THE MEDICAL POCKET-BOOK; FOR THOSE WHO ARE, AND FOR ALL WHO WISH, TO BE, PHYSCIANS. PRICE ONE DOLLAR. THE MEDICAL POCKET-BOOK; FOR THOSE WHO ARE, AND FOR ALL WHO WISH, TO BE, PHYSICIANS. Containing a Short but plain Account of the SYMPTOMS, CAUSES, and METHODS OF CURE, of the DISEASES incident to the HUMAN BODY: Including Such as require SURGICAL TREATMENT: Together with the VIRTUES, and DOSES, of MEDICINAL COMPOSITIONS, and SIMPLES. Extracted from the best Authors, And digested into ALPHABETICAL ORDER. By JOHN ELLIOT, M. D. PHILADELPHIA: PRINTED and SOLD BY ROBERT BELL, IN Third-Street, M,DCC,LXXXIV. TO SIR JOHN PRINGLE, BART. PHYSICIAN TO THEIR MAJESTIES; FELLOW OF THE ROYAL COLLEGES of PHYSICIANS AT LONDON AND EDINBURGH; AND OF THE ROYAL SOCIETIES OF LONDON AND PARIS, &C. &C. THIS WORK IS MOST RESPECTFULLY INSCRIBED, BY HIS FAITHFUL AND DEVOTED HUMBLE SERVANT, Newman-street, Aug, 12, 1782. THE AUTHOR. PREFACE. THE advantages of a publication of this kind to the practitioner in medicine, are 'tis presumed, too obvious to need enumeration; I shall, therefore, only premise a few necessary observations relative to the work itself. I. The doses of medicines &c. are set down as for adults; and therefore, the prescriber will easy vary them for other ages. For example, children of two years old may, in general, take about a third part of the doses for adults ; or a little more ; and so in proportion for other ages the constitution being also considered. II. Where it could conveniently be done, I have mentioned the intervals at which the medicines are to be repeated: but these may be varied at the prescriber's discretion. For brevity's sake I have in many places, used the word frequently ; by which I would have it understood, that every three, four, six, eight, &c. hours are meant, according to the exigency of the case. III. vii. PREFACE. III. When any particular indication is to be answered, the classes, as cathartics, diuretics, astringents &c. may be referred to; under which heads, as many of the compositions and simples as were judged necessary, are arranged. IV. The limits assigned to the work would not admit of formulæ ; nor do I think them by any means necessary. The doses of all the articles usually administered are set down; and I will not suppose, that there is any medical practitioner, who cannot give directions for making them into draughts, boluses, or other forms that may be required. The vehicles should be either perfectly innocent, as pure water, simple syrup &c. or of similar virtues with the medicines to be given. And if two articles of the same virtues, cathartics for example, are employed, it scarce need be mentioned, that the dose of each must be proportionably less. It may be added, that ingre- dients of a volatile nature should be given in a liquid form, lest their virtues exhale ; very nau- seous ones should, if convenient, be given in the form of pills or boluses. V. viii. PREFACE. V. In the alphabet I have, for the most part, made use of English names; or at least have referred from those where technical terms are employed. This work was drawn up originally for my own use, and in the course of practice, I have found it very convenient to refer to occasionally. It was the opinion of those medical Gentlemen who saw the Manuscript that it would be equally useful to others, and this was my motive for mak- ing it public. If this work assist the practitioners memory in matters already known, at least till he has leisure to consult larger works, where necessary, my design is answered. JOHN ELLIOT. THE MEDICAL POCKET-BOOK; FOR THOSE WHO ARE, AND FOR ALL, WHO WISH, TO BE, PHYSICIANS. ABORTION. SYMPTOMS. Pain in the back, loins, and lower part of the belly ; shiverings ; a flux of blood from the womb ; nausea, anxiety, palpitation of the heart, syncope, an opening and moisture of the os tincæ. Most commonly happens between the second and fourth months of pregnancy, though it may occur later. It may be occasioned by frights, falls, strong emetics or cathartics, or by any violent commotion of body or mind. TREATMENT. Bleeding is necessary if the pulse will bear it. The medicines should be of the tonic and sedative kind, as tinct. rosar. or decoct. cort. with tinct. theb. The body should be kept lax with clysters, or otherwise ; the diet light broths, and the like ; and the patient should be kept very still and quiet in bed. If nevertheless, abortion follow, discontinue the corroborants, and give spermaceti medicines with tinct. thsb. &c. as after child-birth. ABSCESS. Treatment. Common abscesses may be treated by bringing them forward with proper cataplasams, and when ripe, opening, digesting, and cicatrizing. Avoid evacuations during the suppuration, unless inflammation require. See also Soil, Phlegmon, and Ulcer. ABSORBENTS. (Of acidity) Creta, magnesia, crabs eyes, coral, and all the testaceous powders ; dose one scruple, or half a drachm several times in a day. Also in like manner, sal tart, or, absinth. v. gr. sal ammon. vol. v. gr. diluted, P. ÆTHIOPS 10 ELLIOT'S MEDICAL ÆTHIOPS MINERAL. Alterative, vermifuge ; dose from one scruple to half a drachm. Twice a day. AGARIC. Outwardly applied stops hæmorrhages; strewed on chancres, it sometimes drives them away. AGUE. Symptoms. The fit begins with cold shiverings ; a small quick pulse ; pain in the back and head ; nausea. To these succeed great heat and fever, which terminate in sweats. The urine dur- ing the fit, pale, clear, and without sediment ; but in the interval, turbid, with a copious sediment of a reddish colour. In the Quotidian Ague, the fit returns once in a day. In the Tertian, every other day. In the Quartan, the intermission is of two whole days. Treatment. First give an emetic, and afterwards a gentle cathartic. If the intermissions are not regular, saline febrifuges should be administred till that objection is removed ; then give the bark, in substance, one drachm, every two hours during the intermission, adding tinct. theb. or other astringent if it run off by stool. If the stomach will not bear the powder, give it in decoction, infusion, or the extract in pills. Pulv. fl. chamæm. chalybs. rad. serp. virg. clix. vitr. acid, or the like, may be added according to circumstances. The repetitions may be less frequent after the fit has been missed once or twice. Vitr. cærul. gr. ss. dissolved in one ounce of proof spirit, and given before the fit, has succeeded in some desperate cases. ALKALINES. Sal tart, sal, absinth, sal vol. ammon. sal. e.e. vol. from v. gr. to one scruple. Sp. vol. am. sp. sal ammon. sp. C. C. from xv. drops to one drachm. See also Absorbents. To be given oc- casionally to destroy acidities in the stomach, &c. ALLUM. Astringent, from iv. gr. to half a scruple. Externally astringent and cooling. ALOES. Cathartic and anthelmintic from half a scruple to half a drachm. Emmensgogue from v. to x. gr. Twice a day. Externally applied Vulnerary. ALTERATIVES. See the preparations of mercury and antimony. Any medicine that works a cure gradually, by correcting the patient's habit of body, may be called an alterative. ANASAR- POCKET-BOOK. II ANASARCA. See Dropsy. ANEURISM. Or an enlargement of an Artery, (known by its pulsation.) Treatment. Bleeding, and proper evacuations ; with low spare diet. Lead may be bound down pretty tight on the part. If these fail, recourse must be had to the operation of tying it above and below the tumour. ANGINA GANGRENOSA, Or putrid sore Throat, Symptoms. Giddiness in the head, alternate heat and cold, and at length, after some hours, constant great heat: sometimes vomiting or purging ; pains in the head ; eyes inflamed and watery, as in the measles ; anxiety, faintness, sore throat, with florid colour; or else, a broad irregular spot, of a pale white colour surrounded with red. On the second or third day the face, neck, breast, and hands swelled, and as if erysipelatous ; an efflorescence of many small red pimples sometimes appears on the arms and other parts. The throat sloughs, ulcerates, and is very painful. Offensive taste and delirium towards night. Treatment. Avoid bleeding and evacuation, gentle sudorifics excepted ; and purging should be checked. Give first a gentle emetic, then medicines with contrayerva and conf. cardiac; or decoction of bark. Gargle or rather syringe the throat with decoct, pect. cum rad. contray. to which, vinegar, myrrh, and honey of roses may be added. If the sloughs do not separate, touch them with a rag dipped in a mixture of mel. ægypt. one drachm, and two ounces of the preceding gargle ; or gargle with water acidulated with sp. of salt. To restore the patient give bark and elix. vitrioli, with proper strengthening diet. ANISEEDS. Carminative from iv. gr. to xv. or in infusion to iv. ounces. ANODYNES. Opium crude or extract, from on fourth of a gr. to two*gr. tinct theb. from x. drops to xl. or more, syr. e mecon. from one drachm to half an ounce, elix. pareg. from xx. gr. to a drachm and a half, ther. andr. & conf. dam. from half a scruple to a drachm, philon. Lond. from half a scruple to half a drachm. ANTHELMINTICS. See Worms. ST. ANTHONEY's FIRE. See Erysipelas. ANTIMONY prepared. Alterative from v. gr. to half a drachm. Twice a day. ANTIS- 12 ELLIOT'S MEDICAL ANTISPASMODICS. See Musk and its Julep. Opiates, and the nervous medicines. APHTHÆ. See Thrush, and Fever Aphthose. APOPLEXY. Symptoms. A sudden, privation of sensation, and voluntary motion. The face red and bloated ; the mouth commonly open ; the pulse strong and quick, especially at first ; respiration strong, and attended with snorting. Treatment. Bleed freely, and apply cupping-glasses to the head, neck, or between the shoulders ; strong clysters and cathar- tics ; blisters should be applied to the back and legs, and sinapisms to the feet. Medicines of the warm nervous kind, as castor, valerian, camphire, assafœtida, and volatile salts, should frequently be administred. Authors distinguish between a sanguincous and pituitaus apoplexy : The first arising from a turgidness of the vessels of the brain ; the last, from serous matter in the ventricles. In the latter case, emetics of the antimonial kind are serviceable, though ofcen hurtful in the former ; bleeding should also be prescribed with caution in the latter. A soft, mild, and opening regimen is prescribed for patients subject to the sanguineous, and a contrary one, with exercise, for such as are recovered from a pituitous apoplexy. APPETITE Canine. Treatment. If an acid in the stomach be the cause, vomit, and give testacecus powders, magnesia, or alcalis. If worms, give anthelmintics. If it be natural, or proceed from other causes, oils, fat meats, and broths, milk, and flour diet will be proper. Also opiates ; smoaking tobacco is likewise of service, APPETITE. Loss of. Treatment If the stomach be foul, give a gentle emetic of ipecacuanha; and if necessary, a gentle cathartic also. If it proceed from relaxation, the bitters, chalybeates, or bark, with or without elix. vitriol. If acidity and wind abound, join sal absinth. with the bitters. Sena, rhubarb, tart, solubil. or other laxatives, may occasionally be employed if necessary. ASCITES. See Dropsy. ASSAFŒTIDA. See Gum. ASTHMA. Symptoms. A difficulty of breathing, attended with wheezing ; it returns at intervals; is preceded by disinclination to motion, loss POCKET-BOOK. 13 loss of appetite, oppression, flatulency, and frequent eruactions. At length the cheeks become red, the eyes prominent, and there is such an anxiety and sense of suffocation, that the patient can only breathe in an erect posture, and can scarce speak or expecto- rate. If he happen to sleep he snores much ; at the height of the fit is desirous of cool free air ; sweats about the neck and fore- head ; coughs up a little frothy matter with great difficulty ; no fever, pulse extremely small and weak; urine pale and copious; as the fit abates, an expectoration of mucus ; the urine becomes higher coloured, and deposits a copious sediment. Treatment. During the fit bleed, if age or weakness do not forbid ; blister between the shoulders, or at the pit of the stomach; the body should be opened with gentle cathartics ; then give the pectorals and expectorants, joined, if necessary, with antispasmodics and sedatives. ASTRINGENTS. Allum from iij. gr. to xij. pulv. e succin. c. from v. gr. to one scrup. tinct.rosar.from one ounce to two, elix. vitrioli acid, from x. drops to xx. vitriol, alb. from ij. gr. to v. colcothar. from iij gr. to half a scruple, sacch. saturn. from one quarter of a gr. to one gr. See also Corroborants. For the bowels in purgings, &c. extr. lign. campech. from v. gr. to one scruple, alum, elect. e scord. front half a scruple to a drachm and a half, rhab. torrefact from v. gr. to xv. Ripe acid fruits, as currants, sloes, &c. are also good. ATROPHY. Symptoms. A nervous consumption, or wasting of the body ; without fever, or other hectic symptoms. Treatment. This must be varied according to the cause. If the appetite and digestion be bad, give a gentle puke, and afterwards the bitters with steel. If scrophulous, the steel with bark. If worms be the cause, anthelmintics. If lues venerea, mercurials and decoct. sarsaparil. If hysterics or hypochondri- acs, join chalybeates with pil. gummos, or other medicines of this class. If profuse evacuation, as fluor albus, the bark, chalybeate waters, sarsaparilla, and exercise. If attended with scurvy, the scorbutic juices, vegetable acids, and bark, IF asthmatic symptoms appear, the squill preparations, or other pectorals and antispasmodics, and blisters. Diet, however, must assist medicine in the cure ; which, where nothing for- bids, should be of the soft, nutritive, and strengthening kind, and easy of digestion ; as milk, calves feet, and other jellies, &c. ATTENUANTS. Alcalis (which see.) Chalybeates. See Flor. Mart, and Deobstru- ents, Mercurials, see Calomel, &c. BALSAM 14 ELLIOT's MEDICAL BALSAM of Capivi. Corroborant, diuretic, from x. drops to xxx. BALSAM of Guaiacum. From xx. drops to one drachm, for rheumatic complaints, foulness of skin, gleets, &c. BALSAM Lucatellus's. From one scruple to a drachm, for dysenteries, or coughs. BALSAM of Sulphur. From iv. drops to one scruple, for coughs and asthmatic com- plaints. BALSAM of Peru. From iv. drops to xv. for nervous complaints and head-aches, gonorrhœas, asthmas, &c. BALSAM of Tolu. From v, gr. to a scruple, for coughs, &c. BALSAM Traumatic. From x. drops to xxx. for inward wounds, bruises, or coughs ; externally for cuts. BARK. Febrifuge, corroborant, stomachic, antiseptic, from one scruple to a drachm, several times in a day, decoction, or extract in pro- portion. BARK of Pomegrantes. Astringent, stomachic, in decoction, from one ounce to two. Frequently. BARK of Lemons and Oranges. Stomachic, in infusion, from one ounce to two. Twice a day. BAULAUSTINE. Flowers. Astringent, from half a scruple to half a drachm, or in docoction. BEARING DOWN. See Procidentia, and Prolapsus, BENJAMIN. from iv. gr, to xv. as a pectoral and asthmatic. BITES. POCKET-BOOK, 15 BITES and STINGS of venomous animals. Treatment. To those of small insects, as gnats, bugs, wasps, &c. apply spt. C. C. milk, oil, honey, or vinegar ; to that of the viper, its own fat, spt. C. C. or ol. amygd. foment, poultice, and bleed, if inflammation require; and give milk inwardly, with theriaca, sal C. C. or other antidote. For the rattlesnake's bite, give a spoonful or two of juice of plantain or horehound, and apply a tobacco leaf steeped in rum to the part. BLADDER inflamed. Symptoms. Acute burning pain, and tension in the part; with fever, frequent inclination to go to stool, and constant desire to make water. Treatment. As directed for kidneys inflamed. BLEEDING external. Apply the styptics mentioned under that word. Bleed at the arm, purge and give cooling medicines if necessary. BLEEDING at the Nose, Treat as in Bleeding external; vinegar, or other styptic, may also be snuffed up the nostrils, or cotton plugs, dipped in them put up. BLIGHT. See Erysipelas. BLOOD, Spitting of, or Hæmoptoe. Symptoms. A cough and short respiration attend. If the blood coughed up appear florid, liquid, and frothy, especially if the patient be consumptive, it argues a rupture of some vessel in the lungs; is attended with pain, if occasioned by a fall, or bruise. Treatment. Bleeding, laxatives, and styptics; as tinct. rosar. tinct. styptic, allum, bark, bals. traumat. pulv, e succin. with nitre, and occasionally an opiate; the feet bathed in warm water; a slender cooling diet, and no exercise. BLOOD, Vomiting of. Symptoms. There is no cough when the blood comes from the stomach ; a sense of weight and oppression precede the vomit- ing ; the stomach is often distended; the blood of a darker co- lour than in an hæmoptoe. Treatment. As in the preceding case; small doses of vitr. virid. calcin. are efficacious in this, and also in a rupture of a vessel in the intestines, and a consequent discharge of blood by stool. BOILS. 16 ELLIOT'S MEDICAL. BOILS. Treatment. They are to be ripened with proper poultices of cataplasms; opened, digested with basilicon, &c. and healed with cerat. epulot. or the like. If fungous flesh appear, take it down with red precipitate, or other proper escharotic. Altera- tives and edulcorants, with corroborants, if necessary, should be given internally. BORAX. Emmenagogue, diuretic, from v. to x. gr. Externally to aphthæ. BREASTS inflamed. Symptoms. A few days after delivery the breasts sometimes feel uneasy, or painful, and swell, the milk stagnating. Treatment. Gentle purges and cooling diaphoretics. Apply diachylum plaisters, or empl. saponac. warm cloths, or the like, to the parts, and to the axillæ;. If inflammation, foment and poultice with bread and milk. If supuration, continue to poultice, and let it break of itself; after which, digest with poultices or otherwise, and cicatrize. If fever appear during the inflammation, treat it as directed for fever (milk.) If the breasts are merely hard, fomentations, poultices, and oil rubbed over them, are best. BRUISES. See Contusions. BUBO. See Veneral Disease and Abscess. BURNS. See Scalds. CACHEXY. See Dropsy. Treatment. Sal diureticus, squills, or other diuretics, cha- thartics; then chalybeates, bark, &c. with proper exercise. CÆLIAC PASSION. Symptoms. A purging or discharge of aliment indigested, and somewhat like chyle, with wasting of the body. Treatment. An emetic ; stomachic, binding and warm strengthing remedies ; as bitters, spec. arom. philon. Lond. extr. lig. camp, opium, elect. e scord. creta, &c. with proper diet. CALAMINE. In collyriums for inflamed eyes; and in ointment as a cicatrizer; CALAMUS. POCKET-BOOK. 17 CALAMUS. Aromatic, from v. gr. to xv. CALOMEL. See Mercury. CAMPHIRE. Diaphoretic, diuretic, antispasmodic, from iij. gr, to half a drachm or more. CANCER. Symptoms. A round unequal tumour, of a livid colour, sur- rounded with varicose vessels, and seated in the glandular parts of the body. Some cancers are fixed, others moveable ; some pale, others red and inflamed; sometimes they remain harmless for years, at others they increase hastily ; ulcerate, and discharge a fœtid sanious ichor, and soon prove mortal. Treatment. Bleeding; in case of inflammation, cooling laxatives ; salt water, extract, cicutæ, magnesia, soap or the like, in small doses as alteratives. Externally, apply lint only if the tumour break. Hemlock fomentations have been found serviceable, as hath also the herb called clivers. Calmness of mind and proper regimen must be observed ; but extirpation With the knife, where it can be done, is the only certain remedy. For Cancer in the womb, see Womb. CANTHARIDES. Analeptic, diuretic, from half a gr. to two gr. CARAWAYS. Carminative, from iij. gr. to half a scruple, or in infusion CARDAMOMS. Carminative, from iij, gr. to half a scruple. CARDIALGIA. See Heart-burn. CARMINATIVES. Sem cardam anisi, and carui, from iij. gr. to half a drachm, Ol. carui, anisi, anethi, and juniperi, from one drop to iij. Philo- nium from half a scruple to one scruple. Spec. arom. from four gr. to half a scruple. Tinct, cardam, or aromat. from ten drops to one drachm. CARUNCLES. Sec Urine. CARUS. Treatment. As in the apoplexy, of which this is only a slighter degree. CASTOR. Nervous, antispasmodic, emmenagogne, from four gr, to a scruple. C CATARRH 18 ELLIOT'S MEDICAL CATARRH. See Cough. CATHARTICS. Jalap from xv. gr. to half a drachm. Sal Glaub. from half an ounce to one ounce and a half. Aloes from half a scruple to one scruple Pil. extract. colocynth. from one scruple to two. elect. e scam. from one drachm to two. Pulv. e scammon. c from one scruple to two, Extract cath. from xv. gr. to half a drachm, Colocynth from half a scruple to xxv. gr. Rhubarb from one scruple to two. Infusion of senæ from two ounces to four. Tinct. sacræ, senæ, and rhubarb from one ounce to three. Gamboge, and scammony from half a scruple to one scruple. CEPHALICS. Spt. lav. c. or spirit vol. arom. from ten drops to xl. æther a few drops, also externally to the temples. See Nervous, and Head- ach. CHALK. Absorbent, cardialgic from one scruple to one drachm. CHALYBS. Prepared. Deobstruent, tonic, from two gr. to half a scruple, CHAMOMILE flowers. Stomachic, corroborant, from v. gr. to one scruple, or in infusion; CHICKEN-POX See Pox. CHILBLAINS. If they are not broke, bathe them with sp. vin. camph. sp. terebinth, urine, brine, melted salt butter, or rub them with snow. If they break, dress them with warm digestives, and afterwards with cerat. epulotic. CHILD-BIRTH. If there be a profuse discharge of the lochia, give cooling medicines. If a puerperal or milk fever, treat them as under those articles. After delivery and the after birth, spermaceti, with gentle opiates ; and if necessary, castor, or other uterine remedy. CHINA Root. Alterative, antivenereal, antiscorbutic, in decoction like sarsa- parilla. CHLOROSIS. See Menses. CHOLERA MORBUS. Symptoms. Violent vomiting and looseness, from bile abound- ing in the stomach and bowels ; sharp pains, gripings, and flatulency; thirst, heat, anxiety, pulse quick and unequal ; cold sweats, and at length syncope, and coldness in the extremi- ties. Chiefly attacks young persons, and in the summer and autumn. TREATMENT. 19 POCKET-BOOK. Treatment. Large and frequent draughts of chicken broth, to the quantity of a gallon or two; and clysters of the same should be continually injected. If the vomiting continue, give an in- fusion of oat bread, toasted brown, in water; afterwards cinna- mon water, conf. card. elect. e scord. or the like, with tinct. theb. An emetic may be proper, as also ripe fruit, &c. See Colic bilious, CINNABAR of Antimony. Alterative, vermifuge, from iij. gr. to on e scruple. CINNAMON. Astringent, carminative, aromatic, from iij.gr. to half a scruple, or in infusion. COLCOTHAR. Astringent, styptic, corroborant, from iij. to viij. gr. Also exter- nally to hæmorrhages. COLD and COUGH. Symptoms well known. In phlegmatic habits, the cough is moist, and in the hypochondriac and scorbutic, dry. Treatment. Gentle and regular warmth ; bleeding, if nothing forbid; and especially if a fever, or a pain in the breast, &c. arise. Oily, or spermaceti medicines, or other pectorals, with opiates. If costive, proper laxatives, and if the stomach be loaded with phlegm, an emetic ; where greasy medicines disagree, give pil. de styrace, pulv. e trag. with squills, mucilag. cydon. lozenges of liquorice, &c. Blisters are very efficacious, as are also gentle sudorifics repeatedly taken ; with diluents and saline febrifuges, when the perspiration is obstructed, and fever ap- pear. COLIC, Bilious. Symptoms. An acute pain, and obstruction in the intestines; accompanied with a vomiting of yellow or greenish bile. A bitter taste in the mouth, with great heat. The pain sometimes fixed about the region of the navel, sometimes all over the ab- domen, at other times shifting from one part to another. A pulsation and cold are likewise felt in the belly. Urine little or none. Frequently hoarseness, with thirst and fever. Moist pre- valent in summer. Treatment. Bleed, and give an emetic, with a large quantity of ins. flor. ch. or the like, to work it off; then give cathar- tics (pills chiefly, or ol. ricini) with opium, and opening em- ollient clysters. If these fail, put the patient into the warm bath. 20 ELLIOT's MEDICAL. bath. If the vomiting continue, saline draughts with tinct. theb. Pills of half a gr. or a grain of crude opium are most powerful in removing pain and spasm ; and enable the cathar- tics to use the better effect. COLIC, Hysteric. Symptoms. This is a disease to which women of lax and gross, habits, and of irritable dispositions chiefly are subject, It be- gins with violent pain in the region of the Stomach, much green and yellow matter is vomited, and great lownness of spirits succeeds ; the pain goes off in a day or two, and frequently returns again in a few weeks with equal violence. Sometimes 'tis attended, with jaundice, which in a few days goes off. Treatment. Avoid bleeding and purging, unless plethora, or costivness indicate ; clear the stomach with warm water, cha- momile tea, &c. then give a carminative antispasmodic, with opium ; (as castor, conf. cird. philon, conf. pautin.) which may be occasionally repeated. Recruit the strength with bark bitters, air, exercise, chalybeate?, &c. This disorder in men is called the Hypochondriac Colic, and should be treated in like; manner. COLIC Inflammatory, or inflammation of the bowels. Symptoms. A vehement, burning fixed pain is felt in the parts most affected, with heat of the whole body, quick pulse, loss of strength, anxiety and restlessness. Treatment. Bleed largely, and repeat it if necessary, and the pulse will bear it; procure stools with soft mild cathartics, as ol. ricini, oily mixtures with manna, and tart. solub. or the like ; or if these will not May, with pills-of extract, cath. and opium ; emollient clysters should be frequently given, and soft emollient liquids drank; the bowels should be fomented, bladders of water, bags of salt, or oats heated, the skins of animals just killed ap- plied to the part ; and the warm bath should be prescribed if these prove ineffectual. In case of violent vomiting, give the saline draughts in the act of effervescence ; and the pain and spasm, if violent, may be abated with pills of crude opium ; blisters may be applied to the part affected ; the fumes of tobacco thrown up the fundament in case all other cathartics fail; or give quicksilver. COLIC Nervous, called also the Devonshire Colic, Colic of Poictiers, dry Gripes, and the dry Belly-ach. Symptoms. Begins with a sense of weight or pain at the pit of the stomach, attended with loss of appetite, yellowishness in the countenance, a slight nausea, and costiveness ; a vomiting of acrid slime, and green bile succeed ; the pain often descends to the navel, shooting from thence to each side, with great violence ; the 21 POCKET-BOOK. the intestines seem drawn to the spine, with convulsive spasms ; the pain continues without remission for several hours together ; pulse as in health ; no fever, but rather lowness; when at length the pain abates, an odd tingling is felt along the spina dorsi, which extending to the legs and arms, they become weak and paralytic. Treatment. Vomit several times with warm Chamomile tea, then give opium in pills or otherwise, as also by clyster ; the pain and tension being removed by these, give gentle cathar- tics, such as ol. ricini, infus. sen. with salts, and the like ; laxative clysters may also be prescribed ; bleed, if the pulse be high ; stools being procured, an anodyne, carminative, and anti- spasmodic may be given, as camphire, valerian, castor, conf. card. or the like, with opium. If the pain return, have recourse again to opium pills; if paralytic symptoms come on, embrocate the limbs and spine with lin. vol. camphorat. or other warm liniment. If convulsions, give musk with opium. After the disorder, bark, with bitters and rhubarb, should be ordered; together with alight, but nutritive diet. Flannel may also be worn round the waist. Painters and glaziers, who are subject to this disorder on account of the lead used in their work, rely on burnt gin, which I have seen them take with surprising success. COLIC Stone, or Nephritis. Symptoms. The colic which sometimes ariseth from the stone, may be known from the other kinds by the following signs ; There is a fixed pain in the kidney, which is propogated to the genitals; stools afford present relief in other colics, but not in this ; after eating the pain is increased in others, but lessened in this ; in others the urine is thicker in the beginning than after- wards, but in this, it is at first clear and thin, and afterwards lets fall gravel or other sediment. Treatment- Turpentine clysters are given with good effect; the pil. sapon. or other nephritic anodyne ; care being also taken to keep the body open. But for more on this head, see the article STONE. COLIC Wind. Symptoms. A wandering pain in the bowels, with rumblings, which abate on the expulsion of air ; the pain is not increased by pressure; thirst not extraordinary; and the pulse but little disturbed. Treatment. Bleed if the patient can bear it; stools must be procured by saline or other cathartics, and emollient clysters ; previous to which, an emetic may also be given if judged necessary ; and fomentations, or bladders of hot water may be applied to the belly ; as may likewise anodyne, spirituous, and aromatic embrocations, as bals, anodyne, with ol. menth. or the like, 22 ELLIOT'S MEDICAL like. A passage being procured, carminatives joined with opium may be administred ; as philon. Lond . or the like. COLICA meconialis. See Meconium. COLOCYNTH. Cathartic, from x. gr. to a scruple. COMA. See Carus. CONFECTION. Alkermes. Cordial, from one scruple to a drachm. CONFECTION Cordial. Carminative, cordial, from half a scruple to two scruples. CONFECTION. Damocrat. Alexipharmic, anodyne, from half a scruple to two scruples. CONFECTION Paulins. Anodyne, nervous, from half a scruple to one scruple. CONSUMPTION Nervous. See Atrophy, CONSUMPTION Pulmonary, or Phthisis. Symptoms. Habitual fever; wasting of all parts of the body ; dry cough; quick small pulse; moderate heat; lassitude ; faintness ; night sweats; flying pains and stitches ; uneasiness about the diaphragm and breasts ; the expectorated matter purulent; sometimes bloody and offensive, with white round lumps. If the symptoms are violent, a spitting of blood soon follows, which is thin, florid, and frothy ; but it afterwards becomes paler, and the discharge changes at length into pus. Ulcers, or tubercles in the lungs, are the cause Treatment. Small repeated bleedings; blisters kept open, and setons ; gum ammon, myrrh, or bals. Peruv. with nitre, and elix. pareg. or pil. e styrac. at night; decoct. cort. may be given twice a day with good effect. While tubercles are form- ing, with fever and inflammation, avoid heating medicines, and give cooling febrifuges; if little or no fever, chalybeates are very efficacious ; in spitting of blood, bleed and give tinct. rosar. tinct. styptic, or the like, and keep the body gently open. For sweats, give elix. vitr. acid, or if that disagree, the pearl julep ; very gentle vomits of ipecacuanha may be given twice a week, if nothing forbid, to promote expectoration ; change of air and gentle exercise are good ; the diet should be light, mild, and nutritive; as jellies, broths, milk, butter milk, &c. Dr. Simmon's excellent treatise on this subject may be consulted. CONTRA- 23 POCKET-BOOK. CONTRAYERVA. Alexipharmic, from v. gr. to a scruple. CONTUSIONS. Treatment. Bathe the part with vinegar, lin. sapon. lin. vol. spt. mindereri, or arquebusade ; and if necessary, apply a poul- tice of oatmeal and vinegar. If there be inflammation, bleed, and purge, use emollient fomentations and cataplasms. If suppuration appear, apply proper topical remedies to forward it, and treat as in abscesses. CONVULSIONS. Symptoms. Involuntary contractions or spasms of the muscles, and consequent motions of the parts which they serve. Children are most subject to this complaint, and women of delicate con- stitutions Treatment. If a plethora be indicated, bleed; if otherwise avoid it; blisters, laxatives, and emollient clysters, if nothing forbid, the nervous and antispasmodic medicines, as assafœtida, castor, camphire, musk, volatile salts, with opium, if necessary. If the bowels are convulsed, opium may be added to the clysters also. The parts may be rubbed externally with bals. anod. and lin. vol. or other warm anodyne embrocation : free air should be allowed to the patient. In children, this complaint often proceeds from an acid in the primæ viæ ; magnesia is then proper. Worms may also occasion it, anthelmintics are in this case to be given ; blisters, and anodynes, given with caution, are good. CORAL pp. Absorbent, from one scruple to one drachm. CORALLINE. Anthelmintic, from half a scruple to half a drachm. CORNS. Cover them with mucilage, or other plaister, after bathing them in warm water, and paring them as much as convenient away Large easy shoes should be worn, and a little cotton may be laid over them, to prevent their being rubbed or pressed. CORROBORANTS. See Bark, and its preparations ; see also Tonics. COUGH, Hooping. Symptoms. It affects children, who, by reason that the phlegm is difficult of expectoration, strain violently to bring it up ; with a whooping noise, till they are almost suffocated and convulsed Treatment. If inflammatory symptoms, or fever appear bleed; give oxymel vomits, or rather small doses of ipecac or tart, emet. to 24 ELLIOT's MEDICAL to bring up the phlegm. Keep the body rather lax; and pres- cribe tinct. fulig. or other antispasmodic ; gentle sedatives of syr. e mecon. are efficacious; blisters, gentle sudorifics, and a spare, thin, but nourishing diet. Bark may be given, with castor, to support the patient's strength. But change of air, frequently repeated, sometimes does wonders in these cases. CRABS CLAWS, } CRABS EYES, } } Absorbent, from one scruple to one drachm. CREAM of TARTAR Aperient, cooling, from half a drachm to half an ounce, or more ; or made into whey, or infusion. CUTANEOUS DISEASES, See the articles Itch, Scurvy, and Tetters. CUTS. Apply bals. traumatic, afterwards dress with some mild digestive, and then cicatrize. If an artery be wounded, it must be taken up, or the spunge tent applied. See Wounds. DANCE, St.Vitus's. Symptoms. Convulsions of the legs, arms and head; inartictu- late speech, and lolling out of the tongue ; drawing one leg after another, like an idiot; with variety of odd and ridiculous gestures. Chiefly affects the youthful. Treatment. Emetics, cathartics, pulv. rad. valer. in large quantities; bark, chalybeates, sea bathing, electricity, mille- pedes, and æthiops mineral, have been of use, blisters and bleeding, if judged necessary. If worms are the cause, give anthelmintics. DEAFNESS. Treatment. If it proceed from hardened wax, syringe the ears, and drop in ol. amygd. If the wax be deficient, ol. amygd. with a litt'e ol, rorismar, or the like. If cold be the cause, warmth, the remedies used against colds, and syringing with some warm soft liquid. If it be nervous, give the nervous medicines, bark, &c. and apply blisters. Electricity has been found useful. If inflammation, bleed, purge, blister, foment, poultice, and prescribe the pediluvia. If there be ulcers, use injections, with tinct. myrrh, honey, &c. If insects are in the ear, fill the meatus with warm oil or water, or throw in the fumes of tobacco. DECOCTION, Pectoral. ad libitum. DECOCTION, White. Absorbent and astringent, ad libitum. DELI- 25 POCKET-BOOK. DELVERY. See Child-Birth. DENTITION. See Teething. DEOBSTRUENTS. Pio. ecphractic from half a scruple to a scruple. Sal martis from ij. to vi. gr., Calomel from ij. to v. gr. See also Menses, Sa- vine, Castor, Hellebore. Elix. Myrrh, Sec. DIABETES. See Urine. DIAPHORETICS. See Sudorifics. DIARRHŒA Symptoms. A purging, without much sickness or pain; suc- ceeded by loss of appetite ; and sometimes nausea, fever, with weak pulse, dry skin, and thirst. Treatment. If it proceed from any thing offensive in the bowels, give rhubarb first, either in powder or in tincture ; and afterwards astringents and absorbents, as jul. e cret. elect. e scord. extr. lig. campech. pulv. e bolo, &c. with or without opium as you see necessary. Starch glysters, with opium. elect. e scord. &c and bleeding, if necessary, may be prescribed If weakness of the bowels and indigestion occasion the complaint the bitters, bark, or chalybeates. If obstructed perspiration, gentle sudorifics should be interposed. Sometimes a purging is an effort of nature, to relieve the constitution from offending mat- ters, or it is critical. You must be careful to distinguish in these causes, as checking the purging may be followed by a fever, or other bad consequences. In diarrhœas, vegetable and acessent diet should be refrained from; decoct. alb. is best for common drink, and rice victuals for food. When purgings proceed from a putrescent cause, ripe fruits and antiseptics are proper. DIURETICS. Sal diuretic from one scruple to two. Camphire from iij. gr. to half a scruple. Ol. junip. From ij. gr. to five. Rad. scil. from iij. gr. to ten. Spt. terebinth, from ten drops to twenty. Spt. nitre dulcified from half a drachm to a drachm. Mucilag. gum arab. ad libit, tinct. canthar. from ten to thirty gr. DROPSY. Symptoms. A collection of water or serum in some part of the body. Before the disorder is perfectly formed it is called Cachexy ; when the lymph is accumulated in the cellular membrane it is called Anasarca, or Lencophlegmatia ; when there is a collection of water in the abdomen, it is termed Ascites; if in the brain, Hydrocephalus; if in the breast, Hydrops pectoris ; if in the womb, Hydrops Uteri; and if in the scrotum, Hydrocele. In common dropsies the legs usually swell, and a dent or pit remains for some time after pressing the flesh with the finger; the D appetite 26 ELLIOT's MEDICAL. appetite abates ; the face either bloats or becomes thin and pale ; little urine is made ; thirst, slow fever, shortness of breath, las- situde and heaviness ; these symptoms obtain especially in the anasarca and ascites. In the hydrocephalus, convulsions, squint- ing, shunning the light, opening of the futures, and vomiting of bile, commonly attend, especially if the disease be far advanced. Treatment In the Anasarca and Ascites, purges with Jalap, scammony, calomel, gamboge, elaterium, or the like, twice or thrice a week. Tinct, copri, tina. cantharid. sal diuretic, or sal absinth. with bitter infusion. Emetics and sudorifics, blisters and scarifications, prescribed with due caution, have often good effect, otherwise, they may do harm. Bark may be given if the strength flag, or consumptive symptoms appear. Weak liquids of all kinds used to be avoided, but are now allowed freely with success, especially after the drastic purges. In this complaint bread is generally ordered to be toasted, and flesh to be baked, roasted, or broiled. Smoking is of great use, and mustard seeds taken whole have often good effect. If the disorder ariseth from the too copious use of weak liquids, or obstructed perspiration, sudorifics are much to be depended upon. If from drunkenness, riding on horseback and the use of wine, or rather geneva diluted with water, in moderate quantity, will be useful. If from a consumptive tendency, diuretics, joined with corroborants. If after great loss of blood, or from tedious fevers, cathartics should not be used too freely, but chalybeate bitters should be chiefly relied on. In the Ascites, tapping must be performed, if the methods above recommended fail. In Dropsy of the breast, diuretics are chiefly to be employed, cathar- tics only occasionally. Blisters applied below the breast, and even on the thighs or legs and kept open, are also very effectual. In the Hydrocephalus internus, a salivauon excited by mercury has of late been recommended ; purges may be given, and medicines of the carminative and antispasmodic kind. Blisters, setons, and issues should also be prescribed. In the Dropsy of the womb, emetics, stimulating clysters, and occasionally cathartics ; diuretic, attenuant, and resolvent medicines should be given ; and fomentations and vapour bath advised. In the Hydrocele, let out the water with the trochar at the bottom part of the scrotum ; but when water is contained in the cellular membrane, treat it as an Anasarca. DRY GRIPES, or, Dry-belly-ach. See COLIC Nervous. DYSENTERY, or Bloody flux. Symptoms. A discharge of mucus, blood, and purulent matter by stool; violent gripings ; pain in the loins, and anus ; tenes- mus, and fever. Treatment. A rhubarb, or other gentle purge, and after pro- per 27 POCKET-BOOK. per evacuation, julep e cret. with spermaceti and an opiate. Bleed, if you find it necessary ; and give starch clysters with opium and astringents ; bolusses of bees-wax and spermaceti, or bals. locat. with electuary of scordium are efficacious. Small doses (a grain or two) of ipecac, have often succeeded ; as hath also vitrum antim. cerat. in doses of five grains, with some opi- ate, occasionally repeated, Sudorifics are sometimes of use, by promoting a determination to the surface of the body. Emollient fomentations, and balsamic clysters with opium, will best re- move the tenesmus. The diet as in the diarrhœa. Milk with mutton suet boiled in it, and the fat afterwards taken off, is esteemed excellent. DYSURIA. See Urine. EAR-ACH. See Deafness. EARTH, Japan. Astringent, from half a scruple to half a drachm. ELATERIUM. Cathartic in dropsies, from j. to iij. gr. ELECTUARY of Bayberries. Half an ounce in Clysters. ELECTUARY Lenitive, or of Cassia. Laxative, from ij drachms to half an ounce. ELECTUARY of Scammony. Cathartic, antirheumatic from j. to ij. drachms. ELECTUARY of Scordium. Astringent, from half a drachm to one and a half, also sudorific. ELIXIR. of Aloes. Deobstruent, opening, vermifuge from xv. drops to a drachm. ELIXIR of Myrrh compound. Emmenagogue, from v. drops, to half a drachm. ELIXIR Paregoric. Asthmatic, anodyne from xx. drops to a drachm and a half. ELIXIR of Vitriol, acid. Corroborant, from vj. to xx. drops. EMMENAGOGUES. See Deobstruents. EMETICS. Pulv. ipecac, from half a scruple to half a drachm. Vin.ipac. from one ounce to two. Tart. emct. from j.to iij. gr. Vii. antim. 28 ELLIOT'S MEDICAL antim. from ij. drachms to half an ounce. Vitriol, alb. from half a scruple to a scruple. EMPYEMA. Symptoms An enlargement of the cavity of the Thorax, and œdematons foulness of the skin, and flesh of one side thereof; dry cough, and difficult breathing : It ariseth from matter formed, and lying loose in the thorax. Treatment, may be much like that prescribed in the Vomica. Medicines which promote absorption, and blisters may also be useful. But letting out the matter, where it can be conveniently done, is the best cure. EMULSION, Common. Diuretic, ad libitum. EPILEPSY. Symptoms. Languid pulse, pale countenance, and afterwards great pain in the head, with stupor and drowsiness, sometimes precede the fit; though often it comes on without these previous symptoms. The patient falls down suddenly, gnashes the teeth, froths at the mouth, uses many disagreeable gesticulations and distortions, and sometimes discharges involuntarily by stool and urine. Treatment. If the vessels are full, bleed ; emetics and laxa- tives are proper; warm, nervous, and attenuating remedies, as castor, valerian, assafœtida, cinnabar, viscus quercin. ol. animal, sal c. c. &c should be directed. Blisters kept open, and setons are very serviceable ; flowers of zinc have succeeded well, a gr. or two at a dose once or twice a day. To restore the strength and prevent returns, the bark, or other corroborant, and the cold bath, with proper diet, air, and exercise. ERYSIPELAS. Symptoms. The usual precursory symptoms of a fever; the face, or other parts affected, inflamed; with scurf, pimples, and blis- ters ; beat, redness, itching and smarting; drowsiness and diffi- culty of breathing commonly attend. Treatment. Bleed, and give proper lenitives, and cooling di- aphoretic febrifuges. Blisters, and cordial sudorifics, as cam- phire, contrayerva. &c. if low pulse and malignancy require. The parts may be bathed with softening fomentations, milk, &c, ESCHAROTICS. Mere, corrosiv. ruber, vitriol, cærul. the caustics, alumin. udt. verdigrease, &c. ETHIOPS. See.Æthiops. EXTRACT 29 POCKET-BOOK. EXTRACT of Bark. Corroborant, &c, from v. gr. to j. scruple, EXTRACT Cathartic. From xv. gr. to ij. scruples. EXTRACT of Chamomile, or of Gentian. Stomachic, from v. gr, to half a scruple. EXTRACT of Guiacum. From half a scruple to half a drachm. Alterative, antirheumatic, antivenereal. EXTRACT of black Hellebore. Deobstruent, opening, from v gr. to half a scruple. EXTRACT of Hemlock. Deobstruent, alterative, &c. from v. gr. to one scruple. EXTRACT of Jalap. Cathartic, from half a scruple to one scruple. EXTRACT of Logwood. Astringent, from v. to xv. gr. EXTRACT of Saturn. Externally, cooling, astringent, &c. diluted. EXTRACT of Savine. Emmenagogue, from v. gr. to half a scruple. EXTRACT Thebaic. Anodyne, from half a gr. to two grains. EYES inflamed, or Ophthalmia. Inflammation of the outward coats of the eye, attended with prick- ing pain, heat , pulsation, redness, swelling, and scalding tears. TREATMENT. Bleed, purge, apply leeches to the temples, and blister the back or behind the ears ; cooling febrifuges may al- so be given ; direct collyriums, with vitr. alb. sacch. saturn. or alum ; or if astringents disagree, warm milk, decoction of malllow leaves in milk or water, or other emollient fomentaion; or poultice of milk and bread, and bathe the feet in warm water If it ariseth from mere weakness of the vessels, astringent collri- ums, or alum curd; and bark, or other tonics, may be given internally 30 ELLIOT'S MEDICAL internally. If Nervous, join valerian, castor, or the like, with the bark. If Scorbutic, or other humours attend, perpetual blisters or setons, with mercurial, or other proper alteratives. If Tubercles in the eye are the cause, anoint them with ung. cærul. and give small doses of calomel till they disperse. For watery Eyes, gentle cathartics and alteratives, and wash them with brandy and water. For specks in the eye, blow lap. cal. sugar, os sæpiæ, tutty, white vitriol with sugar, or the like, through a small tube into the eye ; or drop in solutions of white vitriol, sacch. sa- turn. &c. FALLING SICKNESS. See Epilepsy. FEBRIFUGES. Nitre from v. gr. to a scruple. Saline draughts. Vin. antimon, from v. gr. to xx. Tart. emet. from one fourth to half a gr. Bark in the intermissions, from half a drachm to a drachm, every three hours, decoction, or extract in proportion. See Sudorifics, &c. FENNEL. Carminative/diuretic from iij. gr. to xv. or in infusion. FEVER Apthose, or the Thrush Fever in adults. Symptoms. Fever, with ulcerations or apthæ ; distinguishable from the putrid fore throat by the whiteness of the sloughs, by the edges not being red, and by there being no shining redness over the fauces. Treatment. Febrifuges, bark, and antiseptics ; blisters if ne- cessary. Proper laxatives, and detergent gargles. Vitrum an- timon. cerat. has been found useful. Borax, alum, or spt. vitriol, when mixed in small quantity with honey, are good to touch the apthæ with. See also Thrush. FEVER Erysipelatous. See Erysipelas. FEVER Inflammatory. Symptoms. Shivering, followed by heat, and quick pulse; nausea, anxiety, restlessness, white and dry tongue, thirst, and sometimes pain in the head and back. Treatment. If there be fulness of vessels, bleed; give proper laxatives, and if the stomach be foul, an emetic ; saline febri- fuges, with small doses of vin. antim. or tart, emetic, and if di- aphoresis be wanted, add contrayerva. If delirious, blister, and give julep e camph. If colliquative sweats, the decoct. cort. with or without elix. vitriol. If spasm and catching of the tendons, with low pulse, blister the arms and legs, and apply stimulating plaisters to the feet, first bathing them with warm water. If hic- cups, jul. e mosch. While 31 POCKET-BOOK. While the pulse is high, and inflammatory symptoms continue, the antiphlogistic treatment, cooling febrifuges, acids, and gentle aperients are proper. But care must be taken not to bring the patient too low, else he will want strength to carry him through the disease. Gentle opiates may be ordered at night occasionally in case of restlessness. If the pulse sink, he should be supported with proper cordials. Costiveness should be avoided, and even a purging should be checked with caution, being generally either critical, or at least salutary. The present and past symptoms compared, will best direct the treatment in fevers. Diluting acidulated liquids are proper; the food may be panada, gruels, puddings, and chicken broth, with bread, but no flesh. Food or liquids particularly longed for should be given. Care should be taken to avoid too great heat and impure air. FEVER Intermittent, See Ague. FEVER Miliary. Symptoms. Shivering, heat, lowness of spirits, oppression about the præcordia, sighing. On the third or fourth day the erup- tion (preceded by a profuse sweat of a sourish smell, with ting- ling or pricking sensation) appears, chiefly on the neck, breast, and back ; of little bladders resembling millet seeds, (from whence the fever is denominated) which are either white or red, according to the colour of the liquid they contain, and sometimes both sorts. The eruption being out, the symptoms usually abate; the urine, which before was pale, becomes higher coloured The eruptions commonly dry up in about seven days, and the skin peels off. Treatment. Bleed, if nothing forbid ; and give saline febri- fuges, accompanied with laxatives and diaphoretics, as the symp- toms may require. If delirum appear, blister; if low nervous symptoms, give proper cordials; if putrid ones and petechiæ, the bark ; if aphthæ, gargles with tinct. myrrh, tinct. rosar. mel. or the like. Acidulated liquids, fruit, &c. should be given in this disease, the air kept pure, and the room not too hot. FEVER Milk. It ariseth about the third or fourth day after delivery, with swel- ling of the breasts, and pain shooting towards the axillæ ; the breasts are sometimes hard, hot, and inflamed ; generally con- tinues a day or too, then terminates in copious sweats and dis- charge of urine. Treatment. Bleed, if the inflammation be great; keep the body open, and let the breasts be frequently drawn. In case of hard- ness or inflammation, emollient fomentations and poultices. FEVERS mixed, Are those wherein the symptoms of inflammatory, nervous, putrid, and ether fevers, are more or less blended together; and must therefore be treated according to their appearances. FEVER 32 ELLIOT'S MEDICAL FEVER puerperal. Symptoms. Begins in two or three days after delivery, with the usual febrile symptoms ; and ariseth from an inflammation of the omentum and intestines; pain in the fore part of the head, flushing in the face, short breath, suppression of the lochia. Treatment. In case of costiveness, emollient clysters; and if necessary, gentle cathartics ; then mild diaphoretics, as saline draughts with vin. antim. and proper diluents. FEVER putrid or malignant. Symptoms. A giddiness precedes the attack ; then burning heat, sudden loss of strength, heaviness, lowness of spirits, watching, pulse weak, low, and unequal ; anxiety, oppression at the præ- cordia, nausea, vomiting, noise in the ears, delirium, coma, catching of the tendons, a black dry tongue, and thin crude urine. Petechiæ often appear on the fourth, fifth, and seventh days. Treatment. Avoid bleeding, unless the pulse indicate its necessity ; give small doses of tart. emet. or pulv. jacobin, with julep, e camph. and if necessary, rhubarb, or other gentle laxa- tive should be occasionally interposed. Antiseptics, the bark, and cordials are proper; as are also blisters. Opiates should be cautiously administered, and purgings, unless critical, should be checked. Sinapisms to the feet are proper in case of stupor; antispasmodics and jul. e mosch. in case of convulsive symptoms. or hiccups. The liquids drank should be acidulated ; fruit may be allowed, as may also wine ; the air in the room should be kept as pure as possible, and not too warm ; vinegar should be sprinkled on the floor. Picking the bedclothes in this disease is a bad symptom. FEVER remittent, (Simple) Symptoms. The remittent fever differs from the continual and intermittent, in that after a certain number of hours it remits, or abates, but does not go off. It is also called the autumnal remit- ting Fever, the bilious Fever, the marsh Fever, and the camp Fever. Usually comes on suddenly, with debility, lowness of spirits, chilliness, and other febrile symptoms; the hands tremble; countenance pale or yellowish; skin dry, breathing difficult, and pulse small and quick ; great nausea succeeds. Vomiting of bile, and sometimes discharge of it by stool ; tongue becomes foul, delirium follows, moisture on the face, and at length on the other parts, when the remission follows. As the disorder increases the remissions are less, and at length become scarcely perceptible; the mouth, teeth, and lips, covered with a black crust ; tongue very dry and stiff, so that the patient's voice can hardly be heard. Treatment. Bleed not but with great precaution ; an emetic is sometimes proper; the body should be opened if necessary ; then 33 POCKET-BOOK. then give saline febrifuges, to bring on regular intermissions; this done, prescribe the bark copiously, as directed for the ague. FEVER, Scarlet. (Simple.) Symptoms, the usual precursory symptoms of a fever, viz. Shivering, heat, &c. then an efflorescence of a scarlet colour appears all over the skin, but does not rise above the surface; with heat, dryness, and itching. In three or four days it disappears, and the cuticle comes off in branny scales. Treatment. Cooling saline febrifuges, with gentle laxatives and diaphoretics, if necessary. FEVER, scarlet, (Malignant.) Symptoms. Chilliness, languor, sickness, oppression, succeeded by heat, nausea, vomiting, sore throat, quick pulse, and difficult breathing; the tonsils inflamed and ulcerated. On the third day the efflorescence appears. Treatment. Saline febrifuges, joined occasionally with con- trayerva, or other gentle diaphoretic : blisters to the back and throat; bleed and purge with great caution. If costiveness, clysters are best ; and if inflammatory symptoms, cupping or leeches ; if a putrid tendency appears, the bark, with rad. serp. virg. or rattlesnake root; tinct. theb. or tinct. cinnam. may be added if it purges ; gargles of tinct. myrrh, tinct. rosar. mel, spt. salis, or the like, which should be injected with a syringe. FEVER, slow or nervous. Symptoms Shiverings, lassitude, weariness, sighing, pale despond- ing looks, great anxiety, depression of spirits, pain and giddiness of the head, white tongue (sometimes red) with a yellow or brownish list running along the middle of it, but no thirst : nausea, difficulty of breathing, pulse weak, quick, and unequal; urine limpid and pale ; pain and coldness in the back part of the head, drowsiness. These symptoms are all worse towards night ; if a delirium, not violent, but a muttering to themselves ; sometimes miliary eruptions and sweats appear, but seldom afford relief. Treatment. Gentle cordial diaphoretics ; previous to which, an emetic, if nothing forbids. Costiveness should be removed by gentle laxatives; bleeding should be refrained from, unless urgent symptoms indicate ; blisters ; if an intermission appears, the bark; if convulsions, musk with castor or other antispas- modics ; if apthæ, gargles, with tinct. myrrh, honey tinct. rosar. decoct. cort. alum, or the like; and in case of much phlegm, oxymel scillit or ipecac, to bring it op. Care should be 34 ELLIOT'S MEDICAL be taken after the fever, to restore the patient by proper nutritious diet, chalybeate waters, bark, &c. FEVER, Worm. See Worms FEVERFEW. (In posset drink) sudorific. FLOODING. See Menses and Blood. FLOWERS Balaustine. Astringent, from v. to xx. gr. FLOWERS of Benjamin. Pectoral, asthmatic, from ij. gr. to vj. FLOWERS of Rosemary and Lavender. Cephalic, in infusion from ij. ounces to iv. FLOWERS Rose. Astringent, from v. gr. to one scruple, or in infusion. FLOWERS of Steel. Deobstruent, corroborant, attenuating, from ji. gr. to viij. FLOWERS of Sulphur. Alterative, pectoral, opening, from j. scruple to ij. drachms. FLOWERS. of Zinc. Antiepileptic from half a gr. to ji. emetic ; outwardly, cooling and drying. FLUOR ALBUS. Symptoms. A flux of thin matter from the vagina, of a trans- parent or white colour, sometimes tinctured with yellow or green ; sometimes it is sharp and corroding, with a fœtid smell, especi- ally when of long continuance. Treatment. An emetic will generally be proper at first; then give olibanum, bals. copaiv. pulv. e succin. bark or the like. In phlegmatic constitutions, chalybeates, alum, or white vitriol; the extract cicut. is often of great use;strengthening plaisters may be applied to the back and loins, astringent injection used, and a 35 POCKET-BOOK. a light, but strengthening and nutritive diet, with little exercise. FLUX. Bloody. See Dysentery. FRACTURES. Treatment. Replace the ends or pieces of the bone so as to be in their natural situation ; and keep them in that posture by proper compresses, splints, bandages, Ice, but not too tight; and vinegar may be poured on them. If there be great inflam- ation or tumour, bleed, and use other proper methods to re- move them before you attempt reduction. If there be loose fragments or splinters which hinder the extension and reduction, or cause irritation, remove them by proper incisions, or otherwise. The limb, or part, must, be kept still ; proper diet must be ordered ; the callus will be formed in a month or two, according to the bone injured, &c. If the fracture be of a desperate kind, or mortification comes on which cannot be got under, amputation is necessary ; the joint should be cautiously moved at times to prevent stiffness; the medical treatment should be regulated according to the symp- toms that arise. FUROR UTERINUS, Symptoms. Melancholy, taciturnity, redness of the face, las- civious looks, irregular hysteric symptoms, as crying, laughing, &c. and at length, an immoderate desire of coition, accompanied with libidinous speeches and gestures. It is peculiar to the fe- male sex, and proceeds from an abundance and acrimony of the fluids secreted in the pudenda. Treatment. Bleeding, and cooling purges; nitre; or refri- gerant, diuretic, and diluting liquids; anodynes and thin diet. GALANGALES. Aromatic, stomachic from four gr. to half a scruple. GALBANUM. Nervous, antispasmodic, from v. gr. to a scruple or externally in plaisters GALLS. Astringent from ij gr. to vj. or more ; or outwardly in liniments for the piles, &c. GAMBOGE. Cathartic, from v. gr. to a scruple. GANGRENE. 36 ELLIOT's MEDICAL GANGRENE. Symptoms. In some cases, when a part is violently inflamed, the inflammation and pain suddenly disappear ; the integuments turn pale, blue, livid, or blackish ; the skin becomes flaccid and pitting, with bladders filled with yellow or reddish ichor ; and this is termed Gangrene. Treatment. Scarify and foment the parts with fotus comm. and spt. vin. camph. apply poultices of oatmeal and beer, and give cordial medicines, with plenty of bark. GARLICK. Expectorant, diuretic, emmenagogue, a chive or two at a dose, or in infusion. GENTIAN. Stomachic, see Infusion (bitter.) GINGER. Cordial, aromatic, carminative, from j. to v. gh or in infusion. GLEET. See Venereal Disease ; but if it does not proceed from that cause, the same treatment will be proper, viz. Corroborants, as bark, olibanum, alum, elix. vitriol, bals. capiv. &c. and if necessary, astringent injections and the cold bath. GONORRHŒA. Simple. See Gleet. GONORRHŒA Virulent. See Venereal Disease. GOUT. Symptoms. An acute pain in the joints, particularly of the feet. It is called regular when seated in the extremities, returns at stated periods, and gradually declines. Irregular, when the fits are uncertain and frequent, when the symptoms vary, and when the disease attacks the stomach, head, or other inter- nal parts ; chiefly affects the membranes, tendons, and liga- ments; the pain like that of a dislocated bone, with a sensation as if warm water was poured on the part, succeeded by chilliness and slight fever : a breathing sweat comes on at the end or the fit, and the part swells; the fit returns at intervals till the gouty matter is spent: the longer the intervals the more severe the fit; but the symptoms are too well known, to need further enumeration in a work of this nature. Treatment. Cordials are best during the fit; the body should not be coative; opiates may be occasionally given ; the part should be wrapt in flannel, and relaxing or other topical appli- cations 37 POCKET-BOOK. cations, as the case may require ; a temperate diet, exercise, friction, and the Bath waters; some have ventured to blister the part with success. GRAVEL. See Stone, GUAIACUM Gum. See Gum. GUAIACUM Wood. Alterative, antirheumatic, antivenereal, in decoction, as Sarsa- parilla. GUM Ammoniac. Pectoral, antispasmodic, from iv. gr. to a scruple See Lac. GUM Arabic. Diuretic, emollient, in decoction ad libitum, GUM Guaiacum. Antirheumatic, alterative, antivenereal, from one gr. to a scruple. GUM Elemi. Externally in digestives. GUM Tragacanth. As Gum arabic. GUTTA SERRENA. Symptoms. A blindness, though the eyes seem perfectly unaffect- ed, the cause being in the retina, or optic nerve. Treatment. Blisters to the head, back, or behind the ears; bleeding, if nothing forbids ; valerian, castor, assafœtida, cinnabar, bark, volatile salts, millepedes, rosemary, or other nervous and atteuuant remedies. Calomel, or chalybeates, if obstruction be the cause ; emetics and cathartics discretionally : sternutatories should also be used. HÆMORRHAGE external. Apply bals. traumat. cobweb, dry lint, flour, agaric, alumn, or the vitriolic styptics ; if an artery is injured, take it up, or apply the spunge tent. HÆMORRHAGE internal. See Blood. HÆMORRHOIDS. See Piles. HARTS- 38 ELLIOT's MEDICAL HARTSHORN, Burnt. Astringent, absorbent, from j. scruple to j. drachm. See Decoction, white. HARTSHORN Shavings. In jelly, corroborant, nutritive. HEAD-ACH. Treatment. If occasioned by plethora, use the pediluviom ; bleed or cup, and purge : and if by viscid blood, give attenu- ants also; if by a foul stomach, an emetic; if by costiveness, purges ; if it be nervous, castor, valerian, bark, spt. lav. c. spt. vol. arom. assafœtida ; blister the back; and bathe the temples; fore-head, &c. with æther or spt. sal ammon. with a little roch alum in it; if weak stomach, give bitters or other stomachics, Head-achs may arise from various other causes, which, when known, will indicate proper remedies. HEART-BURN. The common heart-burn, proceeding from acidity irritating the upper orifice of the stomach, magnesia chalk, tabellæ, cardial. spt. vol. arom. or weak solutions of sal absinth. remove it for the time; but to cure it, the stomachic corroborants must be given. Heart-burn may be occasioned by corroding humours of other kinds, and will not therefore be eased by alkalis; emetics, with plenty of chamomile tea or other liquid, to cleanse the stomach, are here proper; cathartics may also be useful, and these may be followed by stomachics; but water with gum arabic dissolved in it will give occasional relief. Worms will also sometimes occasion this complaint; vermifuges are then proper. HELLEBORE, Black. Deobstruent, attenuant, alterative, from v. gr. to half a scruple or more. See its Tincture and Extract. HELLEBORE, White. Emetic from v. grains to half a scruple, sternutatory. HEMICRANIA. See Head-ach. HEMIPLEGIA. See Palsy. HEMLOCK. See its extract. In fomentations discutient and resolvent. HEPATITIS. See Liver. HERNIA, 39 POCKET-BOOK. HERNIA, or Rupture. Treatment. Return the intestines, if practicable, and confine it with a proper truss; costiveness must be avoided, as must like- wise violent exercise, drunkenness, &c. HERNIA Humoralis. See Testicles HICCOUGH, or Hiccup. The common hiccup are usually removed by drinking a draught of any weak liquid, by holding the breath, and sometimes by swallowing dry bread, For the hiccup or singultus, which come on in the last stages of fever, &c. give julep, e mosch. or musk in substance, in large doses; volatile salt, castor, or the like; to which opium may be discretionally added. When it is a primary disease, sternu- tatories and emetics; and emp. stom. applied to the scrob. cordis have been useful, HIERA PICRA. Cathartic, deobstruent, from half a scruple to a scruple or more. See Tinct. Sacra. HONEY. Pectoral, detergent. HONEY, Egyptain. Detergent, destroys fungous flesh. HONEY, of Hellebore. Emetic, cathartic from j. drachm to half an ounce. HONEY of Roses. Detergent, astringent. HOOPING COUGH. See Cough. HORSERADISH. Diuretic, deobstruent, ad libitum, or infused in water, wine, or spirit. from j. ounce and a half to three ounces. HYDROCELE, } HYDROCEPHALUS, } } See Dropsy. HYDROPHOBIA. It is of more consequence here to describe the symptoms in the dog than those of the patient. We may know the dog to be mad by his 40 ELLIOT'S MEDICAL his dull heavy look, endeavouring to hide himself; seldom or ever barking; angry and snarls at strangers, but fawns on his owner; refuses all food, droops, hangs down his ears and tail, and often lays down as if going to sleep ; this is the first stage. He now begins to breathe quick and heavy, shoots out his tongue, slavers, and froths at the mouth; looks half asleep ; flies sud- denly at bystanders; runs forward in a curve line ; at length he knows not his owner, his eyes become thick and dim, and water runs from them; tongue of a lead colour; grows weak and faint; often falls down, then rises; and attempts to fly at some- thing ; grows mad and furious; the nearer to this state, the more dangerous the bite. If the state of the dog cannot be obtained, he may be known to have been mad, or the disorder may be known to be this by the following effects, which will come on sooner or later: The bitten part begins to be painful, wandering pains comes on gradually, with heaviness and uneasiness ; disturbed sleep, frightful dreams, startings spasms, sighing, anxiety, love of solitude , pains shoot from the bitten part up to the throat, with straightness, sensation of choaking, and horror or dread at sight of water or other liquids, which is a sufficient characteristic of the disease. Treatment. Cut out the bitten part immediately, which is the only certain cure: cupping-glasses should then be applied; cauterize and wash it daily with salt water, or ung. cærul fort, keeping it open with escarotics ; bleed, if the vessels be full ; vomit with mere. emet. flav. give mosch. to xvi. gr. cinnabar half a scruple (to which camphire and pil. sapon. to vii.gr. may be added) at night, and a purge the next morning ; bathe in the sea, or cold bath, and give a sudorific; repeat these for a week daily, and three or four times at the next full and change of the moon. Ung. cærul. mit. applied externally, and turbith mineral given inwardly, so as to raise a salivation for several weeks, are said to be efficacious, The usual remedy known is now the Ormskirk medicine, but this has failed in a variety of cases. HYPOCHONDRIASIS. Symptoms are generally low spiritedness, (the disorder being chiefly in the imagination) heaviness, oppression, and despon- dency : yet at times uncommon chearfulness and flow of spirits ; timidity, anxiety, fear, dread of dying, short cough, difficult breath, flatulency, pale urine, pains in the head, odd fancies, spasms. Treatment. Bark, and other tonics; nervous antispasmodics as castor. valerian, assafœtida, &c. attenuants. as volatile salts and spirits; bitters and chalybeats if no fever; emetics, aperients, opiates, 41 POCKET-BOOK. opiates, issues, and blisters discretionally : the cold bath and chalybeate waters, food light and easy of digestion, chearful company, and gentle exercise. HYSTERIA. In women, are similar to the hypochondriacs in men, but usually more violent, and attended with convulsive fits; which usually come on with oppression at the breast, difficult breathing, a sense of something rising in the throat, which seems to threaten suffoca- tion : convulsive motions; frothing at the mouth; laughing, and sometimes crying. May be known from a mere syncope by the pulse and breathing continuing, whereas in a syncope they are not perceptible; it also comes on gradually, but a syncope more suddenly ; in that, the fit is of short continuance, in this, usually much longer : with a colour in the face, which is not the case in a syncope. . Treatment of the disorder itself, as in the hypochondriasis. In the fit volatile fœtids, singed feathers, &c. may be applied to the nostrils ; and cold water and volatile fœtids given. The feet and legs may be placed in warm water; the pure cold air should be freely admitted; cold water may be sprinkled on the face and breast; and if a plethora be indicated, bleed; other- wise cautiously avoid it. In this disease, particular attention should be given to the state of the menses, &c. This disease appears often under a variety of forms; for a more particular account than can here be given, Sydenham, and other authors may be consulted. HYSTERITIS, or Inflammation of the Womb. See Womb. JALAP. Cathartic from xv. gr. to half a drachm. JAUNDICE. Symptoms. Yellowness of the whole skin, but chiefly the whites of the eyes; the urine also yellow ; lassitude, inactivity, anxiety, sickness, oppression and difficult breathing, pain at the stomach, costiveness, hard, white, or grey stools, and bitter taste in the Treatment. If the vessels be very full, bleed; then vomit puree and give medicines with soap ; to which may occasionally be added, rhubarb, aloes, chalybeates or squills. Saline draughts if fever; opiates in case of pain; gentle emetics may be occa- sionally repeated, and the body should be kept open. Chaly- beate waters, or water or cyder with a red hot iron quenched n it, may be used a, common drink ; gentle exercise, air, and chearful company. F ILIAC 42 ELLIOT'S MEDICAL ILIAC PASSION. Symptoms. Acute pains in the bowels, oppression at the stomach, tension of the belly, vomiting of bile, and sometimes of fæces, great thirst and heat. Treatment as in the Inflammatory Colic, of which this is only a more violent kind. INCRASSANTS, Bark, and other Tonics, which see. INFLAMMATION Superficial. See Phlegmon. INFLAMMATION of the Bowels. See Colic and Iliac Passion. INFLAMMATION of other parts. See the respective Parts. INFUSION Bitter. Stomachic, corroborant, from an ounce and a half to iij. ounces, twice a day. INFUSION Bitter, Purging. Stomachic, corroborant, and opening; dose from an ounce and a half to iij. ounces, twice a day. INFUSION of Sena. Purging from ij. to iv. ounces. INFUSION of Sena, with Lemons. Ditto. IPECACUANHA. Emetic from half a scruple to half a drachm; Sudorific from half a gr. to iij. grains with opium. Also in dysenteries. IRON. See Chalybs and its Preparations. ISINGLASS. Corroborant, nutritive, in jellies. ISSUES, to cut. Pinch up the skin and fat with the thumb and forefinger, and divide them with a lancet so as to admit a pea; or you may apply a small blister or caustic on the part. The peas which it is afterwards dressed with may be smeared with basilicon or ung. ad vesic. if necessary; and dipped in blue vitriol water if fungus appear. The pea may be secured with adhesive plaister; if the issue inflame, dress with ung. alb. &c. or bleed or purge. ITCH. 43 POCKET-BOOK. ITCH. Symptoms. An eruption in the form of small pimples or pustules, chiefly about the joints, wrist, hams, the bend of the arms, the waist, and between the fingers; the pimples generally hard at first, afterwards watery, especially if rubbed or otherwise in- flamed. An itching, which is greatest when warm, or in bed; it is also infectious. Treatment. Anoint with sulph. viv. and axnng. cærul. or white precipitate and pomatum ; hellebore, or sal ammoniac may occasionally be added ; or wash with a weak solution of mere, corros. sub. a decoction of white hellebore root, or strong aq. veg. min. with salt. A quicksilver girdle may be worn hue sulphur is the most fate and certain; sl. sulph. may be given in- wardly ; bleed and purge first, in cafe of inflammation or costive- ness. JUICES, Scorbutic. From ij. to vj. ounces, twice a day. JULEP of Camphire. Diaphoretic, febrifuge, antispasmodic, diuretic, from j. ounce to iij. ounces, every four, fix, eight, or twelve hours. JULEP of Chalk. Absorbent, and in diarrhœas, from one ounce and half to iij. ounces, often. JULEP of Musk. Antispasmodic, (in singultus) from one ounce to three ounces frequently. JUNIPER Berries, Carminative, diuretic, in decoction, or infusion, ad libitum. KERMES See confection and Syrup. KERMES Mineral. Alterative from half a gr. to iij. Grains, twice a day. KIBES. See Chilblains. KIDNEYS, inflammation of Symptoms. Burning pain in the kidney or kidneys: vomit- ing eructations, the thigh feels numb, pain in the groin, ilium and testicle of the same side; frequent, but small discharges of urine, which is red and high coloured, yet limpid and watery in the height of the disease. Treatment 44 ELLIOT's MEDICAL Treatment. Bleed; open the body with cathartics and clysters; give emollient diuretics, with plenty of emuls. comm. or the like, for common drink; warm bathing; opiates may be ad- mitted in case of violent pain. If the pain abate, leaving behind a sense of weight, with frequent shiverings, followed by heat, and whitish turbid urine, it denotes suppuration, bals. capiv. with nitre, and rhubarb, or other bal- samic diuretics. The pain suddenly remitting, with cold sweats, intermitting pulse, hiccup, fœtid urine, and suppression of that discharge, are signs of mortification. KING 's EVIL. See Scrophula. LABDANUM. Used in warm plaisters. LABOUR See Child-Birth. LAC AMMONIACUM. Asthmatic, antispasmodic from j. ounce to iij. LAC, Tincture of. Dentifrice. LAVENDER Infusion of. Cephalic, nervous. LEAD. Externally desiccative, repellent. LEMON juice. Cooling, antiseptic from j. dr. to half an ounce. LEMON peel. Stomachic, in infusion from j. ounce to iij. LETHARGY. This may be considered only as a lesser degree of Apoplexy, and should be treated accordingly. The chief symptoms are sleep, or great drowsiness. LEY or LIXIVIUM of Soap. Antacid, diuretic, lithontriptic, from x. drops to one drachm, twice a day. LEY or LIXIVIUM of Tartar Antacid, diaretic, from xv. drops to j. drachm. LIENTERY. In this disease the aliment is discharged with but little alteration, and the body wastes, The Treatment as in the Cæliac Passion. LIME. 45 POCKET-BOOK. LIME. See Water. LINIMENT Arcatus's. Digestive, incarnative. LINIMENT Mercurial. See Ointment Mercurial. LINIMENT Saponaceous. Discutient, strengthening. LINIMENT Volatile. Discutient, resolvent, repellent. LINIMENT White. Healing, softening. LINIMENT UM Tripharmacum. Drying, healing. LINSEED Infusion of. Pectoral, diuretic. LITHONTRIPTICS. Lix. sapon. from x. drops to one drachm, Soap from half a drachm, to ij. drachms. Sal. ammon. vol, from v. gr. to xv. Spt. sal marin. from x, drops to xx. or more. Lime water (oystershell) ad libit. LIVER inflamed. Symptoms. Great pain in the part, shooting up towards the throat and shoulder ; vomiting, dry cough, lassitude, fever, tension of the hypochondrium ; eyes, skin, and urine some- times yellow; costiveness, difficulty of breathing. Treatment. Bleed as largely as the pulse will bear ; blister the part, purge, give cooling febrifuges and diuretics ; direct cooling emollient clysters, fomentations, and poultices and pediluvia. If a tumour appear, forward and open it, if nothing forbid. In the East-Indies they cure this disease by salivation, bleeding and purging being premised. If a Scirrhus succeed, soap, rhubarb, mercurials, and chalybeates will be proper. LOCHIA. See Child-birth LOCKED JAW. Symptoms. A rigid contraction of the muscles which raise the lower jaw, whence the jaws continue violently closed, with great pain. Treatment. The best remedy is large and repeated doses of opium. Blisters, purges, clysters, and antispasmodics may also be prescribed. LOGWOOD, Infusion of. Astringent from two ounce to four. Sec Extract. LOTION. 46 ELLIOT's MEDICAL LOTION, Soap. For cutaneous deformities. LUES VENEREA. See Venereal Disease. LUMBAGO. A kind of rheumatism in the loins or small of the back, without any nephritic symptoms. Antirheumatic remedies prove most efficacious. See Rheumatism. Strengthening or stimulating plaisters, or even blisters to the part, are also useful. LUXATIONS. Treatment. Extend the limb or part, so that the head of the bone may be free from obstacles; then reduce the bone into its natural situation, and apply proper bandages, not too tight, to keep it so till the ligaments have recovered their tone. It there be inflammation, bleed, give laxatives and cooling remedies, foment and poultice. Rest and proper diet should be advised. MADNESS. The symptoms are too well known to need enumeration. Emetics, cathartics, blisters, occasional bleeding, antispasmodics, opiates, and low diet. These may be varied according to the nature of the complaint (that is, whether it be Melancholy or the contrary) and to the symptoms that arise in either. MAGNESIA. Antacid, cardialgic, opening, from one scruple to two drachms. MEASLES. Symptoms. Chilliness, shivering, pain in the head, fever, sickness, and sometimes vomiting ; cough, heaviness, swelling and inflammation of the eyes, and discharge of watery humour from them, and also from the nostrils. The third or fourth day, an eruption like flea-bites appears in the face, neck, and breast, and soon after in the body and limbs ; they rise above the skin, but do not suppurate. The fever and other symptoms do not, as in the small-Pox, &c. abate on the appearance of the eruption, which continues about three days, then dries away, the skin peeling off; but the other symptoms remain and even increase, especially the cough, which is also attended generally with dif- ficulty of breathing, and oppression at the breast. Treatment. Cooling and aperient febrifuges; gentle dia- phoretics, if necessary; bleeding, if nothing forbid; pectorals for the cough; opiates occasionally at night; blister, if the cough be POCKET-BOOK. 47 be obstinate ; and bathe the feet in warm water. Gentle physic should be given as soon as the eruption disappears, It has been proposed to inoculate the Measles, but Dr. Simmons, in his dissertation de Rubeola, observes, that the different at- tempts in this way, hitherto have proved ineffectual ; Dr. Home's experiments, as related in his Medical Facts, not having been found to answer when repeated by others. MECONIUM retention of, in Infants ; (called also Colica Meconialis.) Treatment. Give magnesia or syr. ros. with ol. ricini, or ol. amygd. ol. anifi, or other oil in case of wind, and if necessary, emollient clysters. If purging, give creta, or other absorbents, &c. If vomiting, syr. e mecon. given with caution in small doses. MENSES, immoderate flux of. Treatment. Tinct. rosar. tinct. styptic, alum, bark, pttiv. e succin. with opiates. In desperate cases, small doses of vitriol. cærul. or tinct. saturn. but with great caution, Bleeding, aperi- ents, astringent fomentations to the part, as vinegar, alum, or the like; rest, and proper mild diet. MENSES obstructed. Treatment. In phlegmatic habits, purge with tinct. sacra. pil. rusi or other aloetics, and give chalybeates. In plethoric habits, bleed, avoid chalybeates, and give pulv. e myrrh, with castor, or the like, with tinct. melampodii, aloes, oil or extract of savine, pennyroyal and the like. Bathing the feet, fomenting the belly, and sitting over the steams of hot water are good in both habits; attenuants in case of viscid blood ; emetics are often efficacious, as are sometimes small doses of mercurials; exercise, and if the appetite be vitiated, proper stomachics. Of late, electricity has been found efficacious in cases of this sort, by drawing sparks, and sending gentle shocks through the pelvis. MERCURIAL Pills. See Pill. MERCURIAL Plaister; Ointment, &c See Plaister and Ointment. MERCURIUS dulcis. (Calomel) Alterative, antivenereal from one gr. to v. omni nocte. (Also ver- mifuge, deobstruent, and for salivation) Cathartic from v. gr. to 15. MERCURY Alkalized. Alterative, Vermifuge from v. gr to half a drachm, twice a day. MERCURY 48 ELLIOT'S MEDICAL MERCURY Calcined. Alterative, antivenereal from half a gr. to ij. at night. MERCURY Corrosive Sublimate. Alterative, antivenereal from one sixth to j. grain, twice a day. MERCURY Red corrosive. Eschatotic. MERCURY precipitate White. Antipsoric, &c. in liniments. MERCURY Emetic, fellow. From ij. to iv. gr. MEZERION. Antivenereal, alterative, in decoction, dose from ij. drachms to iv. MILLIARY} MILK} }Fever. See Fever. MILLEPEDES. Diuretic, attenuant, deobstruent, number ij. to v. or more alive ; or in powder, from iij. gr. to xv. MISCARRIAGE. See Abortion. MITHRIDATE. Alexipharmic, anodyne, from j. scruple to a drachm and a half. MORTIFICATION. See Sphacelus. MUSK. Antispasmodic, iij. gr. or more. See Julep. MYRRH. Deobstruent, antispasmodic, from iij. to to xij. grains. NEPHRITICS. Gum arabic ad libitum. Spt. nitr. dul. from xx. drops to j. drachm, Sal diureticus from half a scruple to a drachm, opiates. See Diuretics NEPHRITIS. See Kidneys, NERVOUS Complaints. See Hypochondriac and Hysteric Diseases. The class of medicines called Nervous, with corroborants, air, and proper regimen, are most useful in these cases. NERVOUS Fever. See Fever. NERVOUS 49 POCKET-BOOK. NERVOUS Medicines. Pil. gum, from v. gr. to one scruple. Assafœtida, and the other gums in like doses. See also Bark, the Chalybeates, Cephalics, Tonics, and antispasmodics, NIPPLES sore. Treatment. Apply oil of wax, cream, mucilage of gum Arabic, ung. alb. suet, or the like. If they are moist, ung. alb. with some drying powder, as starch, bol. armen. &c. NITRE. Cooling, febrifuge, diuretic from v. grains to a scruple. OIL of Almonds } Olives } } Opening, pectoral ; outwardly, softening relaxing. OILS Essential. The virtues of the plants they are drawn from, in doses from j. drop to iij. on sugar, or otherwise. OILS by Decoction and Infusion. Softening and relaxing externally applied. OIL of Palm. Outwardly for cramps, weaknesses of nerves, and chilblains. OIL of Wax. Externally to chaps, &c. OINTMENT Basilicon. Digestive. OINTMENT of Elder. } Marshmallows. } } Cooling, emol- lient OINTMENT of Gum Elemi. Digestive, incarnative. OINTMENT Mercurial. For salivation ; repellent, discutient, for the itch, vermin, &c. OINTMENT of Precipitate. } Sulphur. } } For the itch &c. OINTMENT Saturnine. Drying, repellent. OINTMENT of Tar. For scald heads, digestive &c. OINTMENT of Tutty. For the eyes. OINTMENT White. Healing, softening, cooling. OLIBANUM. Corroborant from v. gr. to a scruple. G OPIUM 50 ELLIOT's MEDICAL OPIUM, Anodyne, antispasmodic, &c. from one fourth of a grain to ij. grains. OPOPONAX. Nervous, antispasmodic, from v. gr. to xv. ORANGE Juice, } Peel, } } As lemon, but weaker. OXYMEL Simple. Antiseptic, cooling, detergent, OXYMEL of Squills. Expectorant, diuretic, from half a drachm to j. drachm. Emetic from ij drachms to an ounce. OYSTER-SHELLS Absorbent from xx. gr. to j. drachm. OYSTER-SHELLS calcined. (Their water.) Lithontriptic iv. ounces, or more. PALPITATION of the heart. Treatment. In proper constitutions bleed repeatedly; but where the disorder proceeds from relaxation, the bark and corro- borants. The nervous Tribe, musk, volatile salts, &c. are good as are also blisters. PALSY, or PARALYSIS. Symptoms. A loss or diminution of the motion or feeling, or both, of some part or parts of the body. If it happen to all the parts below the head, it is called Paraplegia ; if to one side of the body Hemiplegia ; and if to a particular part Paralysis. Treatment. Emetics, blisters kept open, and strong clysters ; nervous, attenuating, and stimulating medicines, as valerian, castor, mustard, sal c. c. horse-radish, &c. and mustard or other warm stimulating application rubbed into the parts; and to that part of the spine, from whence the nerves serving the part issue. Electricity and dry frictions are good, as are also chaly- beate, and Bath or Bristol waters. PEARLS. Absorbent from j. scruple to a drachm. PECTORALS. Elix. pareg, from half a drachm to j. drachm. Pulv. e tragac. c. from j. scruple to a drachm. Pil. de styrace from v. gr. to a scruple. Oxymel, scillitic, to half a drachm. Troch. bechic, decoct. pect. Ad libitum. PEEL See Bark. PERIPNEUMONY, or Inflammation of the Lungs. Symptoms. Difficult breathing, with oppression and seeming load at the breast ; the breath hot, cough, fever, redness in the face, pulse sometimes hardly perceptible, but after bleeding, strong, 51 POCKET-BOOK. strong but unequal. Differs from a Pleurisy in the cough being more moist, the pain less, acute, nor the pulse so strong. Treatment. Bleed repeatedly if necessary ; and give nitre, with spermaceti, or ol. amygd. sal c. c. gentle antimonials or the like. Coding emollient clysters are useful, is are also blister- ing end cupping. PERIPNEUMONY, Bastard. Symptoms. Heat and cold alternately; pain and giddiness of the head, when the cough is most troublesome ; vomiting; quick, difficult breathing, and wheeling ; pain of the breast ; urine turbid, with red sediment. Differs from a true Peripneu- mony, in having neither extraordinary heat, pain, thirst, or fever ; and by it & usually seizing those of a relaxed and gross habit; prevailing most in moist foggy weather contrary to the ether. Treatment. Bleed not, unless the pulse be very full, and comatose symptoms appear ; blisters, emetics, laxatives, emol- lient clysters, attenuants and diluents ; pectorals for the cough, and opiates if necessary. PHILONIUM London. Carminative, anodyne from half a scruple to half a drachm. PHLEGMON, or superficial Inflammation. Symptoms. Heat, pain, tension, redness, and throbbing in the part; fever; that part proceeding to suppuration or solution, gangrene, or scirrhus. Treatment. Remove any perceivable external cause; bleed, purge and give diaphoretic febrifuges ; apply emollient, fomentations and poultices to the part. If matter form, cease evacuation and forward the suppuration; when ripe, open the abscess and digest it off. If gangrene appear, treat as directed under that article. PHRENSY, Phrenitis, or Inflammation of the Brain. Symptoms. Constant delirium and fever, difficult breathing, violent pain in the head ; redness of eyes and face ; pulse quick, hard, and small ; tongue black and dry, urine thing and trans- parent, sudden startings, picking the bed clothes. Known from a common fever, &c. by the delirium preceding the fever. Treatment. Bleed largely; stimulating clysters, blisters, the pediluvium, ans sinapisms to the feet; spirituous embrocations to the head, first shaved. Nitre, sal c. c. or other attenuants, purges, and diluents; promoting the hæmorrhoidal flux is of great use. Phthysis See Consumption. PHYMOSIS 52 ELLIOT'S MEDICAL PHYMOSIS and PARAPHYMOSIS. Symptoms. The first is a closing of the prepuce over the glans penis, so as not to be drawn back : the last, a constriction of it behind the glans, so as not to be drawn forward over it. Treatment. Foment, poultice, bleed, and purge; vomit if necessary ; and give cooling febrifuges. If these fail proper incisions must be made. PILES, or painful Tumours in the Anus or rectum. Treatment. Bleed, if necessary ; and give sulphur, or æthiops mineral, nitre, and elect. lenitiv. opiates if they are very pain- ful ; and if they are external, foment them with warm emolli- ent liquors, or anoint them with ung. samb. or the like; if they bleed much, apply gentle astringents ; if much swelled and inflamed, scarify, or apply leeches to them. Bals. sulph. is very proper to apply to the Piles, and the ung. cærul. has also been found useful. They may more expeditiously be driven away by liniments made of powder of galls, or sugar of lead, or by warning them with solutions of white or blue vitriol. But as the hæmorrhoidal discharge is generally salutary, caution must be used in repelling them. PILL Aromatic. Aperient from half a dracm to a drachm, antirheumatic, deobstru- ent, from v. grains to xij. twice a day. PILL Colocynth. Cathartic from j. scruple to ji. PILL Ecphractic. Emmenagogue from v. gr. to half a drachm twice a day. PILL Gummous. Hysteric, nervous, &c. item v. gr. to half a drachm twice a day. PILL Mercurial. Alterative, antivenereal from v. gr. to j. scruple, every night. PILL Rufus's. Deobstruent from v. gr. to j. scruple, twice a day. Opening, from j. scruple, to half a drachm. PILL Soap. Diuretic, icteric, anodyne from v. gr. to j. scruple. PILL Storax. Pectoral, anodyne from iv.gr. to j. scruple, at night. PILL 53 POCKET-BOOK. PILL Squill. Asthmatic, pectoral, diuretic from v. gr, to xij. PIMPLES. Treatment. Wash them with a solution of sacch. saiturn, or vitriol, alb. IF these fail, try spt. vin. camph. a solutin of sal tartari, or white precipitate mixed with pomatum. If they pro- ceed from foul blood or a scorubutic cause ( as it is termed ) treat them with alteratives, as directed for the Land Scurvey ; with now and then a cooling purge. PLAGUE. Symptoms. Shivering ; pain in the head, back, and stomach, sickness and vomiting ; despondency, anxiety, difficult breath- ing, wildness of countenance, high fever, faintings, hiccups, and catching of the tendons. Tumors at length appear in the groin, armpits; or behind the ears ; and then the fever abates, but returns if the tumours sink. Fœtid breath and sweat ; livid spots, sometimes broad, and suddenly disappearing. Carbuncles arise in the worst state of the disease, which seldom supperate kindly, but appear as red fiery circles ; are small tumours with corrupted flesh underneath, and are attended with great itching. The symptoms, however, vary according to the constitution and state of the air, but these are the most general. Treatment. The tumours are critical, and should be encourag- ed by ripening cataplasms and proper cordials ; the carbuncles should be poulticed with cataplasm e cymino, or the like ; and if they appear gangrenous, scarify, and dress them with ol. terebinth, and hot digestives, as in Mortifications. The disease in itself should be treated with diaphoretics, antiseptics, cordials, antiphlogistics or other remedies, according to the symptoms; but in general, camphire, nitre, snake root, bark, &c. an emeticbeing first given, seem most eligible in this dreadful disorder. N. B. The vapour generated by nitre, especially if the deflagration be mode with odoriferous ingredients, is said to prevent infection PLAISTER Common. Healing, drying. PLAISTER Common, with Gums, suppurative PLAISTER Mercurial. Discutient. resolvent PLAISTER Mucilage. Softening, and for corns. PLAISTER Red Lead. Drying, healing. PLAISTER 54 ELLIOT'S MEDICAL PLAISTER Soap. Resolvent. PLEURISY. Symptoms. Chilliness, shivering, succeeded by heat, thirst, and restlessness ; a violent acute pain on one side rear the ribs, extending towards the shoulder blades, back, and breast ; worst when the affected side is lain on. Difficult breathing, redness of the cheeks, nausea, and dry cough, the matter spit up, if any, yellowish or bloody. Treatment as in the Peripneumony ; but repeated bleeding, laxatives, and cooling attenuates, as sal c. c. with nitre are chiefly to be relied on. POISONS. Treatment. When these are taken, if the time has been but short, give a strong emetic of white or blue vitriol, drinking plentifully of warm water to wash the stomach ; oily clysters should also be given repeatedly, as should likewise cathartics. If corrosive sublimate was the poison, give solution of any fixed alcaline salt. If opium, or ether narcotic, give acids (as vinegar) with water or broth ; apply blisters ; and if necessary, bleed. Care must be taken to continue these operations a suffici- ent time ; afterwards the stomach and bowels should be healed with proper balsamic remedies, broths, &c. POMEGRANATE SHELL. See Bark. The juice cooling, antiseptic. POPPIES. See Syrup of Poppies. POWDER of Amber, compound. Astringent, corroborant, from viij. gr. to half a drachm, twice a day. POWDER Antilyssus. For bite of mad dog one drachm and a half, every morning. POWDER of Arum root, compound. Stomachic, antirheumatic from one scruple to one drachm twice a day. POWDER Bezoardic Absorbent, alexipharmic from one scruple to a drachm at night. POWDER of Bole, compound Astringent, from half a scruple to half a drachm, twice a day. POWDER of Cerusse, compound. Cooling and astringent, in collyriums for the eyes. POWDER 55 POCKET-BOOK. POWDER of Contrayerva compound. Sudorific from one scruple to a drachm. POWDER of crabs claws, compound. Absorbent, febrifuge, from one scruple to a drachm, frequently. POWDER to promote delivery. from one scruple to a drachm POWDER of Scammony compound. Cathartic from one scruple to two. POWDER of Sena, compound. Cathartic from half a drachm to a drachm or more. POWDER of Tin. Vermifuge from one scruple to a drachm twice a day. POWDER of Tragacanth, compound. Pectoral from j. scruple to a drachm, frequently. POX. See Venereal Disease. POX, Chicken ; or SWINE Pox. Symptoms. Chilliness, heat, and the usual precursory symp- toms of fever; but milder than in the small pox. The eruption appears about the third day. They rise like the small-pox, but may be known from them by the matter being more like water than pus, by little vesicles, or bladders filled with water, on the top of such pustules as are whole ; and by their turning about the fifth day; which the small pox does not till at least the seventh; and they leave no marks behind them Treatment Cooling febrifuges, as nitre, with magnesia, antimonials, pulv. contray. and saline draughts, &c. and dilu- ents ; and afterwards two or three purges. The Swine Pox is only a larger sort of Chicken Pox POX Small. See Small Pox. PROCIDENTIA, vel PROLAPSUS ANI. or bearing down of the Rectum. Treatment. Corroborants, as bark, tinct. rosar. &e. Laxa- tives clysters, and aperients, if costive; clysters of tinct. rosar. or other bracers, and a proper bindage ; chalybeates and cold bathing. N. B. if there be inflammation, emollient fomentations and poultices. That part should be gently reduced, and kept up 56 ELLIOT's MEDICAL up with a bandage ; rest and an horizontal posture are proper. Prolapsus Uteri. Treatment as in the preceding cawe, Pessa- ries are also proper to be worn. PUERPERAL PUTRID Fever. See Fever. QLUICKSILVER Vermifuge, opening, from half an ounce to two or more, in the morning. QUINSY. Symptoms. Inflammation of the throat; with pain, great heat, tumour, redness, difficulty in swallowing, and fever. The uvula sometimes relaxed and inflamed ; the face red. Treatment. Bleed largely, or according to exigency; open the body; blisters to the back, and rear the part ; gargle with spt. sal ammon, and decoct. pect. strong of the former ; poul- tice the part with bread and milk, to which camphire may be added, and the volatile liniment may also be applied. If it suppurate, cease to evacuate; and inhale emollient steams. When ripe open the abscess; afterwards gargle with tinct. rosar. and tinct. myrrh. RATTLE SNAKE ROOT. Diaphoretic, antiseptic, from v gr. to a scruple. Also in anti- septic gargles. RESIN of Aloes. Cathartic one scruple, or more. Deobstruent, from v. gr. to half a scruple. RESIN of Bark. Corroborant, febrifuge, &c. from v. gr, to a scruple. RESIN of Guaiacum Antirheumatic, Alterative, deobstruent from v. gr. to xv. RESIN of Jalap RESIN of Scammony Cathartic from v. gr. to a scruple. RHEUMATISM Acute. Symptoms. Rigor, shiverinig, fever, thisat, costiveness, wander- ing gnawing pains, with swelling and redness in the part affected, the pain worse towards night and in bed. Treatment. Bleeding; Medicines with sal c. c, nitre, cam- phire, guaicusn, antimonials, or the like; laxatives, and opi- ates 57 POCKET-BOOK. ates occasionally. The part may be rubbed with lin. sapon. camphire, and oil ; lin. vol. &c. Warm fomentations are good ; the part may be covered with flannel, diluents should be freely given, and a diaphoresis kept up. When the urine deposits a copious sediment the bark may be given : it may be joined with some of the above, and opium may be occasionally added. RHEUMATISM chronic. Differs from the acute, in that it is not attended with fever or inflammation in the part ; and chiefly attacks those advanced in life, contrary to the other. Treatment. If necessary bleed, and purge with elect. e scam- mon. sena, &c. Pulv. doveri, or other anodyne sudorific, may be given. Calomel, in small doses, with vin. antim. has been found efficacious ; as hath likewise kermes mineral, with cam- phire, about three grains of each. Bark and sarsaparilla are given by some ; but gum guaiacum with volatile salts, the gu- aiacum with an opiate, or sal c. c. with nitre, and julep e camph. according to circumstances, are generally successful. Warm embrocations to the part, and flannel are also service- able ; cold bathing, where not improper on other accounts ; a flannel shirt worn next the skin, is a good preventive of a return. N. B. Mustard has been effectual, taken inwardly, and rubbed into the part. Electricity, Friction and exercise of the part, are useful. RHUBARB. Cathartic from j. scruple to j. drachm. Stomachic from iv. grains to half a scruple. RHUBARB toasted. Astringent from half a scruple to j. scruple. RICKETS. Symptoms. The head large, the fontanelle keeps long open, the face full and florid, the joints knotty, and the bone, protu- berant, causing incurvation and distortion ; the ribs protuberate, and become crooked ; the belly swells ; cough and pulmonary borders succeed. The child (for children only are the sub- jects of this complaint) moves weakly, and waddles , usually appears about the eighth month, and continues till the sixth year; ariseth from bad nursing ; the understanding is very early. Treatment. Cold bathing ; friction ; bathing the back with spirituous embrocations, or warm balsamic liniment; strengthen- ing plaisters ; gentle vomits of ipecacuanha ; and purges with rhuarb and æthiop. mineral; bark, chalybeates, air and exercise. RINGWORMS. See Tetters. ROB of Elder. Pectoral, opening from j. drachm to iij. ROSES, Red. Astringent from v. gr. to half a dr. See Tincture ROSEMARY. Cephalic, Carminative, &c in infusion. RUE In infusion against fits and spasmodic complatins; also alexi- pharmic and antipestilential; juice in clysters, vermifuge. H RUPTURES 58 ELLIOT'S MEDICAL RUPTURES. See Hernia. SAFFRON. Cordial from iij. gr. to a scruple, or in infusion, SAGAPENUM. Nervous, hysteric, &c, from v. gr. to a scruple. twice a day. SALT, alkaline fixed. ( Assal absinth, sal tartar &c) antacid, attenuant, diuretic, from iij. gr. to xv. SALT, alkaline volatile. (As sal e. c. sal arr.mon. vol. &c ) antacid, attenuant, diaphoretic, from iij. gr. to xv. SALT of Amber. Aperient, diuretic hysteric from iv. gr. to a scr. SALT, Ammoniac. Diuretic, febrifuge, attenuant, diaphoretic; from v. gr. to a scruple, or more. SALT. Cathartic ( As Glauber's, Epsom, Rochelle &c. from half an ounce to ij. ounces ) SALT Diuretic Attenuant from j. scruple, to ij. drachms. Aperient from ij. drachms to half an ounce. SALT of Steel. Attenuant, deobstruent from ij. gr. to half a scruple. SARSAPARILLA. Alterative, antivenereal, in decoction ( from ij. ounces to ij. lb.) from iv. ounces to half a lb. twice a day. SASSAFRAS. Alterative, antiscorbutic, &c. dose as in Sarsaparilla. SAVIN. Emmenagogue, in infusion, from ij. ounces to iv. SCALDS, or Burns. Treatment. Apply ol. linis. igne alone, or with spermaceti or wax dissolved in it ; aq. veg min. is also good ; afterwards cerat. epulot, or other cicatrizer. If inflammation render it necessary, bleed and purge. SCALD-HEAD. Treatment. Rub the part with ointments made of sulphur, pitch, ung. nicotian, or the like : the ung. cærul. has been used with success ; bathing with salt water, and give mercurials, antimonials, or other alteratives ; blisters kept open, and issues are proper. SCAMMONY. Cathartic, from half a scruple to a scruple. SCARLET Fever. See Fever. SCHIRRUS, or hardened Glands. Treatment. Endeavour to disperse it by mercurial unction. ext. cicutæ, or mercurials, with sarsaparilia, &c. and occasional purges. If it incline to suppurate, treat it as directed in abs- cesses, &c. If it neither disperse nor suppurate, extirpation is the only care, where it can be done ; otherwise treat it with coolers, and occasional anodynes. SCIATICA. 59 POCKET-BOOK. SCIATICA. Symptoms. A fixed pain in the hip, like the rheumatism. Called also the Hip Gout and Ischias. Treatment as in Lumbago. SCORDIUM, Astringent. Sec its Preparations. SCROPHULA. Symptoms. Schirrous unequal tumours, which do not readily suppurate ; affecting the glandular parts, but chiefly on the sides of the neck. Treatment. Purge occasionally with jalap, and calomel ; and give alteratives, as calomel, with sulph. aur. ant, æth. antimon. or some other ; millepedes are good ; spong. ust. with rhubarb; sea water internally before suppuration, and the bark and sea bathing after they soften ; exercise is good ; gross and high seasoned diet must be avoided; vegetable acids, especially Se- vile oranges, are proper. SCURVY. Symptoms. Heaviness, lassitude, low spirits, offensive breath, tender gums, fallow bloated countenance, hæmorrhages from the nose and mouth, difficult breathing, swelling of the legs, yellow, purple, or livid spots on the skin ; tu- mours in the limbs ; contraction of the tendons of the ham ; other symptoms occur, but they differ in different subejects, as do likewise those above-mentioned ; and the disease is in general sufficiently known. It is however, distinguished into Sea and Land Scurvy. Treatment. In the Sea Scurvy, the juices are disposed to putridity from the use of animal food, and moist air; antisep- tics therefore will be proper, as vegetables, vegetable acids, fruit, cyder, &c. infusion of malt, in defect of these or liquors made of molasses or sugar. Bark, and elix. vitr. acid are good. Liquids impregnated with fixed air for common drink, and wholesome air. The Land Scurvy, ( improperly so called ) is rather a cutaneous disase; scurfy or scabby eruptions appear, either partially, or more universally ; often with itching and heat. The antimonial alteratives with gentle mercurials are often effi- cacious; aq. calcis composit. succ. scorbutic, or the like, may be used with them. Cream of tartar and flowers of sulphur are good. The part may be anointed with saturoine liniments, with a little white precipitate if necessary. SCURVY GRASS. Art scorbutic, the juice or infusion from ij. ounces to iv. twice a day. SENEKA. See Rattlesnake-root. SENNA. Cathartic from j. drachm to iij. or in infusion. SETON 60 ELLIOT'S MEDICAL SETON, to make. Pinch up the skin and fat with the finger and thumb, and run a proper needle through it, armed with a skain of silk or thread smeared with digestive ointment; which must be shifted a little every day, so as to keep both orifices running. SHINGLES. See Tetters SINGULTUS. See Hiccups. SKIN, diseases of. See Cutaneous Diseases. SLATE, Irish. An internal vulnerary and astringent, from j. drachm to ij. in spruce beer. SMALL-POX. Symptoms. Chilliness, shivering, heat, pain in the head and back, sickness and pain at the stomach, and sometimes vomit- ing ; fever, costiveness, convulsive fits sometimes in children, which is a good symptom. On the third or fourth day the eruption appears, like flea-bites, in the face, breast, arms, body, and feet successively ; pains and soreness in the throat. The eruption being compleated, the fever goes off or abates. The eruptions fill, or maturate like boils, and the skin between them is also red; the eye-lids, face, hands, and feet, swell successively; the pocks from red, grow whitish and smooth in the body, and yellow and rough in the face, full of a white matter. About the seventh day from the eruption, (sometimes the ninth) they dry, or turn as it is called, and scale off, leaving red marks, and sometimes pits behind. Treatment. If the pulse be full and strong at the beginning, bleed ; and if necessary, or the period be sufficiently early, purge, and give an emetic. During the eruptive fever, cooling febrifuges, with laxatives, or clysters occasionally; but if the symptoms require it (as low pulse, &c. ) gentle cordials and diaphoretics. After the eruption, little is generally required but a gentle anodyne at night, proper diluents, and if necessary, opening clysters, &c. If purging come on, check it with caution; if delirium or fever, apply blisters; and it the pock sink, give bark, with proper diaphoretics and cordials; especially if malignant or putrid symptoms, or petechiæ appear. Spt. vitrioli dulcis is also good in these cases, as are sinapisms to the feet. In the confluent kind, all the symtoms are worse than in the distinct. The eruption makes its appearance a day or two later, and does not come to its height till the eleventh or fourteenth day after ; the fever also continues after the eruption appears, and a sali- vation comes on, which must by no means be checked. The patient requires to be supported more in this case than in the other; care, however, must be taken in both kinds to avoid too much heat, or a heating regimen ; and pure, and even cool air, 61 POCKET-BOOK. air, where no objection appears, is salutary. If the pustules are opened, and the matter let out, so much the better ; especially in danger of their sinking or striking in appear. Purging is esteemed proper after this disease. To inoculate for the Small Pox, take a little matter from a pustule, after the eruptive fever, on the point of a lancet, and insert it in the arm (by making a small puncture or two) between the true and scarf skin, which may afterwards be pressed down with the flat tide of the lancet. Three or four days afterwards the punctures appear inflamed; in about three days more the pre- cursory symptoms come on, and at length the eruption. Previous to the inoculation, a mercurial purge or two may be administered, if the patient is of a full or gross habit; and he should also be restrained to a milk and farinaceous or vegetable diet, avoiding especially high seasoned food. It is found best to keep him out of bed, and even now and then in the cold air. The symptom:; are generally so favourable, that little assistance is required from medicine, except a few mercurial purges after the disorder goes off. SOAP. Diuretic, icteric, lithontriptic, attenuant from one scruple to ij. drachms twice a day. SOAP Leys. See Lixivium. SORE THROAT, putrid. See Angina maligna. SPASMS. See Convulsions. SPECIES Aromatic, from v. gr. to xv. SPECIES of Scordium. Astringent from v.gr. to j. scruple SPERMACETI. Pectoral, balsamic, vulnerary from one scruple to a drachm. Ex- ternally healing, softening. SPHACELUS, or compleat Mortification. Symptoms. This succeeds a Gangrene (which see) if it cannot be stopt; the part loses all sensation, and yields an intolerable smell Treatment as in Gangrene. When the separation is advanced amputate the limb, or cut out the part if it can be done with safety ; persisting in the use of the bark, &c. till a com- plete digestion is procured. SPIRIT of Hartshorn. Attenuant, cordial, sudorific from x. drops to lx. SPIRIT 62 ELLIOT's MEDICAL SPIRIT Mindererus's. Attenuant, cooling, diaphoretic from two drachms to half an ounce. SPIRIT of Nitre, Sweet. Diuretic, febrifuge, carminative from x. drops to half a drachm. SPIRIT of Turpentine. Diuretic, Sec. from x. drops to xl. SPIRIT of Vitriol, acid, Cooling, astringent, antis- eptic, antalkaline, from v. drops to xx. SPIRIT of Vitriol, sweet. Febrifuge, diuretic, &c from v. drops to xx. SPIRIT Volatile aromatic. As spirit of Hartshorn ; also cephalic. SPIRIT Volatile fœtid. Antispasmodic, &c, from x drops to xxx. SPLEEN. See Hypochondriacal and Hysteric Diseases. SPRAINS. See Strains. SQUILLS Pectoral, diuretic from iij. gr. to viij. Emetic from half a scruple to a scruple. STEEL, Rust of. Deobstruent, attenuant, tonic, fr. v. gr. to half a scruple. See its preparations. STINGS, Venomous. Treatment as in Bites. STOMACH, Inflammation of. Symptoms. Heat, pulsation, and acute pain in the part, which is increased by swallowing, tension at the pit of the stomach ; anxiety; retching; hiccup; small, weak, intermitting pulse, Treatment. Bleeding, emollient liquids and clysters ; fomen- tations; gentle opiates; blisters; mucilage of gum arabic; with small doses of nitre occasionally. STOMACH, pain in. See Heart burn. STONE and GRAVEL Symptoms. Pain in the back and loins, or the region of the bladder; nausea; vomiting; strangury; sometimes bloody urine ; costiveness ; retraction of the testicle of the affected side ; numbness down the thigh and leg; the pain in the kidneys abates when the calculus is got into the bladder, and the urine becomes turbid. Treatment. Bleed, if no objection appear; draughts with ol. amygd. and large quantities of gum arabic, with manna and opium added occasionally. Pil. sapon, good as an anodyne at night. 63 POCKET-BOOK. night. As solvents, the lixiv. sapon. from x. to xxx. or lx. drops in veal broth twice in a day. Soap, oyster-shells, and lime-water are also good ; and in some cases the sal vol. c. c. or spt. sal marin. Water impregnated with fixed air, has been found a solvent in some cases ; as hath also spt. nitr. dulcis, the sol. uvæ ursi, the live millipedes, and decoction, or oil of jumper. In violent fits of the disorder, the semicupium is good ; and clysters with Venice turpentine, or spirit of turpentine, and opium. In nausea and vomiting, the saline draughts, with tinct. theb. and care should be taken to keep the body properly open with Cathartics of the cooling saline kind, or rather with manna, ol. ricini. and ins. senæ, or other mild purge. Emuls. com. decoct. rad. alth. or the like, may be used freely as com- mon drink. (See also Colic.) STORAX. Pectoral, vulnerary from v. gr. to a scruple STRAINS. If internal, give spermaceti, half, traumat. or Irish slate, with spruce beer. If outward, apply lin. sapon. vinegar, lin. vol. or arquebusade. If there be inflammation, foment and poultice, bleed and purge. STRANGURY. Symptoms. A difficulty of making water, attended with heat or scalding ; often proceeds from blisters. Treatment. Give emuls. com. or mucilage of gum arabic freely. If these fail, boluses of camphire and opium. &c also Urine. STYPTICS internal. Tinct. styptic. from j. drachm to half an ounce. Tinct, rosar, from j. ounce, to ij. Elix. vitr. acid from x drops to xx. External, alum, colcothar, aq. vitriol cærul. sacc. saturni, vitriol virid, flour, cobweb, dry lint, fur of hat, agaric, bals. traumatic. SUGAR of Lead. Externally cooling, astringent. SULPHUR Flowers. Pectoral, alterative, aperient from scruple to ij. drachms. SULPHUR precipitated. Ditto. SULPHUR of Antimony, precipitated. Alterative from half a gr. to ij. grains. SWINE-POX. See Pox. SYRUP of Buckthorn. Cathartic from j. ounce, to iij. SYRUP of Kermes. Cordial from half a drachm to ij. drachm;. SYRUP of Squills. Pectoral, diuretic from half a dr. to ij. dr. SYRUP of white Poppies. Anodyne from j, drachm to half an ounce. TABES 64 ELLIOT'S MEDICAL TABES DORSALIS. Symptoms. A wasting of the whole body, attended with fever, but no spitting nor cough, by which it is known from a Phthysis. A collection of matter in some part of the body is usually the cause, but particularly attends the inflammation of a schirrous gland. Treatment. If it arise from a schirrous liver, soap, and mild chalybeates. If the schirrus or abscess be external, open or extirpate. The bark is often proper in these cases, as is also myrrh with nitre. The body must be kept properly open ; but purgings should be checked. Gentle exercise, wholesome air, and proper mild diet, with the use of asses milk, and the like, are often of much service. TAMARINDS. Cooling, antiseptic, ad libit. TARTAR, Cream of Ditto. Also opening from ij. drachms, to half an ounces. TARTAR Emetic. From j. gr. to iv. Febrifuge, diaphoretic from one fourth of a grain, to j. grain. TARTAR vitriolated. Aperient, febrifuge, &c. from half a drachm to ij. drachms. TEETHING. Symptoms. Inflammation and swelling of the gums, and slavering, Fever, and sometimes convulsions. Treatment. Cooling febrifuges in case of fever: the body should be kept gently open. If convulsions arise, give tinct. fulig. and carminatives, or ol. anisi. with magnesia. If a rash appear, Gascoign's powder, or pulv. contray. c. with nitre, are usually given. If a cough, spermaceti, or ether balsamic pectoral : leeches and blisters may be applied if necessary : and if the disorder is violent, the gums should be lanced. TENESMUS. Symptoms. Frequent, or even continual inclination to go to stool, without occasion, or being able to void any. Arising from the abrasion of mucus, &c. from the rectum and anus. Treatment. Clysters, with mutton broth and opium ; or with starch oil, and elect. e scord. or wih spermaceti, suet or the like. Bals. locat. or spermaceti with tinct. theb. may also be given inwardly. TESTICLES inflamed. Treatment. Bleed, purge and even vomit, if necessary, in order to cause revulsion. Warm emollient fomentations and poultices are usually reccommended ; but Dr. Simmons, in his ingenious practical treatise on the Gonorrhæa recommends cold applications to the part, as being much more efficacious. Febrifuges 65 POCKET-BOOK. Febrifuges and gentle diaphoretics, with an anodyne at night, are good. If matter form, open and let it out. The testicles should be suspended, and the patient kept as much as possible in an horizontal posture. TETANUS. Symptoms. A rigid and painful contraction of the muscles of the neck, and trunk of the body, drawing it backwards or for- wards in a curve, with convulsions. Treatment. Give large doses of musk and opium, keeping the body open with ol. ricini, or other proper purge. The warm bath, emollient fomentations and spirituous embrocations to the parts. Sal. c. c. and the nervous medicines are good ; and clysters with turpentine and opium. After the disorder, give bark, or other restoratives TETTERS. Treatment. They may be touched with ink, a weak solution of green or white vitriol, sacch. saturn. sal tartari, or sublimate. If these prove too violent, softening and cooling liniments, or cream. Ung. cærul. mit. spt. vin. camph. or liniments with white precipitate are good. Sometimes alteratives of the mercurial and antimonial kind, or cooling febrifuges and purges, are necessary. Pimples, Ringworms, Shingles, Grubs, Freckles. And other like cutaneous complaints, also give way to some of the above methods. THROAT, sore. Treatment. A common inflammatory sore throat, proceeding from cold, &c. gives way to bleeding, cooling purges, gentle sudorifics, acidulated gargles, and lin. vol. applied outwardly. If necessary, blisters may be applied behind the ears. If there are ulcers, bleeding and purging are generally improper; warm, but mild and antiseptic diaphoretics, as rad. serp. virg. conf. damocrat, cortex, sal. c. c. contrayerva, &c. with detergent gargles, composed of tinct. myrrh, honey, &c. or the tinct. rosar Blisters if necessary; and if much fever, proper cooling febrifuges. See also Angina and Quincy, THRUSH. Symptoms. Little ulcers in the mouth and throat, of a white or yellowish colour. Frequent in children. Treatment. Keep the body gently open with magnesia or rhubarb; give the saline mixture, with pulv e ch Cancr. or con- trayerva c. and touch the ulcers now and then with fyr. moror. and borax, or with alum, bol. arm and honey, tinct. rosar. &c See also Fever Aphthose, Fever Miliary, Angina, Maligna, and Venereal Disease. TIN Filings. Vermifuge from half a drachm to ij. drachms. I TIN 66 ELLIOT's MEDICAL TIN pulverized. Ditto. TINCTURE of Antimony. Deobstruent, diuretic, diaphoretic from x. drops to lx. Emetic from ij. draehms, or more. TINCTURE aromatic. From j. drachm to ij. drachms. TINCTURE of Bark. Corroborant, febrifuge from j. drachm to half an ounce. TINCTURE of Bark, volatile. Ditto from half a drachm to j. drachm, TINCTURE, bitter. Stomachic from j. drachm to ij. TINCTURE of Cantharides. Diuretic, corroborant from x. drops to xxx. or more. TINCTURE of Castor. Nervous from half a drachm to ij. drachms. TINCTURE of Cinnamon. Astringent, cordial from j. drachm to ij. drachms. TINCTURE Fœtid. -of Soot. Antispasmodic, &c. from xx. drops to j. drachm. TINCTURE of Guaiacum, volatile. Antirheumatic, &c. from xx. drops to j. drachm or more. TINCTURE of black Hellebore. Deobstruent, aperient from half a drachm to ij. drachms. TINCTURE cf Jalap. Cathartic from ij. drachms to vj. TINCTURE of Japan Earth. Astringent from j. drachm to ij. drachms. TINCTURE of Myrrh. Deobstruent, antiseptic from xv. drops to j. drachm. TINCTURE of Rhubarb. Opening from half an ounce to ij. ounces. Stomachic, &c. from j. drachm to iij. drachms. TINCTURA Sacra. Opening from j. ounce to ij. ounces. Deobstruent from ij drachms to halt an ounce. TINCTURE Saturnine. Astringent, antiphthisical, from xx. drops to xxx. drips. TINCTURE of Sena. Opening and carminative from j. ounce to iij. ounces. TINCTURE of Snakeroot. Alexipharmic, stomachic, &c. from half a drachm to ij. drachms. TINCTURE of Flowers of Steel. Deobstruent, corroborant, &c. from x. drops to half a drachm. TINCTURE of Steel with spt. of Salt. Ditto, from v. drops to xx. drops. TINCTURE 67 POCKET-BOOK. TINCTURE, Styptic, From j. drachm to half an ounce. TINCTURE, Thebaic. Anodyne, &c from v. grains to j. drachm. TINCTURE of Valerian. Nervous from j. drachm to half an ounce. TINCTURE of Valerian, volatile. From xx. drops to lx. TONICS. Bark from j. scruple to j. drachm, see also its preparations. Elix. vitriol from v. drops to xx. Vin. chalyb. from half a drachm, to half an ounce. See also Corroborants. TOOTH-ACH. Treatment. If hollow or decayed, apply bals. traumatic, ol. caryoph. origan. vel guaiaci, upon cotton to the part ; or pills with camphire and opium, or rad. pyrethri. Some burn the nerve with ol. vitriol, aqua fortis, or an hot iron ; or touch the Antihelix with the latter. If there be inflammation, bleeding, purging, and blisters behind the ears. If it proceed from Cold or Rheumatism, treat it as directed for those complaints. TREACLE, Venice. Alexipharmic, sudorific, &. from half a drachm to j. drachm. TREMORS. Treatment as in Nervous Complaints and Palsy. TROCHES pectoral } Heart burn. } } Ad libitum of Japan Earth. of Squills. of Sulphur. of Vipers, of Nitre. Virtues as the respective simples, only in double or treble doses. TUMOURS Encysted. Try to disperse them with mercurial unction or plaister, or friction ; or if these fail, hemlock fomentations and poultices, and give ext cicut. or mercurials, with sarsaparilla, &c. and occasional purges. If you cannot disperse them, endeavour at suppurati- on; if that fail, extirpation, where it can be done,is the only cure. TURPENTINES. Diuretic, detergent, strengthening from j. scruple to j. drachm. TUTTY. Externally in collyriums for the eyes ; cooling, astringent. TYMPANY. A collection of wind or air in the intestines, particularly the colon, by which they become violently distended. It sometimes arises 68 ELLIOT'S MEDICAL arises from checking a diarrhœa, or from the imprudent use of bark in intermittents. Treatment. If fever and full pulse, bleed; keep the body open with gentle laxatives, joined with aromatics ; but refrain from strong purges, and from carminatives not joined with proper aperients. The belly should be frequently rubbed, and swathed with flannel. Exercise is good ; gentle corroborants, as flor. chamæm. with small doses of chalybeates joined with aromatics, are also very proper. VALERIAN. Nervous, antispasmodic, &c. from half a scruple to half a drachm, twice a day. VARIX, or Enlargement of a Vein. Treatment. Keep it compressed with proper bandages, and if necessary, bleed and evacuate. If these fail treat it as in the operation for Aneurism. VENEREAL Disease. Symptoms. A few days after an impure coition, a titillation about the glans penis ; heat and pricking pain in making water ; then a discharge of matter from the urethra, at first whitish, and in small quantity ; afterwards yellow or green or even reddish, and mere copious. If it be suffered to proceed, inflammation and excoriation follow ; painful erection or chordee. Sometimes phymosis (or an inability of drawing the skin back over the glans, ) paraphymosis, (or an inability of drawing the skin forward so as to cover the glans,) swelling of the testicles, chancres, buboes, scabby erup- tions, nocturnal pains, nodes, carious bones, ulcers in the throat and nose, &c. Treatment, In the beginning, bleed, if nothing forbid; and give a cooling purge, a small dose of calomel, mere, calcinat. or other proper mercurial, every night ; and nitre, with gum arabic, and some gentle lenitive, several times in the day ; repeating the purge occasionally. If these are not judged sufficient, a small quantity of ung, cærul. fort. may be rubbed into the thigh or leg every night. The parts should be kept clean by washing them with warm milk and water. This course should be persisted in till the virulence is subdued, after- wards a few cooling purges ; and bals. capiv. with astringent, or other injections, if gleet or ulcer remain, will usually be sufficient. Buboes are generally advised to be dispersed with ung. cærul. fort, but if they are advanced, they should be brought forward by proper suppuratives, opened and digested thoroughly off, which is usually attended with the most salutary effects. Abscesses in perinæo, should, if possible, be dispersed. Chancres may be anointed with ung. cærul. fort, after washing them with aq. phagedænic. For the Hernia Humoralis see Testi- cles. see also Phymosis. When 69 POCKET-BOOK. When the disorder is a Confirmed Lues, we should either salivate, or at least keep the blood for some time highly charged with mercury; for either of which purposes calomel, or merc, calci- nat. &c. should be given inwardly ; and half a drachm or a drachm of ung, cærul. fort, rubbed every night into the thighs. In short, the whole dependence must be on mercury for destroying the virulency, other remedies being only hid recourse to occa- sionally, according to the symptoms that arise. Thus, inflam- matory symptoms are to be removed by bleeding, purging or other proper medicines; ulcers, abscesses, &c. should be treated as required in such cases; but the disease which is the cause of these should be principally attended to, and when that is subdued by a proper mercurial course, the other symptoms will either disappear, or may be removed by requisite methods. A Gleet, for example, will sometimes remain after the disorder is cured ; and must be treated with corroborants, and, if necessary, astrin- gent injections ; the cold bath, and a strengthening diet. VERDIGRIS. Externally detergent, good against fungous flesh. VERTIGO. Symptoms. Objects, though at rest, seem to turn round; dimness of sight, and fear of falling. Treatment. Bleed in the jugular, and cup in the back part of the head; blisters kept open; a vomit and laxatives; then the nervous medicines, as pil. gum. castor, sal c. c. &c. and chalybeate waters. VINEGAR. Cooling, antalkaline, antiseptic from j. drachm to half an ounce. VINEGAR distilled. Ditto. VINEGAR Litharge. Cooling, astringent, externally. VINEGAR of Squills. Pectoral, diuretic, deobstruent from x. drops to j. drachm. VIPERS. Nutritive, corroborant, as food or in broth. VIPERS Fat. Externally for bites of vipers, also opthalmic. VITRIOL, Blue. Escharotic externally. Also emetic from half a scruple to j. scruple. Corroborant from one fourth of a grain, to j. grain. VITRIOL, Green. As salt of steel VITRIOL, 70 ELLIOT's MEDICAL VITRIOL, White. Emetic to j. scruple. Astringent from iij. grains to half a scruple. Externally cooling, astringent. ULCERS. Treatment. Dress them with proper digestives, and if they are fungous, apply an escharotic ; if foul, mix red precipitate with the digestive, or use the mel. Ægyptiacum, or tinct. myrrhæ ; or else wash with aq. phagedæn. or the like. Dry lint alone, in some cases, is good. If callous, cut or eat away the callosity. If the bone be carious, either scrape it, or make small perforations to promote exfoliation ; or dress with lint, either dry, or wetted with tinct. myrrhæ. If humours abound, give proper alteratives and purges ; and if putridity appear, the bark and elixir of vitriol. VOMICA, or Abscess in the Lungs. SYMPTOMS. It is sometimes a consequence of pleurisy ; cough, difficult breathing, even after the pain which preceded it goes off; slight shiverings, followed by heat; a quick weak pulse; hectic fever; wasting of the body ; the patient cannot lie down but on the side affected. TREATMENT, Gentle medicines of the turpentine kind, bal- samics and diuretics, steams of hot water, with bals. Tolu, benzoin, and received into the lungs; occasional laxatives, bleeding if inflammation, soft balsamic food, and gentle exercise. VOMITING. Treatment. If it arise from foulness of stomach ( as bile, acidity, &c.) a vomit will be useful; and afterwards, if neces- sary, a rhubarb purge ; and stomachics, magnesia, opiates, &c. according to circumstances. If from spasms, the saline draughts, and proper opiates; medicines of the nervous class, joined with laxatives; and, if necessary, a blister to the back. If from inflammation, bleeding, cooling diluents and febrifuges, as the saline draughts, with proper laxatives; and anodynes at discretion. If from weakness of the stomach, bark, bitters, or other corroborants; premising a vomit if judged necessary. Chalybeate waters are also proper. If the stomach be sore, as it is termed, the bals. traumat. spermaceti, or other balsamics, are good. In vomitings, the best form of medicine is pills. Vomitings are often symptomatic, as in fits of the gravel, preg- nancy, &c. the original disorder, must in those cases, claim the chief attention. VOMITING of Blood. See Blood. URINE bloody, The treatment may be similar to that prescribed for the Diabetes. URINE 71 POCKET -BOOK, URINE, profuse Discharge of, or Diabetes TREATMENT. As this complaint arises from a relaxed state of the sphincter of the bladder, it must be cured by proper corro- borant remedies, as bark, tinct. rosar. tinct. stypt. elix. vitriol, alum, bitters, and the like. Tinct. canthar. has been found efficacious, as hath also vitriol cærul. in doses of half a grain, twice in a day. Exercise, and light, but strengthening diet, are also proper. URINE, Suppression of. Called Ischuria, if total ; Strangury, if but in part; and Disury, if the latter be attended with heat; and are usually occasioned by in- flammation or spasms on the neck of the bladder, in consequence of blisters, or some other cause. Treatment. Medicines with ol. amygd. and plenty of gum arabic, with opiates or camphire, if necessary. The body should be kept open with gentle laxatives, and emollient clysters ; if necessary, bleed, foment the belly, and advise the warm bath. If caruncles in the urethra are the cause, bougies, intro- duced with proper caution, are serviceable. UTERUS inflamed, &c. See Womb. WARTS. Touch them with some caustic or escharotic daily, paring off first the decayed part; or cut them off with scissars, and touch the roots with blue vitriol, or the like. If it can conveniently be done, tie round the bottom a fine hair, or silk thread, and it will die away. The juice of celadine, or spurge rubbed over them, are esteemed good. WATER Horse-radish. Diuretic, deobstruent from ij. drachms to half an ounce. WATER Lime, simple. -compound. Alterative, antiscorbutic, antacid from four ounces or more. WATER Phagedænic To wash foul ulcers. WATER Sapphirine. Detergent, astringent, WATERS simple, distilled. The virtues of their respective plants, &c. from ij. ounces to iv. WATERS, Spirituous, distilled. The virtues of their respective ingredients from ij. drachms to j. ounce. Also cordial. WATER, sulphurated. Pectoral, cooling, &c. from half a drachm to ij. drachms. WATER, Tar. Alterative, deobstruent, corroborant from iv. ounces to half a lb. twice a day. WATER Vitriolic. camphorated, Opthalmic WATER 72 ELLIOT'S MEDICAL WATER, Vitriol blue. Externally styptic. WAX. Balsamic, antidysenteric; externally healing. WHEY, Alum. Astringent from iv. ounces, twice a day. Externally astringent, cooling. WHEY Scorbutic: From iv ounces to half a lb. twice a day. WHITES. See Fluor albus. WHITLOW. Treatment similar to that directed for Boils and Abscesses. WINE aloetic, alkaline. Deobstruent, attenuant from j. drachm to iij. drachms. WINE antimonial. Emetic from ij, drachms to half an ounce. Diaphoretic, diuretic, febrifuge from x. drops to lx. WINE bitter. Stomachic from j. drachm to iij. twice a day. WINE Ipecacuanha. Emetic from j. ounce to ij. ounces and a half. WINE of Millepedes Diuretic, attenuant, deobstruent from j. drachm to iij. twice a day. WINE, Saffron. Cordial from ij. drachms to half an ounce. WINE, Steel. Deobstruent corroborant from half a drachm to iij. drachms twice a day. WINE, Viper. Strengthening from ij. drachms to an ounce. WOMB inflamed. Symptoms. Pulsation, pain, heat, and tumour in the part.; fever, costiveness, pain on going to stool, and difficulty of mak- ing water. Treatment. Bleeding, laxatives, emollient clysters, cooling febrifuges, diluting liquors, fomentations and poultices, &c. as in other inflammations, ( See Stomach, Bladder, Kidnies, &c. ) If a Cancer succeed, it must be palliated with gentle anodynes, occasional bleeding and laxatives ; and proper detergent, on other injections. WORMS. Symptoms. Itching of the nose and anus; hunger, with ravenous appetite ; nausea ; and gnawing pain in the stomach or intestines; fœtid breath; grinding of the teeth, and moaning in 73 POCKET-BOOK. in sleep; intermitting weak pulse, and hectic fever; faintings, and sometimes convulsive fits; paleness; wasting of the flesh. But there are feveral kinds of worms. Itching about the anus, with tenesmus, are signs of ascarides, or small thread worms. Sudden gripings about the navel, denote the common round worms. Gnawing pains in the stomach, and voraciousness, the maw worms. And a weight in the belly, like the rolling of a ball, the tæni, or tape worm, TREATMENT. Tin filings, with rhubarb, or other proper aperient ; sem. santon. calomel, æthiops, or other mercurials, every night; with a purge now and then. Indian pink root half a scruple in powder, or coralline. Theinfusion of bears-foot leaves is esteemed good ; cabbage-tree bark has also been recommended. Aloes, wormwood, rue, savine, especially in clysters ; and for the ascarides, the fumes of tobacco thrown up the rectum ; for the tape worm, the male fern root, j. drachm every hour for three times, and presently after a strong drastic mercurial purge. See Dr. Simmons's ingenious pamphlet on the subject. Corroborants are proper after a course of anthel- mintic medicines. WORMWOOD. In clysters, vermifuge. WORMWOOD in Infusion. Stomachic, externally fomentations discutient. WORM Seed. Vermifuge from v. grains to j. scruple, or more in infusion, WOUNDS. Treatment. Remove extraneous substances; and, if the wound be simple, close the lips with slips of sticking plaister, or the stitch if necessary; and apply lint, either dry, or in case of bleeding, wetted with bals. traumatic, &c. If necessary, bleed and purge ; or give cordials, &c. according to circumstances. Dress with some mild digestive or defensative ; and if fungous flesh appear, use escharotics, afterwards cicatrize. If there be loss of flesh, defend the part from the air with proper, mild, vulnerary dressings, while nature supplies the loss. In other respect (the future excepted) proceed as above. If an artery or vein be wounded or divided, apply styptics, ligatures, &c. according to circumstances. If a nerve be divided in part (as violent pain, convulsions, and delirium will indicate) divide it entirely ; as must also be the case with a tendon or artery in like circumstances. If there be fever, bleed, purge, and give cooling febrifuges ; and if inflammation, apply emollient poultices and fomentations If the patient is low and the wound does not go on kindly, bark, or other proper cordial and strengthening medicines, with suitable diet, should be prescribed. TABULA K 74 ELLIOT'S MEDICAL &c. TABULA oftendens, qua proportione simplicia medica- menta purgantia, narcotica, et mercurialia, in compositis, qui- bus occurrunt, continentur. A Table shewing in what proportion, the simple purging, narcotic, and mercurial medicines, are contained in those compounds of which they make a part. Pulvis e bolo compositus cum opio in gr. 45. Pulvis e scammonio compositus in gr. 7. Pulvis e sena compositus in gr. 21. Pulvis e succino compositus in gr. 40. Species e scordio cum opio in continet gr. 45. Pilulæ ex colocynthide simpli- ciores, in half a drachm. Pilulæ ex colocynthide cum aloe in half a drachm. Pilulæ mercuriales in gr. 28. Pilulæ saponaceæ in half a scru- ple. Pilulæ e styrace in 5. gr. and 4-5ths. Electarium e scammonio in 1 ounce and half. Electarium e scordio in iij drs. Confectio paulina in gr. 32. Mithridatium, five confectio Damocratis in half an ounce. Philonium Londinense in gr. 36. Theriaca Andromachi in gr. 75. continet Opii gr. 1. continet Scammoni gr. 4. continent Senæ gr. 8. Crystal- lorum tartari gc. 8. Scammo- nii gr. 2. continet Opii gr. 1. continet Opii gr. 1. continent ferè Scammonii half a scruple, Colocynthidis half a scruple. continent ferè Aloes gr. 8. Scam- monii gr. 8. Colocynthidis gr. 4. continent Argenti vivi gr. 15. continent ferè Opii gr. 1. continent Opii gr. 1. continent Scammonii gr. 15. continet Opii gr. 1. continet Opii gr. 1. continet Opii gr. 1. continet Opii gr. 1. continet Opii gr. 1. In Emplastro ex ammoniaco cum mercurio Argentum vivum est totius pars ferè quinta. In Emplastro commuui cum mercurio Argentum vivum est totius pars ferè quinta. In Unguento cæruleo fortiori Argentum vivum est totius pars ferè tertia. In Unguento cæruleo mitiori Argentum vivum est totius pars ferè quinta. In Cerato mercnriali Argentum vivum est totius pars ferè quinta. THE END. New and Old, Medical, Surgical, and Chemical Works, lately imported, and now selling at BELL's BOOK-STORE, near St. Paul's Church in Third-Street, Philadelphia ; With the lowest Price printed to each Book. 1 ALEXANDER'S Experimental Enquiry con- cerning the Causes which have been generally reported to produce Putrid Diseases, two dollars. 2 Aitken's Essays on Important Subjects in Surgery, two dollars. 3 Aitken's Description of Double-Shot Fire Arms one dollar. 4 Aitken's Conspectus Rei Chirurgicæ, half a dollar. 5 Anatomical Dialogues, a Breviary of Anatomy, two dollars. 6 Eight Anatomical Tables of the Human Body, containing the Principal Parts of the Skeleton and Muscles represented in the Large Tables of Albinus. To which are add- ed concise explanations, by John Innes, late Dissector to Dr. Monro, three dollars. 7 Arbuthnot on Aliments, with Rules of Diet, two dollars. 8 Allen on the whole Practice of Physic 2 vols. three dollars. 9 Alexander's Essays on Antiseptics, on the Doses and Effects of Medicines, on Diuretics and Sudorifics, dollar and a half. 10 Armstrong's Poem on the Oeconomy of Love, a quarter dollar. 11 Aristotle's Master-Piece with Direct. for Midwives, one dol. 12 Aristotle's Works complete in four parts, three dollars. 13 Advice to People concerning Health, by Tissot, two dollars. 14 Avis au Peuple sur sa sante, par Tissot, one dollar and a half. 15 Astruc on the Diseases of Women, 3 vols, six dollars. 16 Des Maladies Veneriennes par Astruc, 3 vols, four dollars. 17 Anatornia, per Bartholinus, cum Figuris, two dollars. 18 Art of Curing the Venereal Disease, by Blegny, two dollars. 19 Alchymy taken out of the fountain of Nature; to which are added a treatise of sulphur, and the, nine books on the Nature of Things, by Paracelsus, two dollars. 20 Art of Chymistry from the French of Thibaut, two dollars, 21 Anatomy, with Cuts by Cheselden, two dollars. 22 Aristotles Last Legacy, and Master-Piece, two dollars. 23 Anatomy by Monro, one dollar and a half. 24 Armament. Chirurgicum cum Fig. per Scultetus, two dollars 25 Philosophical and Chymical Analysis of Antimony, with the Natural history of Chocolate ; &c, &c. two dollars. 26 Art of Surgery, with Anatomy, by Handley, two dollars. 27 Anatomy of the Brain with Cuts by Ridley, two dollars. 28 Art of Healing by Surgeon Freke, dollar and a half. 29 Aphorisms of Sanctorius, with Kele's Medicina Statica, and Quincy's Medico-Physical Essays on—I. Agues. II. Fevers. III. An Elastic Fibre. IV. The Gout, V. The Leprosy. VI. Kings Evil. VII. The Venereal Disease, two dollars. 30 Aphorisms MEDICAL CATALOGUE 30 Aphorisms of Hippocrates in Greek and Latin, one dollar. 31 Anatomy of the Human Body, by Winslow, 2 vols, four dol. 32 Anatomy of Human Bodies, by Gibson, dollar and a half. 33 Anatomico — Practica, de Lienosis, et Historiæ Humani Sanguinis, per Boyle, &c. &c. one dollar. 34 Aristoteles de Anima, de Longitudine et Brevitate Vitæ, et de Poetica, &c, &c. two dollars. 35 Art of Distillation, with the Furnaces and Vessels, and the Anatomy of Gold and Silver, by Dr. French two dol. 36 Adversaria, Anatomica Omnia, per Morgagni, four dollars. 37 Aristotle de Anima, Greek and Latin with a Comment, one dollar. 38 Anatomy with Cuts, by Veslingus, and Culpepper, two dolls. 39 Arbuthnot on the Rules of Diet, dollar and a half. 40 BERKENHOUT's Pharmacopoeia Medici, dollar and a half. 41 Bell's System of Surgery, three dollars. 42 Bell on the Theory and Management of Ulcers: with a Dissertation on White Swellings of the Joints, and an Essay on the Chirurgical Treatment of inflammation and its Consequences, three dollars. 43 Bisset on the Medical Constitution of Britain, with a Nar- rative of the Throat Distemper, and the Miliary Fever, likewise, Observations on the Effects of some Anthelmintics, two dollars. 44 Brunonis's Elementa Medicinæ, two dollars. 45 Boerhaave's Aphorisms, dollar and a half. 46 Borthwick on the extraction of the Chystalline Lens of the Eye, half a dollar. 47 Burrows Practical Essay on Cancers, one dollar. 48 Birch on the efficacy of Electricity in Female obstructions, one dollar. 49 Buchan's Family Physician, or, Domestic Medicine ; Being a Treatise on the Prevention, and Cure of Diseases by Regimen and simple Medicines, with a Dispensa- tory, and a complete Index, for the use of Families. N. B. This is a New Edition, with great Additions, and Improvements, by its original Author, the celebrated Doctor Buchan, reprinted in Philadelphia, for the use of the American States at the small price of two dollars. 50 Browne's Religion of a Physician, one dollar. 51 Boyle's 500 Receipts of choice and safe Remedies, one dollar. 5Z Barry on Digestion, and discharges of the Body, two dollars. 53 Brooke's Practice of Physic, 2 vols, four dollars. 54 Le Brigandage de la Medicine, avec Chirurgie, et Pharmacie, 4 vols, four dollars, 55 Aphorisms, per Boerhaave, one dollar. 56 Intstiutiones, per Boerhaave, one dollar. 57 Boyle AT BELL's BOOK-STORE. 57 Boyle on the Final Causes of Natural things, one dollar. 58 Bickerton's Accurate Disquisitions in Physick, one dollar. 59 Boerhaave's Elements of Chymistry, with Cuts and explana- tions ; also useful Notes, by Strother, two dollars. 60 Bate's Dispensatory, in English, by Salmon, two dollars. 61 Boerhaave's Chymistry, with Cuts, 2 vols, six dollars. 62 Lord Bacon on the Sweating-Sickness Examined, in reply to G. 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Stubbe of Warwick, one dol. 63 Biggs on the Vanity of the Craft of Physick, one dollar. 64 Bonet's Guide to Physicians, six dollars. 65 Bacon's Natural History, three dollars. 66 Bacon on the Advancement of Learning, and the Partitions of Science, three dollars. 67 Brown on Vulgar Errors with his other Works, three dollars 68 CULLEN's First Lines of the Practice of Physic, 3 Vols, eight dollars. 69 Cullen's First Lines, 3 vols in one, five dollars. 70 Cullen's Synopsis Nosologiæ Methodicæ, 2 vols, five dollars. 71 Cullen's Lectures on the Materia Medica, comprehending, a knowledge of all the Substances employed in Pre- venting, or Curing Diseases, six dollars. 72 Cullen's Letter to Lord Cathcart, concerning the Recovery of Persons Drowned, and seemingly dead, half a dollar. 73 Cleghorn on the Diseases of Minorca, two dollars. 74 Caverhill on the Cause and Cure of the Gout, dollar and a half 75 Cadogan on the Gout, one dollar. 76 Clare on the Cure of Abscesses by Caustic, and on Wounds and Ulcers, &c. one dollar 77 Cotunnius on the Nervous Sciatica, or Nervous Hip Gout, dollar and a half. 78 Curry on the Nature of Fevers ; on the Causes of their becom- ing so frequently Mortal ; and on the means to prevent it, one dollar. 79 Commentaries upon Boerhaave's Aphorisms, concerning the Knowledge and Cure of Diseases, by Baron Van Swieten, 18 vols thirty dollars. 80 Commentaries upon Boerhaave by Van Swieten, vols. 1, 2, 3 4, 5, 6, 7, 8, 12, 13, and 14, Eleven volumes, sixteen dollars. 81 Commentaries by Van Swieten, vol. 2, 3, 4, three volumes, containing, the greatest part, which relates to Surge- ry in this much esteemed Work, six dollars. 82 Commentaria in Hermannii Boerhaave Aphorismos, de Cocmoscendis et Curandis Morbis, per Van Swieten, 4 vols. Quarto, twenty dollars. 83 Case of Mademoiselle de Mascranny who sues for a dissolution of her Marriage with the Marquis de Gesvres on Account of Impotency, two dollars. 84 Culpepper's MEDICAL CATALOGUE 84 Culpepper's Directory for Midwives, two dollars. 85 Culpepper's English Physician, Enlarged with 369 Medicines, two dollars. 86 Cheyne on Curing the Diseases of the Body, &c. mind, two dol. 87 Cheyne on the Gout, and on Bath-Waters, two dollars. 88 Cheyne's Cure of Nervous Distempers, or the English Malady, two dollars. 89 Cheyne on Regimen, with five Discourses, Medical, Moral, and Philosophical, serving to illustrate Medicine, two dollars. 90 Cam on the Venereal Disease, and its Consequences, two dol. 91 Cockburn's Nature, & Cure of a Virulent Gonorrhoea, two dollars. 92 Cockburn's Nature, and Cure of Loosenesss, dollar & a half. 93 Cockburn on the Cure of Sea Diseases, with an Essay on Bleeding in Fevers, two dollars. 94 Cornaro and Lessius on Health and Long Life, one dollar. 95 A. 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Cullen's Lectures on the Materia Medica, six dollars. 101 DOUGLAS on the Hydrocele, two dollars 102 Douglas on the Muscles, with the Blood-Vessels and Nerves, two dollars 103 Dawson's Cases in the Acute Rheumatism, and the Gout, with Remarks and Treatment three dollars. 104 Dobson's Medical Commentary on Fixed Air, two dollars. 105 Duncan's Medical Cases and Observations, three dollars 106 Duncan's Medical Commentaries, for the Years 1781-82. exhibiting a concise View of the latest and most impor- tant Discoveries in Medicine and Medical Philosophy, three dollars. 107 Duncan's Elements of Therapeutics : or First Principle: of the Practice of Physic, 2 vols, three dollars 108 Duncan's Heads of Lectures on the Theory and Practice of Medicine, dollar and a half. 109 Duncan's Address to the Students in Physic, one third of a dollar. 110 Duncan's Life of Doctor A. Monro, half a dollar 111 Dawson's Account of a safe and efficacious Medicine for. 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Containing a short but plain Account of the Symptoms, Causes, and methods of Cure of the Diseases incident to the Human Body: Including such as require Surgical Treatment; together with the Virtues, and Doses, of Medicinal Compositions, and Simples. Extracted from the best Authors, and digested into Alpha- betical Order, one dollar. 124 Else on the Hydrocele, one dollar. 125 Eady Way to Prolong Life, in 2 parts, one dollar and one third. 126 Emmenologia, or the Courses, by Dr. Friend, dol. and a third. 127 Elementorum Physiologiae Medicæ, per Hamberger. one dol. 128 Experimenta circa varias res naturales, per Redi, et Kircher, one dollar. 129 Etmullerus's Complete System of the Theory and Practice of Physick, both Physical, and Surgical, two dollars. 130 FORDYCE's Elements of the Practice of Physic, containing, the Natural History of the Human Body; With the History and Methods of Treating Fevers, and internal Inflammations, two dollars and a half. 131 Foster on the Principles and Practice of Midwifery, two dollars and a half. 132 Fuller on the power of Exercise, one dollar and a third 133 Fothergill's Rules for the preservation of heath, one dollar. 134 Foster's Essay on Hospitals, half a dollar. 135 The Experienced English Farrier, with the Nature and Vir- tues of Simples, two dollars. 136 the Citizen and Countryman's Experienced Farrier by Markhan, Jefferies, Rational Quakers, and Discreet Indians, two dollars. 137 Knowledge MEDICAL CATALOGUE 137 Knowledge of the Horse, and of Riding, by Astley, half a d. 138 Gentleman's Complete Jockey, one dollar. 139 Notable Things. concerning Horses, and other Cattle, one d. 140 Farriery, by Surgeon Bartlett, one dollar. 141 Franklin's Experiments and Observations on Electricity. With Knight on the principles of Attraction and Re- pulsion, three dollars. 142 Obras Medico-Chirurgicas, de Madam a Fouquet, three doll. 143 Falc oner on Mineral and Bath-Waters, two dollars. 144 Falck's Medical Instructor for Seamen, two dollars. 145 GREGORY's Conspectus Medicine Theoreticæ, 2 vols. five dollars. 146 Gilchrist on the Use of Sea Voyages in Medicine, and par- ticularly in a Consumption, two dollars and a half. 147 Gellert's Metallurgic Chymistry, being a System of Minera- logy in general, and of all the Arts arising from this Science, three dollars. 148 Gregory de Morbis Cæli Mutatione Medendis, one dollar. 149 Grant on the Nature and Progress of Fevers, two dollars. 150 Galen's Art of Physic, by Culpepper, one dollar. 151 De Salis Cathartici Amari Natura, per Grew, half a dollar. 152 The Works of the highly Experienced, and famous Chymist, John Rudolph Glauber ; containing great Variety of choice Secrets in Medicine, and Alchymy, in the working of Metallick Mines, and the separation of Metals, also the improvement of Barren-Land, and the Fruits of the Earth, twelve dollars. 153 HOME's Clinical Experiments, Histories, and Dissections, three dollars. 154 Hamilton's Elements of the Practice of Midwifery, three dols. 155 Haller's First Lines of Physiology, four dollars. 156 The same in Latin, three dollars. 157 Hill's Cases in Surgery, particularly, of Cancers and of Disorders of the Head from external violence, dollar and a half. 158 Heisteri, Compendium Anatomicum, one dollar. 159 Harveii Exercitationes Anatomicæ, one dollar. 160 Hopson's Essay on Fire, one dollar. 161 Hippocrates, on the preservation of Health, one dollar. 162 Haller on the Irritable Parts of Animals, one dollar. 163 Head of Doctor Cullen, two dollars. 164 Head of Doctor Monro, two dollars. 165 Huxham on Fevers, two dollars. 166 Holland on the Nature, and Cure of the Small-Pox, two dol. 167 Houston's Travels in Asia, Africa, America and Europe, two d. Hales's A Continuation of this Catalogue will be published on Monday next.