breaking down.
Pot Iodid. - good for sypt of 
lung - good in chronic bronchitis
of asthma as in enlargement
as gr V t.d 
H2S. - Injection into Peculiar CO3
saturated with H2S - It did not 
act on the tubercle bacillus. - not
much good - but does good in those 
cases with catarrhal processes or 
as outcome of Cathr. pneumonia it 
lesser secretion in 24 hrs.
It is specific - Useful for pulmonary catarrhs. 

- In respiratory chambers as at S springs.
- Mill given as S nate in CO2 per
stomach - f3ij as 2 or 3 hr. - per
chu Asth with B colant & Bronchorrhea.
Sets - 1. Sedation
2. Stimulant.
Sedation in 1st stages of Bronchitis
when memb is dry & congt is tight.
Tartar emetic - most powerful
- 1/6 gr [illegible] 15 min until vomits &
the keep quiet. - not in children.
Ipecacuanha. -
Syrup is generally good enough
Pot Cit - must give in full
dose - for adult f℥j in first 24 hrs
as in brown cold lemon juice
2 oz. Syrup Ipecac 
Stirs Expect.
Senega. -
Traditionaly
Syrup. -less good for 
advanced
Squit - Syrup Bronchitis
but have no definite influence.

contain active acid 
Symp Squill not to be give with 
Am cart. -but for Scectosa.
- it does not decomp NH4 Cl.
Am Muriate.
Best remedy of chr Bron except &
from volatile oils - may in some cases
use in before [illegible] is established.
- they act fugitive - acts for 2 [illegible] hence
do not use it Kangan system.
Dose gr V-X. - Very disagreeable -
In capsules followed by drink of water.
gr 4-5 Ext Gly is each dose. - glycerine.
Spr M to tablespoonful.
Syrup of Vol oil of Garlic.
- allium - Oil is not used -
Oil of Eucalyptus - always given
in capsules act for chr Bronch
m X - 40-60 m daily.
Turbine is very useful for 
advanced Dose m r-x use 3 hrs
- may be mild Ol Crucaly hh.
-In capusle
Oil of Lardeluouse
mr-x in capusle in 3 hrs.
Balsm Tolu - Vesicle only
Bal Peru both contain
benzoic acid - both in m.g
In trusting wounds. 
Benzoic Acid is Put fm hom showing.
- has urine odor - [crossed out] Germ/Benzor in Ch B - escape
other urine - converted into tuppure acid
in Kidneys not in blood

OK.
Pepper. - Mar 12. 1888.
These must be a disturbance of the 
mans economy at the time of attack.
What constitutes this tendency to 
convulsion? [crossed out] Unstable equilibrium
& impaired vitality of motor areas of cerebro-spinal axis, in may be inherited
or acquired
Causes. - Reflex Irritation of dentition especially
in child [with] of neurotic parents,
or splinter, or irritant creation, adherent 
prepuce, intestinal worm
or hardened faeces, by bilium attack
in some persons, in some cases
a few days previous those is lithemic
condition very common, from menstrual disorders,
exhaustion, exposure, mental stue
by lowering vitality.
Epilepsy is the predisposition and inquires
an exciting cause to develop
the convulsion.
Diag. - Can not make from 1st attack
in child from eclampsia. 

but the more trivial the cause the 
more likely it is epilepsy.
nocturnal form is often overlooked
but look for sore longer or awake with 
a bruised feeling.
Petit mal- from syncope in weak
purous called weak or fainting spells
steady for cause of anaum or cardiac
failure or no cause, therapeutic best
is most important by removing the 
anaum & cardiac failure.
Convul Fever Maum in Org Brights - Examine
the urine.
From Hysterical Convulsion - Hysterical
temperament & History, attacks brought on by 
distinct cause - Consciousness more 
or less - in falling falls on soft spot.
trace of coordination in the movements.
expression is ecstatic or wraps or 
sensuous, therap list, Zone of ovaries irritation
or spinal anemia
Hist of Sypt: some
Org dis of Brain - Tumor involving a 


motor area cause 'epileptiform' attacks
but in intervals passive sign or
choked dirty descending neuritis, headache,
- the attacks are spasmodic more
than epileptic. - and may not low
consciousness - History of Syph.
Prog. Difficult - Very bad
Many cases are singularly controlable
& some cured. - If habit be established
difficult to cure & frequency & degree. In incipiency
with good health it is hopeful but
anxious.
Treat. Remove predisposing cause first,
- Hygiene - mental & physical exercise of 
proper amount. Most important is 
to increase its no time to sign and not 
to check its convulsion alone by drugs
Remove cause of reflex irritation and 
mal assimilation with improper digest
& dirt, bowels, urine,
Drugs. nutrient N tonic as Cod L. Oil
As. Fr. Fn. Aq. An. 

Ana & debil - [p???] [ton?] & meli Cod
L. oil - Fr - As.
If irritate to present?- Eg No3 - ZNval
- Chl of An or Soda
Antispasmodic - Bromide as but
Anaf. Bell - Con & Cause & Value
a compaint [inert].
Must chang prep of Bromide or suspend
administrative - must not depress
system by Bornid or cause irritation
- Adult do Pot Br gr XV t.d 15 begin
increased or combine with NaBr a
NH4 Br - if this depress combine Ar & Cod
L oil, - If too large dose are to be used
give them up & build up system.

[Illustration]
Wood. Mar 29. 1888. 1
An Cl C = Anodal closing contraction
An O C = " opening "
K Cl C = Kathodoe closing "
K Cl O = " opening "
An Cl C < K Cl C 
An O C > K Cl C
An Cl C < K Cl C
When 2 substance are brought in contact
a galvanic current is generated
- It requires contact to generate galvanism.
C = Current strength
C = e (electro molu force)
R (Resistence)
e is independant of size of plates.
e varies with different substance
best is Z & Carbon.
R - is under (i-r) & external (er) R= ir = er 
hence C = C/ir + er (Owens Law)
Supp er = 1000 ir C = e/ir + 1000 ir
[p????] has more resistance [crossed out] the 
[illegible] 1000

to overcome ext resist multipy Electi
mot force by multiplying number of contacts
(more cells).
In Arsenic or in caulis Ext resist is our little
increase size of Plates. - hence
100 er = ir
c= er + 100 ir
Int resist reduced by bringing plates
near & enlarge plates to have large mass of 
fluid & of good character of conduction.
Measures (resist) of electricity. - volt
resist of resistance is - Opium
hence C 2 V/U = Ampere but this 
is too large hence milliampere
is now resist of current strength.
In organism - a current breaks
up into rub currents - [illustration]
& each strength is inversely
proportional to the resistance
If plate be used
i milliampere } Mullin
4 Sq inch } method.
There is really only one kind of current 


but 2 as to method of generation,
1 Primary current is bad term.
better called chemical current
or continued.-
Induced or faradic battery,
by passing [Ch???] current on Inner
coil, or outer coil an induced
current is generated. -
Current of 1st (inner) coil & current of 2nd
coil - made out at making &
breaking of inner coil.
Soft iron is 1st coil become magnate 
& attracts its tongue.
The currents run in opposite
direction & to & for currents -
in outer [crossed out] coil & hence no 
+ or - pole. 
In inner coil do not get both
currents as the induced current
goes into the bottom
In contract occurs with
chemical current at closing &


opening of the current.
By very closely interrupted current as 
in ordinary dynamo the same effects
can be produced as with galvanic
current.
no differences between different currents.
To apply to a nerve - [crossed out]
having one sore spot [illustration]
wet skin with salt water, to 
put a large flat [pull] at a 
distant point.
To influence whole new - use
2 ball poles [illustration]
Motor point is point of instance of 
the N . the muscle - bulb pole over
in & large pole or other side of limb.

Wood. Mar - 31 - 1888 6.
Anoder = + Pole
Cartride = - Pole 
An Cl C:
K Cl C =
K O C =
<
>
An Cl C < K Cl C } muscles normal.
An O C > K O C }
An Cl C = K Cl C } muscle in first stage
An O C = K O C } of degeneration.
An Cl C > K Cl C } muscle in more advanced
An O C < K O C } stage of degenera.
Uses of Electricity. - 1) Diag. 2) Prog. & 3) Treat.
1. Diagnosis.
Nervous [crossed out] palsies with 1) organic
or 2) hysterical it reacts but is 
insensible
Palsies 1) centric ([crossed out] all above trophu
cells of cord) or 2) peripheral : no rapid 
wasting of lesion of brain but from inaction; 
rapid wasting if of cells [crossed out] or nerve 

& show reaction of degeneration.
Degree of contraction varies as to position
of poles. - at first as in equal -
the equal & finally reversal 
of original formula : by to by fails
to respond to any current & now 
muscle is dead.
not over motor points.
Changes to faradic current precedes 
the other changes; - first
list to rapid faradic current but 
to slow current & finally to no
faradic current. - may thus
diagnose peripheral from central facial
palsy or deltoid mostly peripheral. - in 
[crossed out] children
most palsy are ant polio myelitis.
- fishing on Sunday monoplegia from
Syphilis (something worse).
Treat. - In paralysis, can only restore
muscle to normal power and 
perhaps stimulat or but can not 
affect or centre.  

2 factor of Central. Center Periph.
normal contract 10 x 10 = 100
clot " 0 (Drain) x 10 = 0
After time [cross out]
but the 10 has degree to 2oz 2 x 2 = 4
2 x 10 = 20
but can not get any farther than 20
If traumatic deltoid. -
-If triple cells be partly gone the heavily
go again after building them
up.
When use Electric in Palsy; - In Hemiplegia
recent does no good as M is not 
- degenerated, & not to be used until
all irritation is passed. Wait 4 weeks or longer - In Deltoid
palsy not to be used too early.
fomentation & leeches & then 1 or 2 wks.
In Polio-myelitis - no inflam. in 
- ordinary cases but some have inflam
use it at once
What currents to use? Beneficial
power is in proportion to amount of 
contraction. - Rule Use current
produces most contraction with 
least pain. 

Time of Senses - Most daily from 3 to 5 
min at first on 1 muscle increased gradually
to 10 mins. - 1 pole to motor point
For Sensory disease. - If from inflam 
Elect is n.g. only good for neuralgia 
or rheumatic neuritis (not too early) but 
use for - 15 -30 min.
after a time as in sciatica (tentative)
will do good if it relieves pain for the 
time being, if in other case the Chem
current do no good by faradic.
In [subacutic] rheumatism after good. 
In periph & hysterical loss of sensation
often does good but not of centric cause.
use dry brush [illustration] fails to obey Opi law
from point & goes off as little boil.
Farad of M erup. does no good but 
great harm - can not affect spinal
cord- 

1
Wood - [crossed out] April 3, 1888
Arnica:
Tinct - for wounded feeling
Item - Witch hazel now
used at present - only good
for its rubbing in applying there.
Arnica can produce irritation
& eczema - internaly gartient irrital
& collapse.
Ichthyol
Distil of forrit fish
2 fore - I. Ammonia Sulph
I. Potass Sulph.
Has 10 Y o S - can freely penetrate
the skin.
Uses for sufla of not chrome
type with enlargement - in
Procion very good, in Eczema,
in speoius, in glandular enlargements,
soft lipomas,
Of little or no value internally.

In erysipelas value by HgCl2 follow
by water, & the equal parts of 
Ointment & covered with batting.
- Both mix well with fatty substances
5 to 15% - In erysipelas
50% 20% for joints Somewhat irritant.
Demulcents.
Gum Arabic - of but little use -
Flaxseed - In making tea hot
H2O gets out the oil which is laxative,
- Used in inflammation of Gastro-intest 
tract, [crossed out] - In quick urinary
no good - for H2O - h.g. for Rest.
Ulcuers fulva - good.
Sassafras pills much used
as sedation for conjunctivitis.
Licorice = Ext glycerrity - has
glycerrizzin. - used in cough mixture
for taste & action on glands.
Compd Lic parlv is excellent laxative
Poultices - Means of applying
warmth or cold with moisture


2
Wood. April 3. 1888.
Post - month memb is hard white
& shrivelled, & gast-ent, if the 
death be late fatty deg especially
in Kidney.
Loss of Conscious dr to direct
action on Cortex of Brain.
In full dose It's & Resp at same 
time -
Defining poison to all higher tissue
Resp Cunt & Spinal cent mo
acted on the It's muscle.
Uses - only [crossed out] locally.
- It is local anesthetic as in 
exercise
vomiting from nervous sensibility
dose gtr ij - iij - In lientui
diarrhoea is but remedy.
Useful adjeivant in all diar if no inflam
be purent - especially for 
N diarrhoea.
In Antispetic surgery - Wood 

does not believe in spray.
f℥j externaly her caused death
- watch the urine carefully for 
its first little smokiness
Absorbed as corbolar in intest 
& also the. -
Sulphate - disappeared from
urine, parts destroyed, & parts -
eliminated & Sulphto carbolar 
partly as Glycouronic acid
Antidote is Soluble necphaleay 
or late as Mq84 or Nay 804
or H2804 dir 
- In joints
Hydrochinon also in urine 
[crossed out] Smoky color not dur to Blood
coloring matter.
In lungs - Prendo memb in the 
bronchial tube.
From apoplexy. - Odor. White color
-urine - not hemiplegic.
Convulsion are spinal
In full doses paral vero-moti center
Item perit Purmmoy & Center hence increases
Refes at first.
 

Flaxseed is good.
Slippen elv is good.
Bread & milk.
Over-use as in felon as in defenses
the part.
Stimulating poultices contain
a stimulating agent - as Excrement
of napoleon's Surgeon, better is 
yeast poultice by mixing with 
equal parts of flaxseed & Indian 
meal - to clean out.
Fatty Substances as vetricle
for ointments - 3.
1 Lard & Olive Oil. Lanolin
- (cholestasis & cholestin fat) 
2. Vasellum is mineral is perfectly bland & [crossed out]
protects - Is not as readily absorbed
as in a true fat hence not used for 
Hq.
Lanolin prepared from Suct (to 
keep wool of sheep soft). does not 
go back again on it skin non
irritant - vetricle for [In???] in act [illegible]

Skin.
Antipyretic 
To depress bodily temper in fever.
[crossed out] Carb. Acid is not used as antipyretic 
but acts like Salicylin but is the 
most dangerous antipyretic.
-Only used as disinfection, stands
next to alcohol in causing death
fʒj to f℥ss.
Sympt, Local irrit, burning pain,
ringing, giddin & must disturbance.
Large dose - May falls early, use 
course & covered with sweat gasping irregular Resp.
in 3 min.
In small dose death in 1-7 hrs.
nausea but vary vomit, collapse
mental spatty or deliuim replaced
by comes, -Resp irregular from ouret
death by failure of resp., - sense
of dysp if liver, long motion
power, ruin at first yellow
becoming perish to black. -Some
cases have Hemoglobin.


1
Wood. April 7. 1888.
Sal Acid Compds.
Formed from Carb Acid - is 
not officinal - Absorbed as 
salicylate in intestines as Na
salt in blood.
Sal acid soluble in ether &
can not be formd as such from 
the blood except in blood of 
asphyxia.
Eliminate is very rapid in 
- 25.
8 mins, - & lasts for 8 hrs after -
last dose, - and has tendency
to accumulate as for 1 wk.
It is local irritant as in the 
stomach & at point of escape
as loosened urine & even resp.
pressive or hacenalinia hence
hesitate in using it in acute
Brigtn 
10-20 gr no sympts.

Larger dose - Is cinchonism fullness,
tinnites aurium (1st evidence
of phys action), 2) urine becomes
greenish cause unknown but may
be indicare or pyrocalichin by partial
distinction of Sal acid.
In excr as Sect acid in urine
& as Salicyluric acid.
May dilate pupil, dyspnoa
is very constant, put form
put increased the diminished,
rate increase, its delirum
been coma & death from asphyxia
of Resp cent.
Acts badly especially on Dumt.
ands & apt to cause delirium
may last for long time & may 
be with hallucinations
Fox dose - Same Sympts In mammal.
Circulation - Used dose not at 
all depressant & may increase 


Wood. April 7 - 1888 2.
f℥j has take life & stimuli & urine.
May be given in capsule mx - 4 to 6
a day
Salicin.
Breaks up in Sal Acid and 
in urine is forward as Salicyluric
acid.
It is less irritant & better taste
It is broken up ony partg &
slowly in Sal acid hence not 
much used.
Salol.
1 At of H of Acid Sal is replaced
by Phenol (acid carb).
Is ready for from irritant prepertin
- much like oil of gaul - 
the not of bad taste.
As Salol in stomach but by 
pancreatic juice is broken up
into Sal acid & phenge without 
gash intent irritation. But
in larger dose urine becomes blackish
from Salicyluric acid & its
Carbolic compounds.


Salol } 36% Carb acid
} 64% Sal acid
It has distinct antirheumatic power
but is less prompt & less efficient
- good for subacute rheu & neurage
& m rheumat - dose 45 grs
-Salol appear as Salurin acid
in 1/2 hr but if it lies in Stomach
for cancer or weaken of walls
of Stomach.
Naphthol - salol.
1 H replaced by Beta naphthol.
- In intestine is resolved [with]
Sal acid & Beta naphthol.
Venesection
In acute serous infl diseae as 
Pneum of strong robust adults bleeding
from arm may do good.-
In acute serous inflam as in all 
fibrinous pleurisy at first use the 
wet cup (deplitis) & not dry cup (for
pneum or pulmon congest as counte
irrit) In peritonitis - leeches 100 A
In Exhaustion with right sided heart failure as in 
Pneumonia or advanced brights. & mistake not Pneum
for meningitis


acts press by v.m. stimulate & Hs (?)
Toxic [d???] - Card failure by direct
action, press low by act on v.m
syst as well as heart.
Sense of weakness & depression
in full doses by acting on N syst,
Use of M power & depress of reflexes.
& marked cutaneous anaesthesia
Resp. at first hurried (Skin) late
it is slow & shallow.
30 to 60 grs cause fall of tempt
in 1/2 - 1 hr & with sweating & is more 
certain then quinine but also fails,
can arrest its sweating by Atrop & Agarcin
but tempt still falls; do not 
depress tempr of normal man
but prevents it under exercise.
Not used any more to lower
bodily tempr.
Most powerful agent for 
Rheumatism (Senator) - by increasing
Nitrogen elimination 


in almost all forms is useful
& not only in acute & even good 
also in Gout (especially irregular)
Tart & act in Stou an
again it.
In acute [Rheum] - 1st Day
[crossed out] 45-60 grs 2nd day 30 grs now
in 3rd, 4th begin again.
May give in capsules on full
stomach but its acid form is
worst belt use salts.
Sal of Cod
" " [An???]
" " methy 90% in Ol Saul.
Sal Soda ʒj =
Sal Ammon - prepared item
Take Sal ʒj acid & Symp and encrease
Stronger fʒj Amm iiss acid draught
may give this in milk.
Ol Sarrh = All sympts of Sal a pour 


1
Wood. April 12 - 1888.
Antipyrene.
Crept - Sol in nalis.
Acts. Little tinnit & [no??] of 
quartered & tendency to wound -
[l???].
Larger dose - In weakness to 
little lessening of pure fever
and rate
In death in normal man.
In animals. - Lay dose cause
convulsion with paralysis -
serous dir of cramp asphyxia
but of paralytic asphyxia.
Convulsion said to be cerebral
Motion M. - Slight influence in 
advanced poisoning but never
any complete loss of power.
Sens M. - Paralyzes sensation at 
point of injection
Spinal Action depress M or 8 part


Depress Muscle a little.
Small does unaffect [bluoed-p??]
Large " increase " " 
Lox " depress " "
Said to act powerfully on muscle
of vessels - said to be haemostatic
greater than Lr Ch Fr.
Rapidly absorbed & eliminated
as antipyrene.
If take for long time palor with 
bluish tink by altering the Haemoglobin
into metahaemoglobin
[crossed out] Chiefly as antipyretic 
In normal more gets uncertainly
use of tempt at stage of convulsion.
In fevered man 20-30 grs tempt
falls in 1/2 hr & down by 1 hr - 1° C 2°
& continue for 4 to 8 hrs as nature
of disease, with for sweating
& may be with collapse, can 
arrest sweating by atropic & agararin
& yeh. tempt falls - hence
not result of the sweating, nor  

is it any effect of blood pressure.
Cause of fall of tempt is dire to 
decrease of heat production by
acting on nerve center controlly
thermogenetic function of the body.
Urea eliminate is lessened
in fever - checks nutrition fever proven.
Uses, - In fever it is very certain
it makes firm more comfortable
in pneumonia, typhoid & but not so 
good for the patient as cold bath
For pain. Especially of use is those
of M origin of that store kind.
In locomoti - atexi cri good.
In Rheumatic
not as good for Boils as Morphine
does not form habit nor does
its derasy seculi as Morphia.
Is said to take away the Labor
pain & not interfere with contraction.
In convulsion disorders - As 

in Strychnic, or Epilepsy 1 out of 50.
Occasionally acts very unfavorably
as rapid cyanosis collapse, loss of 
consciousness & for sweating.
Give 10 or 1/2 to meti result
or 30 grs even taken.
[crosed out]
May keep back measles.
Antifebrinis -
Same effect both some tender
to sleep. - more powerful - gr 10-20.
On general system - less is known
these of Antipy. - cyanosis also
from methameq. - loss of reflex.
does not lessen no. of corpuscles.
Parado-phenol - mephalic in urine
- Some say it change other not.
Use - In fever - In pain - In epilepsy. 





[Nervousness] a pleurisy but may a pneumonia.



3





Blister is more slow and more permanent than rubefacient 
and produces more structural change.
Rubefacient is more rapid and more general in active - used
in congestions and nerve irritations.- Rubefacients go deeper than
blister if left on for a long time
Countre- irritation. - Mar. 17. 1888.
Amaurosis may follow from decayed tooth.
Paraplegia from renal calculus. 
Duodenal ulcer from a burn.
It occurs through the trophic nerves.
Irritation to be placed directly, over
an organ as it has a relation with 
the surface directly over it.
Port annal for the eye.
Anstic's Law - first countre irritation
over the root of nerve supplying
the painful parts.
Sets of Countre- irritants - 3.
I Rubefacients - cause dermititis 
but with no organic change.
II Epispastics - Has organic change
and blisters.
III Those causing structural change
but no blister as Croton oil or 
Antimony.
Seton acts in same way
Issue also
Caroling likewise.
If you wish in affect an organ


having organic change, you must cause
organic change on surface
For congestions and irritations rubefacients
to be used : as in lungs
or bowels.
Peritonitis requires structural changes
for countre - irritation.
For Blistering - Epispastics = vesicatories.
produce inflammation of skin
& antpouring of serum Known as blister)
Spanish Fly (Beetle)
Cantharis - Cantharides
Active principle is cantharides 
Tinct. is used internally dose gtt
Overdose of the fly internally causes
burning pain and soon vomiting of 
mucus & green specks of fly, these bloody,
then shortly diarrhoea not serous
than mucous and bloody, with tenesmus
and small, Sometimes at 
once we have collapse; in a few
hours a 2nd set of symptoms come
on as pains in Loins, pain in bladder,
& frequent desire to micturate
and symptoms of cystite
and even strangury. 


Take it off 1 or 2 hrs before it has drawn & then put on [the]
poultice to draw.
and erotic excitements (aphrodisiac) from small dose,
from larger dose we may get swelling
and sloughing of the scrotum &c,
death from exhaustion with coma.
death is from local action at the 
points of interence & escape.
Treatment of poisoning - Wash out
stomach and intestine with demulcent
drinks but no oils & cathartics &
give Opium. - or even Anaesthetics - Leeches to epigastrium.
Write for plaster thus. On Adhesive plaster with a free uncovered edge.
Rx
Ceratum cantharidis q.s.
Pimples vj x IIII urine
If absorbed the cantharides may
cause strangury, to avoid this
only keep on the plaster a brief
time (early removal), and thus also the pain suffering will
be far less, - 5 or 6 hrs contact is 
enough followed by flaxseed
or bread and milk poultice for 
5 or 6 hrs more, after the blister 
is raised clip in with scissors
and then may cover with ointment
Chartula 


in keep in from healing use Basilicon ointment (Cerat.
Resinal)
For Strangury - Opium peridium & Hot bath. leeches to epigastrium
For nervous irritation - In typhoid fever convulsions 3rd week by applying to Scalp.
In D.T. but there is danger of scalp sore
to heal in quickly use Goulards
[crossed out] ointment. - Or use Simple
cerate. If slow in heal use Ung
Zinci or Ung Iodoform.
Blister is most useful for serous
inflammation than that of organs.
- only in advanced stage of pneumonia,
Often good in catarrhal
pneumonia & capillary bronchitis.
Blisters are more useful in later than in early stages of inflammation.
Rubefacients - Plaster
- Poultice
- Liquids as liniments.
Liniments - used for chronic rheumatism
or after exertion, but not 
as efficient as they are popular.
No specific action in any one liniments.
May use Aqua Ammon fortior
with Ol olivum, may add Ol
Terebinth, and Oil of Sassafras
Cantharidal collodium (Collodium 
cure cantharide) is too powerful
for using.


Turpentine stripes - In typhoid fever
- In Amenorrhea with Dovers &c.
Aqua Ammon under watch crystal.
As Plasters 
Pices. Pix Burgundica - x (as Plaster [crossed out])
Mourning plaster = Emplast. Picis cum
Cantharidis will blister 3 out of 6
persons - they act slowly & for 
days; for moral comfort: - In
chronic bronchitis of old persons of service
x (Pix Canadensis as Emp Picis Canaden)
- In nervous pain of women for prolonged mild effect.
Sinapis - mustard
Is more valuable
1. Sinapis nigra = acts in 10 mins black mustard is more 
powerful, of equal parts with flour.
2. Sinapis alba = acts in 15 mins. white or yellow mustard.
Mustard is a soothing persistent plaster - use in 
not too strong so as to keep it on longer.
- In newspaper
Mustard plaster for 1/2 hr, in blister
there is more pain and harder to 
heal them from cantharides.
- Used in intense internal irritation,
no good in collapse and apoplexy
and as there is no sensibility here
it may be left on too long - In
internal irritations the next 

1 Part Black mustard & 2 parts flour. Kept on 20 mins.
or Equal parts of yellow mustard & flour - mixed with water.
day after after using the plaster a 
furious dermititis may appear by reaction.
The mustard leaves of the drug
strups are abominations.
By diluted with flour & [crossed out] molasses it checks
its rapid action
Spiers. - for steady & continuous mild influence
in enteritis. - may use tincture of the spiers
on cloth & cover with oiled silk.
Escharotics are drugs used to 
destroy diseased or sound tissue.
Pain is the difficulty but creaine
now prevents this, is in chancre
before using nitric acid.
Nitrate of Silver is powerful but 
does not go deep.
Acid nitrate of mercury acts about
as nitric acid, applied on 
splinter or glass rod, arrest their 
action with soapy water.
Chronic acid is powerful, for 
epidurral growths especially, as 
warts venereal or not by placing
a crystal on it & then wash off with H2O.


Bromine is most powerful - use
glass rod - acts in dead and living
tissue alike, used for Hospital
gangrene but is too uncontrollable
for organic growths.
Sulphuric acid may also be 
used.
Corrosive sublimate - is most 
dangerous from its absorption.
Potash or Potasse cum calce 
(Vienna paste) - it takes up the 
water, acts in the fat, oxidizes the 
fibres - for small masses - is too
uncontrollable - punctralis deeply
- used in make an issue
- apply by making a hole in a 
piece of sticking plaster [illustration] &
cover the edges with cerate oil, apply
the caustic for 10 or 15 min
then wash with vinegar
The Vienna paste does not run
as the Potassa does.
Zinci Chlorid - bitter as Canquoiris 
paste, & making arrows in thrust 

around base of tumor.
Acidum arseniosum - (As2 O3) bains of 
quack remedies. Cancer tissue is 
more readily destroyed than round
tissue - pain is atrocious, but cocaine
checks this - It may be 
absorbed but by using large amounts
this danger is less
as the tissues die so quickly.
Anthhelmintres Mar 22, 1888.
Worms. I Ascaridis Seat worms.
II Lumbricoid - Round worms.
III Taeniae - Tape worms.
I. For Seat worms fist wash out the 
rectum by injection of salt water,
and follow this by an injection of 
Qaussia 3ji. in Ojss boiled down to Oj.
inject this each slowly and hold it 
as long as possible.
Vinegar has also been used. 


Spigelia Pinkroot
Ext fluid dose fzj
Ext spigeliae in Sermac fl (not officinal any
more) has aromatics in it, good for children.
adult dose 3ss - 2 yr child fzs-j every
4 hrs till in purges.
Symptoms of Overdose of Spigelia - much
as a mydriatic - dilated pupil, heart
acceleration, heat & dry skin, delirium.
It probably contains Spigeline which 
is a cardiac depressant.
Spigelia narcotizes the round worms
hence in 1 hr afterwards follow with
castor oil.
Azedarach
Decoction (3ij to Ojss boiled to Oj)
dose tablespoonful every 2 to 3 hrs
till bowels are affected.
Chenopodioum - Wormseed
Oil is to be used - dose in capsules
or on sugar gtt x to 3 yr child every 3 hrs.


Santonica
Levant wormseed contains Santonica
also called Santoninic acid & can form
salts.
Santoniates are freely soluble.
Santonin is insoluble.
Action - First symptom is often yellow
vision (zanthopsia) due to staining the 
humours yellow, and urine is red looking
from the santonin & its derivatives but not bloody,
tremblings, vomiting but mostly not,
and the symptoms are not those of 
gastro-enteritis it exerts its power
over the nerve centres, & with loss 
of consciousness & dilated pupil.
Summary I. Zanthopsia. 2 Tremblings
and muscular (?) apathy & unconsciousness
& epileptiform convulsions.
3. Collapse.
Santonin has produced death - 6 grs
has killed strong adult: as it is insoluble
the persons have often escaped,
Solubility is not wanted hence
sodium cantanate is not to be used, 


but give the santonin itself in its crystalline
form (not pulverized)
Adult dose gr ij - iv
Child dose gr 1/4 - 1/2
follow it in 2 hrs with castor oil with 
a little turpentine added to it 
Turpentine - doses of f3ss j always
with twice its bulk of castor oil has 
been used for all worms.
III For taenia must have the intestines
empty may give as follows
1. Supper to night, bread milk & tea.
2. Medicine at 7 tomorrow morning.
3. 1 hr later (8 A.M.) coffee
4. 3 hrs later little milk toast (1/2 hr before
2nd medicine = cathartic)
Pepo. Pumpkin seed,
Wood mostly uses this for taenia.
It must not too old.
3j - ij beaten up with sugar & aromatic
oil & taken as the breakfast.


at 10 A.M take tablespoonful castor oil
& teaspoonful turpentine, and 1/2 hr later
may eat.
Be present at the delivery of the worm
& if it comes down by giving a large
rectal injection as of salt water to 
bring the head along.
Aspidium - Filix Mas. Male fern
Oleoresin is alone to be used
It can produce fatal gastro-enteritis.
-not safe to give over 3ss - j after
starving &c
Brayera Koosso
Has Resin Koosin (Taenin)
Wood never used this
x (3ss powdered leaves suspended in water
in the morning, or 20-40 grs Koossin. It
generally purges itself - case in pregnancy.)
Cathartic 2 or 3 hrs afterwards.
Pomegranate Rind - Granatum
Decoction of the fine twigs is better
3ij Ojss boiled to Oj.
Alkaloids - Pelletierine} taenicides
Isopelletierine}
{more

French dose of alkaloid is gr iv - vj.
On animals it produces temporary motor
paralysis [crossed out] of peripheral motor nerves
as with curare
Antacids
Drugs to neutrallize acidity of primae viae.
(in Stomach or Intestines with constipation 
or diarrhoea)
In gastric acidity we have acid eructations,
and may cause headache (sick) coming
on with blindness & sudden dizziness
& early stomach symptoms
& is across the whole brow & not on
our spot as in neuralgic headache;
for acid sick headache Remedy is to act immediately hence use Ammonia
gtt xx-xxx or Spirits or Spts. aromat.
Acidity is due more to fermentation
than to perverted secretion.
Sodium
Soda bicarbonate acts on Stomach
and Urine but not on general system.
Preparation - 1. - Carbonate
2. Bicarbonate is less
irritant - given in soda mint.
For Burns when no cuticle is 


Lime water not given for vomiting of acute gastritis 
destroyed put on a paste of the Bicarb
it does good apparently by breaking up
the emboli or thrombi of the burn.
It dissolves uric acid hence used
in gravel, but can not dissolve any 
formed calculus, hence to only [crossed out] make
the urine alkali in Soda bicarb grx -xx t.d.,
but to purify the system use Potass
Lime. - Calx. - 2 forms. 1. Caustic Lime.
2. Aq. Calcis.
Aq calcis (lime water) prevents coagulation
of milk in stomach hence good
for delicate stomachs as in milk punch
add tablespoonful or more.
It is astringent and sedative to 
mucous membrane, has solvent power
on mucus, used for gastric irritation
especially with milk as for 
puerperal vomiting 1 part to 3 of milk
up in 6 of milk, in small doses of the 
mixture at first as f3ss.
In vomiting lime water alone is good.
In laryngitis (early) lime water in 


atomizer every hour is best remedy.
In children with nose stuffed shut
with thick mucus it dissolves it.
In Diptheria lime water has no power.
x(Syrup Calcis dose fzi - ij) Liniment Calcis 
= Carron oil for burns.
Chalk - 1. Cretae Prep. 
2. Calcii. Carbon. Praecipt.
Both these forms of chalk act alike.
Slowly acting antacids. - well given
internally as mist Cretae (gr xxx to f3j) dose
is f3ss - j. - it is also feebly astringent,
and as dessicants in powder form, and 
acts as protective, good for diarrhoeas
of irritation, and also in those of relaxation.
(from acidity is in Summer)
In intertrigo, feet sweating &c. as dessicants 
& protection.
(Oyster Shell in Castillon powder for summer diarrhoea)
(Dose carbonate gr xx - 3j
Saccharin.
Prepared from coal tar,
Is 250 times as much as Sugar.
It escapes unchanged from the urine
and makes it sweet & antiseptic.
It has no physiological setron on



the animal organism and does not affect
the nutrition of patients.
Uses. - In diabetic to sweeten the food.
In obese persons.
It is insoluble in water but in soluble
in glycerine.
Disinfectants - Mar. 24 1888.
To destroy noxious miasmata.
Wood divides poisons in 2 Classes.
1. Miasmata
2. Contagious.
1. Miasm is not a germ but is gaseous
emanations but these can be infected
as with typhoid.
2. Contagion is a germ.
Filth may be in air, water, or solid.
The atmosphere can only be purified
by dispersion, & not by bonfires &c
as any agent that will kill the germ
will kill man also.
Chlorinalia lime in the sick room
is no good it only covers the other
odor by its own.
Sewerage. can only be purified by   

Germicides kill live germs
Antiseptic kill them in embryo & prevents their development.
1 dispersion & by 2 oxidation.
Solid filth - can only be deleterious if 
moist, - dry earth of "cat style" is good
hence well to keep barrel of 1/2 plaster
and 1/2 dry earth is with 1/4 part dry lime
in county privy to throw down each
time.
Lime (Alkalin) favors oxidation
by forming ozone.
Lime in a privy brings up emanations
of Ammonia & other poisonous
matters.
Mode of disposing of non - infected
filth - I Dispersion
II Dryness.
III Lime.
Cleanliness of rooms as by washing
is best - dispersion
You can not disinfect large masses
in never or privy, hence destroy the 
first stool as it comes from the typhoid
patient. -place the disinfectant 
in the [chamber] bed pan
before the patient uses it. 


In infected filth you must use a 
germicide as 1 Chlorinated lime,
2 Corrosion Sublimate or 3 Acid carbolic.
Chlorinated lime is the cheapest,
1 part to 100 of water destroys all forms
of living organism used either in solid
but [crossed out] better in liquid form, put 3iv - v
in pan before defecation do not pour away the stools
immediately after being discharged.
In using corrosion sublimate use it 
1 to 500 of the stools, always kept in solution
& colored with amline or fuchsyne.
Acid carbolic is effectual - 1 to 200
of the stools at least.
Sweetening of Closet and Pipes - use 
copperas (FeSO4)
To disinfect sick room - wall paper
had but be taken off and the walls
and floor washed with HgCl2 1 to 1000
followed by ordinary water.
Bedding had best be treated by fire
or by boiling.
No upholstered furniture is to be 
in a sick room.

For blankets be may use dry or better
moist heat of tempt 250 F - the goods
to be spread out. - May boil the 
clothes in salt water.
Corpse of infections disease to
be sealed in close coffin and buried
immediately and privately: may 
inject in at once with corrosive sublimate
to disinfect the corpse.



















[crossed out]
1
O.K.
Pepper. Oct 6 1887.
Memb Lar - is inflam
with Pseudo. memb
formative in memb
- Known as membranous
or true Croup.
It is Idiopathic or Secondary
Inset put as abrupt as 
Cap fr
Begin with slight fever
increasing Cough is hoarse
becoming weak & small
called also Crooping Croup.
Sympts of obstructive
voice becomes smaller
& whisping almost suppressed 
cough become
wheezy & feeble

breath more labored
Angle of more play.
bring Stude with wear
Rest murmur.
Supra - gt violet [crossed out]
sinks & at bare of chest.
It turns spells of Spasmodic 
differently in 
breathing for livid - childs
in sweat. time about -
airs of apnoea
May kill in 48 hrs in 5. 6. 7 day.
It may come on in perfect
health but in majority
of cases you may
find flaks [crossed out] fancis.
but rarely Albumen in 
urine.
Diag - Dr is usually in 
children
Progressive character of  


2
O.K.
If Sympts progress after
using Calomel than conride
Tracheotomy or Intubation
Indication for Tracheotomy
&c are Obstructive Spasmodic
attacks &c memb. Croup.
Entrance of food & liquids
sometimes interferes with 
its use.
Pepper prefers Intubation.
Bronchial Tubes
Bronchitis inflm of lining
memb of B Tubes -
acute or Ch - Prin in 
See - alter from pain
cough. Expect & Physician
Signs.


Acute B 1 Of large tubes
2 " Capillar "
Prim or Idiopath Branch
come from common
causes of Cat inflam
as Irrition of vapor a particles
but more common is 
chilling of body or 
exposure of relaxed body. 


Tremor or multiple sclerosis
cease during sleep or by sitting
them down - they bring excitedly
by exertion.
RX Hyoscine is but remedy
& quick its movements of 
Paralysis agitans - Hyoscyamine 
may also be used. 
Cases of central Paralysis of 
facial nerve are partial,
here its Orbicularis Palpebral
In generally escapes.

Convulsion -
Chorea - no to & from
Tremors - to & from movements
by antagonistic groups of Maint
of movement is less
than Chorea. 
Wide spread tremors Cause
Chronic alcoholism. Pb & As
Organic lesions of Cord or 
Central. - Or as result of 
old age.
Senile tremor usually
begins at its head -
Pathological causes.
General paralysis of Insomn- 
Parkisons disease -
- Paralysis agitans - Multiple
cerebro spinal Sclerosis.

Sympts of voice cough &
Fever in this form.
Laryngoscope can not be 
used in Children.
If uncertain regard it 
as membranous.
Pug. Very grave - worse
when diphtheritic but
very grave even when 
primary or idiopathic.
Large percentage die with
or without operation
Treatment - As soon as 
diagnosed.
Count. Irrit, mild as by 
Lr Iodine.
gt. Atomize repeatedly but 
with gentleness - as with
alkali or Zinc H2O - KCLO3
NH4CL - Solutn of Boronic 
Acid - Weak Solute of Tannic
Acid


Peprine with Bracia
or Lactic Acid. -Solution
not irritate - use them
every hour.
Internal - Calomel from 
beginning - large dose followed
by another large dose
until bowel move 1 or 2 
time the small doses
Child (5 yrs) - 5 grs followed
in few hrs by 5 grs, then
reduce to 1/2 gr dose at 3 hrs
Alkali as KClO3 or Bicent
find combined with 
the Calomel.
Muriate of Arm may be
given with KClO3 but is
feeble compared with Calomel

Lecture.
Stelwagon - Vol 7. 1887
Macula = Primary Lesions 
Spot.
Cloasma 
Papula = Pin point to Split pea
Solid elevation of Slein
[crossed out]
Vesicle = elevation with 
serous or sero-purulent 
contents as fever blister
Pusticle is advanced Stage
of vesicle usually, they
are filled with pus
Bleb = large blister with
serous or Sero-purulent
contents.
Wheat = as in hives- flat
rounded elevation having 
often yellow centre
as in nettle - rash.

Tubercle - Very similar
to papule but is despair
& larger than papule.
Tumor
Secondary Lesions
Crust - Extraneous drink
Scales - Cast off masses
of epithelium
Excriation = Scratch mark
Fissures
Ulcers
Scars = new growth. (cicatricial)
Patch in may be uniform
(of one kind) or 
multiform (of different
kinds - bullous -
Discrete = Separate
Concrete = Running together

Typus 
Circinate = when forming
a circle or part of 
one.
Serpiginous = when like
a serpent.
Irris - different colors
Marginate when edges
are sharp.
Annular = round with 
centre clear


For Hyperidrosis
1) Rx Tannic j 2) RX Alum 3j - ij to g.
Alcohol Oss.
Rx Ung Diachylon
or Ung Acid Tannici 

1
O.K.
Pepper - Oct 10. 87.
Cat Biurets = Biurets
Cat = most common
layer tubes ordinarily,
capillary form in its 
smaller tubes.
Sympts. Fever in mild
cases very triffling may
walk about in ordinary
from 101° - 102° in [illegible]
to 103° - 104° approaching limits
of Pneumonia.
Slughs changes in 
mild case [crossed out] Rest & Pulse
no dysfuon to extreme
in bad case.
Pulse from no disturbance 
to frequent
& small 

Rest & Pulse less affect
than in Pneumonia
Cough prominent = loud
often paroxysm - painful
dry in early stage with
sub-sternal soreness with
tearing [???tion] - increased
by talking or worse
as if comes on
at night - Paroxysm
may be exhausting if
severe.
Abscess of light, exhaustion
from in [illegible]
allows is to become more 
in coming as in Laryngitis.
By 2 or 3 day comes on
expectoration - [illegible]
at first tenacious &
grayish with Saline
become loose yellow

2
O.K. - Oct 10 . 1887
Persons negative in all 
form of Bronchitis, save
in severe bronchitis in 
feeble children when 
& portion of Lung collapse
by plug of mucous & this 
may give dullness generally
at periphery of
Lung (wedge shaped) but
not with other physical
signs of Pul consolidation 
Pug. - Diffrs. Good in
all except Cup form as 
to life. but guarded as 
to return & duration
Grave in old & feeble
persons.

Draq. Easy
Treat of acute primary
Bronchitis
Rest & Protection.
Our evenly heated room
&c & to bed if case be 
urgent not even in get
up for calls of nature.
Comp Irrit = by mustard
learn or plaster or liniments
or Iodine in 
Sternal or Inter-scapular
region
Inhalation if warm
medicated vapor by
Steam atom - as For [Corri?]
of Chloroform (Antropan)
Lime or Borax or NH4CL
as alkali to form Secretion.
Carb &c. Cream 

Oct 10 1887
O.K. 3
The Rx are for early 
stage, - when Secretion
come it is not necessary
to use Expect
& use less Opium.
Cap from is danger
from Exhausn by Rest
In & It's & collapse to
asphyxia
Seat of Cap Burn
Dry cupping at roots
of Lungs daily or even
liver daily.
Stimulating remedies
here called from as An
5 gt an 2 or 3 hrs for a with
Carb & sedative & Bella
or Hyoscyam or Le Corrium


add age to 12 & divide by age for 
the size of dose
Strychine is best in
strength Rest M + 1 is
given frequent & freely
with internally or hypodermically
in the region.
Begin with 1/4 gr repeated
in 3 or 4 hrs for 
a few days.
Alcohol must often
be combined first in 
small doses - come well
by children.
[cross out] Jacket of Rare
Cotton. -
Fihirrous Bronchitis
Membranous form must often
with Diph.

Rement that acute Branch
is a Sympt of vile affection
as Secondary forms. - Measles. - Typhoid
fever - Diph -
but not usually grave



Iodine as astringents
Use the weak at finer
until well borne
Internally. 1) Allay [fr??er]
2) Cough 3) [Pr???i] Expect
4) Allay infla.
Quine & Aerium
6-12 grs of [Q???] to Adult
Aerium 1 grs an hr in
adult
For Cough. Antispasmodic 
& Opiate.
Bellad or Hyoscyamine
sometimes
[crossed out] Morphine Sulp gr j
Am Muriat ʒ ij
Syr Ipeca fʒ iij
Syr Squill fʒ vj
Ext purmos fʒ vj
Glycine f℥ss
Aqua E.S. ed f℥iij
S - fʒj h.r.n.

[B????id?] of Am or [Iodine]
may be substitute for 
its Nld4Cl if Spasmodic
tendency be great.
If few is sharpen
use this.
Rx Morphine Sulp grj
Linar Aconit Rad grt XXX
Am muriat gr C
Lig Am Acetar q 3rd f℥ V
S - fʒij h.r.n.
But danger of mixing 
powerful & mild remedies
known with use 
Aconit from separate
bottle until tempr drops
as Known by thermometer

& purulent & more copious.
Auscult - On both sides
of chest = Bronchitis Rales
= Sonorous & sit rales in 
large tubes with course
moist ones in smaller
tubes,, - becoming more 
abundant as expectoration
increasing,, - most 
marked over large tubes
Heard booth is In & Ex
very changeable - as then
swelling of memb is with 
the Secretion.
Bunch families may 
even recur
These physical signs increases
as night comes on.
Capillary form given
all the Sympt more 


aggravated. - depending upon 
the the condition of the
[crossed out] System or congenital anatomical 
changes.
Fever higher. Rest disordered
greatly - 50 - 60 - 80
in child = 46 - 55 on adult
Dyspnea. Play of Al
Pulse frequent & soon
[illegible] force suffering
from non-aerated blood.
Cough - smothered - wheezing
ineffectual
Phys Signs of Cat Bronch.
Bilateral - not most 
but at periphery in
laryntritis Sub-crepitant
(coarse - crackling) in with
Inst & Ex ( more in Ins


Chrom B {Bronchial Dilate
Allied af {Emphysema
pectin {Asthma
1
O.K.
Pepper - Oct - 11 - 1887
Chrom - Bronch = Chronic
inflam of Bronch Memb.
Causes - 1) Repeated acute attacks
2) Glow operation of 
ordinary causes of Acute Attacks
3) Constitutional predisposition
as Rheumatic
or [illegible] Rickety & Scrofulous
in younger persons.
4) Persons with a tendency
to Chr Bronch. 5) Occupations
Sympts of Chr Bronch.
Often very mild as to its
disturbing general health,
but in other cases the 
general health runs to
have invited it & then
a break follows. 


Some given cases break
in general health by often
in less of flesh in Strength &c
Cough occur in paroxysm
& very annoying
not occuring at any one
period of the day. attended
with expectant of very
copious & glary it is called
Bronchorrhea - or 
purulent & smaller or larger
in amount according affecting
the general health.
Ex shows lencorits altered
epithol & marcinus 
bacilli or lung shreds.
Hemoptysis is rare.
Ph Sign - Decllum
negative &c. 
Sonorous & Sit Rales at  
lower portion part of both


O.K.
2
Oct 11-1887
Residual air in ocean
Tidal " Deceased.
Excitmnt & Exertion increase
in Dyspnea & also
[crossed out] Bronchtit exaggeration
This followed by weakness
& bad color & flabby
not necessarily thin
very worst effect is upon
the H's & results is dilates
of R't H't with minfiensine
of Tricupsid valves
& following this a general
venous obstruction & ascending
dropsy.
P Signs of vis Cmph.
Inpher
Chest constantly distended.
Ribs raised & more
horizontal - Sternal round

Ant Port diam in [evacuant]
Bounded - Short - Chest
no movement of expansion
& retraction but exaggerated
movement up
Percuss - Ana Resonium
increased & exaggerated.
It's covered - ex brat.
Vocal. Fren & Reson
are both decreased
Rest [h???r] - Respiratory
element is very weak & short.
Exp element is prolonged
It affects both sides
Diag of Che Branch.
Hist of Can. long continuance
of cough - good general
health remaining good
not its case in Phihro
Micneipe Ex of Shute


Both Sides equally. - Sear
change from time to time
-no Sign of consolidation
-Dilated Branches may
suggest cavity (vomica)
- no from so very little.
- no Hem - or diarrhoea
no laryngitis in nearly
all cases.
The look to its
Prog - Uncertain - Recur
- very good for duration of 
life.
Asthma.
Associated with Ch Bronch.
It is not of Bronchial
Cough.
Morbid irritability in
most cases of Asthma
of Bronch mucous memb
in different persons 


As Rest & Hay Asthmas in
Changes of Climate Residence
Temps & moisture of air
in person of spasmodic tendency.
Asth is an [crossed out] condit
of Spasmodic dyspnoea Associated
with most condit
of Bronchiat muscus memb
& with Spasm or parisis of 
muscle of Rest.
Some muscle are in state
of spasm as Bronch & Interental other are in state
of exhaustion


Lungs - Signs show remarkable
fluctuations
by season &c.
The Chr Inflam in the
tubes of low vitality already 
may came Sacular
Dilation at roots - 2 in
diameter rounded or from
form - thickened walls. - In
causes as much trouble
as an abscess except diameter
of tissue as decompressing 
sputa, pectin
fever
Phys Sign of Cavity
-On one of big tubes - More
common behind ever Root
Deep rested percussion or
tympany - Tubula colouring
in Inop & Exp. Pector.
[i??in]. & Sign of Cavity.

2) Mirfn dilatate like a 
glove.
Emphysema (vesicular)
is another accompaniment
of Chr Bronch [crossed out] It is state
of permanent over distention
of air cells of the Lungs.
Causes producing is
General weakness of Lung
tissue, & its air can not 
get out of Bronch tubes in
Coughing hence is distend
the spies & Borders of Lungs
It may follow whooping C.
but this passes away.
Phys Sign,
Progressive & Permanent
Habitual abiding Dyspnea
as elasticity of air cells
is lost 

OK.
H.C. Word. Oct 29 1887
Tonics - used in overcome
debility if cause be removed
or help life along if in 
can not be removed.
Debility is often the result
of intestinal catarrh of which
diarrhea is its result
[crossed out] Groups - Vegetable
-Mineral =
-Fungines
Veg Tonics } Simple .1
Peculiar .2
Aromatics. .3
1) Have principle as stimulants
to it Skin
2) Having added some other
peculiar properties
Exem up 1 an irritants
nans & voom-Corrts 2-Inrritation
of Sarh memb

Indication for 1 is a loss of 
apetite. -
After overwork.
Actively of spring time.
Convalescence of acute disease
Quassia.
Seinant Ex
Certain quassia this produce
convulsion movement in lower
animals - gastric irritation
& headache in man. 
Principle in men in
Exh - in pill 1/2 - 1 gr.
Tinct - gtr XV - XXX w XL
Inf for Seativorus 1 y to 1/12 pn
boiled in 1 pint. 
Gentian
Solid Ext is 2/3 of quassia
Tinct Co is most elegant
of all the bitter pick

2
OK.
XX
with ZN804 or P.B (C2H3O2) 2.
or 5 grs of improper alkaloid.
In Chemis gastic calaiet
with hepatic tripe as result
of use of alcohol - always
in pill-form.
Marked uterine contractions
by injecting it into 
bitches - for menorrhagia
for cervicitis & vaginal inflam.
- in [illegible] - in nasal cath
- in conjunctivitis.
Eupatorium (Bone - rub)
Infus is with time
Oy. to pint ] hon H2O on 
going to bid by acting as a 
sudorific
Bark of Comus 

Arcuation
Activity depends on presence
in Chr of volatile oil.
Active in common in this class.
1 Stir in gash intent memb
incline for in time being 
not kept up long as in Simple
times. Carminative of expelling
in gas. Reflex peristalsis
Affect in it's causing drastive
arrest.
Ol Caryrrh.
Acts as local anasthetic
-powerful poison to all tissue
but this alow absorption prevents
this.
Cloves
Ginger
Pepper
Cinamon
Cardamom
Mints - Vir
" Pip

OK.
Ol Sassafras.
-Comp In. In grap - Cheat.
[h???] for liniment.
Ol Savlth.
Salicylate of methyl acts
as Salicylic Acid.
Oil Nutmeg.
Feeble in local influc -
& in It's - Acts specially on 
cerebrum [h??] capable of 
use as soporific [h???] in 
hysteria - can poison persons.
- for hysterial unrest
grr X-XY Oil - gr XXX-XL nutmeg.
Anthemis (Chamomile)
Mild Stimulant is Stone &
satisfy. the meal needs.
1 oz in pint, wine place at 
matter.


Serpentaine
Weak - never used by itself
Peculiar Bitter
Prunus Virg - Wild cherry bark.
[C????] Tannic Acid, Bill
time principle, Crulkin &
Amygdalin the form HCy
was used in Phthisis but 
its action is too fugitive
Syr. as vetricle is enough [wi?h]
by adding morphine
Eucalyptus.
Local action is sleight - hence
can not be used as Corut In
or carminative.
Absorbed run freely than 
the other oils.
Gtt X-XX produce & single
of warmth in its Stone - [S????]
of calum , mulax. It's as 
low as 50 - more of numb.
uses in [?cli?n] nerve.- abolih.
of muscular nerve
Cuonnous dose/ paralysis 


death from paralysis act
by act on Spinal [en?i].
Fall of Pre by effect or It's
[Su?????]. Sedal is when
system but on Case & It's 
must.
Clive from lungs & urine
Und. for acts or mucous
memb in Bronchitis
after first stages
in Asthma will it - Intern.
Cath - Antiseptic Surgeon
is [inp???] - Antiperiod
is unreliable.



Anise
Fennel
Tannic Acid in Cinnamon.
Ol-live dose grr - ij for Col.
for Intub relax with diarrh.
[sti?s] it by stimulating it [illegible]
normal time in its serous
diarrh.
[crossed out] - Cinnamon
Oil Cirr gtr ij-V  - flavouring
Linen - 1) Mild diarrhoea of
relaxation is with H28O4 Aro
& Symph. 2) Menorrhagia in
fʒj is case of want of tou.
Card.
Tinct Co. -
added to
Tinct Co
Tinct gent.
H2804 w Aq. Req.
Symph.
Strong Chr.
Orang P. flavouring

Ol Ced.
Ol-Anise - carminative
Ginger
Has an alcoresin beside its Ol
as addition to tonic pill.
as in Black pepper & Red pep. 
Vol oils eliminated through
its Renal organ & can produce
strangury.
Ginger. 1 tap Inf. as murdorifin
in suddenly ruptured
menstrual in 
abdom colic.
Menthol
From tupentine
[crossed out] for neuralgia pains

Barbery.
Certain berberin. 3-5 grs rest
official - convulsion in lower
animals in toxic doses.
Columba.
No Solid Ext.
Exp fl -
Tinct - fʒj
Chirett
Solid Ext gr j = 2/3 of Quas Ext
Acts in Liver especially after
malaria & debility following the 
heat of the liver
Hydrastis.
Golden Seal
3 Alkaline - Berber
- Hydrastine
- Zanthopoxis.
Pure hydrastis is colorless
berberine is yellow.

Hydrastis
1 { has distinct power of over circulating
& nervous system -
- spinal convulsions as in
Stiydrun death may occur
for cramp of Rest m.
Small doses increase the Act
Pus - Large dose decrease.
This depressant to It's muscle
causes diastolic arrest -
It [means] to act in Vm.
Centre thus causing it
rise of act pressure.
Local paralyzant of new 
of sensation.
Und - for mucous membs.
- acts well locally - & also
some in Intest.
In gonorrhea after the
Bi period is period - con -
curtal flow Cx V mx - XX - iʒ

Mills - Bleckly - Nov 19 - 1887.
Gymnastics [for] Nervous Diseases.
1. Manager
2. Movements.
3. Electrical.
In [crossed out] movements we have
active and passive - or semi active 
and semipassive or duplicated
active Swedish movements.
Zander method, is where these
is & stram apparatus, are of limited
use only.
Resistance apparatus are useful
in more cases - elastic tube &c.
Respiratory gymnastics: As in 
Blakey's book - taking a full
respiration as each movement. 


Begin with light dumb-bells or 
no weights at all.
1 - Dumb-bells above the head,
taking a deep inspiration &
lower hands laterally and expire
while raising them.
2. Put 1 foot forwards, throwing
dumb bells back & chests forward
& taking in 
3. Hand against [illegible] through
dumb-bell against its into of 
other shoulder.
4. Dumb-bells behind neck & go
down.
Place patient on back then
let him raise with its foot
or the body.
In Hemiplegia (central) make
a quick movement with
round limb & quickly follow 

with same movement of 
palsied limb.
Paralyses and atrophics &
Choreas are benefited by movements.
In choreas get them to 
come after you as you
perform movements for 
them.
Habit choreas are most 
difficult to cure.
Movements are good for 
certain forms of insanity
as melancholia  



OK.
Pepper - Feb 9 . 1888 1)
Small Pox.
As Sp from of about 20 days
high contag & epidermic - witness
anatomical line, characterized
by striking & peculiar
erupt & powerfully influenced by vaccination:
3 ft in open space
Thrown up Carried.
From Body - by stomach - by Rest
tract or may be swallowed. -
can be carried by fomites.
It spares no sex nor age.
Complication - Nephritis - Endocarditis
& Myocarditis - Extensive
of erupts to mucous surface
as Laryngitis pustular -Bronchitis.
Blood - crasis dissolved in bad
cases -
It's form has not been isolated
Incubate maximum 2 wks:

no matter how long.
vaccinate 1 or 2 days after exposure
[pro??] will check it or modify it.
Invasion - Abrupt with chill &
violent headache, frightful backache
& intense pains in limbs 
- with pre-emptive stage is also
marked by vomiting loss of Apet.
fever, 102° - 103° - 104° flushed face, rapid full
putin - lasts for 3 days.
Stage of Eruption
Papule disaile exposed parts first, or face neck
rounded hard - short - like - of 
red color - 3 days
Vesicular Stage - Seem form at
summit & become a vesicle & umbilicated.
It is a cellular structure,
none the general symph subside
fever goes down, headache
& backache
Pustula Stage - 3 end oz 6 th
day the consists - become turbid
& purulent - It is [illegible] neon. 

OK.
Pepper - Feb 9. 1888 2.
Myocardit disper to Cardia collapse.
or weaker - Deaftness
- Perforate of humor & blindness.
Segmt - Disfiguration by reticulated
cicatrices - Scarcely ever
airy pitting in Varioloid.
Convulsion is usually prompt
rapid & complete.
In stage of duricate a cure
by disease may occur - 1 gal
a day. - Spe 1.001 - Limpid
Diagnosis - Shrend green in
fore-eruptic stage - or on history
of exposure & no vaccination.
& pain & fever.
Erupt in 3rd day of sickness.
- Measle & Typhus fevers
measle. Cath Sympts - Cough
& no marked pain & drowsy
& heavy. - flat macul, eriseints
- disappearing on pressure genera
of upon go down in S.P. 



day from - maturation five
the purtial vomiting here
less its umbilicatis [crossed out] to
in about 3 days the partial 
become shriveled grm the absorption 
of the [mater]
Decication - 3 days.
Desquamation - 3 days. &c.
[Pri??] for depends upon amt of 
blood press.
Second from depends upon the 
amount of eruption. - ends by
lyin by 17th day.
Kinds of eruption.
-Discrete.
-Confluent.
Varieties
Mild Very.
Ordinary
Gram from amt of pain
a well as amt of eruption
Malig - Black - Blood disintegrate-
bloody liquid in


Incubation = 2 wks.
Invasion & per. 
eruption Stage. 3 days = Primary from
Eruption {Papula 3
{ Vesicular. 3
{ Pustula. 3 = 2nd form.
{ Desricate 3
{ Desquam 3
vesicle - general prostrate -
Here from membranes. - & death
from Pap in Push stage invariable
Varioloid - Stage of invasion may
be intense - eruption & relief of sympts
pap variable & [crossed out] but now
the secondary fevers more or 
very stright when the tendency
is to purtulation or & a
loctn occur - incubate come
is 10-14 days.
May be discrete (more likely the
mall-pox) or confluent.
Complicate - Very intense
secondary fever. Extreme in
mucous passages. - Endocarditis
will be valuable murmur.


OK.
Mood - Feb 9. 1888 1
It's odor is objectional. %.
Iodol - I used in H2O - No odor
acts as Iodoform - Poisoning
also possible - & fatty degree.
acts by its - decomposition products -
as Iodoform. Iodol
is decomposed more slowly
than Iodorm. Is more apt to -
cake than Iodoform.
I used as Iodoform - In tuberculous
ulcers of Larynx. &c.
- High Cort:
In chronic Sypt - grs 30-60. -N.S.
Cod - Liver - Oil.
Biliary acids - Iodine - &c.
Sodium in not its active principle
but has no one active principle
In health in lower Animals -
cause accumulate of fat but if 
given too freely it disturbs digest
& ceases to accumulate fat.


Increases Red Crops. & diminishes amt
of fibre.
It's case of absorption & oxidation
[crossed out]
makes it valuable - It also acts
as alternative
Mrs- In tendency to emaciation
but depends upon it cause as 
in tumor it will only retard
it, but if more generalized as 
in Phthisis especially in the condition
of depravity preceding the 
Phthisis. by its apparently causeless - 
continually catching cold
- Cod - L. Oil - Whiskey & avoidance
of cough mixtures. - If organic
changes be present we can
protect life by Cod - L.O. - Whiskey
& fresh air.
In Scrofulous of great service
combined by Lactic - [phosphate] 
if Liver in Gland swelling &c.
(standard remedy.) 


Wood Feb 9 - 1888 2
OK
fatal gastro - enteritis.
In urine. urea differs. - amt of 
urine differs as when purging
or not.
Wns- In Gout in large dose
will cut short suspend paroxysm. - in
other subjects with acute
gout but not in asthenia
- as it causes recedent or internal
gout by the blood
going in - Dangerous in acute
gout in large doses & recurs 
soon.
In chronic gout by small
amt - 10 gtr t.d. within diarrhoea
limit with K1 often
good.
Poison - Tan acid - Opii &
as gast - enter Amtal.

Woods
Mezerum.
Sarsaparilla some good in
chronic syphilis - Zyphnar
decoct alternated with Symph
Sarap Co. -
Sarap Ex fl with Iodine
is but now.
Symph Co - as vetricle 
[illegible]

In chronic rheumat if with 
Sypt turs.
In Skin disease.
In neuralgia attended with 
loss of tone
In these condition it is not a 
specific but builds up nutrition.
But given in soft capsules
holding ʒj - or pinch of dry salt
- In whiskey & water - In ale
- In emulsion with oil of bitter
almonds.
Dose. Tendency to diarrhoea
is correct irrita.
At night in weak stomach
Digest of patient is the 
measure of the amount.
Phosphates.
Phosphatic acid is stomachic
tonic for dyspepsia as 
Horsfords acid phosphate 

and does not affect on system.
Herd of Cows in meadow born calves
rachitic - In dogs of keeping phosphates
from its food.
In many children with ill 
teeth from a deficiency in phosphates
as is case in such nurse
as in Wood's child . can increase
the amt in the milk of such 
nurse - They are largely eliminated
from munt of Intest.
To be given in Solution - with 50%
Cod - L. Oil in Rachitic child.
Colchicum 
Colchicine urine alone to be used
10 gtr = no Sympts usually - or 
inlist disturbance
40 gtr - purgin - serous - pain &
large.
Larger - Vomiting - purging - pain
is very great - pector falls to
collapse with cramps.
Rapidity of death not depending
upon size of dose. - acts - but
little in It's or h system -
but kills by producing -

OK,
Pepper Feb 13. 1888. 1
Treatment - no specific for the poison.
- Only assist patient - Adapt
the nourishment in state of patient
as in diet & stimuli.
May control the fever but do 
not injure the heart nor nervous
system.
Primary fever does not often give
hyperpyrexia.
In Secondary fever about 9th day
the fever (surgical) may be very
high. - Sedative as Opiate to 
allay irritation. Mild derivatives 
as diuretics or gentle laxatives
do not attack with powerful
antipyretics. no effusive of 
cold water except in pre-eruptive
stage. Inunction for 
its cuticle as in Scarlet
fever, Ung tets Vesicle appear  

Cath - 3 
Typhoid. 
Measles
Influenza. 
Skin 2-
Scarlet
Small Pox
and the burst on liquid [emmulsion]
Stimulants when indicated.
Sedative for the pain & irritation
as Opii per Olimet & Rective
in small doses - or Bromides
of Chloral or Canrub Ind.
To prevent pitting - Make inflam
milder, if only 12 pustule opi
then cautiously & touch with GNO3,
if mercurous exclude light
keep cuticle soft & prevent it 
thick crust - Ung Hydray & Ung
Petroleum while face shield.
Sat Sol is Gutter - P in Chloroform.
Stimulant in typhoid form
as Serpentine & Am Carb &c
Mortality is small except
in old & weak.
Typhus.
T. abdominalis = Typhoid
T. cerebro. spinal = Spotted fever. C.C. meningitis.
T. recurrence. = Relapsing fever.


OK. Pepper Feb 10, 1888 2
Fever runs high & stays steady (high
of cout from) Skin acid & burning
both. - color mordex.
100-135
Breath & Pulse much disorders
corresponding to amt of free
Pulse is weak & collapse easily
& soon small - Hypostab congestion 
of base of lung bilinal
is soon developed (blood logged)
not skull & imperfect.
No digest sympt - no distraction
no pain - bowels costive or quiet.
Tongue is heavily coated, thirst
& may keep his apetite
Urine intensely febrile
On 3rd day eruption in single
crop, - the amt of eruption bears
a proportion to the seriousness of 
the disease no [chan] in your
numerous small rounded, mulberry red maculabrary
elevated, not coalesce
disappear on Prm at first. this
become petechial (blood effused)
- The darker the eruption & the 
sooner so - the more danger 


lasts until case of disease & the 
slowly fail. Tendency in sedulation
Bed room are very common in
very five days
Duration - about 10 - 12 et day.
Often ends by crise or purging
or urine or sweating
Complicate but few.
Segmts. as parotitis - bed sores
Weakness of legs as [approastion]
paralysis, or Weakin of Brain.
Mortality. - great - 50 - 33- 25%


-Typhoid state is common in this
class - typhous symptoms.
Typhus Fever.
As Spe fever, contag. end & epid
without [anation] lesion save that
of the blood, running course of about 
12-14 day, will high pyrxie
marked typhoid sympt & characteristic eruptn.
-ending often by crisis
Due to specific poison.
One of the most contag ranking
with S Pox & Measles in this respect.
Poison communicated by formile to
carried to great distances.
Crowding & full & destitute favors
this poison greatly - It seems to be 
an animal poisons - In crowded
parts & spips. & rages violently.
All ages & both sexes equally.
Protact strongly against 2nd attack.
Blood is liquid in dead body.
lining of all stained. tissue 

disposed in putrefy & Spt soft
& enlarged as in all from.
Omit abrupt after incubar
of not more than 9 or 10 days but 
may be short. Chill usually
high from immediate, debility
headache & backache & stricken
down immediately.
Appearance -dull expression.
face dearly flushed uniformly,
eye is injected & pupil contracted
(firmly) but dry.
No Sympt - Dull despressing
quickly in Strip, often Deli
of action w violent type, - May not [crossed out]
sleep even if in sleep & Coma
vigil most marked in this 
disease.
Slips down in [burst], longer trem
but, retent of urine, tendon
twitch 

Benzoin acid and to make urine acid as ammoniacal 
w phosphate & for action on the mucous membrane.
Wood. Mar 8 - 1888. OK.
Expectorants. -
To. influ pul turn when desired.
Atomizers. - perfect edges - mouth
from well in - breath deep & slower.
- Artery as tann acid or slow for relaxation,
Mur Ann as stimulant,
Limi nalis for irrit of Laryn & is 
serotin in commencement of acute
laryngitis.
Agents' acting on Nemtrea.
& on muscular from
Strychnine acts in the nerve cents 
- not in acute but in chronic Bronch
of old people.
with or without asthmatic, in 
Emphysema with expectoration
Narcotics - to relieve cough but
remember it is necessary to cough 
to relieve lung of [crossed out] secretion,
but more useful in irritation
cough with but little secretion expectoration
much check secretion as Morphia -
Hyoscyamine to gtr X-XV does not 
check secretion.

Be careful in using Morphia in early 
bronchitis.
Chloroform. - as relief of incurable
condition as fibroid phthisis as 
whiskey glycerin & chloroform &
good use in ordinary bronchit
Morphia gr 1/25 - 1/30.
Alteration
Arsenic - for chronic bronchial [crossed out]
as in fibroid phthisis & turphets
with no tendency to breaking down.
Pot Iodid. - good for sypt of 
lung - good in chronic bronchitis
of asthma as in enlargement
as gr V t.d 
H2S. - Injection into Peculiar CO3
saturated with H2S - It did not 
act on the tubercle bacillus. - not
much good - but does good in those 
cases with catarrhal processes or 
as outcome of Cathr. pneumonia it 
lesser secretion in 24 hrs.
It is specific - Useful for pulmonary catarrhs. 

- In respiratory chambers as at S springs.
- Mill given as S nate in CO2 per
stomach - f3ij as 2 or 3 hr. - per
chu Asth with B colant & Bronchorrhea.
Sets - 1. Sedation
2. Stimulant.
Sedation in 1st stages of Bronchitis
when memb is dry & congt is tight.
Tartar emetic - most powerful
- 1/6 gr [illegible] 15 min until vomits &
the keep quiet. - not in children.
Ipecacuanha. -
Syrup is generally good enough
Pot Cit - must give in full
dose - for adult f℥j in first 24 hrs
as in brown cold lemon juice
2 oz. Syrup Ipecac 
Stirs Expect.
Senega. -
Traditionaly
Syrup. -less good for 
advanced
Squit - Syrup Bronchitis
but have no definite influence.

contain active acid 
Symp Squill not to be give with 
Am cart. -but for Scectosa.
- it does not decomp NH4 Cl.
Am Muriate.
Best remedy of chr Bron except &
from volatile oils - may in some cases
use in before [illegible] is established.
- they act fugitive - acts for 2 [illegible] hence
do not use it Kangan system.
Dose gr V-X. - Very disagreeable -
In capsules followed by drink of water.
gr 4-5 Ext Gly is each dose. - glycerine.
Spr M to tablespoonful.
Syrup of Vol oil of Garlic.
- allium - Oil is not used -
Oil of Eucalyptus - always given
in capsules act for chr Bronch
m X - 40-60 m daily.
Turbine is very useful for 
advanced Dose m r-x use 3 hrs
- may be mild Ol Crucaly hh.
-In capusle
Oil of Lardeluouse
mr-x in capusle in 3 hrs.
Balsm Tolu - Vesicle only
Bal Peru both contain
benzoic acid - both in m.g
In trusting wounds. 
Benzoic Acid is Put fm hom showing.
- has urine odor - [crossed out] Germ/Benzor in Ch B - escape
other urine - converted into tuppure acid
in Kidneys not in blood

OK.
Pepper. - Mar 12. 1888.
These must be a disturbance of the 
mans economy at the time of attack.
What constitutes this tendency to 
convulsion? [crossed out] Unstable equilibrium
& impaired vitality of motor areas of cerebro-spinal axis, in may be inherited
or acquired
Causes. - Reflex Irritation of dentition especially
in child [with] of neurotic parents,
or splinter, or irritant creation, adherent 
prepuce, intestinal worm
or hardened faeces, by bilium attack
in some persons, in some cases
a few days previous those is lithemic
condition very common, from menstrual disorders,
exhaustion, exposure, mental stue
by lowering vitality.
Epilepsy is the predisposition and inquires
an exciting cause to develop
the convulsion.
Diag. - Can not make from 1st attack
in child from eclampsia. 

but the more trivial the cause the 
more likely it is epilepsy.
nocturnal form is often overlooked
but look for sore longer or awake with 
a bruised feeling.
Petit mal- from syncope in weak
purous called weak or fainting spells
steady for cause of anaum or cardiac
failure or no cause, therapeutic best
is most important by removing the 
anaum & cardiac failure.
Convul Fever Maum in Org Brights - Examine
the urine.
From Hysterical Convulsion - Hysterical
temperament & History, attacks brought on by 
distinct cause - Consciousness more 
or less - in falling falls on soft spot.
trace of coordination in the movements.
expression is ecstatic or wraps or 
sensuous, therap list, Zone of ovaries irritation
or spinal anemia
Hist of Sypt: some
Org dis of Brain - Tumor involving a 


motor area cause 'epileptiform' attacks
but in intervals passive sign or
choked dirty descending neuritis, headache,
- the attacks are spasmodic more
than epileptic. - and may not low
consciousness - History of Syph.
Prog. Difficult - Very bad
Many cases are singularly controlable
& some cured. - If habit be established
difficult to cure & frequency & degree. In incipiency
with good health it is hopeful but
anxious.
Treat. Remove predisposing cause first,
- Hygiene - mental & physical exercise of 
proper amount. Most important is 
to increase its no time to sign and not 
to check its convulsion alone by drugs
Remove cause of reflex irritation and 
mal assimilation with improper digest
& dirt, bowels, urine,
Drugs. nutrient N tonic as Cod L. Oil
As. Fr. Fn. Aq. An. 

Ana & debil - [p???] [ton?] & meli Cod
L. oil - Fr - As.
If irritate to present?- Eg No3 - ZNval
- Chl of An or Soda
Antispasmodic - Bromide as but
Anaf. Bell - Con & Cause & Value
a compaint [inert].
Must chang prep of Bromide or suspend
administrative - must not depress
system by Bornid or cause irritation
- Adult do Pot Br gr XV t.d 15 begin
increased or combine with NaBr a
NH4 Br - if this depress combine Ar & Cod
L oil, - If too large dose are to be used
give them up & build up system.

[Illustration]
Wood. Mar 29. 1888. 1
An Cl C = Anodal closing contraction
An O C = " opening "
K Cl C = Kathodoe closing "
K Cl O = " opening "
An Cl C < K Cl C 
An O C > K Cl C
An Cl C < K Cl C
When 2 substance are brought in contact
a galvanic current is generated
- It requires contact to generate galvanism.
C = Current strength
C = e (electro molu force)
R (Resistence)
e is independant of size of plates.
e varies with different substance
best is Z & Carbon.
R - is under (i-r) & external (er) R= ir = er 
hence C = C/ir + er (Owens Law)
Supp er = 1000 ir C = e/ir + 1000 ir
[p????] has more resistance [crossed out] the 
[illegible] 1000

to overcome ext resist multipy Electi
mot force by multiplying number of contacts
(more cells).
In Arsenic or in caulis Ext resist is our little
increase size of Plates. - hence
100 er = ir
c= er + 100 ir
Int resist reduced by bringing plates
near & enlarge plates to have large mass of 
fluid & of good character of conduction.
Measures (resist) of electricity. - volt
resist of resistance is - Opium
hence C 2 V/U = Ampere but this 
is too large hence milliampere
is now resist of current strength.
In organism - a current breaks
up into rub currents - [illustration]
& each strength is inversely
proportional to the resistance
If plate be used
i milliampere } Mullin
4 Sq inch } method.
There is really only one kind of current 


but 2 as to method of generation,
1 Primary current is bad term.
better called chemical current
or continued.-
Induced or faradic battery,
by passing [Ch???] current on Inner
coil, or outer coil an induced
current is generated. -
Current of 1st (inner) coil & current of 2nd
coil - made out at making &
breaking of inner coil.
Soft iron is 1st coil become magnate 
& attracts its tongue.
The currents run in opposite
direction & to & for currents -
in outer [crossed out] coil & hence no 
+ or - pole. 
In inner coil do not get both
currents as the induced current
goes into the bottom
In contract occurs with
chemical current at closing &


opening of the current.
By very closely interrupted current as 
in ordinary dynamo the same effects
can be produced as with galvanic
current.
no differences between different currents.
To apply to a nerve - [crossed out]
having one sore spot [illustration]
wet skin with salt water, to 
put a large flat [pull] at a 
distant point.
To influence whole new - use
2 ball poles [illustration]
Motor point is point of instance of 
the N . the muscle - bulb pole over
in & large pole or other side of limb.

Wood. Mar - 31 - 1888 6.
Anoder = + Pole
Cartride = - Pole 
An Cl C:
K Cl C =
K O C =
<
>
An Cl C < K Cl C } muscles normal.
An O C > K O C }
An Cl C = K Cl C } muscle in first stage
An O C = K O C } of degeneration.
An Cl C > K Cl C } muscle in more advanced
An O C < K O C } stage of degenera.
Uses of Electricity. - 1) Diag. 2) Prog. & 3) Treat.
1. Diagnosis.
Nervous [crossed out] palsies with 1) organic
or 2) hysterical it reacts but is 
insensible
Palsies 1) centric ([crossed out] all above trophu
cells of cord) or 2) peripheral : no rapid 
wasting of lesion of brain but from inaction; 
rapid wasting if of cells [crossed out] or nerve 

& show reaction of degeneration.
Degree of contraction varies as to position
of poles. - at first as in equal -
the equal & finally reversal 
of original formula : by to by fails
to respond to any current & now 
muscle is dead.
not over motor points.
Changes to faradic current precedes 
the other changes; - first
list to rapid faradic current but 
to slow current & finally to no
faradic current. - may thus
diagnose peripheral from central facial
palsy or deltoid mostly peripheral. - in 
[crossed out] children
most palsy are ant polio myelitis.
- fishing on Sunday monoplegia from
Syphilis (something worse).
Treat. - In paralysis, can only restore
muscle to normal power and 
perhaps stimulat or but can not 
affect or centre.  

2 factor of Central. Center Periph.
normal contract 10 x 10 = 100
clot " 0 (Drain) x 10 = 0
After time [cross out]
but the 10 has degree to 2oz 2 x 2 = 4
2 x 10 = 20
but can not get any farther than 20
If traumatic deltoid. -
-If triple cells be partly gone the heavily
go again after building them
up.
When use Electric in Palsy; - In Hemiplegia
recent does no good as M is not 
- degenerated, & not to be used until
all irritation is passed. Wait 4 weeks or longer - In Deltoid
palsy not to be used too early.
fomentation & leeches & then 1 or 2 wks.
In Polio-myelitis - no inflam. in 
- ordinary cases but some have inflam
use it at once
What currents to use? Beneficial
power is in proportion to amount of 
contraction. - Rule Use current
produces most contraction with 
least pain. 

Time of Senses - Most daily from 3 to 5 
min at first on 1 muscle increased gradually
to 10 mins. - 1 pole to motor point
For Sensory disease. - If from inflam 
Elect is n.g. only good for neuralgia 
or rheumatic neuritis (not too early) but 
use for - 15 -30 min.
after a time as in sciatica (tentative)
will do good if it relieves pain for the 
time being, if in other case the Chem
current do no good by faradic.
In [subacutic] rheumatism after good. 
In periph & hysterical loss of sensation
often does good but not of centric cause.
use dry brush [illustration] fails to obey Opi law
from point & goes off as little boil.
Farad of M erup. does no good but 
great harm - can not affect spinal
cord- 

1
Wood - [crossed out] April 3, 1888
Arnica:
Tinct - for wounded feeling
Item - Witch hazel now
used at present - only good
for its rubbing in applying there.
Arnica can produce irritation
& eczema - internaly gartient irrital
& collapse.
Ichthyol
Distil of forrit fish
2 fore - I. Ammonia Sulph
I. Potass Sulph.
Has 10 Y o S - can freely penetrate
the skin.
Uses for sufla of not chrome
type with enlargement - in
Procion very good, in Eczema,
in speoius, in glandular enlargements,
soft lipomas,
Of little or no value internally.

In erysipelas value by HgCl2 follow
by water, & the equal parts of 
Ointment & covered with batting.
- Both mix well with fatty substances
5 to 15% - In erysipelas
50% 20% for joints Somewhat irritant.
Demulcents.
Gum Arabic - of but little use -
Flaxseed - In making tea hot
H2O gets out the oil which is laxative,
- Used in inflammation of Gastro-intest 
tract, [crossed out] - In quick urinary
no good - for H2O - h.g. for Rest.
Ulcuers fulva - good.
Sassafras pills much used
as sedation for conjunctivitis.
Licorice = Ext glycerrity - has
glycerrizzin. - used in cough mixture
for taste & action on glands.
Compd Lic parlv is excellent laxative
Poultices - Means of applying
warmth or cold with moisture


2
Wood. April 3. 1888.
Post - month memb is hard white
& shrivelled, & gast-ent, if the 
death be late fatty deg especially
in Kidney.
Loss of Conscious dr to direct
action on Cortex of Brain.
In full dose It's & Resp at same 
time -
Defining poison to all higher tissue
Resp Cunt & Spinal cent mo
acted on the It's muscle.
Uses - only [crossed out] locally.
- It is local anesthetic as in 
exercise
vomiting from nervous sensibility
dose gtr ij - iij - In lientui
diarrhoea is but remedy.
Useful adjeivant in all diar if no inflam
be purent - especially for 
N diarrhoea.
In Antispetic surgery - Wood 

does not believe in spray.
f℥j externaly her caused death
- watch the urine carefully for 
its first little smokiness
Absorbed as corbolar in intest 
& also the. -
Sulphate - disappeared from
urine, parts destroyed, & parts -
eliminated & Sulphto carbolar 
partly as Glycouronic acid
Antidote is Soluble necphaleay 
or late as Mq84 or Nay 804
or H2804 dir 
- In joints
Hydrochinon also in urine 
[crossed out] Smoky color not dur to Blood
coloring matter.
In lungs - Prendo memb in the 
bronchial tube.
From apoplexy. - Odor. White color
-urine - not hemiplegic.
Convulsion are spinal
In full doses paral vero-moti center
Item perit Purmmoy & Center hence increases
Refes at first.
 

Flaxseed is good.
Slippen elv is good.
Bread & milk.
Over-use as in felon as in defenses
the part.
Stimulating poultices contain
a stimulating agent - as Excrement
of napoleon's Surgeon, better is 
yeast poultice by mixing with 
equal parts of flaxseed & Indian 
meal - to clean out.
Fatty Substances as vetricle
for ointments - 3.
1 Lard & Olive Oil. Lanolin
- (cholestasis & cholestin fat) 
2. Vasellum is mineral is perfectly bland & [crossed out]
protects - Is not as readily absorbed
as in a true fat hence not used for 
Hq.
Lanolin prepared from Suct (to 
keep wool of sheep soft). does not 
go back again on it skin non
irritant - vetricle for [In???] in act [illegible]

Skin.
Antipyretic 
To depress bodily temper in fever.
[crossed out] Carb. Acid is not used as antipyretic 
but acts like Salicylin but is the 
most dangerous antipyretic.
-Only used as disinfection, stands
next to alcohol in causing death
fʒj to f℥ss.
Sympt, Local irrit, burning pain,
ringing, giddin & must disturbance.
Large dose - May falls early, use 
course & covered with sweat gasping irregular Resp.
in 3 min.
In small dose death in 1-7 hrs.
nausea but vary vomit, collapse
mental spatty or deliuim replaced
by comes, -Resp irregular from ouret
death by failure of resp., - sense
of dysp if liver, long motion
power, ruin at first yellow
becoming perish to black. -Some
cases have Hemoglobin.


1
Wood. April 7. 1888.
Sal Acid Compds.
Formed from Carb Acid - is 
not officinal - Absorbed as 
salicylate in intestines as Na
salt in blood.
Sal acid soluble in ether &
can not be formd as such from 
the blood except in blood of 
asphyxia.
Eliminate is very rapid in 
- 25.
8 mins, - & lasts for 8 hrs after -
last dose, - and has tendency
to accumulate as for 1 wk.
It is local irritant as in the 
stomach & at point of escape
as loosened urine & even resp.
pressive or hacenalinia hence
hesitate in using it in acute
Brigtn 
10-20 gr no sympts.

Larger dose - Is cinchonism fullness,
tinnites aurium (1st evidence
of phys action), 2) urine becomes
greenish cause unknown but may
be indicare or pyrocalichin by partial
distinction of Sal acid.
In excr as Sect acid in urine
& as Salicyluric acid.
May dilate pupil, dyspnoa
is very constant, put form
put increased the diminished,
rate increase, its delirum
been coma & death from asphyxia
of Resp cent.
Acts badly especially on Dumt.
ands & apt to cause delirium
may last for long time & may 
be with hallucinations
Fox dose - Same Sympts In mammal.
Circulation - Used dose not at 
all depressant & may increase 


Wood. April 7 - 1888 2.
f℥j has take life & stimuli & urine.
May be given in capsule mx - 4 to 6
a day
Salicin.
Breaks up in Sal Acid and 
in urine is forward as Salicyluric
acid.
It is less irritant & better taste
It is broken up ony partg &
slowly in Sal acid hence not 
much used.
Salol.
1 At of H of Acid Sal is replaced
by Phenol (acid carb).
Is ready for from irritant prepertin
- much like oil of gaul - 
the not of bad taste.
As Salol in stomach but by 
pancreatic juice is broken up
into Sal acid & phenge without 
gash intent irritation. But
in larger dose urine becomes blackish
from Salicyluric acid & its
Carbolic compounds.


Salol } 36% Carb acid
} 64% Sal acid
It has distinct antirheumatic power
but is less prompt & less efficient
- good for subacute rheu & neurage
& m rheumat - dose 45 grs
-Salol appear as Salurin acid
in 1/2 hr but if it lies in Stomach
for cancer or weaken of walls
of Stomach.
Naphthol - salol.
1 H replaced by Beta naphthol.
- In intestine is resolved [with]
Sal acid & Beta naphthol.
Venesection
In acute serous infl diseae as 
Pneum of strong robust adults bleeding
from arm may do good.-
In acute serous inflam as in all 
fibrinous pleurisy at first use the 
wet cup (deplitis) & not dry cup (for
pneum or pulmon congest as counte
irrit) In peritonitis - leeches 100 A
In Exhaustion with right sided heart failure as in 
Pneumonia or advanced brights. & mistake not Pneum
for meningitis


acts press by v.m. stimulate & Hs (?)
Toxic [d???] - Card failure by direct
action, press low by act on v.m
syst as well as heart.
Sense of weakness & depression
in full doses by acting on N syst,
Use of M power & depress of reflexes.
& marked cutaneous anaesthesia
Resp. at first hurried (Skin) late
it is slow & shallow.
30 to 60 grs cause fall of tempt
in 1/2 - 1 hr & with sweating & is more 
certain then quinine but also fails,
can arrest its sweating by Atrop & Agarcin
but tempt still falls; do not 
depress tempr of normal man
but prevents it under exercise.
Not used any more to lower
bodily tempr.
Most powerful agent for 
Rheumatism (Senator) - by increasing
Nitrogen elimination 


in almost all forms is useful
& not only in acute & even good 
also in Gout (especially irregular)
Tart & act in Stou an
again it.
In acute [Rheum] - 1st Day
[crossed out] 45-60 grs 2nd day 30 grs now
in 3rd, 4th begin again.
May give in capsules on full
stomach but its acid form is
worst belt use salts.
Sal of Cod
" " [An???]
" " methy 90% in Ol Saul.
Sal Soda ʒj =
Sal Ammon - prepared item
Take Sal ʒj acid & Symp and encrease
Stronger fʒj Amm iiss acid draught
may give this in milk.
Ol Sarrh = All sympts of Sal a pour 


1
Wood. April 12 - 1888.
Antipyrene.
Crept - Sol in nalis.
Acts. Little tinnit & [no??] of 
quartered & tendency to wound -
[l???].
Larger dose - In weakness to 
little lessening of pure fever
and rate
In death in normal man.
In animals. - Lay dose cause
convulsion with paralysis -
serous dir of cramp asphyxia
but of paralytic asphyxia.
Convulsion said to be cerebral
Motion M. - Slight influence in 
advanced poisoning but never
any complete loss of power.
Sens M. - Paralyzes sensation at 
point of injection
Spinal Action depress M or 8 part


Depress Muscle a little.
Small does unaffect [bluoed-p??]
Large " increase " " 
Lox " depress " "
Said to act powerfully on muscle
of vessels - said to be haemostatic
greater than Lr Ch Fr.
Rapidly absorbed & eliminated
as antipyrene.
If take for long time palor with 
bluish tink by altering the Haemoglobin
into metahaemoglobin
[crossed out] Chiefly as antipyretic 
In normal more gets uncertainly
use of tempt at stage of convulsion.
In fevered man 20-30 grs tempt
falls in 1/2 hr & down by 1 hr - 1° C 2°
& continue for 4 to 8 hrs as nature
of disease, with for sweating
& may be with collapse, can 
arrest sweating by atropic & agararin
& yeh. tempt falls - hence
not result of the sweating, nor  

is it any effect of blood pressure.
Cause of fall of tempt is dire to 
decrease of heat production by
acting on nerve center controlly
thermogenetic function of the body.
Urea eliminate is lessened
in fever - checks nutrition fever proven.
Uses, - In fever it is very certain
it makes firm more comfortable
in pneumonia, typhoid & but not so 
good for the patient as cold bath
For pain. Especially of use is those
of M origin of that store kind.
In locomoti - atexi cri good.
In Rheumatic
not as good for Boils as Morphine
does not form habit nor does
its derasy seculi as Morphia.
Is said to take away the Labor
pain & not interfere with contraction.
In convulsion disorders - As 

in Strychnic, or Epilepsy 1 out of 50.
Occasionally acts very unfavorably
as rapid cyanosis collapse, loss of 
consciousness & for sweating.
Give 10 or 1/2 to meti result
or 30 grs even taken.
[crosed out]
May keep back measles.
Antifebrinis -
Same effect both some tender
to sleep. - more powerful - gr 10-20.
On general system - less is known
these of Antipy. - cyanosis also
from methameq. - loss of reflex.
does not lessen no. of corpuscles.
Parado-phenol - mephalic in urine
- Some say it change other not.
Use - In fever - In pain - In epilepsy. 





[Nervousness] a pleurisy but may a pneumonia.



3





Blister is more slow and more permanent than rubefacient 
and produces more structural change.
Rubefacient is more rapid and more general in active - used
in congestions and nerve irritations.- Rubefacients go deeper than
blister if left on for a long time
Countre- irritation. - Mar. 17. 1888.
Amaurosis may follow from decayed tooth.
Paraplegia from renal calculus. 
Duodenal ulcer from a burn.
It occurs through the trophic nerves.
Irritation to be placed directly, over
an organ as it has a relation with 
the surface directly over it.
Port annal for the eye.
Anstic's Law - first countre irritation
over the root of nerve supplying
the painful parts.
Sets of Countre- irritants - 3.
I Rubefacients - cause dermititis 
but with no organic change.
II Epispastics - Has organic change
and blisters.
III Those causing structural change
but no blister as Croton oil or 
Antimony.
Seton acts in same way
Issue also
Caroling likewise.
If you wish in affect an organ


having organic change, you must cause
organic change on surface
For congestions and irritations rubefacients
to be used : as in lungs
or bowels.
Peritonitis requires structural changes
for countre - irritation.
For Blistering - Epispastics = vesicatories.
produce inflammation of skin
& antpouring of serum Known as blister)
Spanish Fly (Beetle)
Cantharis - Cantharides
Active principle is cantharides 
Tinct. is used internally dose gtt
Overdose of the fly internally causes
burning pain and soon vomiting of 
mucus & green specks of fly, these bloody,
then shortly diarrhoea not serous
than mucous and bloody, with tenesmus
and small, Sometimes at 
once we have collapse; in a few
hours a 2nd set of symptoms come
on as pains in Loins, pain in bladder,
& frequent desire to micturate
and symptoms of cystite
and even strangury. 


Take it off 1 or 2 hrs before it has drawn & then put on [the]
poultice to draw.
and erotic excitements (aphrodisiac) from small dose,
from larger dose we may get swelling
and sloughing of the scrotum &c,
death from exhaustion with coma.
death is from local action at the 
points of interence & escape.
Treatment of poisoning - Wash out
stomach and intestine with demulcent
drinks but no oils & cathartics &
give Opium. - or even Anaesthetics - Leeches to epigastrium.
Write for plaster thus. On Adhesive plaster with a free uncovered edge.
Rx
Ceratum cantharidis q.s.
Pimples vj x IIII urine
If absorbed the cantharides may
cause strangury, to avoid this
only keep on the plaster a brief
time (early removal), and thus also the pain suffering will
be far less, - 5 or 6 hrs contact is 
enough followed by flaxseed
or bread and milk poultice for 
5 or 6 hrs more, after the blister 
is raised clip in with scissors
and then may cover with ointment
Chartula 


in keep in from healing use Basilicon ointment (Cerat.
Resinal)
For Strangury - Opium peridium & Hot bath. leeches to epigastrium
For nervous irritation - In typhoid fever convulsions 3rd week by applying to Scalp.
In D.T. but there is danger of scalp sore
to heal in quickly use Goulards
[crossed out] ointment. - Or use Simple
cerate. If slow in heal use Ung
Zinci or Ung Iodoform.
Blister is most useful for serous
inflammation than that of organs.
- only in advanced stage of pneumonia,
Often good in catarrhal
pneumonia & capillary bronchitis.
Blisters are more useful in later than in early stages of inflammation.
Rubefacients - Plaster
- Poultice
- Liquids as liniments.
Liniments - used for chronic rheumatism
or after exertion, but not 
as efficient as they are popular.
No specific action in any one liniments.
May use Aqua Ammon fortior
with Ol olivum, may add Ol
Terebinth, and Oil of Sassafras
Cantharidal collodium (Collodium 
cure cantharide) is too powerful
for using.


Turpentine stripes - In typhoid fever
- In Amenorrhea with Dovers &c.
Aqua Ammon under watch crystal.
As Plasters 
Pices. Pix Burgundica - x (as Plaster [crossed out])
Mourning plaster = Emplast. Picis cum
Cantharidis will blister 3 out of 6
persons - they act slowly & for 
days; for moral comfort: - In
chronic bronchitis of old persons of service
x (Pix Canadensis as Emp Picis Canaden)
- In nervous pain of women for prolonged mild effect.
Sinapis - mustard
Is more valuable
1. Sinapis nigra = acts in 10 mins black mustard is more 
powerful, of equal parts with flour.
2. Sinapis alba = acts in 15 mins. white or yellow mustard.
Mustard is a soothing persistent plaster - use in 
not too strong so as to keep it on longer.
- In newspaper
Mustard plaster for 1/2 hr, in blister
there is more pain and harder to 
heal them from cantharides.
- Used in intense internal irritation,
no good in collapse and apoplexy
and as there is no sensibility here
it may be left on too long - In
internal irritations the next 

1 Part Black mustard & 2 parts flour. Kept on 20 mins.
or Equal parts of yellow mustard & flour - mixed with water.
day after after using the plaster a 
furious dermititis may appear by reaction.
The mustard leaves of the drug
strups are abominations.
By diluted with flour & [crossed out] molasses it checks
its rapid action
Spiers. - for steady & continuous mild influence
in enteritis. - may use tincture of the spiers
on cloth & cover with oiled silk.
Escharotics are drugs used to 
destroy diseased or sound tissue.
Pain is the difficulty but creaine
now prevents this, is in chancre
before using nitric acid.
Nitrate of Silver is powerful but 
does not go deep.
Acid nitrate of mercury acts about
as nitric acid, applied on 
splinter or glass rod, arrest their 
action with soapy water.
Chronic acid is powerful, for 
epidurral growths especially, as 
warts venereal or not by placing
a crystal on it & then wash off with H2O.


Bromine is most powerful - use
glass rod - acts in dead and living
tissue alike, used for Hospital
gangrene but is too uncontrollable
for organic growths.
Sulphuric acid may also be 
used.
Corrosive sublimate - is most 
dangerous from its absorption.
Potash or Potasse cum calce 
(Vienna paste) - it takes up the 
water, acts in the fat, oxidizes the 
fibres - for small masses - is too
uncontrollable - punctralis deeply
- used in make an issue
- apply by making a hole in a 
piece of sticking plaster [illustration] &
cover the edges with cerate oil, apply
the caustic for 10 or 15 min
then wash with vinegar
The Vienna paste does not run
as the Potassa does.
Zinci Chlorid - bitter as Canquoiris 
paste, & making arrows in thrust 

around base of tumor.
Acidum arseniosum - (As2 O3) bains of 
quack remedies. Cancer tissue is 
more readily destroyed than round
tissue - pain is atrocious, but cocaine
checks this - It may be 
absorbed but by using large amounts
this danger is less
as the tissues die so quickly.
Anthhelmintres Mar 22, 1888.
Worms. I Ascaridis Seat worms.
II Lumbricoid - Round worms.
III Taeniae - Tape worms.
I. For Seat worms fist wash out the 
rectum by injection of salt water,
and follow this by an injection of 
Qaussia 3ji. in Ojss boiled down to Oj.
inject this each slowly and hold it 
as long as possible.
Vinegar has also been used. 


Spigelia Pinkroot
Ext fluid dose fzj
Ext spigeliae in Sermac fl (not officinal any
more) has aromatics in it, good for children.
adult dose 3ss - 2 yr child fzs-j every
4 hrs till in purges.
Symptoms of Overdose of Spigelia - much
as a mydriatic - dilated pupil, heart
acceleration, heat & dry skin, delirium.
It probably contains Spigeline which 
is a cardiac depressant.
Spigelia narcotizes the round worms
hence in 1 hr afterwards follow with
castor oil.
Azedarach
Decoction (3ij to Ojss boiled to Oj)
dose tablespoonful every 2 to 3 hrs
till bowels are affected.
Chenopodioum - Wormseed
Oil is to be used - dose in capsules
or on sugar gtt x to 3 yr child every 3 hrs.


Santonica
Levant wormseed contains Santonica
also called Santoninic acid & can form
salts.
Santoniates are freely soluble.
Santonin is insoluble.
Action - First symptom is often yellow
vision (zanthopsia) due to staining the 
humours yellow, and urine is red looking
from the santonin & its derivatives but not bloody,
tremblings, vomiting but mostly not,
and the symptoms are not those of 
gastro-enteritis it exerts its power
over the nerve centres, & with loss 
of consciousness & dilated pupil.
Summary I. Zanthopsia. 2 Tremblings
and muscular (?) apathy & unconsciousness
& epileptiform convulsions.
3. Collapse.
Santonin has produced death - 6 grs
has killed strong adult: as it is insoluble
the persons have often escaped,
Solubility is not wanted hence
sodium cantanate is not to be used, 


but give the santonin itself in its crystalline
form (not pulverized)
Adult dose gr ij - iv
Child dose gr 1/4 - 1/2
follow it in 2 hrs with castor oil with 
a little turpentine added to it 
Turpentine - doses of f3ss j always
with twice its bulk of castor oil has 
been used for all worms.
III For taenia must have the intestines
empty may give as follows
1. Supper to night, bread milk & tea.
2. Medicine at 7 tomorrow morning.
3. 1 hr later (8 A.M.) coffee
4. 3 hrs later little milk toast (1/2 hr before
2nd medicine = cathartic)
Pepo. Pumpkin seed,
Wood mostly uses this for taenia.
It must not too old.
3j - ij beaten up with sugar & aromatic
oil & taken as the breakfast.


at 10 A.M take tablespoonful castor oil
& teaspoonful turpentine, and 1/2 hr later
may eat.
Be present at the delivery of the worm
& if it comes down by giving a large
rectal injection as of salt water to 
bring the head along.
Aspidium - Filix Mas. Male fern
Oleoresin is alone to be used
It can produce fatal gastro-enteritis.
-not safe to give over 3ss - j after
starving &c
Brayera Koosso
Has Resin Koosin (Taenin)
Wood never used this
x (3ss powdered leaves suspended in water
in the morning, or 20-40 grs Koossin. It
generally purges itself - case in pregnancy.)
Cathartic 2 or 3 hrs afterwards.
Pomegranate Rind - Granatum
Decoction of the fine twigs is better
3ij Ojss boiled to Oj.
Alkaloids - Pelletierine} taenicides
Isopelletierine}
{more

French dose of alkaloid is gr iv - vj.
On animals it produces temporary motor
paralysis [crossed out] of peripheral motor nerves
as with curare
Antacids
Drugs to neutrallize acidity of primae viae.
(in Stomach or Intestines with constipation 
or diarrhoea)
In gastric acidity we have acid eructations,
and may cause headache (sick) coming
on with blindness & sudden dizziness
& early stomach symptoms
& is across the whole brow & not on
our spot as in neuralgic headache;
for acid sick headache Remedy is to act immediately hence use Ammonia
gtt xx-xxx or Spirits or Spts. aromat.
Acidity is due more to fermentation
than to perverted secretion.
Sodium
Soda bicarbonate acts on Stomach
and Urine but not on general system.
Preparation - 1. - Carbonate
2. Bicarbonate is less
irritant - given in soda mint.
For Burns when no cuticle is 


Lime water not given for vomiting of acute gastritis 
destroyed put on a paste of the Bicarb
it does good apparently by breaking up
the emboli or thrombi of the burn.
It dissolves uric acid hence used
in gravel, but can not dissolve any 
formed calculus, hence to only [crossed out] make
the urine alkali in Soda bicarb grx -xx t.d.,
but to purify the system use Potass
Lime. - Calx. - 2 forms. 1. Caustic Lime.
2. Aq. Calcis.
Aq calcis (lime water) prevents coagulation
of milk in stomach hence good
for delicate stomachs as in milk punch
add tablespoonful or more.
It is astringent and sedative to 
mucous membrane, has solvent power
on mucus, used for gastric irritation
especially with milk as for 
puerperal vomiting 1 part to 3 of milk
up in 6 of milk, in small doses of the 
mixture at first as f3ss.
In vomiting lime water alone is good.
In laryngitis (early) lime water in 


atomizer every hour is best remedy.
In children with nose stuffed shut
with thick mucus it dissolves it.
In Diptheria lime water has no power.
x(Syrup Calcis dose fzi - ij) Liniment Calcis 
= Carron oil for burns.
Chalk - 1. Cretae Prep. 
2. Calcii. Carbon. Praecipt.
Both these forms of chalk act alike.
Slowly acting antacids. - well given
internally as mist Cretae (gr xxx to f3j) dose
is f3ss - j. - it is also feebly astringent,
and as dessicants in powder form, and 
acts as protective, good for diarrhoeas
of irritation, and also in those of relaxation.
(from acidity is in Summer)
In intertrigo, feet sweating &c. as dessicants 
& protection.
(Oyster Shell in Castillon powder for summer diarrhoea)
(Dose carbonate gr xx - 3j
Saccharin.
Prepared from coal tar,
Is 250 times as much as Sugar.
It escapes unchanged from the urine
and makes it sweet & antiseptic.
It has no physiological setron on



the animal organism and does not affect
the nutrition of patients.
Uses. - In diabetic to sweeten the food.
In obese persons.
It is insoluble in water but in soluble
in glycerine.
Disinfectants - Mar. 24 1888.
To destroy noxious miasmata.
Wood divides poisons in 2 Classes.
1. Miasmata
2. Contagious.
1. Miasm is not a germ but is gaseous
emanations but these can be infected
as with typhoid.
2. Contagion is a germ.
Filth may be in air, water, or solid.
The atmosphere can only be purified
by dispersion, & not by bonfires &c
as any agent that will kill the germ
will kill man also.
Chlorinalia lime in the sick room
is no good it only covers the other
odor by its own.
Sewerage. can only be purified by   

Germicides kill live germs
Antiseptic kill them in embryo & prevents their development.
1 dispersion & by 2 oxidation.
Solid filth - can only be deleterious if 
moist, - dry earth of "cat style" is good
hence well to keep barrel of 1/2 plaster
and 1/2 dry earth is with 1/4 part dry lime
in county privy to throw down each
time.
Lime (Alkalin) favors oxidation
by forming ozone.
Lime in a privy brings up emanations
of Ammonia & other poisonous
matters.
Mode of disposing of non - infected
filth - I Dispersion
II Dryness.
III Lime.
Cleanliness of rooms as by washing
is best - dispersion
You can not disinfect large masses
in never or privy, hence destroy the 
first stool as it comes from the typhoid
patient. -place the disinfectant 
in the [chamber] bed pan
before the patient uses it. 


In infected filth you must use a 
germicide as 1 Chlorinated lime,
2 Corrosion Sublimate or 3 Acid carbolic.
Chlorinated lime is the cheapest,
1 part to 100 of water destroys all forms
of living organism used either in solid
but [crossed out] better in liquid form, put 3iv - v
in pan before defecation do not pour away the stools
immediately after being discharged.
In using corrosion sublimate use it 
1 to 500 of the stools, always kept in solution
& colored with amline or fuchsyne.
Acid carbolic is effectual - 1 to 200
of the stools at least.
Sweetening of Closet and Pipes - use 
copperas (FeSO4)
To disinfect sick room - wall paper
had but be taken off and the walls
and floor washed with HgCl2 1 to 1000
followed by ordinary water.
Bedding had best be treated by fire
or by boiling.
No upholstered furniture is to be 
in a sick room.

For blankets be may use dry or better
moist heat of tempt 250 F - the goods
to be spread out. - May boil the 
clothes in salt water.
Corpse of infections disease to
be sealed in close coffin and buried
immediately and privately: may 
inject in at once with corrosive sublimate
to disinfect the corpse.



















[crossed out]
1
O.K.
Pepper. Oct 6 1887.
Memb Lar - is inflam
with Pseudo. memb
formative in memb
- Known as membranous
or true Croup.
It is Idiopathic or Secondary
Inset put as abrupt as 
Cap fr
Begin with slight fever
increasing Cough is hoarse
becoming weak & small
called also Crooping Croup.
Sympts of obstructive
voice becomes smaller
& whisping almost suppressed 
cough become
wheezy & feeble

breath more labored
Angle of more play.
bring Stude with wear
Rest murmur.
Supra - gt violet [crossed out]
sinks & at bare of chest.
It turns spells of Spasmodic 
differently in 
breathing for livid - childs
in sweat. time about -
airs of apnoea
May kill in 48 hrs in 5. 6. 7 day.
It may come on in perfect
health but in majority
of cases you may
find flaks [crossed out] fancis.
but rarely Albumen in 
urine.
Diag - Dr is usually in 
children
Progressive character of  


2
O.K.
If Sympts progress after
using Calomel than conride
Tracheotomy or Intubation
Indication for Tracheotomy
&c are Obstructive Spasmodic
attacks &c memb. Croup.
Entrance of food & liquids
sometimes interferes with 
its use.
Pepper prefers Intubation.
Bronchial Tubes
Bronchitis inflm of lining
memb of B Tubes -
acute or Ch - Prin in 
See - alter from pain
cough. Expect & Physician
Signs.


Acute B 1 Of large tubes
2 " Capillar "
Prim or Idiopath Branch
come from common
causes of Cat inflam
as Irrition of vapor a particles
but more common is 
chilling of body or 
exposure of relaxed body. 


Tremor or multiple sclerosis
cease during sleep or by sitting
them down - they bring excitedly
by exertion.
RX Hyoscine is but remedy
& quick its movements of 
Paralysis agitans - Hyoscyamine 
may also be used. 
Cases of central Paralysis of 
facial nerve are partial,
here its Orbicularis Palpebral
In generally escapes.

Convulsion -
Chorea - no to & from
Tremors - to & from movements
by antagonistic groups of Maint
of movement is less
than Chorea. 
Wide spread tremors Cause
Chronic alcoholism. Pb & As
Organic lesions of Cord or 
Central. - Or as result of 
old age.
Senile tremor usually
begins at its head -
Pathological causes.
General paralysis of Insomn- 
Parkisons disease -
- Paralysis agitans - Multiple
cerebro spinal Sclerosis.

Sympts of voice cough &
Fever in this form.
Laryngoscope can not be 
used in Children.
If uncertain regard it 
as membranous.
Pug. Very grave - worse
when diphtheritic but
very grave even when 
primary or idiopathic.
Large percentage die with
or without operation
Treatment - As soon as 
diagnosed.
Count. Irrit, mild as by 
Lr Iodine.
gt. Atomize repeatedly but 
with gentleness - as with
alkali or Zinc H2O - KCLO3
NH4CL - Solutn of Boronic 
Acid - Weak Solute of Tannic
Acid


Peprine with Bracia
or Lactic Acid. -Solution
not irritate - use them
every hour.
Internal - Calomel from 
beginning - large dose followed
by another large dose
until bowel move 1 or 2 
time the small doses
Child (5 yrs) - 5 grs followed
in few hrs by 5 grs, then
reduce to 1/2 gr dose at 3 hrs
Alkali as KClO3 or Bicent
find combined with 
the Calomel.
Muriate of Arm may be
given with KClO3 but is
feeble compared with Calomel

Lecture.
Stelwagon - Vol 7. 1887
Macula = Primary Lesions 
Spot.
Cloasma 
Papula = Pin point to Split pea
Solid elevation of Slein
[crossed out]
Vesicle = elevation with 
serous or sero-purulent 
contents as fever blister
Pusticle is advanced Stage
of vesicle usually, they
are filled with pus
Bleb = large blister with
serous or Sero-purulent
contents.
Wheat = as in hives- flat
rounded elevation having 
often yellow centre
as in nettle - rash.

Tubercle - Very similar
to papule but is despair
& larger than papule.
Tumor
Secondary Lesions
Crust - Extraneous drink
Scales - Cast off masses
of epithelium
Excriation = Scratch mark
Fissures
Ulcers
Scars = new growth. (cicatricial)
Patch in may be uniform
(of one kind) or 
multiform (of different
kinds - bullous -
Discrete = Separate
Concrete = Running together

Typus 
Circinate = when forming
a circle or part of 
one.
Serpiginous = when like
a serpent.
Irris - different colors
Marginate when edges
are sharp.
Annular = round with 
centre clear


For Hyperidrosis
1) Rx Tannic j 2) RX Alum 3j - ij to g.
Alcohol Oss.
Rx Ung Diachylon
or Ung Acid Tannici 

1
O.K.
Pepper - Oct 10. 87.
Cat Biurets = Biurets
Cat = most common
layer tubes ordinarily,
capillary form in its 
smaller tubes.
Sympts. Fever in mild
cases very triffling may
walk about in ordinary
from 101° - 102° in [illegible]
to 103° - 104° approaching limits
of Pneumonia.
Slughs changes in 
mild case [crossed out] Rest & Pulse
no dysfuon to extreme
in bad case.
Pulse from no disturbance 
to frequent
& small 

Rest & Pulse less affect
than in Pneumonia
Cough prominent = loud
often paroxysm - painful
dry in early stage with
sub-sternal soreness with
tearing [???tion] - increased
by talking or worse
as if comes on
at night - Paroxysm
may be exhausting if
severe.
Abscess of light, exhaustion
from in [illegible]
allows is to become more 
in coming as in Laryngitis.
By 2 or 3 day comes on
expectoration - [illegible]
at first tenacious &
grayish with Saline
become loose yellow

2
O.K. - Oct 10 . 1887
Persons negative in all 
form of Bronchitis, save
in severe bronchitis in 
feeble children when 
& portion of Lung collapse
by plug of mucous & this 
may give dullness generally
at periphery of
Lung (wedge shaped) but
not with other physical
signs of Pul consolidation 
Pug. - Diffrs. Good in
all except Cup form as 
to life. but guarded as 
to return & duration
Grave in old & feeble
persons.

Draq. Easy
Treat of acute primary
Bronchitis
Rest & Protection.
Our evenly heated room
&c & to bed if case be 
urgent not even in get
up for calls of nature.
Comp Irrit = by mustard
learn or plaster or liniments
or Iodine in 
Sternal or Inter-scapular
region
Inhalation if warm
medicated vapor by
Steam atom - as For [Corri?]
of Chloroform (Antropan)
Lime or Borax or NH4CL
as alkali to form Secretion.
Carb &c. Cream 

Oct 10 1887
O.K. 3
The Rx are for early 
stage, - when Secretion
come it is not necessary
to use Expect
& use less Opium.
Cap from is danger
from Exhausn by Rest
In & It's & collapse to
asphyxia
Seat of Cap Burn
Dry cupping at roots
of Lungs daily or even
liver daily.
Stimulating remedies
here called from as An
5 gt an 2 or 3 hrs for a with
Carb & sedative & Bella
or Hyoscyam or Le Corrium


add age to 12 & divide by age for 
the size of dose
Strychine is best in
strength Rest M + 1 is
given frequent & freely
with internally or hypodermically
in the region.
Begin with 1/4 gr repeated
in 3 or 4 hrs for 
a few days.
Alcohol must often
be combined first in 
small doses - come well
by children.
[cross out] Jacket of Rare
Cotton. -
Fihirrous Bronchitis
Membranous form must often
with Diph.

Rement that acute Branch
is a Sympt of vile affection
as Secondary forms. - Measles. - Typhoid
fever - Diph -
but not usually grave



Iodine as astringents
Use the weak at finer
until well borne
Internally. 1) Allay [fr??er]
2) Cough 3) [Pr???i] Expect
4) Allay infla.
Quine & Aerium
6-12 grs of [Q???] to Adult
Aerium 1 grs an hr in
adult
For Cough. Antispasmodic 
& Opiate.
Bellad or Hyoscyamine
sometimes
[crossed out] Morphine Sulp gr j
Am Muriat ʒ ij
Syr Ipeca fʒ iij
Syr Squill fʒ vj
Ext purmos fʒ vj
Glycine f℥ss
Aqua E.S. ed f℥iij
S - fʒj h.r.n.

[B????id?] of Am or [Iodine]
may be substitute for 
its Nld4Cl if Spasmodic
tendency be great.
If few is sharpen
use this.
Rx Morphine Sulp grj
Linar Aconit Rad grt XXX
Am muriat gr C
Lig Am Acetar q 3rd f℥ V
S - fʒij h.r.n.
But danger of mixing 
powerful & mild remedies
known with use 
Aconit from separate
bottle until tempr drops
as Known by thermometer

& purulent & more copious.
Auscult - On both sides
of chest = Bronchitis Rales
= Sonorous & sit rales in 
large tubes with course
moist ones in smaller
tubes,, - becoming more 
abundant as expectoration
increasing,, - most 
marked over large tubes
Heard booth is In & Ex
very changeable - as then
swelling of memb is with 
the Secretion.
Bunch families may 
even recur
These physical signs increases
as night comes on.
Capillary form given
all the Sympt more 


aggravated. - depending upon 
the the condition of the
[crossed out] System or congenital anatomical 
changes.
Fever higher. Rest disordered
greatly - 50 - 60 - 80
in child = 46 - 55 on adult
Dyspnea. Play of Al
Pulse frequent & soon
[illegible] force suffering
from non-aerated blood.
Cough - smothered - wheezing
ineffectual
Phys Signs of Cat Bronch.
Bilateral - not most 
but at periphery in
laryntritis Sub-crepitant
(coarse - crackling) in with
Inst & Ex ( more in Ins


Chrom B {Bronchial Dilate
Allied af {Emphysema
pectin {Asthma
1
O.K.
Pepper - Oct - 11 - 1887
Chrom - Bronch = Chronic
inflam of Bronch Memb.
Causes - 1) Repeated acute attacks
2) Glow operation of 
ordinary causes of Acute Attacks
3) Constitutional predisposition
as Rheumatic
or [illegible] Rickety & Scrofulous
in younger persons.
4) Persons with a tendency
to Chr Bronch. 5) Occupations
Sympts of Chr Bronch.
Often very mild as to its
disturbing general health,
but in other cases the 
general health runs to
have invited it & then
a break follows. 


Some given cases break
in general health by often
in less of flesh in Strength &c
Cough occur in paroxysm
& very annoying
not occuring at any one
period of the day. attended
with expectant of very
copious & glary it is called
Bronchorrhea - or 
purulent & smaller or larger
in amount according affecting
the general health.
Ex shows lencorits altered
epithol & marcinus 
bacilli or lung shreds.
Hemoptysis is rare.
Ph Sign - Decllum
negative &c. 
Sonorous & Sit Rales at  
lower portion part of both


O.K.
2
Oct 11-1887
Residual air in ocean
Tidal " Deceased.
Excitmnt & Exertion increase
in Dyspnea & also
[crossed out] Bronchtit exaggeration
This followed by weakness
& bad color & flabby
not necessarily thin
very worst effect is upon
the H's & results is dilates
of R't H't with minfiensine
of Tricupsid valves
& following this a general
venous obstruction & ascending
dropsy.
P Signs of vis Cmph.
Inpher
Chest constantly distended.
Ribs raised & more
horizontal - Sternal round

Ant Port diam in [evacuant]
Bounded - Short - Chest
no movement of expansion
& retraction but exaggerated
movement up
Percuss - Ana Resonium
increased & exaggerated.
It's covered - ex brat.
Vocal. Fren & Reson
are both decreased
Rest [h???r] - Respiratory
element is very weak & short.
Exp element is prolonged
It affects both sides
Diag of Che Branch.
Hist of Can. long continuance
of cough - good general
health remaining good
not its case in Phihro
Micneipe Ex of Shute


Both Sides equally. - Sear
change from time to time
-no Sign of consolidation
-Dilated Branches may
suggest cavity (vomica)
- no from so very little.
- no Hem - or diarrhoea
no laryngitis in nearly
all cases.
The look to its
Prog - Uncertain - Recur
- very good for duration of 
life.
Asthma.
Associated with Ch Bronch.
It is not of Bronchial
Cough.
Morbid irritability in
most cases of Asthma
of Bronch mucous memb
in different persons 


As Rest & Hay Asthmas in
Changes of Climate Residence
Temps & moisture of air
in person of spasmodic tendency.
Asth is an [crossed out] condit
of Spasmodic dyspnoea Associated
with most condit
of Bronchiat muscus memb
& with Spasm or parisis of 
muscle of Rest.
Some muscle are in state
of spasm as Bronch & Interental other are in state
of exhaustion


Lungs - Signs show remarkable
fluctuations
by season &c.
The Chr Inflam in the
tubes of low vitality already 
may came Sacular
Dilation at roots - 2 in
diameter rounded or from
form - thickened walls. - In
causes as much trouble
as an abscess except diameter
of tissue as decompressing 
sputa, pectin
fever
Phys Sign of Cavity
-On one of big tubes - More
common behind ever Root
Deep rested percussion or
tympany - Tubula colouring
in Inop & Exp. Pector.
[i??in]. & Sign of Cavity.

2) Mirfn dilatate like a 
glove.
Emphysema (vesicular)
is another accompaniment
of Chr Bronch [crossed out] It is state
of permanent over distention
of air cells of the Lungs.
Causes producing is
General weakness of Lung
tissue, & its air can not 
get out of Bronch tubes in
Coughing hence is distend
the spies & Borders of Lungs
It may follow whooping C.
but this passes away.
Phys Sign,
Progressive & Permanent
Habitual abiding Dyspnea
as elasticity of air cells
is lost 

OK.
H.C. Word. Oct 29 1887
Tonics - used in overcome
debility if cause be removed
or help life along if in 
can not be removed.
Debility is often the result
of intestinal catarrh of which
diarrhea is its result
[crossed out] Groups - Vegetable
-Mineral =
-Fungines
Veg Tonics } Simple .1
Peculiar .2
Aromatics. .3
1) Have principle as stimulants
to it Skin
2) Having added some other
peculiar properties
Exem up 1 an irritants
nans & voom-Corrts 2-Inrritation
of Sarh memb

Indication for 1 is a loss of 
apetite. -
After overwork.
Actively of spring time.
Convalescence of acute disease
Quassia.
Seinant Ex
Certain quassia this produce
convulsion movement in lower
animals - gastric irritation
& headache in man. 
Principle in men in
Exh - in pill 1/2 - 1 gr.
Tinct - gtr XV - XXX w XL
Inf for Seativorus 1 y to 1/12 pn
boiled in 1 pint. 
Gentian
Solid Ext is 2/3 of quassia
Tinct Co is most elegant
of all the bitter pick

2
OK.
XX
with ZN804 or P.B (C2H3O2) 2.
or 5 grs of improper alkaloid.
In Chemis gastic calaiet
with hepatic tripe as result
of use of alcohol - always
in pill-form.
Marked uterine contractions
by injecting it into 
bitches - for menorrhagia
for cervicitis & vaginal inflam.
- in [illegible] - in nasal cath
- in conjunctivitis.
Eupatorium (Bone - rub)
Infus is with time
Oy. to pint ] hon H2O on 
going to bid by acting as a 
sudorific
Bark of Comus 

Arcuation
Activity depends on presence
in Chr of volatile oil.
Active in common in this class.
1 Stir in gash intent memb
incline for in time being 
not kept up long as in Simple
times. Carminative of expelling
in gas. Reflex peristalsis
Affect in it's causing drastive
arrest.
Ol Caryrrh.
Acts as local anasthetic
-powerful poison to all tissue
but this alow absorption prevents
this.
Cloves
Ginger
Pepper
Cinamon
Cardamom
Mints - Vir
" Pip

OK.
Ol Sassafras.
-Comp In. In grap - Cheat.
[h???] for liniment.
Ol Savlth.
Salicylate of methyl acts
as Salicylic Acid.
Oil Nutmeg.
Feeble in local influc -
& in It's - Acts specially on 
cerebrum [h??] capable of 
use as soporific [h???] in 
hysteria - can poison persons.
- for hysterial unrest
grr X-XY Oil - gr XXX-XL nutmeg.
Anthemis (Chamomile)
Mild Stimulant is Stone &
satisfy. the meal needs.
1 oz in pint, wine place at 
matter.


Serpentaine
Weak - never used by itself
Peculiar Bitter
Prunus Virg - Wild cherry bark.
[C????] Tannic Acid, Bill
time principle, Crulkin &
Amygdalin the form HCy
was used in Phthisis but 
its action is too fugitive
Syr. as vetricle is enough [wi?h]
by adding morphine
Eucalyptus.
Local action is sleight - hence
can not be used as Corut In
or carminative.
Absorbed run freely than 
the other oils.
Gtt X-XX produce & single
of warmth in its Stone - [S????]
of calum , mulax. It's as 
low as 50 - more of numb.
uses in [?cli?n] nerve.- abolih.
of muscular nerve
Cuonnous dose/ paralysis 


death from paralysis act
by act on Spinal [en?i].
Fall of Pre by effect or It's
[Su?????]. Sedal is when
system but on Case & It's 
must.
Clive from lungs & urine
Und. for acts or mucous
memb in Bronchitis
after first stages
in Asthma will it - Intern.
Cath - Antiseptic Surgeon
is [inp???] - Antiperiod
is unreliable.



Anise
Fennel
Tannic Acid in Cinnamon.
Ol-live dose grr - ij for Col.
for Intub relax with diarrh.
[sti?s] it by stimulating it [illegible]
normal time in its serous
diarrh.
[crossed out] - Cinnamon
Oil Cirr gtr ij-V  - flavouring
Linen - 1) Mild diarrhoea of
relaxation is with H28O4 Aro
& Symph. 2) Menorrhagia in
fʒj is case of want of tou.
Card.
Tinct Co. -
added to
Tinct Co
Tinct gent.
H2804 w Aq. Req.
Symph.
Strong Chr.
Orang P. flavouring

Ol Ced.
Ol-Anise - carminative
Ginger
Has an alcoresin beside its Ol
as addition to tonic pill.
as in Black pepper & Red pep. 
Vol oils eliminated through
its Renal organ & can produce
strangury.
Ginger. 1 tap Inf. as murdorifin
in suddenly ruptured
menstrual in 
abdom colic.
Menthol
From tupentine
[crossed out] for neuralgia pains

Barbery.
Certain berberin. 3-5 grs rest
official - convulsion in lower
animals in toxic doses.
Columba.
No Solid Ext.
Exp fl -
Tinct - fʒj
Chirett
Solid Ext gr j = 2/3 of Quas Ext
Acts in Liver especially after
malaria & debility following the 
heat of the liver
Hydrastis.
Golden Seal
3 Alkaline - Berber
- Hydrastine
- Zanthopoxis.
Pure hydrastis is colorless
berberine is yellow.

Hydrastis
1 { has distinct power of over circulating
& nervous system -
- spinal convulsions as in
Stiydrun death may occur
for cramp of Rest m.
Small doses increase the Act
Pus - Large dose decrease.
This depressant to It's muscle
causes diastolic arrest -
It [means] to act in Vm.
Centre thus causing it
rise of act pressure.
Local paralyzant of new 
of sensation.
Und - for mucous membs.
- acts well locally - & also
some in Intest.
In gonorrhea after the
Bi period is period - con -
curtal flow Cx V mx - XX - iʒ

Mills - Bleckly - Nov 19 - 1887.
Gymnastics [for] Nervous Diseases.
1. Manager
2. Movements.
3. Electrical.
In [crossed out] movements we have
active and passive - or semi active 
and semipassive or duplicated
active Swedish movements.
Zander method, is where these
is & stram apparatus, are of limited
use only.
Resistance apparatus are useful
in more cases - elastic tube &c.
Respiratory gymnastics: As in 
Blakey's book - taking a full
respiration as each movement. 


Begin with light dumb-bells or 
no weights at all.
1 - Dumb-bells above the head,
taking a deep inspiration &
lower hands laterally and expire
while raising them.
2. Put 1 foot forwards, throwing
dumb bells back & chests forward
& taking in 
3. Hand against [illegible] through
dumb-bell against its into of 
other shoulder.
4. Dumb-bells behind neck & go
down.
Place patient on back then
let him raise with its foot
or the body.
In Hemiplegia (central) make
a quick movement with
round limb & quickly follow 

with same movement of 
palsied limb.
Paralyses and atrophics &
Choreas are benefited by movements.
In choreas get them to 
come after you as you
perform movements for 
them.
Habit choreas are most 
difficult to cure.
Movements are good for 
certain forms of insanity
as melancholia  



OK.
Pepper - Feb 9 . 1888 1)
Small Pox.
As Sp from of about 20 days
high contag & epidermic - witness
anatomical line, characterized
by striking & peculiar
erupt & powerfully influenced by vaccination:
3 ft in open space
Thrown up Carried.
From Body - by stomach - by Rest
tract or may be swallowed. -
can be carried by fomites.
It spares no sex nor age.
Complication - Nephritis - Endocarditis
& Myocarditis - Extensive
of erupts to mucous surface
as Laryngitis pustular -Bronchitis.
Blood - crasis dissolved in bad
cases -
It's form has not been isolated
Incubate maximum 2 wks:

no matter how long.
vaccinate 1 or 2 days after exposure
[pro??] will check it or modify it.
Invasion - Abrupt with chill &
violent headache, frightful backache
& intense pains in limbs 
- with pre-emptive stage is also
marked by vomiting loss of Apet.
fever, 102° - 103° - 104° flushed face, rapid full
putin - lasts for 3 days.
Stage of Eruption
Papule disaile exposed parts first, or face neck
rounded hard - short - like - of 
red color - 3 days
Vesicular Stage - Seem form at
summit & become a vesicle & umbilicated.
It is a cellular structure,
none the general symph subside
fever goes down, headache
& backache
Pustula Stage - 3 end oz 6 th
day the consists - become turbid
& purulent - It is [illegible] neon. 

OK.
Pepper - Feb 9. 1888 2.
Myocardit disper to Cardia collapse.
or weaker - Deaftness
- Perforate of humor & blindness.
Segmt - Disfiguration by reticulated
cicatrices - Scarcely ever
airy pitting in Varioloid.
Convulsion is usually prompt
rapid & complete.
In stage of duricate a cure
by disease may occur - 1 gal
a day. - Spe 1.001 - Limpid
Diagnosis - Shrend green in
fore-eruptic stage - or on history
of exposure & no vaccination.
& pain & fever.
Erupt in 3rd day of sickness.
- Measle & Typhus fevers
measle. Cath Sympts - Cough
& no marked pain & drowsy
& heavy. - flat macul, eriseints
- disappearing on pressure genera
of upon go down in S.P. 



day from - maturation five
the purtial vomiting here
less its umbilicatis [crossed out] to
in about 3 days the partial 
become shriveled grm the absorption 
of the [mater]
Decication - 3 days.
Desquamation - 3 days. &c.
[Pri??] for depends upon amt of 
blood press.
Second from depends upon the 
amount of eruption. - ends by
lyin by 17th day.
Kinds of eruption.
-Discrete.
-Confluent.
Varieties
Mild Very.
Ordinary
Gram from amt of pain
a well as amt of eruption
Malig - Black - Blood disintegrate-
bloody liquid in


Incubation = 2 wks.
Invasion & per. 
eruption Stage. 3 days = Primary from
Eruption {Papula 3
{ Vesicular. 3
{ Pustula. 3 = 2nd form.
{ Desricate 3
{ Desquam 3
vesicle - general prostrate -
Here from membranes. - & death
from Pap in Push stage invariable
Varioloid - Stage of invasion may
be intense - eruption & relief of sympts
pap variable & [crossed out] but now
the secondary fevers more or 
very stright when the tendency
is to purtulation or & a
loctn occur - incubate come
is 10-14 days.
May be discrete (more likely the
mall-pox) or confluent.
Complicate - Very intense
secondary fever. Extreme in
mucous passages. - Endocarditis
will be valuable murmur.


OK.
Mood - Feb 9. 1888 1
It's odor is objectional. %.
Iodol - I used in H2O - No odor
acts as Iodoform - Poisoning
also possible - & fatty degree.
acts by its - decomposition products -
as Iodoform. Iodol
is decomposed more slowly
than Iodorm. Is more apt to -
cake than Iodoform.
I used as Iodoform - In tuberculous
ulcers of Larynx. &c.
- High Cort:
In chronic Sypt - grs 30-60. -N.S.
Cod - Liver - Oil.
Biliary acids - Iodine - &c.
Sodium in not its active principle
but has no one active principle
In health in lower Animals -
cause accumulate of fat but if 
given too freely it disturbs digest
& ceases to accumulate fat.


Increases Red Crops. & diminishes amt
of fibre.
It's case of absorption & oxidation
[crossed out]
makes it valuable - It also acts
as alternative
Mrs- In tendency to emaciation
but depends upon it cause as 
in tumor it will only retard
it, but if more generalized as 
in Phthisis especially in the condition
of depravity preceding the 
Phthisis. by its apparently causeless - 
continually catching cold
- Cod - L. Oil - Whiskey & avoidance
of cough mixtures. - If organic
changes be present we can
protect life by Cod - L.O. - Whiskey
& fresh air.
In Scrofulous of great service
combined by Lactic - [phosphate] 
if Liver in Gland swelling &c.
(standard remedy.) 


Wood Feb 9 - 1888 2
OK
fatal gastro - enteritis.
In urine. urea differs. - amt of 
urine differs as when purging
or not.
Wns- In Gout in large dose
will cut short suspend paroxysm. - in
other subjects with acute
gout but not in asthenia
- as it causes recedent or internal
gout by the blood
going in - Dangerous in acute
gout in large doses & recurs 
soon.
In chronic gout by small
amt - 10 gtr t.d. within diarrhoea
limit with K1 often
good.
Poison - Tan acid - Opii &
as gast - enter Amtal.

Woods
Mezerum.
Sarsaparilla some good in
chronic syphilis - Zyphnar
decoct alternated with Symph
Sarap Co. -
Sarap Ex fl with Iodine
is but now.
Symph Co - as vetricle 
[illegible]

In chronic rheumat if with 
Sypt turs.
In Skin disease.
In neuralgia attended with 
loss of tone
In these condition it is not a 
specific but builds up nutrition.
But given in soft capsules
holding ʒj - or pinch of dry salt
- In whiskey & water - In ale
- In emulsion with oil of bitter
almonds.
Dose. Tendency to diarrhoea
is correct irrita.
At night in weak stomach
Digest of patient is the 
measure of the amount.
Phosphates.
Phosphatic acid is stomachic
tonic for dyspepsia as 
Horsfords acid phosphate 

and does not affect on system.
Herd of Cows in meadow born calves
rachitic - In dogs of keeping phosphates
from its food.
In many children with ill 
teeth from a deficiency in phosphates
as is case in such nurse
as in Wood's child . can increase
the amt in the milk of such 
nurse - They are largely eliminated
from munt of Intest.
To be given in Solution - with 50%
Cod - L. Oil in Rachitic child.
Colchicum 
Colchicine urine alone to be used
10 gtr = no Sympts usually - or 
inlist disturbance
40 gtr - purgin - serous - pain &
large.
Larger - Vomiting - purging - pain
is very great - pector falls to
collapse with cramps.
Rapidity of death not depending
upon size of dose. - acts - but
little in It's or h system -
but kills by producing -

OK,
Pepper Feb 13. 1888. 1
Treatment - no specific for the poison.
- Only assist patient - Adapt
the nourishment in state of patient
as in diet & stimuli.
May control the fever but do 
not injure the heart nor nervous
system.
Primary fever does not often give
hyperpyrexia.
In Secondary fever about 9th day
the fever (surgical) may be very
high. - Sedative as Opiate to 
allay irritation. Mild derivatives 
as diuretics or gentle laxatives
do not attack with powerful
antipyretics. no effusive of 
cold water except in pre-eruptive
stage. Inunction for 
its cuticle as in Scarlet
fever, Ung tets Vesicle appear  

Cath - 3 
Typhoid. 
Measles
Influenza. 
Skin 2-
Scarlet
Small Pox
and the burst on liquid [emmulsion]
Stimulants when indicated.
Sedative for the pain & irritation
as Opii per Olimet & Rective
in small doses - or Bromides
of Chloral or Canrub Ind.
To prevent pitting - Make inflam
milder, if only 12 pustule opi
then cautiously & touch with GNO3,
if mercurous exclude light
keep cuticle soft & prevent it 
thick crust - Ung Hydray & Ung
Petroleum while face shield.
Sat Sol is Gutter - P in Chloroform.
Stimulant in typhoid form
as Serpentine & Am Carb &c
Mortality is small except
in old & weak.
Typhus.
T. abdominalis = Typhoid
T. cerebro. spinal = Spotted fever. C.C. meningitis.
T. recurrence. = Relapsing fever.


OK. Pepper Feb 10, 1888 2
Fever runs high & stays steady (high
of cout from) Skin acid & burning
both. - color mordex.
100-135
Breath & Pulse much disorders
corresponding to amt of free
Pulse is weak & collapse easily
& soon small - Hypostab congestion 
of base of lung bilinal
is soon developed (blood logged)
not skull & imperfect.
No digest sympt - no distraction
no pain - bowels costive or quiet.
Tongue is heavily coated, thirst
& may keep his apetite
Urine intensely febrile
On 3rd day eruption in single
crop, - the amt of eruption bears
a proportion to the seriousness of 
the disease no [chan] in your
numerous small rounded, mulberry red maculabrary
elevated, not coalesce
disappear on Prm at first. this
become petechial (blood effused)
- The darker the eruption & the 
sooner so - the more danger 


lasts until case of disease & the 
slowly fail. Tendency in sedulation
Bed room are very common in
very five days
Duration - about 10 - 12 et day.
Often ends by crise or purging
or urine or sweating
Complicate but few.
Segmts. as parotitis - bed sores
Weakness of legs as [approastion]
paralysis, or Weakin of Brain.
Mortality. - great - 50 - 33- 25%


-Typhoid state is common in this
class - typhous symptoms.
Typhus Fever.
As Spe fever, contag. end & epid
without [anation] lesion save that
of the blood, running course of about 
12-14 day, will high pyrxie
marked typhoid sympt & characteristic eruptn.
-ending often by crisis
Due to specific poison.
One of the most contag ranking
with S Pox & Measles in this respect.
Poison communicated by formile to
carried to great distances.
Crowding & full & destitute favors
this poison greatly - It seems to be 
an animal poisons - In crowded
parts & spips. & rages violently.
All ages & both sexes equally.
Protact strongly against 2nd attack.
Blood is liquid in dead body.
lining of all stained. tissue 

disposed in putrefy & Spt soft
& enlarged as in all from.
Omit abrupt after incubar
of not more than 9 or 10 days but 
may be short. Chill usually
high from immediate, debility
headache & backache & stricken
down immediately.
Appearance -dull expression.
face dearly flushed uniformly,
eye is injected & pupil contracted
(firmly) but dry.
No Sympt - Dull despressing
quickly in Strip, often Deli
of action w violent type, - May not [crossed out]
sleep even if in sleep & Coma
vigil most marked in this 
disease.
Slips down in [burst], longer trem
but, retent of urine, tendon
twitch 

Benzoin acid and to make urine acid as ammoniacal 
w phosphate & for action on the mucous membrane.
Wood. Mar 8 - 1888. OK.
Expectorants. -
To. influ pul turn when desired.
Atomizers. - perfect edges - mouth
from well in - breath deep & slower.
- Artery as tann acid or slow for relaxation,
Mur Ann as stimulant,
Limi nalis for irrit of Laryn & is 
serotin in commencement of acute
laryngitis.
Agents' acting on Nemtrea.
& on muscular from
Strychnine acts in the nerve cents 
- not in acute but in chronic Bronch
of old people.
with or without asthmatic, in 
Emphysema with expectoration
Narcotics - to relieve cough but
remember it is necessary to cough 
to relieve lung of [crossed out] secretion,
but more useful in irritation
cough with but little secretion expectoration
much check secretion as Morphia -
Hyoscyamine to gtr X-XV does not 
check secretion.

Be careful in using Morphia in early 
bronchitis.
Chloroform. - as relief of incurable
condition as fibroid phthisis as 
whiskey glycerin & chloroform &
good use in ordinary bronchit
Morphia gr 1/25 - 1/30.
Alteration
Arsenic - for chronic bronchial [crossed out]
as in fibroid phthisis & turphets
with no tendency to breaking down.
Pot Iodid. - good for sypt of 
lung - good in chronic bronchitis
of asthma as in enlargement
as gr V t.d 
H2S. - Injection into Peculiar CO3
saturated with H2S - It did not 
act on the tubercle bacillus. - not
much good - but does good in those 
cases with catarrhal processes or 
as outcome of Cathr. pneumonia it 
lesser secretion in 24 hrs.
It is specific - Useful for pulmonary catarrhs. 

- In respiratory chambers as at S springs.
- Mill given as S nate in CO2 per
stomach - f3ij as 2 or 3 hr. - per
chu Asth with B colant & Bronchorrhea.
Sets - 1. Sedation
2. Stimulant.
Sedation in 1st stages of Bronchitis
when memb is dry & congt is tight.
Tartar emetic - most powerful
- 1/6 gr [illegible] 15 min until vomits &
the keep quiet. - not in children.
Ipecacuanha. -
Syrup is generally good enough
Pot Cit - must give in full
dose - for adult f℥j in first 24 hrs
as in brown cold lemon juice
2 oz. Syrup Ipecac 
Stirs Expect.
Senega. -
Traditionaly
Syrup. -less good for 
advanced
Squit - Syrup Bronchitis
but have no definite influence.

contain active acid 
Symp Squill not to be give with 
Am cart. -but for Scectosa.
- it does not decomp NH4 Cl.
Am Muriate.
Best remedy of chr Bron except &
from volatile oils - may in some cases
use in before [illegible] is established.
- they act fugitive - acts for 2 [illegible] hence
do not use it Kangan system.
Dose gr V-X. - Very disagreeable -
In capsules followed by drink of water.
gr 4-5 Ext Gly is each dose. - glycerine.
Spr M to tablespoonful.
Syrup of Vol oil of Garlic.
- allium - Oil is not used -
Oil of Eucalyptus - always given
in capsules act for chr Bronch
m X - 40-60 m daily.
Turbine is very useful for 
advanced Dose m r-x use 3 hrs
- may be mild Ol Crucaly hh.
-In capusle
Oil of Lardeluouse
mr-x in capusle in 3 hrs.
Balsm Tolu - Vesicle only
Bal Peru both contain
benzoic acid - both in m.g
In trusting wounds. 
Benzoic Acid is Put fm hom showing.
- has urine odor - [crossed out] Germ/Benzor in Ch B - escape
other urine - converted into tuppure acid
in Kidneys not in blood

OK.
Pepper. - Mar 12. 1888.
These must be a disturbance of the 
mans economy at the time of attack.
What constitutes this tendency to 
convulsion? [crossed out] Unstable equilibrium
& impaired vitality of motor areas of cerebro-spinal axis, in may be inherited
or acquired
Causes. - Reflex Irritation of dentition especially
in child [with] of neurotic parents,
or splinter, or irritant creation, adherent 
prepuce, intestinal worm
or hardened faeces, by bilium attack
in some persons, in some cases
a few days previous those is lithemic
condition very common, from menstrual disorders,
exhaustion, exposure, mental stue
by lowering vitality.
Epilepsy is the predisposition and inquires
an exciting cause to develop
the convulsion.
Diag. - Can not make from 1st attack
in child from eclampsia. 

but the more trivial the cause the 
more likely it is epilepsy.
nocturnal form is often overlooked
but look for sore longer or awake with 
a bruised feeling.
Petit mal- from syncope in weak
purous called weak or fainting spells
steady for cause of anaum or cardiac
failure or no cause, therapeutic best
is most important by removing the 
anaum & cardiac failure.
Convul Fever Maum in Org Brights - Examine
the urine.
From Hysterical Convulsion - Hysterical
temperament & History, attacks brought on by 
distinct cause - Consciousness more 
or less - in falling falls on soft spot.
trace of coordination in the movements.
expression is ecstatic or wraps or 
sensuous, therap list, Zone of ovaries irritation
or spinal anemia
Hist of Sypt: some
Org dis of Brain - Tumor involving a 


motor area cause 'epileptiform' attacks
but in intervals passive sign or
choked dirty descending neuritis, headache,
- the attacks are spasmodic more
than epileptic. - and may not low
consciousness - History of Syph.
Prog. Difficult - Very bad
Many cases are singularly controlable
& some cured. - If habit be established
difficult to cure & frequency & degree. In incipiency
with good health it is hopeful but
anxious.
Treat. Remove predisposing cause first,
- Hygiene - mental & physical exercise of 
proper amount. Most important is 
to increase its no time to sign and not 
to check its convulsion alone by drugs
Remove cause of reflex irritation and 
mal assimilation with improper digest
& dirt, bowels, urine,
Drugs. nutrient N tonic as Cod L. Oil
As. Fr. Fn. Aq. An. 

Ana & debil - [p???] [ton?] & meli Cod
L. oil - Fr - As.
If irritate to present?- Eg No3 - ZNval
- Chl of An or Soda
Antispasmodic - Bromide as but
Anaf. Bell - Con & Cause & Value
a compaint [inert].
Must chang prep of Bromide or suspend
administrative - must not depress
system by Bornid or cause irritation
- Adult do Pot Br gr XV t.d 15 begin
increased or combine with NaBr a
NH4 Br - if this depress combine Ar & Cod
L oil, - If too large dose are to be used
give them up & build up system.

[Illustration]
Wood. Mar 29. 1888. 1
An Cl C = Anodal closing contraction
An O C = " opening "
K Cl C = Kathodoe closing "
K Cl O = " opening "
An Cl C < K Cl C 
An O C > K Cl C
An Cl C < K Cl C
When 2 substance are brought in contact
a galvanic current is generated
- It requires contact to generate galvanism.
C = Current strength
C = e (electro molu force)
R (Resistence)
e is independant of size of plates.
e varies with different substance
best is Z & Carbon.
R - is under (i-r) & external (er) R= ir = er 
hence C = C/ir + er (Owens Law)
Supp er = 1000 ir C = e/ir + 1000 ir
[p????] has more resistance [crossed out] the 
[illegible] 1000

to overcome ext resist multipy Electi
mot force by multiplying number of contacts
(more cells).
In Arsenic or in caulis Ext resist is our little
increase size of Plates. - hence
100 er = ir
c= er + 100 ir
Int resist reduced by bringing plates
near & enlarge plates to have large mass of 
fluid & of good character of conduction.
Measures (resist) of electricity. - volt
resist of resistance is - Opium
hence C 2 V/U = Ampere but this 
is too large hence milliampere
is now resist of current strength.
In organism - a current breaks
up into rub currents - [illustration]
& each strength is inversely
proportional to the resistance
If plate be used
i milliampere } Mullin
4 Sq inch } method.
There is really only one kind of current 


but 2 as to method of generation,
1 Primary current is bad term.
better called chemical current
or continued.-
Induced or faradic battery,
by passing [Ch???] current on Inner
coil, or outer coil an induced
current is generated. -
Current of 1st (inner) coil & current of 2nd
coil - made out at making &
breaking of inner coil.
Soft iron is 1st coil become magnate 
& attracts its tongue.
The currents run in opposite
direction & to & for currents -
in outer [crossed out] coil & hence no 
+ or - pole. 
In inner coil do not get both
currents as the induced current
goes into the bottom
In contract occurs with
chemical current at closing &


opening of the current.
By very closely interrupted current as 
in ordinary dynamo the same effects
can be produced as with galvanic
current.
no differences between different currents.
To apply to a nerve - [crossed out]
having one sore spot [illustration]
wet skin with salt water, to 
put a large flat [pull] at a 
distant point.
To influence whole new - use
2 ball poles [illustration]
Motor point is point of instance of 
the N . the muscle - bulb pole over
in & large pole or other side of limb.

Wood. Mar - 31 - 1888 6.
Anoder = + Pole
Cartride = - Pole 
An Cl C:
K Cl C =
K O C =
<
>
An Cl C < K Cl C } muscles normal.
An O C > K O C }
An Cl C = K Cl C } muscle in first stage
An O C = K O C } of degeneration.
An Cl C > K Cl C } muscle in more advanced
An O C < K O C } stage of degenera.
Uses of Electricity. - 1) Diag. 2) Prog. & 3) Treat.
1. Diagnosis.
Nervous [crossed out] palsies with 1) organic
or 2) hysterical it reacts but is 
insensible
Palsies 1) centric ([crossed out] all above trophu
cells of cord) or 2) peripheral : no rapid 
wasting of lesion of brain but from inaction; 
rapid wasting if of cells [crossed out] or nerve 

& show reaction of degeneration.
Degree of contraction varies as to position
of poles. - at first as in equal -
the equal & finally reversal 
of original formula : by to by fails
to respond to any current & now 
muscle is dead.
not over motor points.
Changes to faradic current precedes 
the other changes; - first
list to rapid faradic current but 
to slow current & finally to no
faradic current. - may thus
diagnose peripheral from central facial
palsy or deltoid mostly peripheral. - in 
[crossed out] children
most palsy are ant polio myelitis.
- fishing on Sunday monoplegia from
Syphilis (something worse).
Treat. - In paralysis, can only restore
muscle to normal power and 
perhaps stimulat or but can not 
affect or centre.  

2 factor of Central. Center Periph.
normal contract 10 x 10 = 100
clot " 0 (Drain) x 10 = 0
After time [cross out]
but the 10 has degree to 2oz 2 x 2 = 4
2 x 10 = 20
but can not get any farther than 20
If traumatic deltoid. -
-If triple cells be partly gone the heavily
go again after building them
up.
When use Electric in Palsy; - In Hemiplegia
recent does no good as M is not 
- degenerated, & not to be used until
all irritation is passed. Wait 4 weeks or longer - In Deltoid
palsy not to be used too early.
fomentation & leeches & then 1 or 2 wks.
In Polio-myelitis - no inflam. in 
- ordinary cases but some have inflam
use it at once
What currents to use? Beneficial
power is in proportion to amount of 
contraction. - Rule Use current
produces most contraction with 
least pain. 

Time of Senses - Most daily from 3 to 5 
min at first on 1 muscle increased gradually
to 10 mins. - 1 pole to motor point
For Sensory disease. - If from inflam 
Elect is n.g. only good for neuralgia 
or rheumatic neuritis (not too early) but 
use for - 15 -30 min.
after a time as in sciatica (tentative)
will do good if it relieves pain for the 
time being, if in other case the Chem
current do no good by faradic.
In [subacutic] rheumatism after good. 
In periph & hysterical loss of sensation
often does good but not of centric cause.
use dry brush [illustration] fails to obey Opi law
from point & goes off as little boil.
Farad of M erup. does no good but 
great harm - can not affect spinal
cord- 

1
Wood - [crossed out] April 3, 1888
Arnica:
Tinct - for wounded feeling
Item - Witch hazel now
used at present - only good
for its rubbing in applying there.
Arnica can produce irritation
& eczema - internaly gartient irrital
& collapse.
Ichthyol
Distil of forrit fish
2 fore - I. Ammonia Sulph
I. Potass Sulph.
Has 10 Y o S - can freely penetrate
the skin.
Uses for sufla of not chrome
type with enlargement - in
Procion very good, in Eczema,
in speoius, in glandular enlargements,
soft lipomas,
Of little or no value internally.

In erysipelas value by HgCl2 follow
by water, & the equal parts of 
Ointment & covered with batting.
- Both mix well with fatty substances
5 to 15% - In erysipelas
50% 20% for joints Somewhat irritant.
Demulcents.
Gum Arabic - of but little use -
Flaxseed - In making tea hot
H2O gets out the oil which is laxative,
- Used in inflammation of Gastro-intest 
tract, [crossed out] - In quick urinary
no good - for H2O - h.g. for Rest.
Ulcuers fulva - good.
Sassafras pills much used
as sedation for conjunctivitis.
Licorice = Ext glycerrity - has
glycerrizzin. - used in cough mixture
for taste & action on glands.
Compd Lic parlv is excellent laxative
Poultices - Means of applying
warmth or cold with moisture


2
Wood. April 3. 1888.
Post - month memb is hard white
& shrivelled, & gast-ent, if the 
death be late fatty deg especially
in Kidney.
Loss of Conscious dr to direct
action on Cortex of Brain.
In full dose It's & Resp at same 
time -
Defining poison to all higher tissue
Resp Cunt & Spinal cent mo
acted on the It's muscle.
Uses - only [crossed out] locally.
- It is local anesthetic as in 
exercise
vomiting from nervous sensibility
dose gtr ij - iij - In lientui
diarrhoea is but remedy.
Useful adjeivant in all diar if no inflam
be purent - especially for 
N diarrhoea.
In Antispetic surgery - Wood 

does not believe in spray.
f℥j externaly her caused death
- watch the urine carefully for 
its first little smokiness
Absorbed as corbolar in intest 
& also the. -
Sulphate - disappeared from
urine, parts destroyed, & parts -
eliminated & Sulphto carbolar 
partly as Glycouronic acid
Antidote is Soluble necphaleay 
or late as Mq84 or Nay 804
or H2804 dir 
- In joints
Hydrochinon also in urine 
[crossed out] Smoky color not dur to Blood
coloring matter.
In lungs - Prendo memb in the 
bronchial tube.
From apoplexy. - Odor. White color
-urine - not hemiplegic.
Convulsion are spinal
In full doses paral vero-moti center
Item perit Purmmoy & Center hence increases
Refes at first.
 

Flaxseed is good.
Slippen elv is good.
Bread & milk.
Over-use as in felon as in defenses
the part.
Stimulating poultices contain
a stimulating agent - as Excrement
of napoleon's Surgeon, better is 
yeast poultice by mixing with 
equal parts of flaxseed & Indian 
meal - to clean out.
Fatty Substances as vetricle
for ointments - 3.
1 Lard & Olive Oil. Lanolin
- (cholestasis & cholestin fat) 
2. Vasellum is mineral is perfectly bland & [crossed out]
protects - Is not as readily absorbed
as in a true fat hence not used for 
Hq.
Lanolin prepared from Suct (to 
keep wool of sheep soft). does not 
go back again on it skin non
irritant - vetricle for [In???] in act [illegible]

Skin.
Antipyretic 
To depress bodily temper in fever.
[crossed out] Carb. Acid is not used as antipyretic 
but acts like Salicylin but is the 
most dangerous antipyretic.
-Only used as disinfection, stands
next to alcohol in causing death
fʒj to f℥ss.
Sympt, Local irrit, burning pain,
ringing, giddin & must disturbance.
Large dose - May falls early, use 
course & covered with sweat gasping irregular Resp.
in 3 min.
In small dose death in 1-7 hrs.
nausea but vary vomit, collapse
mental spatty or deliuim replaced
by comes, -Resp irregular from ouret
death by failure of resp., - sense
of dysp if liver, long motion
power, ruin at first yellow
becoming perish to black. -Some
cases have Hemoglobin.


1
Wood. April 7. 1888.
Sal Acid Compds.
Formed from Carb Acid - is 
not officinal - Absorbed as 
salicylate in intestines as Na
salt in blood.
Sal acid soluble in ether &
can not be formd as such from 
the blood except in blood of 
asphyxia.
Eliminate is very rapid in 
- 25.
8 mins, - & lasts for 8 hrs after -
last dose, - and has tendency
to accumulate as for 1 wk.
It is local irritant as in the 
stomach & at point of escape
as loosened urine & even resp.
pressive or hacenalinia hence
hesitate in using it in acute
Brigtn 
10-20 gr no sympts.

Larger dose - Is cinchonism fullness,
tinnites aurium (1st evidence
of phys action), 2) urine becomes
greenish cause unknown but may
be indicare or pyrocalichin by partial
distinction of Sal acid.
In excr as Sect acid in urine
& as Salicyluric acid.
May dilate pupil, dyspnoa
is very constant, put form
put increased the diminished,
rate increase, its delirum
been coma & death from asphyxia
of Resp cent.
Acts badly especially on Dumt.
ands & apt to cause delirium
may last for long time & may 
be with hallucinations
Fox dose - Same Sympts In mammal.
Circulation - Used dose not at 
all depressant & may increase 


Wood. April 7 - 1888 2.
f℥j has take life & stimuli & urine.
May be given in capsule mx - 4 to 6
a day
Salicin.
Breaks up in Sal Acid and 
in urine is forward as Salicyluric
acid.
It is less irritant & better taste
It is broken up ony partg &
slowly in Sal acid hence not 
much used.
Salol.
1 At of H of Acid Sal is replaced
by Phenol (acid carb).
Is ready for from irritant prepertin
- much like oil of gaul - 
the not of bad taste.
As Salol in stomach but by 
pancreatic juice is broken up
into Sal acid & phenge without 
gash intent irritation. But
in larger dose urine becomes blackish
from Salicyluric acid & its
Carbolic compounds.


Salol } 36% Carb acid
} 64% Sal acid
It has distinct antirheumatic power
but is less prompt & less efficient
- good for subacute rheu & neurage
& m rheumat - dose 45 grs
-Salol appear as Salurin acid
in 1/2 hr but if it lies in Stomach
for cancer or weaken of walls
of Stomach.
Naphthol - salol.
1 H replaced by Beta naphthol.
- In intestine is resolved [with]
Sal acid & Beta naphthol.
Venesection
In acute serous infl diseae as 
Pneum of strong robust adults bleeding
from arm may do good.-
In acute serous inflam as in all 
fibrinous pleurisy at first use the 
wet cup (deplitis) & not dry cup (for
pneum or pulmon congest as counte
irrit) In peritonitis - leeches 100 A
In Exhaustion with right sided heart failure as in 
Pneumonia or advanced brights. & mistake not Pneum
for meningitis


acts press by v.m. stimulate & Hs (?)
Toxic [d???] - Card failure by direct
action, press low by act on v.m
syst as well as heart.
Sense of weakness & depression
in full doses by acting on N syst,
Use of M power & depress of reflexes.
& marked cutaneous anaesthesia
Resp. at first hurried (Skin) late
it is slow & shallow.
30 to 60 grs cause fall of tempt
in 1/2 - 1 hr & with sweating & is more 
certain then quinine but also fails,
can arrest its sweating by Atrop & Agarcin
but tempt still falls; do not 
depress tempr of normal man
but prevents it under exercise.
Not used any more to lower
bodily tempr.
Most powerful agent for 
Rheumatism (Senator) - by increasing
Nitrogen elimination 


in almost all forms is useful
& not only in acute & even good 
also in Gout (especially irregular)
Tart & act in Stou an
again it.
In acute [Rheum] - 1st Day
[crossed out] 45-60 grs 2nd day 30 grs now
in 3rd, 4th begin again.
May give in capsules on full
stomach but its acid form is
worst belt use salts.
Sal of Cod
" " [An???]
" " methy 90% in Ol Saul.
Sal Soda ʒj =
Sal Ammon - prepared item
Take Sal ʒj acid & Symp and encrease
Stronger fʒj Amm iiss acid draught
may give this in milk.
Ol Sarrh = All sympts of Sal a pour 


1
Wood. April 12 - 1888.
Antipyrene.
Crept - Sol in nalis.
Acts. Little tinnit & [no??] of 
quartered & tendency to wound -
[l???].
Larger dose - In weakness to 
little lessening of pure fever
and rate
In death in normal man.
In animals. - Lay dose cause
convulsion with paralysis -
serous dir of cramp asphyxia
but of paralytic asphyxia.
Convulsion said to be cerebral
Motion M. - Slight influence in 
advanced poisoning but never
any complete loss of power.
Sens M. - Paralyzes sensation at 
point of injection
Spinal Action depress M or 8 part


Depress Muscle a little.
Small does unaffect [bluoed-p??]
Large " increase " " 
Lox " depress " "
Said to act powerfully on muscle
of vessels - said to be haemostatic
greater than Lr Ch Fr.
Rapidly absorbed & eliminated
as antipyrene.
If take for long time palor with 
bluish tink by altering the Haemoglobin
into metahaemoglobin
[crossed out] Chiefly as antipyretic 
In normal more gets uncertainly
use of tempt at stage of convulsion.
In fevered man 20-30 grs tempt
falls in 1/2 hr & down by 1 hr - 1° C 2°
& continue for 4 to 8 hrs as nature
of disease, with for sweating
& may be with collapse, can 
arrest sweating by atropic & agararin
& yeh. tempt falls - hence
not result of the sweating, nor  

is it any effect of blood pressure.
Cause of fall of tempt is dire to 
decrease of heat production by
acting on nerve center controlly
thermogenetic function of the body.
Urea eliminate is lessened
in fever - checks nutrition fever proven.
Uses, - In fever it is very certain
it makes firm more comfortable
in pneumonia, typhoid & but not so 
good for the patient as cold bath
For pain. Especially of use is those
of M origin of that store kind.
In locomoti - atexi cri good.
In Rheumatic
not as good for Boils as Morphine
does not form habit nor does
its derasy seculi as Morphia.
Is said to take away the Labor
pain & not interfere with contraction.
In convulsion disorders - As 

in Strychnic, or Epilepsy 1 out of 50.
Occasionally acts very unfavorably
as rapid cyanosis collapse, loss of 
consciousness & for sweating.
Give 10 or 1/2 to meti result
or 30 grs even taken.
[crosed out]
May keep back measles.
Antifebrinis -
Same effect both some tender
to sleep. - more powerful - gr 10-20.
On general system - less is known
these of Antipy. - cyanosis also
from methameq. - loss of reflex.
does not lessen no. of corpuscles.
Parado-phenol - mephalic in urine
- Some say it change other not.
Use - In fever - In pain - In epilepsy. 





[Nervousness] a pleurisy but may a pneumonia.



3





Blister is more slow and more permanent than rubefacient 
and produces more structural change.
Rubefacient is more rapid and more general in active - used
in congestions and nerve irritations.- Rubefacients go deeper than
blister if left on for a long time
Countre- irritation. - Mar. 17. 1888.
Amaurosis may follow from decayed tooth.
Paraplegia from renal calculus. 
Duodenal ulcer from a burn.
It occurs through the trophic nerves.
Irritation to be placed directly, over
an organ as it has a relation with 
the surface directly over it.
Port annal for the eye.
Anstic's Law - first countre irritation
over the root of nerve supplying
the painful parts.
Sets of Countre- irritants - 3.
I Rubefacients - cause dermititis 
but with no organic change.
II Epispastics - Has organic change
and blisters.
III Those causing structural change
but no blister as Croton oil or 
Antimony.
Seton acts in same way
Issue also
Caroling likewise.
If you wish in affect an organ


having organic change, you must cause
organic change on surface
For congestions and irritations rubefacients
to be used : as in lungs
or bowels.
Peritonitis requires structural changes
for countre - irritation.
For Blistering - Epispastics = vesicatories.
produce inflammation of skin
& antpouring of serum Known as blister)
Spanish Fly (Beetle)
Cantharis - Cantharides
Active principle is cantharides 
Tinct. is used internally dose gtt
Overdose of the fly internally causes
burning pain and soon vomiting of 
mucus & green specks of fly, these bloody,
then shortly diarrhoea not serous
than mucous and bloody, with tenesmus
and small, Sometimes at 
once we have collapse; in a few
hours a 2nd set of symptoms come
on as pains in Loins, pain in bladder,
& frequent desire to micturate
and symptoms of cystite
and even strangury. 


Take it off 1 or 2 hrs before it has drawn & then put on [the]
poultice to draw.
and erotic excitements (aphrodisiac) from small dose,
from larger dose we may get swelling
and sloughing of the scrotum &c,
death from exhaustion with coma.
death is from local action at the 
points of interence & escape.
Treatment of poisoning - Wash out
stomach and intestine with demulcent
drinks but no oils & cathartics &
give Opium. - or even Anaesthetics - Leeches to epigastrium.
Write for plaster thus. On Adhesive plaster with a free uncovered edge.
Rx
Ceratum cantharidis q.s.
Pimples vj x IIII urine
If absorbed the cantharides may
cause strangury, to avoid this
only keep on the plaster a brief
time (early removal), and thus also the pain suffering will
be far less, - 5 or 6 hrs contact is 
enough followed by flaxseed
or bread and milk poultice for 
5 or 6 hrs more, after the blister 
is raised clip in with scissors
and then may cover with ointment
Chartula 


in keep in from healing use Basilicon ointment (Cerat.
Resinal)
For Strangury - Opium peridium & Hot bath. leeches to epigastrium
For nervous irritation - In typhoid fever convulsions 3rd week by applying to Scalp.
In D.T. but there is danger of scalp sore
to heal in quickly use Goulards
[crossed out] ointment. - Or use Simple
cerate. If slow in heal use Ung
Zinci or Ung Iodoform.
Blister is most useful for serous
inflammation than that of organs.
- only in advanced stage of pneumonia,
Often good in catarrhal
pneumonia & capillary bronchitis.
Blisters are more useful in later than in early stages of inflammation.
Rubefacients - Plaster
- Poultice
- Liquids as liniments.
Liniments - used for chronic rheumatism
or after exertion, but not 
as efficient as they are popular.
No specific action in any one liniments.
May use Aqua Ammon fortior
with Ol olivum, may add Ol
Terebinth, and Oil of Sassafras
Cantharidal collodium (Collodium 
cure cantharide) is too powerful
for using.


Turpentine stripes - In typhoid fever
- In Amenorrhea with Dovers &c.
Aqua Ammon under watch crystal.
As Plasters 
Pices. Pix Burgundica - x (as Plaster [crossed out])
Mourning plaster = Emplast. Picis cum
Cantharidis will blister 3 out of 6
persons - they act slowly & for 
days; for moral comfort: - In
chronic bronchitis of old persons of service
x (Pix Canadensis as Emp Picis Canaden)
- In nervous pain of women for prolonged mild effect.
Sinapis - mustard
Is more valuable
1. Sinapis nigra = acts in 10 mins black mustard is more 
powerful, of equal parts with flour.
2. Sinapis alba = acts in 15 mins. white or yellow mustard.
Mustard is a soothing persistent plaster - use in 
not too strong so as to keep it on longer.
- In newspaper
Mustard plaster for 1/2 hr, in blister
there is more pain and harder to 
heal them from cantharides.
- Used in intense internal irritation,
no good in collapse and apoplexy
and as there is no sensibility here
it may be left on too long - In
internal irritations the next 

1 Part Black mustard & 2 parts flour. Kept on 20 mins.
or Equal parts of yellow mustard & flour - mixed with water.
day after after using the plaster a 
furious dermititis may appear by reaction.
The mustard leaves of the drug
strups are abominations.
By diluted with flour & [crossed out] molasses it checks
its rapid action
Spiers. - for steady & continuous mild influence
in enteritis. - may use tincture of the spiers
on cloth & cover with oiled silk.
Escharotics are drugs used to 
destroy diseased or sound tissue.
Pain is the difficulty but creaine
now prevents this, is in chancre
before using nitric acid.
Nitrate of Silver is powerful but 
does not go deep.
Acid nitrate of mercury acts about
as nitric acid, applied on 
splinter or glass rod, arrest their 
action with soapy water.
Chronic acid is powerful, for 
epidurral growths especially, as 
warts venereal or not by placing
a crystal on it & then wash off with H2O.


Bromine is most powerful - use
glass rod - acts in dead and living
tissue alike, used for Hospital
gangrene but is too uncontrollable
for organic growths.
Sulphuric acid may also be 
used.
Corrosive sublimate - is most 
dangerous from its absorption.
Potash or Potasse cum calce 
(Vienna paste) - it takes up the 
water, acts in the fat, oxidizes the 
fibres - for small masses - is too
uncontrollable - punctralis deeply
- used in make an issue
- apply by making a hole in a 
piece of sticking plaster [illustration] &
cover the edges with cerate oil, apply
the caustic for 10 or 15 min
then wash with vinegar
The Vienna paste does not run
as the Potassa does.
Zinci Chlorid - bitter as Canquoiris 
paste, & making arrows in thrust 

around base of tumor.
Acidum arseniosum - (As2 O3) bains of 
quack remedies. Cancer tissue is 
more readily destroyed than round
tissue - pain is atrocious, but cocaine
checks this - It may be 
absorbed but by using large amounts
this danger is less
as the tissues die so quickly.
Anthhelmintres Mar 22, 1888.
Worms. I Ascaridis Seat worms.
II Lumbricoid - Round worms.
III Taeniae - Tape worms.
I. For Seat worms fist wash out the 
rectum by injection of salt water,
and follow this by an injection of 
Qaussia 3ji. in Ojss boiled down to Oj.
inject this each slowly and hold it 
as long as possible.
Vinegar has also been used. 


Spigelia Pinkroot
Ext fluid dose fzj
Ext spigeliae in Sermac fl (not officinal any
more) has aromatics in it, good for children.
adult dose 3ss - 2 yr child fzs-j every
4 hrs till in purges.
Symptoms of Overdose of Spigelia - much
as a mydriatic - dilated pupil, heart
acceleration, heat & dry skin, delirium.
It probably contains Spigeline which 
is a cardiac depressant.
Spigelia narcotizes the round worms
hence in 1 hr afterwards follow with
castor oil.
Azedarach
Decoction (3ij to Ojss boiled to Oj)
dose tablespoonful every 2 to 3 hrs
till bowels are affected.
Chenopodioum - Wormseed
Oil is to be used - dose in capsules
or on sugar gtt x to 3 yr child every 3 hrs.


Santonica
Levant wormseed contains Santonica
also called Santoninic acid & can form
salts.
Santoniates are freely soluble.
Santonin is insoluble.
Action - First symptom is often yellow
vision (zanthopsia) due to staining the 
humours yellow, and urine is red looking
from the santonin & its derivatives but not bloody,
tremblings, vomiting but mostly not,
and the symptoms are not those of 
gastro-enteritis it exerts its power
over the nerve centres, & with loss 
of consciousness & dilated pupil.
Summary I. Zanthopsia. 2 Tremblings
and muscular (?) apathy & unconsciousness
& epileptiform convulsions.
3. Collapse.
Santonin has produced death - 6 grs
has killed strong adult: as it is insoluble
the persons have often escaped,
Solubility is not wanted hence
sodium cantanate is not to be used, 


but give the santonin itself in its crystalline
form (not pulverized)
Adult dose gr ij - iv
Child dose gr 1/4 - 1/2
follow it in 2 hrs with castor oil with 
a little turpentine added to it 
Turpentine - doses of f3ss j always
with twice its bulk of castor oil has 
been used for all worms.
III For taenia must have the intestines
empty may give as follows
1. Supper to night, bread milk & tea.
2. Medicine at 7 tomorrow morning.
3. 1 hr later (8 A.M.) coffee
4. 3 hrs later little milk toast (1/2 hr before
2nd medicine = cathartic)
Pepo. Pumpkin seed,
Wood mostly uses this for taenia.
It must not too old.
3j - ij beaten up with sugar & aromatic
oil & taken as the breakfast.


at 10 A.M take tablespoonful castor oil
& teaspoonful turpentine, and 1/2 hr later
may eat.
Be present at the delivery of the worm
& if it comes down by giving a large
rectal injection as of salt water to 
bring the head along.
Aspidium - Filix Mas. Male fern
Oleoresin is alone to be used
It can produce fatal gastro-enteritis.
-not safe to give over 3ss - j after
starving &c
Brayera Koosso
Has Resin Koosin (Taenin)
Wood never used this
x (3ss powdered leaves suspended in water
in the morning, or 20-40 grs Koossin. It
generally purges itself - case in pregnancy.)
Cathartic 2 or 3 hrs afterwards.
Pomegranate Rind - Granatum
Decoction of the fine twigs is better
3ij Ojss boiled to Oj.
Alkaloids - Pelletierine} taenicides
Isopelletierine}
{more

French dose of alkaloid is gr iv - vj.
On animals it produces temporary motor
paralysis [crossed out] of peripheral motor nerves
as with curare
Antacids
Drugs to neutrallize acidity of primae viae.
(in Stomach or Intestines with constipation 
or diarrhoea)
In gastric acidity we have acid eructations,
and may cause headache (sick) coming
on with blindness & sudden dizziness
& early stomach symptoms
& is across the whole brow & not on
our spot as in neuralgic headache;
for acid sick headache Remedy is to act immediately hence use Ammonia
gtt xx-xxx or Spirits or Spts. aromat.
Acidity is due more to fermentation
than to perverted secretion.
Sodium
Soda bicarbonate acts on Stomach
and Urine but not on general system.
Preparation - 1. - Carbonate
2. Bicarbonate is less
irritant - given in soda mint.
For Burns when no cuticle is 


Lime water not given for vomiting of acute gastritis 
destroyed put on a paste of the Bicarb
it does good apparently by breaking up
the emboli or thrombi of the burn.
It dissolves uric acid hence used
in gravel, but can not dissolve any 
formed calculus, hence to only [crossed out] make
the urine alkali in Soda bicarb grx -xx t.d.,
but to purify the system use Potass
Lime. - Calx. - 2 forms. 1. Caustic Lime.
2. Aq. Calcis.
Aq calcis (lime water) prevents coagulation
of milk in stomach hence good
for delicate stomachs as in milk punch
add tablespoonful or more.
It is astringent and sedative to 
mucous membrane, has solvent power
on mucus, used for gastric irritation
especially with milk as for 
puerperal vomiting 1 part to 3 of milk
up in 6 of milk, in small doses of the 
mixture at first as f3ss.
In vomiting lime water alone is good.
In laryngitis (early) lime water in 


atomizer every hour is best remedy.
In children with nose stuffed shut
with thick mucus it dissolves it.
In Diptheria lime water has no power.
x(Syrup Calcis dose fzi - ij) Liniment Calcis 
= Carron oil for burns.
Chalk - 1. Cretae Prep. 
2. Calcii. Carbon. Praecipt.
Both these forms of chalk act alike.
Slowly acting antacids. - well given
internally as mist Cretae (gr xxx to f3j) dose
is f3ss - j. - it is also feebly astringent,
and as dessicants in powder form, and 
acts as protective, good for diarrhoeas
of irritation, and also in those of relaxation.
(from acidity is in Summer)
In intertrigo, feet sweating &c. as dessicants 
& protection.
(Oyster Shell in Castillon powder for summer diarrhoea)
(Dose carbonate gr xx - 3j
Saccharin.
Prepared from coal tar,
Is 250 times as much as Sugar.
It escapes unchanged from the urine
and makes it sweet & antiseptic.
It has no physiological setron on



the animal organism and does not affect
the nutrition of patients.
Uses. - In diabetic to sweeten the food.
In obese persons.
It is insoluble in water but in soluble
in glycerine.
Disinfectants - Mar. 24 1888.
To destroy noxious miasmata.
Wood divides poisons in 2 Classes.
1. Miasmata
2. Contagious.
1. Miasm is not a germ but is gaseous
emanations but these can be infected
as with typhoid.
2. Contagion is a germ.
Filth may be in air, water, or solid.
The atmosphere can only be purified
by dispersion, & not by bonfires &c
as any agent that will kill the germ
will kill man also.
Chlorinalia lime in the sick room
is no good it only covers the other
odor by its own.
Sewerage. can only be purified by   

Germicides kill live germs
Antiseptic kill them in embryo & prevents their development.
1 dispersion & by 2 oxidation.
Solid filth - can only be deleterious if 
moist, - dry earth of "cat style" is good
hence well to keep barrel of 1/2 plaster
and 1/2 dry earth is with 1/4 part dry lime
in county privy to throw down each
time.
Lime (Alkalin) favors oxidation
by forming ozone.
Lime in a privy brings up emanations
of Ammonia & other poisonous
matters.
Mode of disposing of non - infected
filth - I Dispersion
II Dryness.
III Lime.
Cleanliness of rooms as by washing
is best - dispersion
You can not disinfect large masses
in never or privy, hence destroy the 
first stool as it comes from the typhoid
patient. -place the disinfectant 
in the [chamber] bed pan
before the patient uses it. 


In infected filth you must use a 
germicide as 1 Chlorinated lime,
2 Corrosion Sublimate or 3 Acid carbolic.
Chlorinated lime is the cheapest,
1 part to 100 of water destroys all forms
of living organism used either in solid
but [crossed out] better in liquid form, put 3iv - v
in pan before defecation do not pour away the stools
immediately after being discharged.
In using corrosion sublimate use it 
1 to 500 of the stools, always kept in solution
& colored with amline or fuchsyne.
Acid carbolic is effectual - 1 to 200
of the stools at least.
Sweetening of Closet and Pipes - use 
copperas (FeSO4)
To disinfect sick room - wall paper
had but be taken off and the walls
and floor washed with HgCl2 1 to 1000
followed by ordinary water.
Bedding had best be treated by fire
or by boiling.
No upholstered furniture is to be 
in a sick room.

For blankets be may use dry or better
moist heat of tempt 250 F - the goods
to be spread out. - May boil the 
clothes in salt water.
Corpse of infections disease to
be sealed in close coffin and buried
immediately and privately: may 
inject in at once with corrosive sublimate
to disinfect the corpse.



















[crossed out]
1
O.K.
Pepper. Oct 6 1887.
Memb Lar - is inflam
with Pseudo. memb
formative in memb
- Known as membranous
or true Croup.
It is Idiopathic or Secondary
Inset put as abrupt as 
Cap fr
Begin with slight fever
increasing Cough is hoarse
becoming weak & small
called also Crooping Croup.
Sympts of obstructive
voice becomes smaller
& whisping almost suppressed 
cough become
wheezy & feeble

breath more labored
Angle of more play.
bring Stude with wear
Rest murmur.
Supra - gt violet [crossed out]
sinks & at bare of chest.
It turns spells of Spasmodic 
differently in 
breathing for livid - childs
in sweat. time about -
airs of apnoea
May kill in 48 hrs in 5. 6. 7 day.
It may come on in perfect
health but in majority
of cases you may
find flaks [crossed out] fancis.
but rarely Albumen in 
urine.
Diag - Dr is usually in 
children
Progressive character of  


2
O.K.
If Sympts progress after
using Calomel than conride
Tracheotomy or Intubation
Indication for Tracheotomy
&c are Obstructive Spasmodic
attacks &c memb. Croup.
Entrance of food & liquids
sometimes interferes with 
its use.
Pepper prefers Intubation.
Bronchial Tubes
Bronchitis inflm of lining
memb of B Tubes -
acute or Ch - Prin in 
See - alter from pain
cough. Expect & Physician
Signs.


Acute B 1 Of large tubes
2 " Capillar "
Prim or Idiopath Branch
come from common
causes of Cat inflam
as Irrition of vapor a particles
but more common is 
chilling of body or 
exposure of relaxed body. 


Tremor or multiple sclerosis
cease during sleep or by sitting
them down - they bring excitedly
by exertion.
RX Hyoscine is but remedy
& quick its movements of 
Paralysis agitans - Hyoscyamine 
may also be used. 
Cases of central Paralysis of 
facial nerve are partial,
here its Orbicularis Palpebral
In generally escapes.

Convulsion -
Chorea - no to & from
Tremors - to & from movements
by antagonistic groups of Maint
of movement is less
than Chorea. 
Wide spread tremors Cause
Chronic alcoholism. Pb & As
Organic lesions of Cord or 
Central. - Or as result of 
old age.
Senile tremor usually
begins at its head -
Pathological causes.
General paralysis of Insomn- 
Parkisons disease -
- Paralysis agitans - Multiple
cerebro spinal Sclerosis.

Sympts of voice cough &
Fever in this form.
Laryngoscope can not be 
used in Children.
If uncertain regard it 
as membranous.
Pug. Very grave - worse
when diphtheritic but
very grave even when 
primary or idiopathic.
Large percentage die with
or without operation
Treatment - As soon as 
diagnosed.
Count. Irrit, mild as by 
Lr Iodine.
gt. Atomize repeatedly but 
with gentleness - as with
alkali or Zinc H2O - KCLO3
NH4CL - Solutn of Boronic 
Acid - Weak Solute of Tannic
Acid


Peprine with Bracia
or Lactic Acid. -Solution
not irritate - use them
every hour.
Internal - Calomel from 
beginning - large dose followed
by another large dose
until bowel move 1 or 2 
time the small doses
Child (5 yrs) - 5 grs followed
in few hrs by 5 grs, then
reduce to 1/2 gr dose at 3 hrs
Alkali as KClO3 or Bicent
find combined with 
the Calomel.
Muriate of Arm may be
given with KClO3 but is
feeble compared with Calomel

Lecture.
Stelwagon - Vol 7. 1887
Macula = Primary Lesions 
Spot.
Cloasma 
Papula = Pin point to Split pea
Solid elevation of Slein
[crossed out]
Vesicle = elevation with 
serous or sero-purulent 
contents as fever blister
Pusticle is advanced Stage
of vesicle usually, they
are filled with pus
Bleb = large blister with
serous or Sero-purulent
contents.
Wheat = as in hives- flat
rounded elevation having 
often yellow centre
as in nettle - rash.

Tubercle - Very similar
to papule but is despair
& larger than papule.
Tumor
Secondary Lesions
Crust - Extraneous drink
Scales - Cast off masses
of epithelium
Excriation = Scratch mark
Fissures
Ulcers
Scars = new growth. (cicatricial)
Patch in may be uniform
(of one kind) or 
multiform (of different
kinds - bullous -
Discrete = Separate
Concrete = Running together

Typus 
Circinate = when forming
a circle or part of 
one.
Serpiginous = when like
a serpent.
Irris - different colors
Marginate when edges
are sharp.
Annular = round with 
centre clear


For Hyperidrosis
1) Rx Tannic j 2) RX Alum 3j - ij to g.
Alcohol Oss.
Rx Ung Diachylon
or Ung Acid Tannici 

1
O.K.
Pepper - Oct 10. 87.
Cat Biurets = Biurets
Cat = most common
layer tubes ordinarily,
capillary form in its 
smaller tubes.
Sympts. Fever in mild
cases very triffling may
walk about in ordinary
from 101° - 102° in [illegible]
to 103° - 104° approaching limits
of Pneumonia.
Slughs changes in 
mild case [crossed out] Rest & Pulse
no dysfuon to extreme
in bad case.
Pulse from no disturbance 
to frequent
& small 

Rest & Pulse less affect
than in Pneumonia
Cough prominent = loud
often paroxysm - painful
dry in early stage with
sub-sternal soreness with
tearing [???tion] - increased
by talking or worse
as if comes on
at night - Paroxysm
may be exhausting if
severe.
Abscess of light, exhaustion
from in [illegible]
allows is to become more 
in coming as in Laryngitis.
By 2 or 3 day comes on
expectoration - [illegible]
at first tenacious &
grayish with Saline
become loose yellow

2
O.K. - Oct 10 . 1887
Persons negative in all 
form of Bronchitis, save
in severe bronchitis in 
feeble children when 
& portion of Lung collapse
by plug of mucous & this 
may give dullness generally
at periphery of
Lung (wedge shaped) but
not with other physical
signs of Pul consolidation 
Pug. - Diffrs. Good in
all except Cup form as 
to life. but guarded as 
to return & duration
Grave in old & feeble
persons.

Draq. Easy
Treat of acute primary
Bronchitis
Rest & Protection.
Our evenly heated room
&c & to bed if case be 
urgent not even in get
up for calls of nature.
Comp Irrit = by mustard
learn or plaster or liniments
or Iodine in 
Sternal or Inter-scapular
region
Inhalation if warm
medicated vapor by
Steam atom - as For [Corri?]
of Chloroform (Antropan)
Lime or Borax or NH4CL
as alkali to form Secretion.
Carb &c. Cream 

Oct 10 1887
O.K. 3
The Rx are for early 
stage, - when Secretion
come it is not necessary
to use Expect
& use less Opium.
Cap from is danger
from Exhausn by Rest
In & It's & collapse to
asphyxia
Seat of Cap Burn
Dry cupping at roots
of Lungs daily or even
liver daily.
Stimulating remedies
here called from as An
5 gt an 2 or 3 hrs for a with
Carb & sedative & Bella
or Hyoscyam or Le Corrium


add age to 12 & divide by age for 
the size of dose
Strychine is best in
strength Rest M + 1 is
given frequent & freely
with internally or hypodermically
in the region.
Begin with 1/4 gr repeated
in 3 or 4 hrs for 
a few days.
Alcohol must often
be combined first in 
small doses - come well
by children.
[cross out] Jacket of Rare
Cotton. -
Fihirrous Bronchitis
Membranous form must often
with Diph.

Rement that acute Branch
is a Sympt of vile affection
as Secondary forms. - Measles. - Typhoid
fever - Diph -
but not usually grave



Iodine as astringents
Use the weak at finer
until well borne
Internally. 1) Allay [fr??er]
2) Cough 3) [Pr???i] Expect
4) Allay infla.
Quine & Aerium
6-12 grs of [Q???] to Adult
Aerium 1 grs an hr in
adult
For Cough. Antispasmodic 
& Opiate.
Bellad or Hyoscyamine
sometimes
[crossed out] Morphine Sulp gr j
Am Muriat ʒ ij
Syr Ipeca fʒ iij
Syr Squill fʒ vj
Ext purmos fʒ vj
Glycine f℥ss
Aqua E.S. ed f℥iij
S - fʒj h.r.n.

[B????id?] of Am or [Iodine]
may be substitute for 
its Nld4Cl if Spasmodic
tendency be great.
If few is sharpen
use this.
Rx Morphine Sulp grj
Linar Aconit Rad grt XXX
Am muriat gr C
Lig Am Acetar q 3rd f℥ V
S - fʒij h.r.n.
But danger of mixing 
powerful & mild remedies
known with use 
Aconit from separate
bottle until tempr drops
as Known by thermometer

& purulent & more copious.
Auscult - On both sides
of chest = Bronchitis Rales
= Sonorous & sit rales in 
large tubes with course
moist ones in smaller
tubes,, - becoming more 
abundant as expectoration
increasing,, - most 
marked over large tubes
Heard booth is In & Ex
very changeable - as then
swelling of memb is with 
the Secretion.
Bunch families may 
even recur
These physical signs increases
as night comes on.
Capillary form given
all the Sympt more 


aggravated. - depending upon 
the the condition of the
[crossed out] System or congenital anatomical 
changes.
Fever higher. Rest disordered
greatly - 50 - 60 - 80
in child = 46 - 55 on adult
Dyspnea. Play of Al
Pulse frequent & soon
[illegible] force suffering
from non-aerated blood.
Cough - smothered - wheezing
ineffectual
Phys Signs of Cat Bronch.
Bilateral - not most 
but at periphery in
laryntritis Sub-crepitant
(coarse - crackling) in with
Inst & Ex ( more in Ins


Chrom B {Bronchial Dilate
Allied af {Emphysema
pectin {Asthma
1
O.K.
Pepper - Oct - 11 - 1887
Chrom - Bronch = Chronic
inflam of Bronch Memb.
Causes - 1) Repeated acute attacks
2) Glow operation of 
ordinary causes of Acute Attacks
3) Constitutional predisposition
as Rheumatic
or [illegible] Rickety & Scrofulous
in younger persons.
4) Persons with a tendency
to Chr Bronch. 5) Occupations
Sympts of Chr Bronch.
Often very mild as to its
disturbing general health,
but in other cases the 
general health runs to
have invited it & then
a break follows. 


Some given cases break
in general health by often
in less of flesh in Strength &c
Cough occur in paroxysm
& very annoying
not occuring at any one
period of the day. attended
with expectant of very
copious & glary it is called
Bronchorrhea - or 
purulent & smaller or larger
in amount according affecting
the general health.
Ex shows lencorits altered
epithol & marcinus 
bacilli or lung shreds.
Hemoptysis is rare.
Ph Sign - Decllum
negative &c. 
Sonorous & Sit Rales at  
lower portion part of both


O.K.
2
Oct 11-1887
Residual air in ocean
Tidal " Deceased.
Excitmnt & Exertion increase
in Dyspnea & also
[crossed out] Bronchtit exaggeration
This followed by weakness
& bad color & flabby
not necessarily thin
very worst effect is upon
the H's & results is dilates
of R't H't with minfiensine
of Tricupsid valves
& following this a general
venous obstruction & ascending
dropsy.
P Signs of vis Cmph.
Inpher
Chest constantly distended.
Ribs raised & more
horizontal - Sternal round

Ant Port diam in [evacuant]
Bounded - Short - Chest
no movement of expansion
& retraction but exaggerated
movement up
Percuss - Ana Resonium
increased & exaggerated.
It's covered - ex brat.
Vocal. Fren & Reson
are both decreased
Rest [h???r] - Respiratory
element is very weak & short.
Exp element is prolonged
It affects both sides
Diag of Che Branch.
Hist of Can. long continuance
of cough - good general
health remaining good
not its case in Phihro
Micneipe Ex of Shute


Both Sides equally. - Sear
change from time to time
-no Sign of consolidation
-Dilated Branches may
suggest cavity (vomica)
- no from so very little.
- no Hem - or diarrhoea
no laryngitis in nearly
all cases.
The look to its
Prog - Uncertain - Recur
- very good for duration of 
life.
Asthma.
Associated with Ch Bronch.
It is not of Bronchial
Cough.
Morbid irritability in
most cases of Asthma
of Bronch mucous memb
in different persons 


As Rest & Hay Asthmas in
Changes of Climate Residence
Temps & moisture of air
in person of spasmodic tendency.
Asth is an [crossed out] condit
of Spasmodic dyspnoea Associated
with most condit
of Bronchiat muscus memb
& with Spasm or parisis of 
muscle of Rest.
Some muscle are in state
of spasm as Bronch & Interental other are in state
of exhaustion


Lungs - Signs show remarkable
fluctuations
by season &c.
The Chr Inflam in the
tubes of low vitality already 
may came Sacular
Dilation at roots - 2 in
diameter rounded or from
form - thickened walls. - In
causes as much trouble
as an abscess except diameter
of tissue as decompressing 
sputa, pectin
fever
Phys Sign of Cavity
-On one of big tubes - More
common behind ever Root
Deep rested percussion or
tympany - Tubula colouring
in Inop & Exp. Pector.
[i??in]. & Sign of Cavity.

2) Mirfn dilatate like a 
glove.
Emphysema (vesicular)
is another accompaniment
of Chr Bronch [crossed out] It is state
of permanent over distention
of air cells of the Lungs.
Causes producing is
General weakness of Lung
tissue, & its air can not 
get out of Bronch tubes in
Coughing hence is distend
the spies & Borders of Lungs
It may follow whooping C.
but this passes away.
Phys Sign,
Progressive & Permanent
Habitual abiding Dyspnea
as elasticity of air cells
is lost 

OK.
H.C. Word. Oct 29 1887
Tonics - used in overcome
debility if cause be removed
or help life along if in 
can not be removed.
Debility is often the result
of intestinal catarrh of which
diarrhea is its result
[crossed out] Groups - Vegetable
-Mineral =
-Fungines
Veg Tonics } Simple .1
Peculiar .2
Aromatics. .3
1) Have principle as stimulants
to it Skin
2) Having added some other
peculiar properties
Exem up 1 an irritants
nans & voom-Corrts 2-Inrritation
of Sarh memb

Indication for 1 is a loss of 
apetite. -
After overwork.
Actively of spring time.
Convalescence of acute disease
Quassia.
Seinant Ex
Certain quassia this produce
convulsion movement in lower
animals - gastric irritation
& headache in man. 
Principle in men in
Exh - in pill 1/2 - 1 gr.
Tinct - gtr XV - XXX w XL
Inf for Seativorus 1 y to 1/12 pn
boiled in 1 pint. 
Gentian
Solid Ext is 2/3 of quassia
Tinct Co is most elegant
of all the bitter pick

2
OK.
XX
with ZN804 or P.B (C2H3O2) 2.
or 5 grs of improper alkaloid.
In Chemis gastic calaiet
with hepatic tripe as result
of use of alcohol - always
in pill-form.
Marked uterine contractions
by injecting it into 
bitches - for menorrhagia
for cervicitis & vaginal inflam.
- in [illegible] - in nasal cath
- in conjunctivitis.
Eupatorium (Bone - rub)
Infus is with time
Oy. to pint ] hon H2O on 
going to bid by acting as a 
sudorific
Bark of Comus 

Arcuation
Activity depends on presence
in Chr of volatile oil.
Active in common in this class.
1 Stir in gash intent memb
incline for in time being 
not kept up long as in Simple
times. Carminative of expelling
in gas. Reflex peristalsis
Affect in it's causing drastive
arrest.
Ol Caryrrh.
Acts as local anasthetic
-powerful poison to all tissue
but this alow absorption prevents
this.
Cloves
Ginger
Pepper
Cinamon
Cardamom
Mints - Vir
" Pip

OK.
Ol Sassafras.
-Comp In. In grap - Cheat.
[h???] for liniment.
Ol Savlth.
Salicylate of methyl acts
as Salicylic Acid.
Oil Nutmeg.
Feeble in local influc -
& in It's - Acts specially on 
cerebrum [h??] capable of 
use as soporific [h???] in 
hysteria - can poison persons.
- for hysterial unrest
grr X-XY Oil - gr XXX-XL nutmeg.
Anthemis (Chamomile)
Mild Stimulant is Stone &
satisfy. the meal needs.
1 oz in pint, wine place at 
matter.


Serpentaine
Weak - never used by itself
Peculiar Bitter
Prunus Virg - Wild cherry bark.
[C????] Tannic Acid, Bill
time principle, Crulkin &
Amygdalin the form HCy
was used in Phthisis but 
its action is too fugitive
Syr. as vetricle is enough [wi?h]
by adding morphine
Eucalyptus.
Local action is sleight - hence
can not be used as Corut In
or carminative.
Absorbed run freely than 
the other oils.
Gtt X-XX produce & single
of warmth in its Stone - [S????]
of calum , mulax. It's as 
low as 50 - more of numb.
uses in [?cli?n] nerve.- abolih.
of muscular nerve
Cuonnous dose/ paralysis 


death from paralysis act
by act on Spinal [en?i].
Fall of Pre by effect or It's
[Su?????]. Sedal is when
system but on Case & It's 
must.
Clive from lungs & urine
Und. for acts or mucous
memb in Bronchitis
after first stages
in Asthma will it - Intern.
Cath - Antiseptic Surgeon
is [inp???] - Antiperiod
is unreliable.



Anise
Fennel
Tannic Acid in Cinnamon.
Ol-live dose grr - ij for Col.
for Intub relax with diarrh.
[sti?s] it by stimulating it [illegible]
normal time in its serous
diarrh.
[crossed out] - Cinnamon
Oil Cirr gtr ij-V  - flavouring
Linen - 1) Mild diarrhoea of
relaxation is with H28O4 Aro
& Symph. 2) Menorrhagia in
fʒj is case of want of tou.
Card.
Tinct Co. -
added to
Tinct Co
Tinct gent.
H2804 w Aq. Req.
Symph.
Strong Chr.
Orang P. flavouring

Ol Ced.
Ol-Anise - carminative
Ginger
Has an alcoresin beside its Ol
as addition to tonic pill.
as in Black pepper & Red pep. 
Vol oils eliminated through
its Renal organ & can produce
strangury.
Ginger. 1 tap Inf. as murdorifin
in suddenly ruptured
menstrual in 
abdom colic.
Menthol
From tupentine
[crossed out] for neuralgia pains

Barbery.
Certain berberin. 3-5 grs rest
official - convulsion in lower
animals in toxic doses.
Columba.
No Solid Ext.
Exp fl -
Tinct - fʒj
Chirett
Solid Ext gr j = 2/3 of Quas Ext
Acts in Liver especially after
malaria & debility following the 
heat of the liver
Hydrastis.
Golden Seal
3 Alkaline - Berber
- Hydrastine
- Zanthopoxis.
Pure hydrastis is colorless
berberine is yellow.

Hydrastis
1 { has distinct power of over circulating
& nervous system -
- spinal convulsions as in
Stiydrun death may occur
for cramp of Rest m.
Small doses increase the Act
Pus - Large dose decrease.
This depressant to It's muscle
causes diastolic arrest -
It [means] to act in Vm.
Centre thus causing it
rise of act pressure.
Local paralyzant of new 
of sensation.
Und - for mucous membs.
- acts well locally - & also
some in Intest.
In gonorrhea after the
Bi period is period - con -
curtal flow Cx V mx - XX - iʒ

Mills - Bleckly - Nov 19 - 1887.
Gymnastics [for] Nervous Diseases.
1. Manager
2. Movements.
3. Electrical.
In [crossed out] movements we have
active and passive - or semi active 
and semipassive or duplicated
active Swedish movements.
Zander method, is where these
is & stram apparatus, are of limited
use only.
Resistance apparatus are useful
in more cases - elastic tube &c.
Respiratory gymnastics: As in 
Blakey's book - taking a full
respiration as each movement. 


Begin with light dumb-bells or 
no weights at all.
1 - Dumb-bells above the head,
taking a deep inspiration &
lower hands laterally and expire
while raising them.
2. Put 1 foot forwards, throwing
dumb bells back & chests forward
& taking in 
3. Hand against [illegible] through
dumb-bell against its into of 
other shoulder.
4. Dumb-bells behind neck & go
down.
Place patient on back then
let him raise with its foot
or the body.
In Hemiplegia (central) make
a quick movement with
round limb & quickly follow 

with same movement of 
palsied limb.
Paralyses and atrophics &
Choreas are benefited by movements.
In choreas get them to 
come after you as you
perform movements for 
them.
Habit choreas are most 
difficult to cure.
Movements are good for 
certain forms of insanity
as melancholia  



OK.
Pepper - Feb 9 . 1888 1)
Small Pox.
As Sp from of about 20 days
high contag & epidermic - witness
anatomical line, characterized
by striking & peculiar
erupt & powerfully influenced by vaccination:
3 ft in open space
Thrown up Carried.
From Body - by stomach - by Rest
tract or may be swallowed. -
can be carried by fomites.
It spares no sex nor age.
Complication - Nephritis - Endocarditis
& Myocarditis - Extensive
of erupts to mucous surface
as Laryngitis pustular -Bronchitis.
Blood - crasis dissolved in bad
cases -
It's form has not been isolated
Incubate maximum 2 wks:

no matter how long.
vaccinate 1 or 2 days after exposure
[pro??] will check it or modify it.
Invasion - Abrupt with chill &
violent headache, frightful backache
& intense pains in limbs 
- with pre-emptive stage is also
marked by vomiting loss of Apet.
fever, 102° - 103° - 104° flushed face, rapid full
putin - lasts for 3 days.
Stage of Eruption
Papule disaile exposed parts first, or face neck
rounded hard - short - like - of 
red color - 3 days
Vesicular Stage - Seem form at
summit & become a vesicle & umbilicated.
It is a cellular structure,
none the general symph subside
fever goes down, headache
& backache
Pustula Stage - 3 end oz 6 th
day the consists - become turbid
& purulent - It is [illegible] neon. 

OK.
Pepper - Feb 9. 1888 2.
Myocardit disper to Cardia collapse.
or weaker - Deaftness
- Perforate of humor & blindness.
Segmt - Disfiguration by reticulated
cicatrices - Scarcely ever
airy pitting in Varioloid.
Convulsion is usually prompt
rapid & complete.
In stage of duricate a cure
by disease may occur - 1 gal
a day. - Spe 1.001 - Limpid
Diagnosis - Shrend green in
fore-eruptic stage - or on history
of exposure & no vaccination.
& pain & fever.
Erupt in 3rd day of sickness.
- Measle & Typhus fevers
measle. Cath Sympts - Cough
& no marked pain & drowsy
& heavy. - flat macul, eriseints
- disappearing on pressure genera
of upon go down in S.P. 



day from - maturation five
the purtial vomiting here
less its umbilicatis [crossed out] to
in about 3 days the partial 
become shriveled grm the absorption 
of the [mater]
Decication - 3 days.
Desquamation - 3 days. &c.
[Pri??] for depends upon amt of 
blood press.
Second from depends upon the 
amount of eruption. - ends by
lyin by 17th day.
Kinds of eruption.
-Discrete.
-Confluent.
Varieties
Mild Very.
Ordinary
Gram from amt of pain
a well as amt of eruption
Malig - Black - Blood disintegrate-
bloody liquid in


Incubation = 2 wks.
Invasion & per. 
eruption Stage. 3 days = Primary from
Eruption {Papula 3
{ Vesicular. 3
{ Pustula. 3 = 2nd form.
{ Desricate 3
{ Desquam 3
vesicle - general prostrate -
Here from membranes. - & death
from Pap in Push stage invariable
Varioloid - Stage of invasion may
be intense - eruption & relief of sympts
pap variable & [crossed out] but now
the secondary fevers more or 
very stright when the tendency
is to purtulation or & a
loctn occur - incubate come
is 10-14 days.
May be discrete (more likely the
mall-pox) or confluent.
Complicate - Very intense
secondary fever. Extreme in
mucous passages. - Endocarditis
will be valuable murmur.


OK.
Mood - Feb 9. 1888 1
It's odor is objectional. %.
Iodol - I used in H2O - No odor
acts as Iodoform - Poisoning
also possible - & fatty degree.
acts by its - decomposition products -
as Iodoform. Iodol
is decomposed more slowly
than Iodorm. Is more apt to -
cake than Iodoform.
I used as Iodoform - In tuberculous
ulcers of Larynx. &c.
- High Cort:
In chronic Sypt - grs 30-60. -N.S.
Cod - Liver - Oil.
Biliary acids - Iodine - &c.
Sodium in not its active principle
but has no one active principle
In health in lower Animals -
cause accumulate of fat but if 
given too freely it disturbs digest
& ceases to accumulate fat.


Increases Red Crops. & diminishes amt
of fibre.
It's case of absorption & oxidation
[crossed out]
makes it valuable - It also acts
as alternative
Mrs- In tendency to emaciation
but depends upon it cause as 
in tumor it will only retard
it, but if more generalized as 
in Phthisis especially in the condition
of depravity preceding the 
Phthisis. by its apparently causeless - 
continually catching cold
- Cod - L. Oil - Whiskey & avoidance
of cough mixtures. - If organic
changes be present we can
protect life by Cod - L.O. - Whiskey
& fresh air.
In Scrofulous of great service
combined by Lactic - [phosphate] 
if Liver in Gland swelling &c.
(standard remedy.) 


Wood Feb 9 - 1888 2
OK
fatal gastro - enteritis.
In urine. urea differs. - amt of 
urine differs as when purging
or not.
Wns- In Gout in large dose
will cut short suspend paroxysm. - in
other subjects with acute
gout but not in asthenia
- as it causes recedent or internal
gout by the blood
going in - Dangerous in acute
gout in large doses & recurs 
soon.
In chronic gout by small
amt - 10 gtr t.d. within diarrhoea
limit with K1 often
good.
Poison - Tan acid - Opii &
as gast - enter Amtal.

Woods
Mezerum.
Sarsaparilla some good in
chronic syphilis - Zyphnar
decoct alternated with Symph
Sarap Co. -
Sarap Ex fl with Iodine
is but now.
Symph Co - as vetricle 
[illegible]

In chronic rheumat if with 
Sypt turs.
In Skin disease.
In neuralgia attended with 
loss of tone
In these condition it is not a 
specific but builds up nutrition.
But given in soft capsules
holding ʒj - or pinch of dry salt
- In whiskey & water - In ale
- In emulsion with oil of bitter
almonds.
Dose. Tendency to diarrhoea
is correct irrita.
At night in weak stomach
Digest of patient is the 
measure of the amount.
Phosphates.
Phosphatic acid is stomachic
tonic for dyspepsia as 
Horsfords acid phosphate 

and does not affect on system.
Herd of Cows in meadow born calves
rachitic - In dogs of keeping phosphates
from its food.
In many children with ill 
teeth from a deficiency in phosphates
as is case in such nurse
as in Wood's child . can increase
the amt in the milk of such 
nurse - They are largely eliminated
from munt of Intest.
To be given in Solution - with 50%
Cod - L. Oil in Rachitic child.
Colchicum 
Colchicine urine alone to be used
10 gtr = no Sympts usually - or 
inlist disturbance
40 gtr - purgin - serous - pain &
large.
Larger - Vomiting - purging - pain
is very great - pector falls to
collapse with cramps.
Rapidity of death not depending
upon size of dose. - acts - but
little in It's or h system -
but kills by producing -

OK,
Pepper Feb 13. 1888. 1
Treatment - no specific for the poison.
- Only assist patient - Adapt
the nourishment in state of patient
as in diet & stimuli.
May control the fever but do 
not injure the heart nor nervous
system.
Primary fever does not often give
hyperpyrexia.
In Secondary fever about 9th day
the fever (surgical) may be very
high. - Sedative as Opiate to 
allay irritation. Mild derivatives 
as diuretics or gentle laxatives
do not attack with powerful
antipyretics. no effusive of 
cold water except in pre-eruptive
stage. Inunction for 
its cuticle as in Scarlet
fever, Ung tets Vesicle appear  

Cath - 3 
Typhoid. 
Measles
Influenza. 
Skin 2-
Scarlet
Small Pox
and the burst on liquid [emmulsion]
Stimulants when indicated.
Sedative for the pain & irritation
as Opii per Olimet & Rective
in small doses - or Bromides
of Chloral or Canrub Ind.
To prevent pitting - Make inflam
milder, if only 12 pustule opi
then cautiously & touch with GNO3,
if mercurous exclude light
keep cuticle soft & prevent it 
thick crust - Ung Hydray & Ung
Petroleum while face shield.
Sat Sol is Gutter - P in Chloroform.
Stimulant in typhoid form
as Serpentine & Am Carb &c
Mortality is small except
in old & weak.
Typhus.
T. abdominalis = Typhoid
T. cerebro. spinal = Spotted fever. C.C. meningitis.
T. recurrence. = Relapsing fever.


OK. Pepper Feb 10, 1888 2
Fever runs high & stays steady (high
of cout from) Skin acid & burning
both. - color mordex.
100-135
Breath & Pulse much disorders
corresponding to amt of free
Pulse is weak & collapse easily
& soon small - Hypostab congestion 
of base of lung bilinal
is soon developed (blood logged)
not skull & imperfect.
No digest sympt - no distraction
no pain - bowels costive or quiet.
Tongue is heavily coated, thirst
& may keep his apetite
Urine intensely febrile
On 3rd day eruption in single
crop, - the amt of eruption bears
a proportion to the seriousness of 
the disease no [chan] in your
numerous small rounded, mulberry red maculabrary
elevated, not coalesce
disappear on Prm at first. this
become petechial (blood effused)
- The darker the eruption & the 
sooner so - the more danger 


lasts until case of disease & the 
slowly fail. Tendency in sedulation
Bed room are very common in
very five days
Duration - about 10 - 12 et day.
Often ends by crise or purging
or urine or sweating
Complicate but few.
Segmts. as parotitis - bed sores
Weakness of legs as [approastion]
paralysis, or Weakin of Brain.
Mortality. - great - 50 - 33- 25%


-Typhoid state is common in this
class - typhous symptoms.
Typhus Fever.
As Spe fever, contag. end & epid
without [anation] lesion save that
of the blood, running course of about 
12-14 day, will high pyrxie
marked typhoid sympt & characteristic eruptn.
-ending often by crisis
Due to specific poison.
One of the most contag ranking
with S Pox & Measles in this respect.
Poison communicated by formile to
carried to great distances.
Crowding & full & destitute favors
this poison greatly - It seems to be 
an animal poisons - In crowded
parts & spips. & rages violently.
All ages & both sexes equally.
Protact strongly against 2nd attack.
Blood is liquid in dead body.
lining of all stained. tissue 

disposed in putrefy & Spt soft
& enlarged as in all from.
Omit abrupt after incubar
of not more than 9 or 10 days but 
may be short. Chill usually
high from immediate, debility
headache & backache & stricken
down immediately.
Appearance -dull expression.
face dearly flushed uniformly,
eye is injected & pupil contracted
(firmly) but dry.
No Sympt - Dull despressing
quickly in Strip, often Deli
of action w violent type, - May not [crossed out]
sleep even if in sleep & Coma
vigil most marked in this 
disease.
Slips down in [burst], longer trem
but, retent of urine, tendon
twitch 

Benzoin acid and to make urine acid as ammoniacal 
w phosphate & for action on the mucous membrane.
Wood. Mar 8 - 1888. OK.
Expectorants. -
To. influ pul turn when desired.
Atomizers. - perfect edges - mouth
from well in - breath deep & slower.
- Artery as tann acid or slow for relaxation,
Mur Ann as stimulant,
Limi nalis for irrit of Laryn & is 
serotin in commencement of acute
laryngitis.
Agents' acting on Nemtrea.
& on muscular from
Strychnine acts in the nerve cents 
- not in acute but in chronic Bronch
of old people.
with or without asthmatic, in 
Emphysema with expectoration
Narcotics - to relieve cough but
remember it is necessary to cough 
to relieve lung of [crossed out] secretion,
but more useful in irritation
cough with but little secretion expectoration
much check secretion as Morphia -
Hyoscyamine to gtr X-XV does not 
check secretion.

Be careful in using Morphia in early 
bronchitis.
Chloroform. - as relief of incurable
condition as fibroid phthisis as 
whiskey glycerin & chloroform &
good use in ordinary bronchit
Morphia gr 1/25 - 1/30.
Alteration
Arsenic - for chronic bronchial [crossed out]
as in fibroid phthisis & turphets
with no tendency to breaking down.
Pot Iodid. - good for sypt of 
lung - good in chronic bronchitis
of asthma as in enlargement
as gr V t.d 
H2S. - Injection into Peculiar CO3
saturated with H2S - It did not 
act on the tubercle bacillus. - not
much good - but does good in those 
cases with catarrhal processes or 
as outcome of Cathr. pneumonia it 
lesser secretion in 24 hrs.
It is specific - Useful for pulmonary catarrhs. 

- In respiratory chambers as at S springs.
- Mill given as S nate in CO2 per
stomach - f3ij as 2 or 3 hr. - per
chu Asth with B colant & Bronchorrhea.
Sets - 1. Sedation
2. Stimulant.
Sedation in 1st stages of Bronchitis
when memb is dry & congt is tight.
Tartar emetic - most powerful
- 1/6 gr [illegible] 15 min until vomits &
the keep quiet. - not in children.
Ipecacuanha. -
Syrup is generally good enough
Pot Cit - must give in full
dose - for adult f℥j in first 24 hrs
as in brown cold lemon juice
2 oz. Syrup Ipecac 
Stirs Expect.
Senega. -
Traditionaly
Syrup. -less good for 
advanced
Squit - Syrup Bronchitis
but have no definite influence.

contain active acid 
Symp Squill not to be give with 
Am cart. -but for Scectosa.
- it does not decomp NH4 Cl.
Am Muriate.
Best remedy of chr Bron except &
from volatile oils - may in some cases
use in before [illegible] is established.
- they act fugitive - acts for 2 [illegible] hence
do not use it Kangan system.
Dose gr V-X. - Very disagreeable -
In capsules followed by drink of water.
gr 4-5 Ext Gly is each dose. - glycerine.
Spr M to tablespoonful.
Syrup of Vol oil of Garlic.
- allium - Oil is not used -
Oil of Eucalyptus - always given
in capsules act for chr Bronch
m X - 40-60 m daily.
Turbine is very useful for 
advanced Dose m r-x use 3 hrs
- may be mild Ol Crucaly hh.
-In capusle
Oil of Lardeluouse
mr-x in capusle in 3 hrs.
Balsm Tolu - Vesicle only
Bal Peru both contain
benzoic acid - both in m.g
In trusting wounds. 
Benzoic Acid is Put fm hom showing.
- has urine odor - [crossed out] Germ/Benzor in Ch B - escape
other urine - converted into tuppure acid
in Kidneys not in blood

OK.
Pepper. - Mar 12. 1888.
These must be a disturbance of the 
mans economy at the time of attack.
What constitutes this tendency to 
convulsion? [crossed out] Unstable equilibrium
& impaired vitality of motor areas of cerebro-spinal axis, in may be inherited
or acquired
Causes. - Reflex Irritation of dentition especially
in child [with] of neurotic parents,
or splinter, or irritant creation, adherent 
prepuce, intestinal worm
or hardened faeces, by bilium attack
in some persons, in some cases
a few days previous those is lithemic
condition very common, from menstrual disorders,
exhaustion, exposure, mental stue
by lowering vitality.
Epilepsy is the predisposition and inquires
an exciting cause to develop
the convulsion.
Diag. - Can not make from 1st attack
in child from eclampsia. 

but the more trivial the cause the 
more likely it is epilepsy.
nocturnal form is often overlooked
but look for sore longer or awake with 
a bruised feeling.
Petit mal- from syncope in weak
purous called weak or fainting spells
steady for cause of anaum or cardiac
failure or no cause, therapeutic best
is most important by removing the 
anaum & cardiac failure.
Convul Fever Maum in Org Brights - Examine
the urine.
From Hysterical Convulsion - Hysterical
temperament & History, attacks brought on by 
distinct cause - Consciousness more 
or less - in falling falls on soft spot.
trace of coordination in the movements.
expression is ecstatic or wraps or 
sensuous, therap list, Zone of ovaries irritation
or spinal anemia
Hist of Sypt: some
Org dis of Brain - Tumor involving a 


motor area cause 'epileptiform' attacks
but in intervals passive sign or
choked dirty descending neuritis, headache,
- the attacks are spasmodic more
than epileptic. - and may not low
consciousness - History of Syph.
Prog. Difficult - Very bad
Many cases are singularly controlable
& some cured. - If habit be established
difficult to cure & frequency & degree. In incipiency
with good health it is hopeful but
anxious.
Treat. Remove predisposing cause first,
- Hygiene - mental & physical exercise of 
proper amount. Most important is 
to increase its no time to sign and not 
to check its convulsion alone by drugs
Remove cause of reflex irritation and 
mal assimilation with improper digest
& dirt, bowels, urine,
Drugs. nutrient N tonic as Cod L. Oil
As. Fr. Fn. Aq. An. 

Ana & debil - [p???] [ton?] & meli Cod
L. oil - Fr - As.
If irritate to present?- Eg No3 - ZNval
- Chl of An or Soda
Antispasmodic - Bromide as but
Anaf. Bell - Con & Cause & Value
a compaint [inert].
Must chang prep of Bromide or suspend
administrative - must not depress
system by Bornid or cause irritation
- Adult do Pot Br gr XV t.d 15 begin
increased or combine with NaBr a
NH4 Br - if this depress combine Ar & Cod
L oil, - If too large dose are to be used
give them up & build up system.

[Illustration]
Wood. Mar 29. 1888. 1
An Cl C = Anodal closing contraction
An O C = " opening "
K Cl C = Kathodoe closing "
K Cl O = " opening "
An Cl C < K Cl C 
An O C > K Cl C
An Cl C < K Cl C
When 2 substance are brought in contact
a galvanic current is generated
- It requires contact to generate galvanism.
C = Current strength
C = e (electro molu force)
R (Resistence)
e is independant of size of plates.
e varies with different substance
best is Z & Carbon.
R - is under (i-r) & external (er) R= ir = er 
hence C = C/ir + er (Owens Law)
Supp er = 1000 ir C = e/ir + 1000 ir
[p????] has more resistance [crossed out] the 
[illegible] 1000

to overcome ext resist multipy Electi
mot force by multiplying number of contacts
(more cells).
In Arsenic or in caulis Ext resist is our little
increase size of Plates. - hence
100 er = ir
c= er + 100 ir
Int resist reduced by bringing plates
near & enlarge plates to have large mass of 
fluid & of good character of conduction.
Measures (resist) of electricity. - volt
resist of resistance is - Opium
hence C 2 V/U = Ampere but this 
is too large hence milliampere
is now resist of current strength.
In organism - a current breaks
up into rub currents - [illustration]
& each strength is inversely
proportional to the resistance
If plate be used
i milliampere } Mullin
4 Sq inch } method.
There is really only one kind of current 


but 2 as to method of generation,
1 Primary current is bad term.
better called chemical current
or continued.-
Induced or faradic battery,
by passing [Ch???] current on Inner
coil, or outer coil an induced
current is generated. -
Current of 1st (inner) coil & current of 2nd
coil - made out at making &
breaking of inner coil.
Soft iron is 1st coil become magnate 
& attracts its tongue.
The currents run in opposite
direction & to & for currents -
in outer [crossed out] coil & hence no 
+ or - pole. 
In inner coil do not get both
currents as the induced current
goes into the bottom
In contract occurs with
chemical current at closing &


opening of the current.
By very closely interrupted current as 
in ordinary dynamo the same effects
can be produced as with galvanic
current.
no differences between different currents.
To apply to a nerve - [crossed out]
having one sore spot [illustration]
wet skin with salt water, to 
put a large flat [pull] at a 
distant point.
To influence whole new - use
2 ball poles [illustration]
Motor point is point of instance of 
the N . the muscle - bulb pole over
in & large pole or other side of limb.

Wood. Mar - 31 - 1888 6.
Anoder = + Pole
Cartride = - Pole 
An Cl C:
K Cl C =
K O C =
<
>
An Cl C < K Cl C } muscles normal.
An O C > K O C }
An Cl C = K Cl C } muscle in first stage
An O C = K O C } of degeneration.
An Cl C > K Cl C } muscle in more advanced
An O C < K O C } stage of degenera.
Uses of Electricity. - 1) Diag. 2) Prog. & 3) Treat.
1. Diagnosis.
Nervous [crossed out] palsies with 1) organic
or 2) hysterical it reacts but is 
insensible
Palsies 1) centric ([crossed out] all above trophu
cells of cord) or 2) peripheral : no rapid 
wasting of lesion of brain but from inaction; 
rapid wasting if of cells [crossed out] or nerve 

& show reaction of degeneration.
Degree of contraction varies as to position
of poles. - at first as in equal -
the equal & finally reversal 
of original formula : by to by fails
to respond to any current & now 
muscle is dead.
not over motor points.
Changes to faradic current precedes 
the other changes; - first
list to rapid faradic current but 
to slow current & finally to no
faradic current. - may thus
diagnose peripheral from central facial
palsy or deltoid mostly peripheral. - in 
[crossed out] children
most palsy are ant polio myelitis.
- fishing on Sunday monoplegia from
Syphilis (something worse).
Treat. - In paralysis, can only restore
muscle to normal power and 
perhaps stimulat or but can not 
affect or centre.  

2 factor of Central. Center Periph.
normal contract 10 x 10 = 100
clot " 0 (Drain) x 10 = 0
After time [cross out]
but the 10 has degree to 2oz 2 x 2 = 4
2 x 10 = 20
but can not get any farther than 20
If traumatic deltoid. -
-If triple cells be partly gone the heavily
go again after building them
up.
When use Electric in Palsy; - In Hemiplegia
recent does no good as M is not 
- degenerated, & not to be used until
all irritation is passed. Wait 4 weeks or longer - In Deltoid
palsy not to be used too early.
fomentation & leeches & then 1 or 2 wks.
In Polio-myelitis - no inflam. in 
- ordinary cases but some have inflam
use it at once
What currents to use? Beneficial
power is in proportion to amount of 
contraction. - Rule Use current
produces most contraction with 
least pain. 

Time of Senses - Most daily from 3 to 5 
min at first on 1 muscle increased gradually
to 10 mins. - 1 pole to motor point
For Sensory disease. - If from inflam 
Elect is n.g. only good for neuralgia 
or rheumatic neuritis (not too early) but 
use for - 15 -30 min.
after a time as in sciatica (tentative)
will do good if it relieves pain for the 
time being, if in other case the Chem
current do no good by faradic.
In [subacutic] rheumatism after good. 
In periph & hysterical loss of sensation
often does good but not of centric cause.
use dry brush [illustration] fails to obey Opi law
from point & goes off as little boil.
Farad of M erup. does no good but 
great harm - can not affect spinal
cord- 

1
Wood - [crossed out] April 3, 1888
Arnica:
Tinct - for wounded feeling
Item - Witch hazel now
used at present - only good
for its rubbing in applying there.
Arnica can produce irritation
& eczema - internaly gartient irrital
& collapse.
Ichthyol
Distil of forrit fish
2 fore - I. Ammonia Sulph
I. Potass Sulph.
Has 10 Y o S - can freely penetrate
the skin.
Uses for sufla of not chrome
type with enlargement - in
Procion very good, in Eczema,
in speoius, in glandular enlargements,
soft lipomas,
Of little or no value internally.

In erysipelas value by HgCl2 follow
by water, & the equal parts of 
Ointment & covered with batting.
- Both mix well with fatty substances
5 to 15% - In erysipelas
50% 20% for joints Somewhat irritant.
Demulcents.
Gum Arabic - of but little use -
Flaxseed - In making tea hot
H2O gets out the oil which is laxative,
- Used in inflammation of Gastro-intest 
tract, [crossed out] - In quick urinary
no good - for H2O - h.g. for Rest.
Ulcuers fulva - good.
Sassafras pills much used
as sedation for conjunctivitis.
Licorice = Ext glycerrity - has
glycerrizzin. - used in cough mixture
for taste & action on glands.
Compd Lic parlv is excellent laxative
Poultices - Means of applying
warmth or cold with moisture


2
Wood. April 3. 1888.
Post - month memb is hard white
& shrivelled, & gast-ent, if the 
death be late fatty deg especially
in Kidney.
Loss of Conscious dr to direct
action on Cortex of Brain.
In full dose It's & Resp at same 
time -
Defining poison to all higher tissue
Resp Cunt & Spinal cent mo
acted on the It's muscle.
Uses - only [crossed out] locally.
- It is local anesthetic as in 
exercise
vomiting from nervous sensibility
dose gtr ij - iij - In lientui
diarrhoea is but remedy.
Useful adjeivant in all diar if no inflam
be purent - especially for 
N diarrhoea.
In Antispetic surgery - Wood 

does not believe in spray.
f℥j externaly her caused death
- watch the urine carefully for 
its first little smokiness
Absorbed as corbolar in intest 
& also the. -
Sulphate - disappeared from
urine, parts destroyed, & parts -
eliminated & Sulphto carbolar 
partly as Glycouronic acid
Antidote is Soluble necphaleay 
or late as Mq84 or Nay 804
or H2804 dir 
- In joints
Hydrochinon also in urine 
[crossed out] Smoky color not dur to Blood
coloring matter.
In lungs - Prendo memb in the 
bronchial tube.
From apoplexy. - Odor. White color
-urine - not hemiplegic.
Convulsion are spinal
In full doses paral vero-moti center
Item perit Purmmoy & Center hence increases
Refes at first.
 

Flaxseed is good.
Slippen elv is good.
Bread & milk.
Over-use as in felon as in defenses
the part.
Stimulating poultices contain
a stimulating agent - as Excrement
of napoleon's Surgeon, better is 
yeast poultice by mixing with 
equal parts of flaxseed & Indian 
meal - to clean out.
Fatty Substances as vetricle
for ointments - 3.
1 Lard & Olive Oil. Lanolin
- (cholestasis & cholestin fat) 
2. Vasellum is mineral is perfectly bland & [crossed out]
protects - Is not as readily absorbed
as in a true fat hence not used for 
Hq.
Lanolin prepared from Suct (to 
keep wool of sheep soft). does not 
go back again on it skin non
irritant - vetricle for [In???] in act [illegible]

Skin.
Antipyretic 
To depress bodily temper in fever.
[crossed out] Carb. Acid is not used as antipyretic 
but acts like Salicylin but is the 
most dangerous antipyretic.
-Only used as disinfection, stands
next to alcohol in causing death
fʒj to f℥ss.
Sympt, Local irrit, burning pain,
ringing, giddin & must disturbance.
Large dose - May falls early, use 
course & covered with sweat gasping irregular Resp.
in 3 min.
In small dose death in 1-7 hrs.
nausea but vary vomit, collapse
mental spatty or deliuim replaced
by comes, -Resp irregular from ouret
death by failure of resp., - sense
of dysp if liver, long motion
power, ruin at first yellow
becoming perish to black. -Some
cases have Hemoglobin.


1
Wood. April 7. 1888.
Sal Acid Compds.
Formed from Carb Acid - is 
not officinal - Absorbed as 
salicylate in intestines as Na
salt in blood.
Sal acid soluble in ether &
can not be formd as such from 
the blood except in blood of 
asphyxia.
Eliminate is very rapid in 
- 25.
8 mins, - & lasts for 8 hrs after -
last dose, - and has tendency
to accumulate as for 1 wk.
It is local irritant as in the 
stomach & at point of escape
as loosened urine & even resp.
pressive or hacenalinia hence
hesitate in using it in acute
Brigtn 
10-20 gr no sympts.

Larger dose - Is cinchonism fullness,
tinnites aurium (1st evidence
of phys action), 2) urine becomes
greenish cause unknown but may
be indicare or pyrocalichin by partial
distinction of Sal acid.
In excr as Sect acid in urine
& as Salicyluric acid.
May dilate pupil, dyspnoa
is very constant, put form
put increased the diminished,
rate increase, its delirum
been coma & death from asphyxia
of Resp cent.
Acts badly especially on Dumt.
ands & apt to cause delirium
may last for long time & may 
be with hallucinations
Fox dose - Same Sympts In mammal.
Circulation - Used dose not at 
all depressant & may increase 


Wood. April 7 - 1888 2.
f℥j has take life & stimuli & urine.
May be given in capsule mx - 4 to 6
a day
Salicin.
Breaks up in Sal Acid and 
in urine is forward as Salicyluric
acid.
It is less irritant & better taste
It is broken up ony partg &
slowly in Sal acid hence not 
much used.
Salol.
1 At of H of Acid Sal is replaced
by Phenol (acid carb).
Is ready for from irritant prepertin
- much like oil of gaul - 
the not of bad taste.
As Salol in stomach but by 
pancreatic juice is broken up
into Sal acid & phenge without 
gash intent irritation. But
in larger dose urine becomes blackish
from Salicyluric acid & its
Carbolic compounds.


Salol } 36% Carb acid
} 64% Sal acid
It has distinct antirheumatic power
but is less prompt & less efficient
- good for subacute rheu & neurage
& m rheumat - dose 45 grs
-Salol appear as Salurin acid
in 1/2 hr but if it lies in Stomach
for cancer or weaken of walls
of Stomach.
Naphthol - salol.
1 H replaced by Beta naphthol.
- In intestine is resolved [with]
Sal acid & Beta naphthol.
Venesection
In acute serous infl diseae as 
Pneum of strong robust adults bleeding
from arm may do good.-
In acute serous inflam as in all 
fibrinous pleurisy at first use the 
wet cup (deplitis) & not dry cup (for
pneum or pulmon congest as counte
irrit) In peritonitis - leeches 100 A
In Exhaustion with right sided heart failure as in 
Pneumonia or advanced brights. & mistake not Pneum
for meningitis


acts press by v.m. stimulate & Hs (?)
Toxic [d???] - Card failure by direct
action, press low by act on v.m
syst as well as heart.
Sense of weakness & depression
in full doses by acting on N syst,
Use of M power & depress of reflexes.
& marked cutaneous anaesthesia
Resp. at first hurried (Skin) late
it is slow & shallow.
30 to 60 grs cause fall of tempt
in 1/2 - 1 hr & with sweating & is more 
certain then quinine but also fails,
can arrest its sweating by Atrop & Agarcin
but tempt still falls; do not 
depress tempr of normal man
but prevents it under exercise.
Not used any more to lower
bodily tempr.
Most powerful agent for 
Rheumatism (Senator) - by increasing
Nitrogen elimination 


in almost all forms is useful
& not only in acute & even good 
also in Gout (especially irregular)
Tart & act in Stou an
again it.
In acute [Rheum] - 1st Day
[crossed out] 45-60 grs 2nd day 30 grs now
in 3rd, 4th begin again.
May give in capsules on full
stomach but its acid form is
worst belt use salts.
Sal of Cod
" " [An???]
" " methy 90% in Ol Saul.
Sal Soda ʒj =
Sal Ammon - prepared item
Take Sal ʒj acid & Symp and encrease
Stronger fʒj Amm iiss acid draught
may give this in milk.
Ol Sarrh = All sympts of Sal a pour 


1
Wood. April 12 - 1888.
Antipyrene.
Crept - Sol in nalis.
Acts. Little tinnit & [no??] of 
quartered & tendency to wound -
[l???].
Larger dose - In weakness to 
little lessening of pure fever
and rate
In death in normal man.
In animals. - Lay dose cause
convulsion with paralysis -
serous dir of cramp asphyxia
but of paralytic asphyxia.
Convulsion said to be cerebral
Motion M. - Slight influence in 
advanced poisoning but never
any complete loss of power.
Sens M. - Paralyzes sensation at 
point of injection
Spinal Action depress M or 8 part


Depress Muscle a little.
Small does unaffect [bluoed-p??]
Large " increase " " 
Lox " depress " "
Said to act powerfully on muscle
of vessels - said to be haemostatic
greater than Lr Ch Fr.
Rapidly absorbed & eliminated
as antipyrene.
If take for long time palor with 
bluish tink by altering the Haemoglobin
into metahaemoglobin
[crossed out] Chiefly as antipyretic 
In normal more gets uncertainly
use of tempt at stage of convulsion.
In fevered man 20-30 grs tempt
falls in 1/2 hr & down by 1 hr - 1° C 2°
& continue for 4 to 8 hrs as nature
of disease, with for sweating
& may be with collapse, can 
arrest sweating by atropic & agararin
& yeh. tempt falls - hence
not result of the sweating, nor  

is it any effect of blood pressure.
Cause of fall of tempt is dire to 
decrease of heat production by
acting on nerve center controlly
thermogenetic function of the body.
Urea eliminate is lessened
in fever - checks nutrition fever proven.
Uses, - In fever it is very certain
it makes firm more comfortable
in pneumonia, typhoid & but not so 
good for the patient as cold bath
For pain. Especially of use is those
of M origin of that store kind.
In locomoti - atexi cri good.
In Rheumatic
not as good for Boils as Morphine
does not form habit nor does
its derasy seculi as Morphia.
Is said to take away the Labor
pain & not interfere with contraction.
In convulsion disorders - As 

in Strychnic, or Epilepsy 1 out of 50.
Occasionally acts very unfavorably
as rapid cyanosis collapse, loss of 
consciousness & for sweating.
Give 10 or 1/2 to meti result
or 30 grs even taken.
[crosed out]
May keep back measles.
Antifebrinis -
Same effect both some tender
to sleep. - more powerful - gr 10-20.
On general system - less is known
these of Antipy. - cyanosis also
from methameq. - loss of reflex.
does not lessen no. of corpuscles.
Parado-phenol - mephalic in urine
- Some say it change other not.
Use - In fever - In pain - In epilepsy.