Medical Pocket-Book. 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 VIRTUE and DOSES of MEDICINAl COMPO- SITIONS and SIMPLES. Extracted from the best AUTHORS, and digested into AlPHABETICAL ORDER. THE TENTH EDITION, WITH ADDITIONS AND CORRECTIONS. BY JOHN ELLIOT, M.D. BOSTON: Printed by JOSEPH BUMSTEAD, for DAVID WEST, No. 36, Marlborough-Street, and E. Larkin, jun. No, 50, Cornhill. 1791. 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, THE AUTHOR Great-Marlborough-Street, Aug. 12, 1781. 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 easily 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 A 2 many vi PREFACE. many places, used the word frequenter ; 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. When any particular indication is to be observed, 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 can- not give directions for making them into draughts, boluses, or other forms that may be required. The vehicles should be ei- ther perfectly innocent, (as aq. pura, syr. simp. &c.) or of similar virtues with the medicines to be given. And if two articles of the same virtues (cathartics, for example) are PREFACE. vii are employed, it scarce need be mentioned, that the dose of each must be proportion- ably less. It may be added, that ingredients of a volatile nature should be given in a liquid form, lest their virtues exhale ; very nauseous ones should, if convenient, be given in the form of pills or boluses. V. In the alphabet I have, for the most part, made use of English names ; or at least, have usually referred from those where technical ones 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 M.S. that it would be equally useful to others, and this was my motive for making it public If it assists the practitioner's memory in matters already known, (at least till he has leisure to consult larger works, where necessary) my design is answered. J. E. THE Medical Pocket-Book. ABORTION. SYMPTOMS. Pain in the back, loins, and lower part of the belly ; shiverings ; a flux of blood from the womb ; nausea, anxiety, palpi- tation of the heart, syncope, an opening and moisture of the os tincæ. Most commonly hap- pens 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 follows, discontinue the corroborants, and give spermaceti medicines with tinct. theb. &c. as after child-birth. ABSCESS. THE MEDICAL POCKET-BOOK. 2 ABSCESS. TREATMENT. Common absceses may be treated by bringing them forward with proper cataplasms, and when ripe, opening, digesting, and cicatrizing. Avoid evacuations during the suppuration, unless inflammation require. See also Boils, Phlegmon, and Ulcer. ABSORBENTS. (Of acidity) Creta, magnesia, crabs eye, coral, and all the testaceous powders ; dose ℈j. or ʒss. several times in a day. Also in like manner, sal. tart, vel absinth. gr. v. sal ammon. vol. gr. v. diluted. ÆTHIOPS MINERAL. Alterative, vermifuge ; dose ℈j. ad ʒss. bis die. AGARIC. Outwardly applied stops hæmorrhages ; strewed on venereal warts, it sometimes drives them away. AGUE. SYMPTOMS. The fit begins with cold shiver- ings ; a small quick pulse ; pain in the back and head ; nausea. To these succeed great heat and fever, which terminate in sweats. The urine during 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. 3 THE MEDICAL POCKET-BOOK. In the Quartan, the intermission is of two whole days. TREATMENT. First give an emetic, and after- wards a gentle cathartic. If the intermissions are not regular, saline febrifuges should be administer- ed till that objection is removed ; then give the bark, in substance ʒj. every two hours during the intermission, adding tinct. theb. or other astrin- gent if it runs 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. elix. vitr. acid, or t. theb. 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 ℥j. of proof spirit, and given before the fit, has succeeded in some desperate cases. ALKALINES. Sal. tart, sal absinth. sal vol. ammon. sal. c. c. vol. gr. v. ad ℈j. Sp. vol. am. sp. sal ammon. sp. C. C. gut. xv. ad ʒj. See also Absorbents. To be given occasionally to destroy acidities in the stomach, &c. ALUM. Astringent, gr. iv. ad ℈ss. Externally astrin- gent and cooling. ALOES. Cathartic and anthelmintic ℈ss. ad ʒss. Em- menagogue gr. v. ad x. bis die. Externally applied, Vulnerary. ALTERATIVES. THE MEDICAL POCKET-BOOK. 4 ALTERATIVES. See the preparation of mercury and antimony. Any medicine that works a cure gradually, by correcting the patient's habit of body, may be called an alterative. ANASARCA. See Dropsy. ANEURISM, Or an enlargement of an artery, (known by its pulsation.) TREATMENT. Bleeding, and proper evacua- tions ; with low spare diet. Lead may be bound down pretty tight to 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 appear on the arms and other parts. The throat sloughs, ulcerates, and is very painful. 5 THE MEDICAL POCKET-BOOK. painful. Offensive taste, and delirium towards night. TREATMENT. Avoid bleeding and evacua- tion, gentle sudorifics excepted ; and purgings should be checked. Give first a gentle emetic, then medicines with contrayerva and conf. car- diac ; 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. ʒj. and ℥ij. of the pre- ceding 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 gr. iv. ad gr. xv. or in infusion ad ℥iv. ANODYNES. Opium crude or extr. gr. 1/4 ad gr. ij. tinc. theb. gut. x. ad xl. or more, syr. e mecon ʒj. ad ℥ss. elix. pareg. gr. xx. ʒjss. ther. andr. & conf. dam. ℈ss. ad ʒj. philon. Lond. ℈ss. ad ʒss. ANTHELMINTICS. See Worms. ST. ANTHONY'S FIRE. See Erisypelas. ANTIMONY prepared. Alterative gr. v. ad ʒss. bis die. ANTISPASMODICS. THE MEDICAL POCKET-BOOK. 6 ANTISPASMODICS. See Musk and its Julep. Opiates, and the nervous medicines. APHTHÆ. See Thrush, and Fever Apthose. APOPLEXY. SYMPTOMS. A sudden privation of sensation, and voluntary motion. The face red, and bloat- ed ; the mouth commonly open ; the pulse strong and quick, especially at first ; respiration strong, and attended with snorting. TREATMENT. Bleed freely, and apply cup- ping-glasses to the head, neck, or between the shoulders ; strong clysters and cathartics ; blisters should be applied to the back and legs, and sinapisms to the feet. Medicines of the warm nervous kind, as castor, valerian, camphire, assa- fœtida, and volatile salts, should frequently be administered. Authors distinguish between a sanguineous and pituitous 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 often hurtful in the former; bleeding should also be prescribed with caution in the latter. A soft, mild, and opening vegetable regimen is prescribed for patients subject to the sanguineous, and a contrary one, with exercise, for such as are recovered from a pituitous apoplexy. B APPETITE 7 THE MEDICAL POCKET-BOOK. APPETITE Canine. Treatment. If an acid in the stomach be the cause, vomit, and give testaceous powders, magnesia, or alcalis. If worms, give anthelmin- tics. If it be natural, or proceeds 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 proceeds 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, attend- ed with wheezing; it returns at intervals ; is preceded by disinclination to motion, loss of appetite, oppression, flatulency, and frequent eructations. 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 expectorate. If he happens to sleep he snores much ; THE MEDICAL POCKET-BOOK 8 much ; at the height of the fit is desirous of cool free air ; sweats about the neck and forehead ; coughs up a little frothy matter with great diffi- culty ; no fever ; pulse extremely small and weak ; urine pale and copious ; as the fit abates, an expec- toration 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 shold be opened with gentle cathartics : then give the pectorals and expectorants, joined, if necessary, with antispasmodics and sedatives. ASTRINGENTS. Alum gr. iij. ad xij. pulv. e succin. c. gr. v. ad ℈j tinct. rosar. ℥j. ad ij. elix. vitrioli acid gut. x. ad xx. vitriol. alb. gr. ij. ad v. colcothar gr. iij. ad ℈ss. sacch. saturn. gr. 1/4 ad j. See also Corroborant. For the bowels in purgings, &c. ext. lign. camp, gr. v. ad ℈j. alum, elect, e scord. ℈ss. ad ʒjss. rhab. torrefact. gr. v. ad xv. Ripe acid fruits, as currants, sloes, &c. are also good. ATROPHY. SYMPTOMS. A nervous consumption, or wa- sting 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 9 THE MEDICAL POCKET-BOCK. with steel. If scorphulous, the steel with bark. If worms be the cause, anthelmintics. If lues venerea, mercurials and decoct. sarsaparil. If hysterics or hypochondriaca, join chalybeates with pil. gummos. or other medicines of this class. If profuse evacuation, as fluor albus, the bark, cha- lybeate waters, sarsaparilla, and exercise. If at- tended with scurvy, the scorbutic juices, vegetable acids, and bark. If asthmatic symptoms appear, the squill preparations, or other pectorals and an- tispasmodics, and blisters. Diet, however, must assist medicine in the cure ; which, where nothing forbids, should be of the soft, nutritive, and strengthening kind, and easy of digestion ; as milk, calves feet, and other jellies, &c. The country air is good. ATTENUANTS. Alcalis (which see.) Chalybeates. See Flor. Mart. and Deobstruents, Mercurials, see Calomel, &c. BALSAM of Capivi. Corroborant, diuretic, gut. x. ad xxx. BALSAM of Guaiacum. Gut. xx. ad ʒj. for rheumatic complaints, foulness of skin, gleets, &c. BALSAM Lucatellus's. ℈j. ad ʒj. for dysenteries, or coughs. BALSAM THE MEDICAL POCKET-BOOK. 10 BALSAM of Sulphur. Gut. iv. ad ℈j. for coughs and asthmatic complaints. BALSAM of Peru. Gut. iv. ad xv. for nervous complaints and head-aches, gonorrhœas, asthmas, &c. BALSAM of Tolu. Gr. v. ad ℈j. for coughs, &c. BALSAM Traumatic. Gut. x. ad xxx. for inward wounds, bruises, or coughs ; externally for cuts. BARK. Febrifuge, corroborant, stomachic, antiseptic ℈j. ad ʒj. several'times in a day, decoction, or extract in proportion. The red bark is the species that ought to be preferred. For the revival of this excellent medicine, we are indebted to the authors of the London Medical Journal. BARK of Pomegranates. Astringent, stomachic, in decoction ℥j. ad ℥ij. frequenter. BARK of Lemons and Oranges. Stomachic, in infusion ℥j. ad ℥ij. bis die. BALAUSTINE Flowers. Astringent, ℈ss. ad ʒfl. or in decoction. BEARING DOWN. See Procidentia, and Prolapsus. B 2 BENJAMIN. 11 THE MEDICAL POCKET-BOOK. BENJAMIN. Gr. iv. ad xv. as a pectoral and asthmatic. BITES and STINGS of venomous animals. TREATMENT. To those of small insects, as gnats, bugs, wasps, &c. apply spt. C. C. milk, oil, hony, or vinegar ; to that of the viper, its own fat, spt. C. C. or ol. amyygd. 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 hore- hound, 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 medi- cines if necessary. Keep the patient cool. 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. The patient in this case also, must be kept cool. BLIGHT. See Erisypelas. BLOOD, THE MEDICAL POCKET-BOOK. 12 BLOOD, spitting of, or Hæmoptoe. SYMPTOMS. A cough and short respiration attends. If the blood coughed up appears 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 styp- tics ; as tr. rosar. tr. styptic, alum, bark, bals. traumat. pulv. e succin. c. nitro, and occasionally an opiate ; the feet bathed in warm water; a slen- der 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 precedes the vomiting ; the stomach is often distended ; the blood of a darker colour tVan 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 intes- tines, and a consequent discarge of blood by stool. BOILS. TREATMENT. They are to be ripened with proper poulticec or cataplasms ; opened, digested wita basilicon, &c. and healed with cerat. epulot. or the like. If fungous flesh appears destroy it with red precipitate, or other proper escarotic. Alterative and edulcorants, with corroborants, if necessary, should be given internally. BORAX. 13 THE MEDICAL POCKET-BOOK. BORAX. Emmenagogue, diuretic, gr. v. or x. External- ly 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 suppura- tion, continue to poultice, and let it break of itself; after which, digest with poultices or otherwise, and cicatrize. If fever appears 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 Venereal Disease and Abscess. BURNS. See Scalds. CACHEXY. See Dropsy. TREATMENT. Sal diureticus, squills, or other diuretics ; cathartics ; then chalybeates, bark, &c. with proper exercise. CÆLIAC PASSION. SYMPTOMS. A purging, or discharge of ali- ment THE MEDICAL POCKET-BOOK. 14 ment indigested, and somewhat like chyle, with wasting of the body. TREATMENT. An emetic ; stomachic, bind- ing, and warm strengthening 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 oint- ment as a cicatrizer. CALAMUS. Aromatic, gr. v. ad xv. CALOMEL. See Mercury. CAMPHIRE. Diaphoretic, diuretic, antispasmodic, gr. iij. ad ʒss. or more. CANCER, Symptoms. A round unequal tumour, of a livid colour, surrounded 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 inflam- mation, cooling laxatives ; salt water, extract cicutæ, magnesia, soap, or the like, in small doses as alteratives. Externally, apply lint only if the tumour breaks, Hemlock fomentations have been 15 THE MEDICAL POCKET-BOOK. 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, gr. ss. ad gr. ij. CARAWAYS. Carminative, gr. iij. ad. ℈ss or in infusion. CARDAMOMS. Carminative, gr. iij. ad ℈ss. CARDIALGIA. See Heart-burn. CARMINATIVES. Sem. cardam. anisi and carui, gr. iij. ad ʒss Ol. carui, anisi, anethi, and juniperi gut. j. ad iij. Philonium ℈ss. ad ʒss. Spec. arom. gr. iv. ad ℈ss. Tinct. cardam. vel aromat. gut. x. ad ʒj. CARUNCLES. See Urine. CARUS. TREATMENT as in the apoplexy, of which this is only a slighter degree. CASTOR. Nervous, antispasmodic, emmenagogue, gr. iv. ad ℈j. CASTOR OIL. Laxative ℥ss. ad ℥j. also nephritic and icteric. CATARRH. THE MEDICAL POCKET-BOOK. 16 CATARRH. See Cough. CATHARTICS. Jalap gr. xv. ad ʒss. Sal Glaub. ℥ss. ad ℥jss Aloes ℈ss. ad ℈j. Pil. ex colocynth ℈j. ad ℈ij. Elect, e scam. ʒj. ad ʒij. Pulv. e scammon. c. ℈j. ad ℈ij. Extract cath. gr. xv. ad ʒss. Colo- cynth ℈fl. ad gr. xxv. Rhubarb ℈j. ad ℈ij. Inf. senæ, ℥j. ad ℥iv. Tinct. sacræ, senæ, and rhu- barb ℥j. ad ℥iij. Gamboge, and scammony, ℈ss. ad ℈j. Ol. ricini ℥ss. ad ℥j. CEPHALICS. Spt. lav. c. vel spt. vol. arom. gut. x. ad xl. æther a few drops. Also externally to the tem- ples. See Nervous, and Head-ach. CHALK. Absorbent, cardialgic ℈j. ad ʒj. CHALYBS prepared. Deobstruent, tonic, gr. ij. ad ℈ss. CHAMOMILE flowers. Stomachic, corroborant, gr. v. ad ℈j. 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. 17 THE MEDICAL POCKET-BOOK. 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, sperma-ceti, with gentle opiates ; and if necessary, castor, or other uterine remedy. CHINA Root. Alterative, antivenereal, antiscorbutic, in de- coction like sarsaparilla. CHLOROSIS. See Menses. CHOLERA MORBUS. SYMPTOMS. Violent vomiting and looseness, from bile abounding 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 extremities. Chiefly attacks young persons, and in the summer and autumn. TREATMENT. Large and frequent draughts of chicken broth, to the quantity of a gallon or two ; and clysters of the same should be contin- ually injected. If the vomiting continues, give an infusion of oat bread, toasted brown, in water; afterwards cinnamon water, cons. 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 gr. iij. ad ℈j. CINNAMON. THE MEDICAL POCKET-BOOK. 18 CINNAMON. Astringent, carminative, aromatic, gr. iij. ad ℈ss. or in infusion. COLCOTHAR. Astringent, styptic, corroborant, gr. iij. ad gr. viij. Also externally to hæmorrhages. COLD and COUGH. SYMPTOMS well known. In phlegmatic habits, the cough is moist, and in the hypochon- driac and scorbutic, dry. TREATMENT. Gentle and regular warmth ; bleeding, if nothing forbids; arid especially if a fever, or pain in the breast, &c. arise. Oily, or spermaceti medicines, or other pectorals, with opiates. If costive, proper laxatives ; and if the stomach is loaded with phlegm, an emetic; where greasy medicines disagree, give pil. de styrace, pulv. e trag. c. 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 appears. 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 abdomen, at other times shifting from C one 19 THE MEDICAL POCKET-BOOK. one part to another. A pulsation and cold are likewise felt in the belly. Urine little or none. Frequently hoarseness, with thirst and fever. Most prevalent in summer. TREATMENT. Bleed, and give an emetic, with a large quantity of inf. flor. ch. or the like, to work it off ; then give cathartics (pills chiefly, or ol. ricini) with opium, and opening emollient clysters. If these fail, put the patient into the warm bath. If the vomiting continues, saline draughts, with tinct. theb. Pills of gr. ss. or gr. j. of crude opium are most powerful in removing pain and spasm ; and enable the cathartics to take the better effect. COLIC, Hysteric. SYMPTOMS. This a disease to which women of lax and gross habits, and of irritable dispositions, chiefly are subject. It begins with violent pain in the region of the stomach, much green and yellow matter is vomited, and great lowness of spirits succeed ; 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 costiveness indicate ; clear the stomach with warm water, chamomile tea, &c. then give a carminative antispasmodic, with opium; (as castor, cons. card, philon. conf. paulin.) which may be occasionally repeated. Recruit the THE MEDICAL POCKET-BOOK. 20 the strength with bark, bitters, air, exercise, cha- lybeates, &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 stay, with pills of extr. cath. and opium ; emollient clysters should be fre- quently given, and soft emollient liquids drank ; the bowels should be fomented, bladders of water, bags of sait or oats heated, the skins of animals just killed applied 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 fun- dament, in case all other cathartics fail ; or give quicksilver. COLIC Nervous, called also the Devonshire Colic, Colic of Poitiers, dry Gripe, and the dry Belly-ach. SYMPTOMS. 21 THE MEDICAL POCKET-BOOK. 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 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 other- wise, as also by clyster; the pain and tension being removed by these, give gentle cathartics, 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 antispasmodic may be given, as camphire, valerian, castor, conf. card, or the like, with opium. If the pain returns, have recourse again to opium pills ; if paralytic symp- toms come on, embrocate the limbs and spine with lin. vol. cum camphor, or other warm lini- ment. If convulsions, give musk with opium. After the disorder, bark, with bitters and rhubarb, should be ordered; together with a light, but nutritive diet. Flannel may also be worn round the waist. Painters THE MEDICAL POCKET-BOOK. 22 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 surprizing success. COLIC Stone, or Niphritis. 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 propagated 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, and other sediment. TREATMENT. Turpentine clysters are given with good effect; the pil. sapon. or other nephri- tic anodyne ; care also being 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 abates 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 also may be given if judged necessary ; and fomentations, or bladders of hot water may be applied to the belly ; as may C 2 Likewise 23 THE MEDICAL POCKET-BOOK. likewise anodyne, spirituous, and aromatic embro- cations, as bals. anod. cum ol. menth. or the like. A passage being procured, carminatives joined with opium may be administered ; as philon. Lond. or the like. COLICA meconialis. See Meconium. COLOCYNTH. Cathartic, gr. x. ad ℈j. COMA. See Carus. CONFECTION Alkermes. Cordial, ℈j ad ℈j. CONFECTION Cordial. Carminative, cordial, ℈ss. ad ℈ij. CONFECTION Democrat. Alexipharmic, anodyne ℈ss. ad ℈ij. CONFECTION Paulins. Anodyne, nervous, ℈ss. ad ℈j. 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 THE MEDICAL POCKET-BOOK. 24 a spitting of blood soon follows, which is thin, florid, and frothy ; but it afterwards becomes paler, and me 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 tu- bercles are forming, with fever and inflammation, avoid heating medicines, and give cooling febri- fuges ; if little or no fever, chalybeates are very efficacious ; in spitting of blood, bleed and give tinct. rosar. tinct. stypic, or the like, and keep the body gently open. For sweats, give elix. vitri. acid. or if that disagrees, the pearl julep ; very gentle vomits of ipecacuanha may be given twice a week, if nothing forbids, to promote expectora- tion ; change of air and gentle exercise are good ; the diet should be light, mild, and nutritive ; as jellies, broths, milk, buttermilk, &c. Dr. Sim- mons's excellent treatise on this subject may be consulted. CONTRAYERVA. Alexipharmic.gr. v. ad ℈j. CONTUSIONS. TREATMENT. Bathe the part with vinegar lin. sapon. lin. vol. spt. mindereri, or arquebusade ; and if necessary, apply a poultice of oatmeal and vinegar. 25 THE MEDICAL POCKET-BOOK. vinegar. If there be inflammation, bleed, and purge, use emollient fomentations and cataplasms. If suppuration appears, apply proper topical rem- edies to forward it, and treat as in abscesses. CONVULSIONS. SYMPTOMS. Involuntarily 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 constitutions. TREATMENT. If a plethora be indicated, bleed ; if otherwise, avoid it; blisters, laxatives, and emollient clysters, if nothing forbid ; the ner- vous 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 prima via ; 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 ℈j. ad ʒj. CORALLINE. Anthelmintic ℈ss. ad ʒss CORNS. THE MEDICAL POCKET-BOOK. 26 CORNS. Cover them with mucilage, or others 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 expectora- tion, 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 bring up the phlegm. Keep the body rather lax ; and prescribe tinct. fulig. or other antispas- modic ; 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 ℈i. ad ʒj. CREAM 27 THE MEDICAL POCKET-BOOK. CREAM of TARTAR. Aperient, cooling, ʒss. ad ℥ss. 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 is 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 ; inarticulate speech, and lolling out of the tongue ; drawing one leg after, like an idiot ; with variety of odd and ridiculous gestures Chiefly affects the youthful. TREATMENTS. Emetics, cathartics, pulv. rad. valer. in large quantities ; bark, chalybeates, sea- bathing; electricity, millepedes, and æthiops mineral, have been of use ; blisters and bleeding, if judged necessary. If worms are the cause, give anthelmintics. DEAFNESS. TREATMENT. If it proceeds from hardened wax, syringe the ears, and drop in ol. amygd. If the wax be deficient, ol. amygd. with a little ol. rosismar,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 MEDICAL POCKET-BOOK. 28 give the nervous medicines, bark, &c. and apply blisters. Electricity has been found useful. In 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. DELIVERY. See Child-birth. DENTITION. See Teething. DEOBSTRUENTS. Pil. ecphractic ℈ss. ad ℈j. Sal martis gr. ij. ad vj. Calomel gr. ij. ad v. See also Menses, Savine, Castor, Hellebore, Elix. Myrrh, &c. DIABÆTES. See Urine. DIAPHORETICS. See Sudorifics. DIARRHŒA. SYMPTOMS. A purging, without much sick- ness or pain ; succeeded by loss of appetite; and sometimes nausea, fever, with weak pulse, dry skin, and thirst. TREATMENT. If it proceeds from any thing offensive in the bowels, give rhubarb first, either in powder or tincture ; and afterwards astringents and 29 THE MEDICAL POCKET-BOOK. and absorbents, as jul. e cret. elect. e scord. extr. lig. camp. 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 matters, or it is critical. You must be careful to distin- guish in these causes, as checking the purging may be followed by a fever, or other bad conse- quences. In diarrhœas, vegetable and acescent diet should be refrained from ; decoct, alb. is best for common drink, and rice victuals for food. When purg- ings proceed from a putrescent cause, ripe fruits and antiseptics are proper. DIURETICS. Sal diuretic ℈j. ad ℈ij. Camphire gr. iij. ad ℈ss. Ol. junip. gr. ij. ad v. Rad. scil. gr. iij. ad x. Spt. terebinth gut. x. ad xx. Spt. nitr. d. ʒss. ad ʒj. Mucilag. gum arab. ad libit. tinct. can- thar. gr. x. ad xxx. 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 THE MEDICAL POCKET-BOOK. 30 lymph is accumulated in the cellular membrane it is called Anasarca, or Leucophlegmatia ; 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 appetite abates ; the face either bloats or becomes thin and pale ; little urine is made ; thirst, slow fever, shortness of breath, lassitude and heaviness ; these symptoms obtain especially in the anasarca and ascites. In the hydrocephalus, convulsions, squinting, shun- ning the light, opening of the sutures, 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. cupri. squills, tinct. cantharid. sal diuretic. or sal absinth. with bitter infusion. Emetics and sudorifics, blisters and scarifications, prescribed with due caution, have often good effect, other- wise they may do harm. Bark may be given if the strength flags, 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. Crystals of tartar given in large quantity, have had good D effect, 31 THE MEDICAL POCKET-BOOK. effect. Gum guaiacum has also been recom- mended. In this complaint bread is generally ordered to be toasted, and flesh to be baked, roasted, or broiled. Smoaking is of great use, and mustard seeds taken whole have often been of service. If the disorder ariseth from the too copious use of weak liquids, or obstructed perspir- ation, 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, cathartics only occasionally. Blis- ters applied below the breast, and even on the thighs or legs, and kept open, are also very effectual. In the Hydrocephalus intermus, a salivation excited by mercury has of late been recommend- ed, but its efficacy is not yet clearly ascertained ; 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, THE MEDICAL POCKET-BOOK. 32 clysters, and occasionally, cathartics; diuretic, attenuant, and resolvent medicines should be given ; and fomentations and vapour baths advised. In the Hydrocele, let out the water with the trocar at the bottom part of the scrotum ; but when water is contained in the cellular mem- brane, treat it as an Anasarca. DRY GRIPES, or Dry-belly-ach. Sec COLIC - Nervous. DYSENTERY, or Bloody-flux. SYMPTOMS. A discharge of mucus, blood, purulent matter by stool ; violent gripings ; pain in the loins, and anus ; ceneimus, and rever TREATMENT. A rhubarb, or other gentle purge, and after proper-evacuation, julep e cret. with spermaceti, and an opiate. Bleed, if you find it necessary; and give starch clysters with opium and astringents; boluses of bees-wax and spermaceti, or bals. locat. with el. e scord, are efficacious. Small doses (a grain or two) of ipecac. have often succeeded ; as hath also vitrum antim. cerat. in doses of gr. v. with some opiate, 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 remove the tenesmus. The diet as in the diarrhœa. Milk with mut- ton 33 THE MEDICAL POCKET-BOOK. ton suet boiled in it, and the fat afterwards taken off, is esteemed excellent. DYSURIA. See Urine. EAR-ACH. See Deafness EARTH, Japan. Astringent, ℈ss. ad ʒss. ELATERIUM. Cathartic in dropsies gr. j. ad iij. ELECTUARY of Bayberries, ℥ss. in clysters. ELECTUARY Lenitive ; or of Cassia. Laxative ʒij. and ℥ss. ELECTUARY of Scammony. Cathartic, antirheumatic ʒj. ad ʒij. ELECTUARY of Scordium. Astringent ʒss. ad ʒjss. also sudorific. ELIXIR of Aloes. Deobstruent, opening, vermifuge gut. xv. ad ʒj. ELIXIR of Myrrh compound. Emmenagogue gut. v. and gss. ELIXIR Paregoric. Asthmatic, anodyne gut. xx. ad ʒjff. ELIXIR of vitriol acid. Corroborant gut. vj. ad xx. EMMENAGOGUES. THE MEDICAL POCKET-B00K. 34 EMMENAGOGUES. See Deobstruents. EMETICS. Pulv. ipecac, ℈ss. ad ʒss. Vin. ipec. ℥j. ad ℥ij. Tart. emet. gr. j. ad iij. Vin. antim. ʒij ad ℥ss. Vitriol. alb. ℈ss. ad ℈j. EMPYEMA. SYMPTOMS. An enlargement of the cavity of the thorax, and œdematous 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 pre- scribed in the Vomica. Medicines which pro- mote absorption, and blisters may also be useful. But letting out the matter, where it can conve- niently be done, is the best cure. EMULSION, Common. Diuretic, emollient, ad libitum. EPILEPSY. SYMPTOMS. Languid pulse, pale countenance, and afterwards great pain in the head, with stupor. and drowsiness, sometimes precede the fit; though it often 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. D 2 TREATMENT. 35 THE MEDiCAL POCKET-BOOK. TREATMENT. If the vessels are full, bleed ; emetics and laxatives are proper ; warm, nervous, and attenuating remedies, as castor, valerian, assafœtida, cinnabar, viscus querc. ol. animal. sal c. c. &c. should be directed. Blisters kept open, and setons are very serviceable ; flowers of zinc have succeeded well, a grain or two at a dose once or twice a day. To restore the strength, and prevent returns, the bark, or other corrobo- rant, 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 blisters ; heat, redness, itching and smarting; drowsiness and difficulty of breathing commonly attend. TREATMENT. Bleed, and give proper leni- tives, and cooling diaphoretic febrifuges. Blisters, and cordial sudorifics, as camphire, contrayerva, &c. if low pulse and malignancy require. The parts may be bathed with softening fomentations, milk, &c. ESCHAROTICS. Merc. corrosiv. ruber, vitriol. cærul. the caus- tics, alum ust. verdigris, &c. ETHIOPS. See Æthiops. EXTRACT of Bark. Corroborant, &c. gr. v. ad. ℈j. EXTRACT THE MEDICAL POCKET-BOOK. 36 EXTRACT Cathartic. Gr. xv. ad ℈ij. EXTRACT of Chamomile, or of Gentian. Stomachic, gr. v. ad ℈ss. EXTRACT of Guaiacum. ℈ss. ad ʒss. Alterative, antirheumatic, anti- venereal EXTRACT of black Hellebore. Deobstruent, opening, gr. v. ad ℈ss. EXTRACT of Hemlock. Deobstruent, alterative, &c. gr. v. ad ℈j. EXTRACT of Jalap. Cathartic, ℈ss. ad ℈j. EXTRACT of Logwood. Astringent, gr. v. ad xv. EXTRACT of Saturn. Externally, cooling, astringent, &c. diluted. EXTRACT of Savine. Emmenagogue gr. v. ad ℈ss. EXTRACT Thebaic. Anodyne gr. ss. ad gr. ij. EYES inflamed, or Ophthalmia. Inflammation of the outward coats of the eye, attended with pricking pain, heat, pulsation, red- ness, swelling, and scalding tears. TREATMENT. 57 THE MEDICAL POCKET-BOOK. TREATMENT. Bleed, purge, apply leeches to the temples, and blister the back, or behind the ears ; cooling febrifuges may also be given ; direct collyriums, with vitr. alb. sacc. saturn. or alum ; or if astringents disagree, warm milk, decoction of mallow leaves in milk or water, or other emollient fomentation ; or poul- tice of milk and bread, and bathe the feet in warm water. If it ariseth from mere weakness of the vessels, astringent collyriums, or alum curd ; and bark, or other tonics, may be given 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 altera- tives, 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, sacc. saturn. &c. FALLING SICKNESS. See Epilepsy, FEBRIFUGES. Nitre gr. v. ad ℈j. Saline draughts. Vin. antimon. gr. v. ad xx. Tart. emet. gr. 1/4 ad 1/2. Bark in the intermissions, ʒss. ad ʒj. tertia q. hora, decocion, or extract in proportion. See Sudorifics, &c. FENNEL. THE MEDICAL POCKET-BOOK. 38 FENNEL. Carminative, diuretic gr. iij. ad gr. xv. or in infusion. FEVER Apthose, or the Thrush Fever in adults. SYMPTOMS. Fever, with ulcerations or aphthæ; distinguishable from the putrid sore 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 antisep- tics ; blisters if necessary. Proper laxatives, and detergent gargles. Vitrum antimon. cerat. has been found useful. Borax, alum, or spt. vitriol, when mixed in small quantity with honey, are good to touch the aphthæ 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 febrifuges, with small doses of vin. antim. or tart. emetic. and if dia- phoresis 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 39 THE MEDICAL POCKET-BOOK. stimulating plaisters to the feet, first bathing them with warm water. If hiccups, jul. e mosch. While the pulse is high, and inflammatory symp- toms continue, the antiphlogistic treatment, cool- ing febrifuges, acids, and gentle aperients are pro- per. But care must be taken not to bring the patient too low, else he will want strength to car- ry him through the disease. Gentle opiates may be ordered at night occasionally in case of rest- lessness. If the pulse sinks, he should be support- ed 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 eruption (preceded by profuse sweat of a sourish smell, with tingling or pricking sensation) appears, chiefly on the neck, breast, and back ; of little bladders resembling millet-seeds, (from whence the fever is denomi- nated) THE MEDICAL POCKET-BOOK. 40 nated) which are either white or red, according to the colour of the liquid they contain, and some- times both sorts. The eruption being out, the symptoms usually abate ; the urine, which before was pale, becomes higher coloured. The erup- tions commonly dry in about seven days, and the skin peels off. TREATMENT. Bleed, if nothing forbids ; (but this should be done with great caution), and give saline febrifuges, accompanied with laxatives and diaphoretics, as the symptoms may require. If bilious matter be suspected in the stomach, an emetic may be proper. If delirium appears, 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 swelling of the breasts, and pain shooting towards the axillæ ; the breasts some- times are hard, hot, and inflamed ; generally con- tinues a day or two, then terminates in copious sweats and discharge of urine. TREATMENT. Bleed, if the inflammation be great ; keep the body open, and let the breasts be frequently drawn. In case of hardness or inflam- mation, emollient fomentations and poultices. FEVERS 41 THE MEDICAL POCKET-BOOK. FEVERS mixed, Are those wherein the symptoms of inflamma- tory, nervous, putrid, and other fevers, are more or less blended together ; and must therefore be treated according to their appearances. 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 sore part of the head, flush- ing in the face, short breath, suppression of the lochia. TREATMENT. In case of costiveness, emol- lient glysters ; and if necessary, gentle cathartics ; then mild diaphoretics, as saline draughts with vin. antim. and proper diluents. Emetics exhibited early, have been known to have been attended with remarkable success in this disease in the Hotel Dieu at Paris. FEVER, putrid or malignant. SYMPTOMS. A giddiness precedes the attack ; then burning heat, sudden loss of strength, heavi- ness, lowness of spirits, watching, pulse weak, low, and unequal ; anxiety, oppression at the præcor- dia, 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 indicates its necessity ; give small doses of tart. THE MEDICAL POCKET-BOOK. 42 tart. emet. or pulv. jacobin with julep e camp, and if necessary, rhubarb, or other gentle laxative should be occasionally interposed. An emetic in the beginning is often efficacious. Antiseptics, the bark, and cordials are proper ; as are also blis- ters. 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 con- vulsive 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 ; vine- gar should be sprinkled on the floor. Picking the bed-clothes 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 remitting Fever, the bilious Fever, the marsh Fever, and the camp Fever. Usually comes on suddenly, with debility, low- ness of spirits, chilliness, and other febrile symp- toms ; the hands tremble ; countenance pale or yellowish ; skin dry, breathing difficult, and pulse small and quick ; great nausea succeeds. Vo- miting of bile, and sometimes discharge of it by stool; tongue becomes foul, delirium follows, moisture on the face, and at length on the other E parts, 43 THE MEDICAL POCKET-BOOK. parts, when the remission follows. As the disor- der increases the remissions are less, and at length 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 give saline febrifuges, to bring on regular intermis- sions; 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 contrayerva, or other gentle diaphoretic ; blisters on the back and throat bleed TKE MEDICAL POCKET-BOOK. 44 bleed and purge with great caution. If costive- ness, clysters are best ; and if inflammatory symptoms, cupping or leeches ; if a putrid ten- dency 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 desponding 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 erup- tions 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 cas- tor or other antispasmodics ; if aphthæ, gargles, with tinct. myrrh, honey, tinct. rosar. decoct. cort. alum, or the like ; and in case of much phlegm, 45 THE MEDICAL POCKET-BOOK. phlegm, oxymel scillit. or ipecac. to bring it up. Care should 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, gr. v. ad xx. FLOWERS of Benjamin. Pectoral, asthmatic, gr. ij. ad vj. FLOWERS of Rosemary and Lavender. Cephalic, in infusion ℥ij. ad ℥iv. FLOWERS Rose. Astringent, gr. v. ad ℈j. or in infusion. FLOWERS of Steel. Deobstruent, corroborant, attenuating, gr. ij. ad viij. FLOWERS of Sulphur. Alterative, pectoral, opening, ℈j. ad ʒij. FLOWERS of Zinc. Antiepileptic gr. 1/2 ad ij. emetic ; outwardly, cooling and drying, FLUOR THE MEDICAL POCKET-BOOK. 46 FLUOR ALBUS. SYMPTOMS. A flux of thin matter from the vagina, of a transparent or white colour, some- times tinctured with yellow or green ; sometimes it is sharp and corroding, with a fœtid smell, espe- cially 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 ; strength- ening plaisters may be applied to the back and loin, astringent injections used, and a light, but strengthening and nutritive diet,with little exercise. FLUX, Bloody. See Dysentery. FRACTURES. TREATMENT. Replace the ends or pieces o£ the bone so as to be in their natural situation ; and keep them in that posture by proper com- presses, splints, bandages, &c. but not too tight ; and vinegar may be poured on them. If there be great inflammation or tumour, bleed, and use other proper methods to remove them before you attempt reduction. If there be loose fragments or splinters which hinder the extension and reduc- tion, 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, accord- ing to the bone injured, &c. E 2 If 47 THE MEDICAL POCKET-BOOK. If the fracture be of a desperate kind, or mor- tification 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 ac- cording to the symptoms that arise. FUROR UTERINUS. SYMPTOMS. Melancholy, taciturnity, redness of the face, lascivious 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 female sex, and proceeds from an abundance of acrimony of the fluids secreted in the pudenda. TREATMENT. Bleeding, and cooling purges; nitre ; or refrigerant, diuretic, and diluting liquids ; anodynes and thin diet. GALANGALS. Aromatic, stomachic gr. iv. ℈ss. GALBANUM. Nervous, antispasmodic, gr. v. ad j. or externally in plaisters. GALLS. Astringent gr. ij. ad vj. or more; or outwardly in liniments for the piles, &c. GAMBOGE. Cathartic, gr. v. ad ℈j. GANGRENE. THE MEDICAL POCKET-BOOK. 48 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. In gangrene of the toes, particularly in old people, opium has been found particularly serviceable. GARLICK. Expectorant, diuretic, emmenagogue, a chive or two at a dose, or in infusion. GENTIAN. Stomachic, see Infusion (bitter.) GINGER. Cordial, aromatic, carminative, gr. v. or in infusion. GLEET. See Venereal Disease ; but if it does not pro- ceed from that cause, the same treatment will be proper, viz. Corroborants, as bark, olibanum, alum, elix. vitriol, bals. copaiv. &c. and if neces- sary, astringent injections and the cold bath. GONORRHŒA Simple, See Gleet. GONORRHŒA 49 THE MEDICAL POCKET-BOOK. GONORRHŒA Virulent. See Venereal Disease. GOUT. SYMPTOMS. An acute pain in the joints, par- ticularly 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 internal parts ; chiefly affects the membranes, tendons, and ligaments ; 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 of 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 costive ; opiates may be occasionally given ; the part should be wrapt in flannel, and relaxing or other topical applica- tions, 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 THE MEDICAL POCKET-BOOK. 50 GUAIACUM Wood. Alterative, antirheumatic, antivenereal, in decoction, as Sarsaparilla. GUM Ammoniac. Pectoral, antispasmodic, gr. iv. ad ℈j. See Lac. GUM Arabic. Diuretic, emollient, in decoction ad libitum. GUM Guaiacum. Antirheumatic, alterative, antivenereal, ℈j. ad ʒj. GUM Elemi. Externally in digestives. GUM Tragacanth. As Gum arabic. GUTTA SERENA. SYMPTOMS. A blindness, though the eyes seem perfectly unaffected, the cause being in the retina, or optic nerve. TREATMENT. Blisters on the head, back, or behind the ears ; bleeding if nothing forbids ; valerian, castor, assafœtida, cinnabar, bark, volatile salts, millepedes, rosemary, or other nervous and attenuant 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, alum, or the vitriolic styptics ; if an ar- tery 51 THE MEDICAL POCKET-BOOK. tery is injured, take it up, or apply the spunge tent. HÆMORRHAGE internal. See Blood. HÆMORRHOIDS. See Piles. HARTSHORN, Burnt. Astringent, absorbent, ℈j. ad ʒj. See Decoc- tion, white. HARTSHORN Shavings. In jelly, corroborant, nutritive. HEAD-ACH. TREATMENT. If occasioned by plethora, use the pediluvium ; bleed or cup, and purge : and if by viscid blood, give attenuants 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, forehead, &c. with æther, or spt. sal ammon. with a little roch alum in it ; if a 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 THE MEDICAL POCKET-BOOK. 52 Heart-burn may be occasioned by corroding humours of other kinds, and will not therefore be eased by alkalis ; emetics, with plenty of cham- omile 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 occa- sion this complaint ; vermifuges are then proper. HELLEBORE, Black. Deobstruent, attenuant, alterative, gr. v. ad ℈ss, or more. See its Tincture and Extract. HELLEBORE, White. Emetic, gr. v. ad ℈ss. sternutatory. HEMICRANIA. See Head-ach. HEMIPLEGIA. See Palsy. HEMLOCK. See its extract. In fomentations discutient and resolvent. HEPATITIS. See Liver. HERNIA, or Rupture. TREATMENT. Return the intestines, if prac- ticable, and confine it with a proper truss; costiveness must be avoided, as must likewise violent exercise, drunkenness, &c. HERNIA Humoralis. See Testicles. HICCOUGH, 53 THE MEDICAL POCKET-BOOK. HICCOUGH, or Hiccup. The common hiccup is usually removed by drinking a draught of any weak liquid, by hold- ing the breath, and sometimes by swallowing dry bread. For the hiccup or singuluts, 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, sternutatories and emetics; and emp. stom. applied to the scrob. cordis have been useful. HIERA PICRA. Cathartic, deobstruent, ℈ss. ad ℈j. or more. See Tinct. Sacra. HONEY. Pectoral, detergent. HONEY, Egyptian. Detergent, destroys fungous flesh. HONEY of Hellebore. Emetic, cathartic ʒj. ad ℥ss. HONEY of Roses. Detergent, astringent. HOOPING COUGH. See Cough. HORSE RADISH. Diuretic, deobstruent, ad libitum, or infused in water, wine, or spirit, ℈jss ad ℈iij. HYDROCELE, THE MEDICAL POCKET-BOOK. 54 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 dull heavy look, endeavouring to hide himself ; seldom or never barking ; angry and snarls at strangers, but fawns on his owner; refuses all food, droops, hangs down his ears and tail, and often lies 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 suddenly at by- standers ; 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 something ; 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 effect, which will come on sooner or later : The bitten part begins to be painful, wandering pains come 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 straight- ness F 55 THE MEDICAL PCCKET-BOOK. ness, sensation of choking, and horror or dread at sight of water or other liquids, which is a suff- cient characteristic of the disease. TREATMENT. Cut out the bitten part imme- diately, which is the only certain cure : cupping- glasses should then be applied ; cauterize and wash it daily with salt water, or ung. cærul. fort. keep- ing it open with escharotics ; bleed, if the vessels be full; vomit with merc. emet. flav. give mosch. gr. xvi. cinnabar ʒss. (to which camphire and pil. sapon. ad gr. vii. 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 med- icine ; but this has sailed in a variety of cases, and has indeed been proved to be of no efficacy. HYPOCHONDRIASIS. SYMPTOMS are generally low-spiritedness (the disorder being chiefly in the imagination) hea- viness, oppression, and despondency ; yet at times uncommon cheerfulness and flow of spirits ; tim- idity, anxiety, fear, dread of dying, short cough, difficult breath, flatulency, pale urine, pains in the head, odd fancies, spasms. TREATMENT. THE MEDICAL POCKET-BOOK. 56 TREATMENT. Bark, and other tonics ; ner- vous antispasmodics, as castor, valerian, assafœtida, &c. attenuants, as volatile salts and spirits ; bitters and chalybeates if no fever ; emetics, aperients, opiates, issues, and blisters discretionally ; the cold bath and chalybeate waters, food light and easy of digestion, cheerful 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 suffocation ; convulsive motions ; froth- ing 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 hypochondriaca. 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 ; otherwise cau- tiously 57 THE MEDICAL POCKET-BOOK. tiously avoid it. In this disease, particular atten- tion 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 gr. xv. ad ʒss. 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 mouth. TREATMENT. If the vessels be very full, bleed ; then vomit, purge, 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 occasionally repeated, and the body should be kept open. Chalybeate waters, or water or cyder with a red hot iron quenched in it, may be used as common drink ; gentle exercise, air, and cheerful company. ILIAC THE MEDICAL POCKET-BOOK. 58 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 ℥iss. ad ℥iij. bis die. INFUSION Bitter, Purging. Stomachic, corroborant, and opening ; dose ℥iss. ad ℥iij. bis die. INFUSION of Sena. Purging ℥j. ad ℥iv. INFUSION of Sena, with Lemons. Ditto. IPECACUANHA. Emetic ℈ss. ad ʒss. sudorific gr. ss. ad iij. with opium. Also in dysenterics. F 2 IRON. 59 THE MEDICAL POCKET-BOOK. 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 after- wards dressed with may be smeared with basilicon or ung. ad vesic. if necessary ; and dipped in blue vitriol water if fungus appears. The pea may be secured with adhesive plaister ; if the issue inflames, dress with ung. alb. &c. or bleed or purge. ITCH. SYMPTOMS. An eruption in the form of small pimples or pustules, chiefly about the joints, wrists, 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 inflamed. An itching, which is great- est when warm, or in bed ; it is also infectious. TREATMENT. Anoint with sulph. viv. and exung. ung. cærul. or white precipitate and pomatum ; hellebore, or sal ammoniac may occasionally be added ; or wash with a weak solution of merc. corros. sub. a decoction of white hellebore root, or strong aq. veg. min. with salt. A quicksilver girdle may be worn, but THE MEDICAL POCKET-BOOK. 60 but sulphur is the most safe and certain; fl. sulph. may be given inwardly ; bleed and purge first in case of inflammation or costiveness. JUICES, Scorbutic. ℥ij. ad ℥vj. bis die. JULEP of Camphire. Diaphoretic, febrifuge, antispasmodic, diuretic, ℥j. ad ℥iij. every four, six, eight, or twelve hours. JULEP of Chalk. Absorbent, and in diarrhœas, ℥jff. ad ℥iij. sæpe. JULEP of Musk. Antispasmodic, (in singultus) ℥j. ad ℥iij. frequenter. JUNIPER Berries. Carminative, diuretic, in decoction or infusion, ad libitum. KERMES see Confection and Syrup. KERMES Mineral. Alterative gr. ss. ad gr. iij. bis die. KIBES. See Chilblains. KIDNEYS, inflammation of. SYMPTOMS. Burning pain in the kidney, kid- neys ; vomiting, eructations, the thigh feels numb, pain in the groin, ilium, and testicle of the same side ; frequent, but small discharges of urine, which 61 THE MEDICAL POCKET-BOOK. which is red and high coloured, yet limpid and watery in the height of the disease. 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 admitted in case of violent pain. If the pain abates, leaving behind a sense of weight, with frequent shiverings, followed by heat, and whitish turbid urine, it denotes suppu- ration, bals. capiv. with nitre, and rhubarb, or other balsamic diuretics. The pain suddenly remitting, with cold sweats, intermitting pulse, hiccup, fœtid urine, and suppression of that dis- charge, are signs of mortification. KING'S EVIL. See Scrophula. LABDANUM. Used in warm plaisters. LABOUR. See Child-birth. LAC AMMONIACUM. Asthmatic, antispasmodic ℥j. ad ℥iij. LAC, Tincture of. Dentrific. LAVENDER, Infusion of. Cephalic, nervous. LEAD. Externally desiccative, repellent. LEMON Juice. Cooling, antiseptic ℥j. ad ℥ss. LEMON THE MEDICAL POCKET-BOOK. 62 LEMON Peel. Stomachic, in infusion ℥j. ad ℥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, gut. x. ad ʒj. bis die. LEY, or LIXIVIUM of Tartar. Antacid, diuretic, gut. xv. ad ʒj. LIENTERY. In this disease the aliment is discharged with but little alteration, and the body wastes. The Treatment as in the Cæliac Passion. LIME. See Water. LINIMENT, Arcæus's. Digestive, incarnative. LINIMENT Mercurial. See Ointment Mercurial. LINIMENT Saponaceous. Discutient, strengthening. LINIMENT Volatile. Discutient, resolvent, repellent. LINIMENT White. Healing, softening, LINIMENTUM 63 THE MEDICAL POCKET-BOOK. LINIMENTUM Tripharmacum. Drying, healing. LINSEED Infusion of. Pectoral, diuretic. LITHONTRIPTICS. Lix. sapon. gut. x. ad ʒj. Soap ʒss. ad ʒij, Sal ammon. vol. gr. v. ad xv. Spt. sal marin. gut. x. ad xx. or more. Lime-water (oyster- shell) 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 hypo- chondrium ; eyes, skin, and urine, sometimes 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 appears, forward and open it, if nothing forbids. In the East-Indies they cure this disease by salivation, bleeding and purging being premised. If a Schirrus succeeds, soap, rhubarb, mercurials, and chalybeates will be proper. LOCHIA. See Child-birth. LOCKED JAW. SYMPTOMS. A rigid contraction of the mus- cles which raise the lower jaw, whence the jaws continue THE MEDICAL POCKET-BOOK. 64 continue violently closed, with great pain. TREATMENT. The best remedy is large and repeated doses of opium. Blisters, purges, clys- ters, and antispasmodics may also be prescribed. LOGWOOD, Infusion of. Astringent ℥ij. ad ℥iv. See Extract. 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. An- tirheumatic 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 obsta- cles ; then reduce the bone into its natural situa- tion, and apply proper bandages, not too tight, to keep it so till the ligaments have recovered their tone. If there be inflammation, bleed, give lax- atives 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, occa- sional bleeding, antispasmodics, opiates, and low diet. 65 THE MEDICAL POCKET-BOOK. diet. These may be varied according to the na ture of the complaint (that is, whether it be Mel- ancholy or the contrary) and to the symptoms that arise in either. Dr. Simmons, who has made trial of a great variety of remedies at St. Luke's Hospital, has often seen very remarkable good effects, and even cures performed, by large doses of camphire in maniacal cases. MAGNESIA. Antacid, cardialgia, opening ℈j. ad ʒij. 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 appear 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 peel- ing of ; but the other symptoms remain and even increase, especially the cough, which is also attended generally with difficulty of breathing, and oppression at the breast. TREATMENT. Cooling and aperient febrifuges; gentle diaphoretics, if necessary ; bleeding, if nothing THE MEDICAL POCKET-BOOK. 66 nothing forbids ; pectorals for the cough ; opiates occasionally at night; blister, if the cough 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 attempts 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. anisi, or other oil in case of wind, and if necessary, emollient clysters. If purging, give creta, or other absor- bents, &c. If vomiting, syr. e mecon. given with caution in small doses. MENSES, immoderate flux of. TREATMENT. Tinct. rosar. tinct. styptic, alum, bark, pulv. e succin. c. opiates. In des- perate cases, small doses of vitriol, cærul. or tict. saturn. but with great caution. Bleeding, aperi- ents, astringent fomentations to the part, as vine- gar, 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 G give 67 THE MEDICAL POCKET-BOOK. give chalybeates. In plethoric habits, bleed, avoid chalybeates, and give pulv. e myrrh. c. castor, or the like, with tinct. melampodii, aloes, oil or extract of savine, pennyroyal, and the like. Bathing the feet, fomenting the belly, and fitting over the steams of hot water are good in both habits ; attenuants in case of viscid blood ; emet- ics are often efficacious, as are sometimes small doses of mercurials; exercise, and if the appetite be vitiated, proper stomachics. Of late, electri- city 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 gr. j. ad v. omni nocte. (Also vermifuge, deobstruent, and for salivation) Cathartic gr. v. ad xv. MERCURY Alkalized. Alterative, vermifuge gr. v. ad ʒss. bis die. MERCURY Calcined. Alternative, antivenereal gr. ss. ad ij. omni nocte. MERCURY Corrosive sublimate. Alterative, antivenereal gr. 1/6 ad gr. j. bis die. MERCURY Red corrosive. Escarotic. MERCURY THE MEDICAL POCKET-BOOK. 68 MERCURY precipitate, White. Antipsoric, &c. in liniments. MERCURY Emetic, Yellow. Gr. ij. ad iv. MEZERION. Antivenereal, alterative, in decoction, dose ʒij. ad iv. MILIARY MILK } Fever. See Fever. MILLIPEDES. Diuretic, attenuant, deobstruent, number ij.ad v. or more alive ; or in powder gr. iij. ad xv. MISCARRIAGE. See Abortion. MITHRIDATE. Alexipharmic, anodyne, ℈j. ad ʒiss. MORTIFICATION. See Sphacelus. MUSK. Antispasmodic gr. iij. or more. See Julep. MYRRH. Deobstruent, antispasmodic gr. iij. ad xij. NEPHRITICS. Gum arabic ad libit. Spt. nitr. dulc. gut. xx. ad ʒj. Sal diureticus ℈ss. ad ʒj. Opiates. See Diuretics. NEPHRITIS. See Kidneys. NERVOUS 69 THE MEDICAL POCKET-BOOK. 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 Medicines. Pil. gum gr. v. ad ℈j. Assafœtida, and the other gums in like doses. See also Bark, the Chalybeates, Cephaiics, 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 dry- ing powder, as starch, bol. armem. &c. NITRE. Cooling, febrifuge, diuretic gr. v. ad ℈j. OIL of Almonds. - Olives. } Opening, pectoral ; out- wardly, softening, relaxing. OILS Essential. The virtues of the plants they are drawn from, in doses of gut. j. ad 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 THE MEDICAL POCKET-BOOK. 70 OIL of Wax. Externally to chaps, &c. OINTMENT Basilicon. Digestive. OINTMENT of Elder. - Marshmallows. Cooling, emollient. 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, gr. v. ad ℈j. OPIUM. Anodyne, antispasmodic, &c. gr. 1/4 ad ij. Q 2 OPOPANAX. 71 THE MEDICAL PGCKET-BOOK. OPOPANAX. Nervous, antispasmodic, gr. v. ad xv. ORANGE Juice - Peel, } As lemon, but weaker. OXYMEL Simple. Antiseptic, cooling, detergent. OXYMEL of Squills. Expectorant, diuretic ʒss. ad ʒj. Emetic ʒij. ad ℥j. OYSTER-SHELLS. Absorbent gr. xx. ad ʒj. OYSTER-SHELLS calcined. (Their water) Lithontriptic ℥iv. or more. PALPITATION of the Heart. TREATMENT. In proper constitutions bleed repeatedly; but where the disorder proceeds from relaxation, the bark and corroborants. The ner- vous 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, or some part or parts of the body. If it happens to all the parts below the head, it is called Paraphlegia ; if to one side of the body, Hemiphlegia ; and if to a particular part Paralysis. TREATMENT. Emetics, blisters kept open, and strong clysters ; nervous, attenuating, and stimulating THE MEDICAL POCKET-BOOK. 72 stimulating medicines, as valerian, castor, mus- tard, sal c. c. horse-radish, &c. And mustard, or other warm stimulating application rubbed into the parts; and to that part of the spina from whence the nerves serving the part issue. Elec- tricity and dry frictions are good, as are also chalybeate, and Bath or Bristol waters. PEARLS. Absorbent ℈j ad ʒj. PECTORALS. Elix. pareg. ʒss. ad ʒj. Pulv. e tragac c. ℈j. ad ʒj. Pil. de styrace gr. v. ad ℈j. Oxymel scillitic. ʒss. Troch. bechic. decoct. pect. Ad libitum. PEEL. See Bark. PERIPNEUMONY, or inflammation of the Lungs. SYMPTOMS. Difficult breathing, with op- pression and seeming load at the breast ; the breath hot, cough, fever, redness in the face, pulse sometimes hardly perceptible, but after bleeding, 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. Cooling emollient clysters are useful, as are also blistering and cupping. PERPNEUMONY 75 THE MEDICAL POCKET-BOOK. PERIPNEUMONY, Bastard. SYMPTOMS. Heat and cold alternately ; pain and giddiness of the head, when the cough is most troublesome; vomiting, quick, difficult breathing, and wheezing ; pain of the breast ; urine turbid, with red sediment. Differs from a true Perip- neumony, in having neither extraordinary heat, pain, thirst, or fever ; and by its usually seizing those of a relaxed and gross habit; prevailing most in moist foggy weather, contrary to the other. TREATMENT. Bleed not, unless the pulse be very full, and comatose symptoms appear ; blisters, emetics, laxatives, emollient clysters, attenuants and diluents ; pectorals for the cough, and opiates if necessary. PHILONIUM London. Carminative, anodyne ℈ss. ad ʒss. PHLEGMON, or superficial Inflammation. SYMPTOMS. Heat, pain, tension, redness, and throbbing in the part ; fever ; that part proceed- ing to suppuration or solution, gangrene, or scirrhus. TREATMENT. Remove any perceivable ex- ternal cause ; bleed, purge, and give diaphoretic febrifuges ; apply emollient fomentations and poultices to the part. If matter forms, cease evacuation, and forward the suppuration ; when ripe, open the abscess and digest it off. If gan- erene appears, treat as directed under that article. PHRENSY, THE MEDICAL POCKET-BOOK. 74 PHRENSY, Phrenitis, or Inflammation of the Brain. SYMPTOMS. Constant delirium and fever, difficult breathing, violent pain in the head ; red- ness of eyes and face, pulse quick, hard, and small ; tongue black and dry, urine thin and transparent, sudden startings, picking the bed-clothes. Known from a common fever, &c. by the delir- ium preceding the fever. TREATMENT. Bleed largely ; stimulating clysters, blisters, the pediluvium, and sinapisms to the feet ; spirituous embrocations to the head, first shaved. Nitre, sal c. c. or other attenuants, purges, and diluents ; promoting the hæmorrhoi- dal flux is of great use. PHTHISIS. See Consumption. PHYMOSIS and PARAPHYMOSIS. SYMPTOMS. The first is a closing of the pre- puce 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 feb- rifuges. If these sail, 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 painful ; and if they 75 THE MEDICAL POCKET-BOOK. they are external, foment them with warm emol- lient liquors, or anoint them with ung. samb. or the like ; if they bleed much, apply gentle astrin- gents ; 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 washing them with solutions of white or blue vitriol. But as the hæmorrhoidal discharge is generally salutary, cau- tion must be used in repelling them. PILL Aromatic. Aperient ʒss. ad ʒj. antirheumatic, deobstruent, gr. v. ad xii. bis die. PILL Colocynth. (Both) Cathartic ℈j. ad ℈ij. PILL Ecphractic. Emmenagogue gr. v. ad ʒss. bis die. PILL Gummous. Hysteric, nervous, &c. gr. v. ad ʒss. bis die. PILL Mercurial. Alterative, antivenereal gr. v. ad ℈j. omni nocte. PILL Rufus's. Deobstruent gr. v. ad ℈j bis die. Opening ℈j. ad ʒff. PILL Soap. Diuretic, icteric, anodyne gr. v. ad ℈j. PILL THE MEDICAL POCKET-BOOK. 76 PILL Storax. Pectoral, anodyne gr. iv. ad ℈j. at night. PILL Squill. Asthmatic, pectoral, diuretic gr. v. ad xij. PIMPLES. TREATMENT. Wash them with a solution of sach. saturn. or vitriol. alb. If these fail, try spt. vin. camph. a solution of sal tartari, or white pre- cipitate mixed with pomatum. If they proceed from foul blood or ascorbutic cause (as it is termed) treat them with alteratives, as directed for the Land Scurvy ; with now and then a cooling purge. PLAGUE. SYMPTOMS. Shivering ; pain in the head, back, and stomach ; sickness and vomiting; des- pondency, anxiety, difficult breathing, wildness of countenance, high fever, faintings, hiccups, and catching of the tendons. Tumours at length appear in the groin, arm-pits, 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 suppurate kindly, but appear as red fiery circles; are small tumours with corrupted flesh underneath, and are attended with great itching. The symptoms, however, vary accord- ing to the constitution and state of the air, but these are the most general. TREATMENT. 77 THE MEDICAL POCKET-BOOK. TREATMENET. The tumours are critical, and should be encouraged by ripening cataplasms and proper cordials; the carbuncles should be poul- ticed 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 itself should be treated with diapho- retics, antiseptics, cordials, antiphlogistics, or other remedies, according to the symptoms ; but in gen- eral, camphire, nitre, snakeroot, and bark, &c. an emetic being first given, seems most eligible in this dreadful disorder. N. B. The vapour generated by nitre espe- cially if the deflagration be made with odoriferous ingredients, is said to prevent infection. Inoculation has lately been recommended in the Plague by Dr. Samoilowitz, a Russian phy- sician ; but if the disease (as seems to be the case) is liable to attack more than once, this can be of no use. PLAISTER Common. Healing, drying. PLAISTER Common, with Gums, suppurative. PLAISTER Mercurial. Discutient, resolvent. PLAISTER Mucilage. Softening, and for corns. PLAISTER THE MEDICAL POCKET-BOOK. 78 PLAISTER Red Lead. Drying, healing. PLAISTER Soap. Resolvent. PLEURISY. SYMPTOMS. Chilliness, shivering, succeeded by heat, thirst, and restlessness ; a violent acute pain on one side near the ribs, extending towards the shoulder-blades, back, the 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 attenu- ants, 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 ca- thartics. If corrosive sublimate was the poison, give solution of any fixed alcaline salt. If opium, or other narcotic, give acids (as vinegar) with water or broth; apply blisters; and if necessary, bleed. Care must be taken to continue these operations a sufficient time ; afterwards the stomach and bowels should be healed with proper balsamic remedies, broths, &c. H POMEGRANATE 79 THE MEDICAL POCKET-BOOK. POMEGRANATE SHELL. See Bark. The juice cooling, antiseptic. POPPIES. See Syrup of Poppies. POWDER of Amber, compound. Astringent, corroborant gr. viij. ad ʒss. bis die. POWDER Antilyssus. For bite of mad dog ʒss. omni mane. POWDER of Arum, root, compound. Stomachic, antirheumatic ℈j. ad ʒj. bis die. POWDER Bezoardic. Absorbent, alexipharmic ℈j. ad ʒj. at night. POWDER of Bole, compound. Astringent ℈ss. ʒss. bis die. POWDER of Ceruse, compound. Cooling and astringent, in collyriums for the eyes. POWDER of Contrayerva, compound. Sudorific ℈j. ad ʒj. POWDER of Crabs Claws, compound. Absorbent, febrifuge, ℈j. ad ʒj. frequenter. POWDER to promote Delivery. ℈j. ad ʒj. POWDER of Scammony, compound. Cathartic ℈j. ad ℈ij. POWDER THE MEDICAL POCKET-BOOK. 80 POWDER of Sena, compound. Cathartic ʒss ad ʒj. or more. POWDER of Tin. Vermifuge ℈j. ad ʒj. bis die. POWDER of Tragacanth, compound Pectoral ℈j. ad ʒj. frequenter. POX. See Venereal Disease. POX, Chicken ; or SWINE Pox. SYMPTOMS. Chilliness, heat, and the usual precursory symptoms 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 diluents ; 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. 81 THE MEDICAL POCKET-BOOK. TREATMENT. Corroborants, as bark, tinct. rosar. See. Laxatives, clysters, and aperients, if costive ; clysters of tinct. rosar. or other bracers, and a proper bandage ; chalybeates and cold bathing. N. B. If there be inflammation, emollient fomentations and poultices. The part should be gently reduced, and kept up with a bandage ; rest and an horizontal posture are proper. Prolapsus Uteri. TREATMENT as in the pre- ceding case. Pessaries are also proper to be worn. PUERPERAL PUTRID } Fever. See Fever. QUICKSILVER. Vermifuge, opening ℥ss. ad ℥ij. or more, in the morning. QUINCY. 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 near the part ; gargle with spt. sal. ammon. and decoct. pect. strong of the former ; poultice the part with bread and milk, to which camphire may be added, and the volatile liniment may also be applied. If it suppurates, cease to evacuate ; and THE MEDICAL POCKET-BOOK. 82 and inhale emollient steams. When ripe open the abscess ; afterwards gargle with tinct. rosar. and tinct. myrrh. RATTLESNAKE ROOT. Diaphoretic, antiseptic gr. v. ad ℈j. Also in antiseptic gargles. RESIN of Aloes. Cathartic ℈j. or more. Deobstruent gr. v. ad ℈ss. RESIN of Bark. Corroborant, febrifuge, &c. gr. v. ad ℈j. RESIN of Guaiacum. Antirheumatic, alterative, deobstruent, gr. v. ad xv. RESIN of Jalap. RESIN of Scammony. Cathartic gr. v. ad ℈j. RHEUMATISM Acute. SYMPTOMS. Rigor, shivering, fever, thirst costiveness, wandering 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, camphire, guaiacum, antimonials, or the like ; laxatives, and opiates occasionally. The part may be rubbed with lin. sapon. cam- phire, and oil; lin. vol. &c. Warm fomenta- tions are good ; the part may be covered with H 2 flannel, 83 THE MEDICAL POCKET-BOOK. flannel, diluents should be freely given, and a dia- phoresis 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 attend- ed 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 scammon. sena, &c. Pulv. doveri, or other anodyne sudorific may be given. Calo- mel in small doses, with vin. antim. has been found efficacious ; as hath likewise kermes mineral, with camphire, about three grains of each. Bark and sarsaparilla are given by some ; but gum gua- iacum with volatile salts, the guaiacum with an opiate, or sal c. c. with nitre, and julep e camph. according to circumstances, are generally success- ful. Warm embrocations to the part, and flan- nel are also serviceable ; 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 inward- ly, and rubbed into the part. Electricity, friction and exercise of the part, are useful. RHUBARB. Cathartic ℈j. ad ʒj. Stomachic gr. iv. ad ʒss. RHUBARB THE MEDICAL POCKET-BOOK. 84 RHUBARB toasted. Astringent ℈ss. ad ℈j. RICKETS. SYMPTOMS. The head large, the fontanella. keeps long open, the face full and florid, the joints knotty, and the bones protuberant, causing incur- vation and distortion ; the ribs protuberate, and become crooked ; the belly swells ; cough, and pulmonary disorders succeed. The child (for children only are the subjects of this complaint) moves weakly, and waddles ; usually appears about the eighth month, and continues till the sixth year ; ariseth from bad nursing ; the under- standing is very early. TREATMENT. Cold bathing; friction ; ba- thing the back with spirituous embrocations, or warm balsamic liniments ; strengthening plaisters ; gentle vomits of ipecacuanha ; and purges with rhubarb and æthiops mineral; bark, chalybeates, air, and exercise. RING WORMS. See Tetters. ROB of Elder. Pectoral, opening ʒj. ad ʒiij. ROSES, red. Astringent gr. v. ad ʒss. See Tincture. ROSEMARY. Cephalic, carminative, &c. in infusion. RUE. 85 THE MEDICAL POCKET-BOOK. RUE. In infusion against fits and spasmodic com- plaints ; also alexipharmic and antipestilential; juice in clysters, vermifuge. RUPTURES. See Hernia. SAFFRON. Cordial gr. iij. ad ℈j or in infusion. SAGAPENUM. Nervous, hysteric, &c. gr. v. ad ℈j. bis die. SALT, alkaline fixed. (As sal absinth. sal tartar, &c.) antacid, attenu- ant, diuretic gr. iij. ad xv. SALT, alkaline volatile. (As sal c. C. sal. ammon. vol. &c.) antacid, attenuant, diaphoretic gr. iij. ad xv. SALT of Amber. Aperient, diuretic, hysteric gr. iv. ad ℈j. SALT Ammoniac. Diuretic, febrifuge, attenuant, diaphoretic gr. v. ad ℈j. or more. SALT Cathartic. (As Glauber's, Epsom, Rochelle, &c. ℥ss. ad ℥ij.) SALT Diuretic. Attenuant ℈j. ad ʒij. Aperient ʒij. ad ℥ss. SALT THE MEDICAL POCKET-BOOK. 86 SALT of Steel. Attenuant, deobstruent gr. ij. ad ℈ss. SARSAPARILLA. Alterative, antivenereal, in decoction (℥ij. ad lbij.) ℥iv. ad lbss. bis die. SASSAFRAS. Alterative, antiscorbutic, &c. dose as in Sarsa- parilla. SAVIN. Emmenagogue, in infusion ℥ij. ad ℥iv. SCALDS, or Burns. TREATMENT. Apply ol. lini s. igne alone, or with spermaceti or wax dissolved in it ; aq. veg. min. is also good ; afterwards cerat. epulot. or other cicatrizer. If inflammation renders 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 ℈ss. ad ℈j. SCARLET Fever. See Fever. SCHIRRUS, or hardened Glands. TREATMENT. 87 THE MEDICAL POCKET-BOOK. Treatment. Endeavour to disperse it by mercurial unction, ext. cicutse, or mercurials, with sarsaparilla, &c. and occasional purges. If it inclines to suppurate, treat it as directed in ab- scesses, &c. If it neither disperses nor suppurates, extirpation is the only cure, where it can be done ; otherwise treat it with coolers, and occasional anodynes. SCIATICA. SYMPTOMS. A fixed pain in the hip, like the rheumatism. Called also the Hip Gout and Ischias. TREATMENT as in Lumbago. SCORDIUM. Astringent. See 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. anc. æth. antimon. or some other; millepedes are good ; spong. ust. with rhubarb ; sea-water internally before suppuration, and bark and sea-bathing after they soften ; exercise is good ; gross and high seasoned diet must be avoided ; vegetable acids, especially Seville oranges, are proper. SCURVY. The MEDICAL POCKET-BOOK. 88 SCURVY. SYMPTOMS. Heaviness, lassitude, low spirits, offensive breath, tender gums, sallow bloated countenance, hæmorrhages from the nose and mouth, difficult breathing, swelling of the legs, yellow, purple, or livid spots on the skin ; tumours in the limbs ; contraction of the tendons of the ham ; other symptoms occur, but they differ in different subjects, as do likewise those above-men- tioned ; 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 exposed to putridity from the use of animal food, and moist air ; antiseptics 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. good. Liquids impregnated with fixed air for common drink, and wholesome air. Chalybeates have been found serviceable, especially when joined with the bitters, or bark. The Land Scurvy (improperly so called) is rather a cutaneous disease ; scurfy or scabby erup- tions appear, either partially, or more universally ; often with itching and heat. The antimonial alteratives, with gentle mercu- rials, are often efficacious ; aq. calcis c. succ. scorbutic, or the like, may be used with them. Cream of tartar and flowers of sulphur are good. The parts may be anointed with saturnine lini- ments, 89 THE MEDICAL POCKET-BOOK. ments, with a little white precipitate if necessary. SCURVY GRASS. Antiscorbutic, the juice or infusion ℥ij. ad ℥iv. bis die. SENEKA. See Rattlesnake root. SENNA. Cathartic ʒj. ad ʒiij or in infusion. 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 diges- tive ointment; which must be shifted a little every day, so as to keep both orifices running. SHINGLES. See Tetters. SINGULTUS. See Hiccups. SKIN, deseases of. See Cutaneous Diseases. SLATE, Irish. An internal vulnerary and astringent, ʒj. ad ʒij. in spruce beer. SMALL-POX, SYMPTOMS. Chilliness, shivering, heat, pain in the head and back, sickness and pain at the stomach, and sometimes vomiting; fever, cos- tiveness, 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 THE MEDICAL POCKET-BOOK. 90 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 occasion- ally ; 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, Sec. If purging comes on, check it with caution : if delirium or fever, apply blisters ; and if the pock sinks, 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 symptoms are worse than in the distinct. The eruption makes its appearance a day or two later, and does not come 91 the medical pocket-book. come to its height till the eleventh or fourteenth day after ; the fever also continues after the erup- tion appears, and a salivation 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, where no objection appears, is salutary. If the pustules are opened, and the matter let out, so much the better ; especially if danger of their sinking or striking in appears. 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 side of the lancet. Three or four days afterwards the punctures appear inflamed; in about three days more the precursory 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 restrain- ed 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 symptoms are generally THE MEDICAL POCKET-BOOK. 92 generally so favourable, that little assistance is re- quired from medicine, except a few mercurial purges after the disorder goes off. SOAP. Diuretic, icteric, lithontriptic, attenuant ℈j. ad ʒij. bis die. SOAP Leys. See Lixivium. SORE THROAT, putrid. See Angina maligna. SPASMS. See Convulsions. SPECIES Aromatic. Gr. v. ad xv. SPECIES of Scordium. Astringent gr. v. ad ℈j. SPERMACETI. Pectoral, balsamic, vulnerary ℈j. ad ʒj. Ex- ternally healing, softening. SPHACELUS, or complete Mortification. SYMPTOMS. This succeeds a Gangrene (which see) if it cannot be stopt; the part looses 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 93 THE MEDICAL POCKET-BOOK. SPIRIT of Hartshorn. Attenuant, cordial, sudorific gut. x. ad lx. SPIRIT Mindererus's. Attenuant, cooling, diaphoretic ʒij. ad ℈ss. SPIRIT of Nitre, Sweet. Diuretic, febrifuge, carminative gr. x. ad ʒss. SPIRIT of Turpentine. Diuretic, &c. gut x. ad xl. SPIRIT of Vitriol, acid. Cooling, astringent, antiseptic, antalkaline, gut. v. ad xx. SPIRIT of Vitriol Sweet. Febrifuge, diuretic, &c. gut. v. ad xx. SPIRIT Volatile aromatic. As spirit of Hartshorn ; also cephalic. SPIRIT Volatile fætid. Antispasmodic, &c. gut. ad xxx. SPLEEN. See Hypochondriacal and Hysteric Diseases. SPRAINS. See Strains. SQUILLS. Pectoral, diuretic gr. iij. ad viii. Emetic ℈ss. ad ℈j. STEEL, Rust of. Deobstruent, attenuant, tonic gr. v. ad ℈ss. See its Preparations. STINGS, THE MEDICAL POCKET-BOOK. 94 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 ; retch- ing ; hiccup ; small, weak, intermitting pulse. Treatment. Bleeding, emollient liquids, and clysters ; fomentations ; 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 ; stran- gury ; sometimes bloody urine ; costiveness ; retraction of the testicle of the affected side ; numbness down the thigh and leg ; the pain in the kidneys abate when the calculus is got into the bladder, and the urine becomes turbid. TREATMENT. Bleed, if no objection appears ; draughts with ol. amygd. and large quantities of gum arabic, with manna and opium added occa- sionally. Pil. sapon. good as an anodyne at 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, and the effer- I2 vescent 95 THE MEDICAL POCKET-BOOK, vescent mixture, have been found a solvent in some cases ; as hath also fpt. nitr. dulcis, the sol. uvæ ursi, the live millepedes, and decoction, or oil of juniper. 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. sennæ, or other mild purge. Emuls. com. decoct. rad. alth. or the like, may be used freely as common drink. (See also Colic.) STORAX. Pectoral, vulnerary gr. v. ad ℈j. STRAINS. If internal, give spermaceti, bals. 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 gum arabic freely. If these fail, boluses of cam- phire and opium. See also Urine. STYPTICS THE MEDICAL POCKET-BOOK. 96 STYPTICS internal. Tinct. styptic ʒj. ad ℥ss. Tinct. rosar. ℥j. ad ℥ij. Elix. vitr. acid gut. x. ad 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 ℈j. ad ʒij. SULPHUR precipitated. Ditto. SULPHUR of Antimony, precipitated. Alterative gr. 1/2 ad ij. SWINE-POX. See Pox. SYRUP of Buckthorn, Cathartic ℥j. ad ℥iij. SYRUP of Kermes. Cordial ʒss. ad ʒij. SYRUP of Squills. Pectoral, diuretic ʒss. ad ʒij. SYRUP of white Poppies. Anodyne ʒj. ad ʒij. TABES DORSALIS. SYMPTOMS. A wasting of the whole body, attended 97 THE MEDICAL POCKET-BOOK. attended with fever, but no spitting nor cough, by which it is known from a Phthisis. A col- lection of matter in some part of the body is usu- ally the cause, but particularly attends the inflam- mation of a schirrous gland. TREATMENT. If it arises from 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, or tart, vitriolat. 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 ʒij. ad ℥ss. TARTAR Emetic. Gr. j. ad iv. Febrifuge, diaphoretic gr. 1/4 ad gr. j. TARTAR vitriolated. Aperient, febrifuge, &c. ʒss. ad ʒij. TEETHING. SYMPTOMS. Inflammation and swelling of the gums, and flaming. Fever, and sometimes convulsions. TREATMENT. THE MEDICAL POCKET-BOOK. 98 TREATMENT. Cooling febrifuges in case of fever ; the body should be kept gently open. If convulsions arise, give tinct. fulig. and carmina- tives, or ol. anisi, with magnesia. If a rash ap- pears, Gascoign's powder, or pulv. contray. c. with nitre, are usually given. If a cough, sper- maceti, or other balsamic pectoral ; leeches and blisters may be applied if necessary; and if the disorder is violent, the gums should be lanced. Gentle anodynes are often useful. TENESMUS. SYMPTOMS. Frequent, or even continual inclination to go to stool, without occasion, or being able to avoid any. Arising from the abra- sion of mucus, &c. from the rectum and anus. TREATMENT. Clysters, with mutton broth and opium; or with starch, oil, and elect. e scord. or with 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 recommended ; but Dr. Simmons, in his ingenious practical treatise on the Gonorrhœa, recommends cold applications to the part, as being much more efficacious. Febrifuges and gentle dia- phoretics, with an anodyne at night, are good. If 99 THE MEDICAL POCKET-BOOK. If matter forms, open and let it out. The testi- cles should be suspended, and the patient kept as much as possible in an horizontal posture. TETANOS. SYMPTOMS. A rigid and painful contraction of the muscles of the neck, and trunk of the body, drawing it backwards or forwards 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. rit. spt. vin. camph. or liniments with white precipitate are good. Sometimes alteratives of the mercurial and anti- monial 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, THE MEDICAL POCKET-BOOK. 100 throat, proceeding from cold, &c. gives way to bleeding, cooling purges, gentle sudorifics, acid- ulated 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 anti- septic diaphoretics, as rad. serp. virg. cons. damocrat. cortex, sal. c. c. contrayerva, &c. with detergent gargles, composed of tinct. myrrh, honey, &c. or the tinct. rosar. Blisters if neces- sary; and if much fever, proper cooling febrifu- ges. See also Angina and Quincy. THRUSH. SYMPTOMS. Little ulcers in the mouth and throat, of a white or yellow colour. Frequent in children. TREATMENT. Keep the body gently open with magnesia or rhubarb ; give the saline mix- ture, with pulv. e ch. 23 or contrayerva c. and touch the ulcers now and then with syr. moror. and borax, or with alum, bol. arm. and honey, tinct. rosar. &c. See also Fever Apthose, Fever Miliary, Angina Maligna, and Venereal Disease. TIN Filings. Vermifuge ʒss. ad ʒij. TIN pulverized. Ditto. TINCTURE of Antimony. Deobstruent, diuretic, diaphoretic gut. x. ad lx. Emetic ʒij. or more. TINCTURE 101 THE MEDICAL POCKET-BOOK. TINCTURE aromatic. ʒi ad ʒjj. TINCTURE of Bark. Corroborant, febrifuge ʒj. ad ℥ss. TINCTURE of Bark, volatile. Ditto ʒT. ad ʒj. TINCTURE, bitter. Stomachic ʒj. ad ʒij TINCTURE of Cantharides. Diuretic, corroborant gut. x. ad xxx. or more. TINCTURE of Castor. Nervous ʒss. ad ʒij. TINCTURE of Cinnamon. Astringent, cordial ʒj. ad ʒij. TINCTURE Fœtid. - of Soot. Antispasmodic, &c. gut. xx. ad ʒ. TINCTURE of Guaiacum, volatile. Antirheumatic, &c. gut. xx. ad ʒj. or more. TINCTURE of black Hellbore. Deobstruent, aperient ʒss. ad ʒij. TINCTUPE of Jalap. Cathartic ʒij. ad ʒvj. TINCTURE of Japan Earth. Astringent ʒj. ad ʒij. TINCTURE THE MEDICAL POCKET-BOOK. 102 TINCTURE of Myrrh. Deobstruent, antiseptic gut. xv. ad ʒj. TINCTURE of Rhubarb. Opening ʒss. ad ʒij. Stomachic, &c ʒj ad ʒiij. TINCTURA Sacra Opening ℥j. ad ℥ij. Deobstruent ʒij. ad ℥ss. TINCTURE Saturnine. Astringent, antiphthisical gut. xx. ad xxx. TINCTURE of Sena. Opening and carminative ℥j. ad ℥ij. TINCTURE of Snakeroot. Alexipharmic, stomachic, &c. ʒss. ad ʒij. TINCTURE of Flowers of Steel. Deobstruent, corroborant, &c. gut. x. ad ʒss. TINCTURE of Steel with spt. of Salt. Ditto, gut. v. ad xx. TINCTURE, Styptic. ʒss. ad ʒj. TINCTURE Thebaic. Anodyne, &c. gut. v. add ʒss. TINCTURE of Valerian. Nervous ʒss. ad ʒj. TINCTURE of Valerian, volatile. Gut. xx. ad lx. K TONICS. 103 THE MEDICAL POCKET-BOOK. TONICS. Bark ℈j. ad 3j. see also its preparations. Elix. vitriol gut. v. au xx. Vin. chalyb. ʒss. ad ℥ss. See also Corroborants. TOOTH-ACH. TREATMENT. If hollow or decayed, apply half. 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 Antithelix with the latter. If there be inflammation, bleeding, purging, and blisters behind the ears. If it proceeds from Cold or Rheumatism, treat it as directed for those complaints. TREACLE, Venice. Alexipharmic, sudorific, &c. ʒss. ad ʒj. TREMORS. Treatment as in Nervous Complaints and Palsy. TROCHES pectoral, - Heart-burn, } ad libitum. TROCHES of Japan Earth. - of Squills. - of Sulphur. - of Vipers. - of Nitre. Virtues as the respective simples, only in double or treble doses. TUMOURS THE MEDICAL POCKET-BOOK. 104. 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 suppuration ; if that fails, extirpation, where it can be done, is the only cure. TURPENTINES. Diuretic, detergent, strengthening ℈j. ad. ʒj. 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 from checking a diarrhœa, or from the imprudent use of bark in intermittents. TREATMENTS. 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 rub- bed, 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. 105 THE MEDICAL POCKET-BOOK. VALERIAN. Nervous, antispasmodic, &c. ℈ss. ad ʒss bis die. 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 more copious. If it be suffered to proceed, inflammation and excori- ation follow ; painful erection or chordee. Some- times 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, bu- boes, scabby eruptions, nocturnal pains, nodes, carious bones, ulcers in the throat and nose, &c. TREATMENT. In the beginning, bleed, if nothing forbids ; and give a cooling purge, a small dose of calomel, merc. 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. THE MEDICAL POCKET-BOOK. 106 ung. cærul. sort, 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, afterwards 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 suppu- ratives, 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 Testiclcs, see also Phymosis. 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 ʒss; or ʒj 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 had recourse to occasionally, according to the symptoms that arise. Thus, in- flamatory symptoms are to be removed by bleeding, purging, or, other proper medicines ; K 2 ulcers, 107 THE MEDICAL POCKET-BOOK. ulcers, abscesses, &c. should be treated as requi- red 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 cor- roborants, and, if necessary, astringent 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 ʒj. ad ℥ss. VINEGAR distilled. Ditto. VINEGAR Lithrage. Cooling, astringent, deobstruent gut. x. ad ʒj. VINEGAR of Squills. Pectoral; diuretic, deobstruent gut. x. ad ʒj. VIPERS. THE MEDICAL POCKET-BOOK. 108 VIPERS. Nutritive, corroborant, as food or in broth. VIPERS Fat. Externally for bites of vipers, also ophthalmic VITRIOL, Blue. Escarotic externally. Also emetic ℈ss. ad ℈gj. Corroborant gr. 1/4 ad gr. j. VITRIOL, Green. As salt of steel. VITRIOL, White. Emetic ℈j. Astringent gr. iij. ad ℈ss. Ex- ternally cooling, astringent. ULCERS. TREATMENT. Dress them with proper diges- tives ; 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 perfo- rations 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 appears, the bark and elixir of vitriol. VOMICA, or Abscess in the Lungs. SYMPTOMS. It is sometimes a consequence of pleurisy; 109 THE MEDICAL POCKET-BOOK. pleurisy; cough, difficult breathing, even after the pain which preceded it goes off ; slight shiv- erings, 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 tur- pentine kind, balsamics and diuretics, steams of hot water, with bals. Tolu, benzoin, &c. received into the lungs ; occasional laxatives, bleeding if inflammation, soft balsamic food, and gentle exercise. VOMITING. TREATMENT, if it ariseth from foulness of stomach (as bile, acidity, &c) a vomit will be useful; and afterwards, if necessary, a rhubarb or other gentle 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 laxa- tives ; and if necessary, a blister to the back. If from inflammation, bleeding, cooling diluents and febrifuges, as the saline draughts with proper lax- atives ; and anodynes at discretion. If from weakness of the stomach, bark, bitters,or other cor- roborants ; premising a vomit if judged necessary. Chalybeate waters are also proper. If the stom- ach be sore, as it is termed, the bals. traumat. spermaceti, or other balsamics, are good. In vom- itings, the best form of medicine is pills. Vomiting THE MEDICAL POCKET-BOOK. 110 Vomitings are often symptomatic, as in fits of the gravel, pregnancy, &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 prescri- bed for the Diabetes. 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 corroborant 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 Iscuria, if total; Strangury, if but in part; and Disury, if the latter be attended with heat; and are usually occasioned by inflammation or spasms on the neck of the bladder, in conse- quence 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. 111 THE MEDICAL POCKET-BOOK. cause, bougies, introduced with proper caution, are serviceable. UTERUS inflamed, &c. See Womb. WARTS. Touch them with some caustic or escarotic 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 es- teemed good. WATER Horse-radish. Diuretic, deobstruent ʒij. ad ℥ss. WATER, Lime, simple. - compound. Alterative, antiscorbutic, antacid ℥iv. or more WATER Phagedænic. To wash foul ulcers. WATER Sapphirine. Detergent, astringent. WATERS simple, distilled. The virtues of their respective plants, &c. ℥ij. ad ℥iv. WATERS, Spirituous distilled. The virtues of their respective ingredients ʒij. ad ℥j. Also cordial. WATER THE MEDICAL POCKET-BOOK. 112 WATER sulphurated. Pectoral, cooling, &c. ʒss. ad ʒj. WATER Tar. Alterative, deobstruent, corroborant ℥iv. ad ℔ss bis die. WATER, Vitriolic, camphorated. Ophthalmic. WATER, Vitriol blue. Externally styptic. WAX. Balsamic, antidysenteric ; externally healing. WHEY, Alum. Astringent ℥iv. bis die. Externally astringent, cooling. WHEY, Scorbutic. ℥iv. ad. ℔ss bis die. WHITES. See Fluor albus. WHITLOW. Treatment similar to that directed for Boils and Abscesses. WINE aloetic, alkaline. Deobstruent, attenuant ʒj ad ʒiij WINE antimonial. Emetic ʒij. ad ʒss. Diaphoretic, diuretic, febrisuge gut. x. ad lx. WINE 113 THE MEDICAL POCKET-BOOK. WINE bitter Stomachic ʒj. ad ʒiij. bis die. WINE Ipecacuanha. Emetic 3ss. ad 3ij. WINE of Millepedes. Diuretic, attenuant, deobstruent ʒj. ad ʒiij. bis die. WINE, Saffron. Cordial ʒij. ad ℥ss. WINE, Steel. Deobstruent, corrobrant ʒss. ad ʒiij. bis die. WINE, Viper. Strengthening ʒij. ad ℥j. WOMB inflamed. SYMPTOMS. Pulsation, pain, heat, and tumour in the part ; fever, costiveness, pain on going to stool, and difficulty of making water. TREATMENT. Bleeding, laxatives, emollient clysters, cooling febrifuges, diluting liquors, fo- mentations and poultices, &c. as in other inflam- mations. (See Stomach, Bladder, Kidnies, &c.) If a Cancer succeeds, it must be palliated with gentle anodynes, occasional bleeding and laxa- tives ; and proper detergent, or other injections. WORMS. SYMPTOMS. Itching of the nose and anus ; hun- ger THE MEDICAL POCKET-BOOK. 114 ger, with ravenous appetite; nausea ; and gnawing pain in the stomach or intestines; fœtid breath ; grinding of the teeth, and moaning in sleep; intermitting weak pulse, and hectic fever; faintings, and sometimes convulsive fits ; pale- ness ; wasting of the flesh. But there are several 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 tenea, or tape worm. TREATMENT. Tin filings, with rhubarb, or other proper aperient ; sæm. santon. calomel, æthiops, or other mecurials, every night ; with a purge now and then. Indian pink-root ℈ss. in powder, or corallin. The infusion 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, oil of olives or the fumes of tobacco thrown up the rectum ; for the tape worm, the male fern root ʒj 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 anthelmintic medicines. WORMWOOD. In clysters, vermifuge. L WORMWOOD. 115 THE MEDICAL. POCKET-BOOK. WORMWOOD in Infusion. Stomachic, externally in fomentations discutient. WORM Seed. Vermifuge gr. v. ad ℈j. 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 cordial, &c. according to circumstances. Dress with some mild diges- tive, or defensative ; and if fungous flesh appears, use escarotics, 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 respects (the future excepted) proceed as above. If an artery or vein be wounded or divided, apply styptics, ligatures, &c. according to circumstan- ces. If a nerve be divided in part (as violent pain, convulsions, and dilirium will indicate) divide it intirely ; 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 medi- cines, with suitable diet, should be prescribed. TABULA ( 116 ) TABULA ostendens, quâ proportione sim- plica medicamenta purgantia, narcotics, & mer- curialia, in compositis, quibus occurrut, continentur. Pulvis e bolo compositus cum opip in gr. 45. continet Opii gr. 1. Pulvis e scammonio com- positus in gr. 7. continet Scammonii gr. 4. Pulvis e sena compositus in gr. 21. continet Senæ gr. 8. Crystallorum tartari gr. 2. Scammonii gr. 2. Pulvis e succino compo- situs in gr. 40. continet Opii gr. 1. Species e scordio cum opio in gr. 45. continent sere Opii gr. 1. Pilulæ ex colocynthide simpliciores in ʒss. continent fère Scammonii ℈ss. Colocynthidis ℈ss. Pilulae ex colocynthide cum aloe in ʒss continent fère Aloes gr. 8. Scammonii. gr. 8. Colocynthidis gr. 4. Pilulae mercuriales in gr. 28. continent Argenti vivi gr. 15 Pilulæ ( 117 ) Pilulæ saponaceæ in ℈ss. continent ferè Opii gr. 1. Pilulæ e styrace in gr. 5 4/5. continent Opii gr. 1. Electarium e scammonio in ℥iss. continet Scammonii gr. 1 5. Electarium e scordio in ʒiii. Confectio paulina in gr. 32. continet Opii gr. 1. Mithridatium, five con- fectio Damocratis in ℥ss. continet Opii gr. 1. Philonium Londinense in gr. 36. continet Opii gr. 1. Theriaca Andronamachi in gr. 75. continet Opii gr. 1. In Emplastro ex ammoniaco cum mercurio Ar- gentum vivum est totius pars ferè quinta. In Emplastro communi cum mercurio Ar- gentum vivum est totius pars ferè quinta. In Unguento cæruleo sortiori Argentum vivum est. totius pars ferè tertia. In Unguento cæruleo mitiori Argentum vivum est totius pars ferè quinta. In Cerato mercuriali Argentum vivum est totius pars ferè quinta. FINIS.