THE 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 VIRTUES AND DOSES OF MEDICINAL COMPOSITIONS AND SIMPLES. EXTRACTED FROM THE BEST AUTHORS, AND DIGESTED INTO ALPHABETICAL ORDER. By Sir JOHN ELLIOT, M. D. . THE THIRD AMERICAN EDITION, Copied from the latest English Edition; with Additions, Improve- ments, and Corrections. Printed at BOSTON, by MANNING & LORING, For THOMAS & ANDREWS, Faust's Statue, No. 45, Newbury-Street. 1795. [IN this third American Edition, several im- provements are made ; such as, using the letters over each page, in the manner of a Dictionary, and inserting the additions and corrections (necessary to make the work agree with the last edition of the London Pharmacopœia) in their proper places, instead of putting them at the close of the work, &c.] 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 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 brevi- ty's sake I have, in many places, used the word frequenter; by which 1 would have it under- stood, that every three, four, six, eight, &c. A 2 hours vi PREFACE. hours are meant, according to the exigency of the case. III. When any particular indication is to be obferved, the classes (as cathartics, diuretics, as- tringents, &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 ar- ticles usually administered are set down ; and I will not suppose that there is any medical prac- titioner who cannot give directions for making them into draughts, boluses, or other forms that may be required. The vehicles should be either perfectly innocent, (as 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) be employed, it scarcely need be mentioned, that the dose of each must be proportionably less. It may be added, that ingredients PREFACE. Vll ingredients of a volatile nature should be given in a liquid form, lest their virtues exhale ; and 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 use- ful to others, and this was my motive for making it public. If it assist 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. ADVERTISEMENT ADVERTISEMENT TO THE THIRD EDITION. IN the present edition the old names of medicines have been exchanged for those of the New Phar- macopœia of the London college ; those now first ad- mitted into that Pharmacopœia inserted, with the ad- dition of a few not deemed by the college suffciently established for that purpose, though adopted into the private practice of some eminent physicians, and of too much importance for a knowledge of them to be thought superfluous to any practitioner ; those omit- ted by the college are expunged : the doses have been carefully corrected from the best authorities ; in the treatment, of diseases such alterations have been made as later experience has approved ; and a few have been added to the catalogue which were not noticed in the former editions. THE 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, pal- pitation of the heart, syncope, an opening and moisture of the os tincæ. Most commonly happens between the second and fourth months of pregnancy, though it may occur later. It may be occasioned by frights, falls, strong emetics or cathartics, or by any violent com- motion of body or mind. Treatment. If the pulse be strong, bleed, give nitre, and pursue the antiphlogistic regimen : if the patient be weak, the bark and chalybe- ates. In general the medicines should be of the tonic and sedative kinds. The body should be kept open with clysters, or other- wise ; the diet light broths, and the like ; and the patient should be kept very cool, still, and quiet in bed. To stop the hæmorrhage, styp- tics may be applied to the os uteri, and a cloth 10 ABS ACI cloth dipped in vinegar to the os externum, and pubes. Some recommend acetated ce- russe internally in large doses. If, nevertheless, abortion follow, discontinue the corroborants, and give spermaceti medicines with opiates, &c. as after child-birth. ABSCESS. Treatment. Common abscesses may be treated by bringing them forward with proper cata- plasms, and when ripe, opening, digesting, and cicatrizing. Avoid evacuations during t :e suppuration, unless inflammation require. See also BOIL, PHLEGMON, and ULCER. ABSORBENTS. Opening. Magnesia. Astringent. Chalk, burnt hartshorn, oister shells, crabs' claws, red coral, French bole, lime-water. ACID, ACETOUS. This is radical vinegar as it is called. It is used for smelling to in faintings. -MURIATIC. Tonic, stimulant, diuretic, lithontriptic ; gt. xx. to xl. -NITROUS. Tonic, stimulant, diuretic ; gt. v. to xx. -VITRIOLIC. Tonic, stimulant, lithontriptic ; gt. ij. to v. Dilute, gt. xxx. to lx. ACONITUM. 11 ACO AGU ACONITUM. See Wolfsbane, blue. ÆETHER, NITROUS, SPIRIT OF. Diuretic, diaphoretic, sedative, febrifuge, car- minative ; ℈j. to ʒj. -VITRIOLIC Antispasmodic, nervous ; gt. xx. to ℥ss. Also externally as an anodyne. Spirit of. As of nitrous; to ʒij.—Compound. Anodyne, &c. ʒss. to ʒiss. AGUE. Symptoms. The fit begins with cold shiverings ; a small quick pulse; pain in the back and head ; nausea. To these succeed great heat and fever, which terminate in sweats. The urine 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 the Quartan, the intermission is of two whole days. Treatment. The bark in substance ʒj. every two hours during the intermission, adding an opiate, if it run off by stool. If the stomach will not bear the powder, give it in decoction or infusion, or the extract in pills. Camo- mile flowers, snakeroot, acid of vitriol, kali, or 12 ALM ALT or opium, may be added according to circum- stances : or an emetic and cathartic may be premised if necessary. The repetitions may be less frequent after the fit has been missed once or twice. Blue vitriol, gr. ss. dissolved in ℥j. of proof spirit, and given before the fit, has succeeded in some desperate cases ; so has electricity, in or just before the fit. White arsenic (which see) has been very effectual. ALMOND, bitter. Sedative, diuretic. — sweet. Obtunding. Milk of. ℥iv. to ℔ss. or more. Oil of. Pectoral, opening; ʒij. to ℥iv. Externally softening, relaxing. ALOES, INSPISSATED JUICE. Cathartic, anthelmintic ; ℈ss. to ℈ij. Emme- nagogue; gr. v. to x. twice a day. Exter- nally applied, vulnerary. Compound pills of, to ʒj. Pills of, with Myrrh. The same. Powder of, with Canella. -WITH GUAIACUM. -WITH IRON. See Powder aloetic, &c. Tincture of. ℥ss. to ℥iss. Compound. ʒss. to ʒij.- Wine of. ʒj. to ʒij. As a cathartic; to ℥ij. ALTERATIVES. Mercurials, antimonials, hemlock, mezereon, water- 13 ALU AMM water-parsnep, guaiacum, sarsaparilla, sassasras, prepared natron, tar, aulphur. Any medicine that works a cure gradually, by correcting the patient's habit of body, may be called an al- terative. ALUM. Tonic, astringent; gr. iv. to ℈j. Externally astringent and cooling. Burnt. Escharotic. Also internally, particularly in colic ; gr. ij. to ℈ss. Compound water of. sftrin- gent, cooling. Cataplasm of. The same as an epithem ; chiefly in opthalmies. AMBER. Tonic; ʒss. to ʒj. Oil of, rectified. Stimulating, nervous, emenagogue ; gt. v. to xx. Salt of, purified. Nervous, diu- retic; to ℈j. AMMONIA, prepared. Antacid, attenuant, stimulant, diaphoretic ; gr. iij. to xv. Spirit of. The same ; gt. xx. to lx. or more.—Compound. Also cepha- lic ; gt. xx. to lx. or more.—Fetid. An- tihyfteric; gt. xx. to lx.—Succinated, or Eau de Luce. Chiefly for smelling- to. Wa- ter of. Gt. xx. to lx. or more. Water of acetated a. Attenuant, cooling, sudo- rific, diuretic ; ʒij. to ℥ss. Water of pure a. Caustic volatile alkali. Liniment op. B Discutient, 14 AMM ANG Discutient, rubefacient. Stronger, l. of. The same. AMMONIACUM, gum. Stimulant, aperient; ℈ss. to ℈j. Milk of. ℥ss. to ℥j. ANALEPTICS. Cantharides, aromatic confection, saffron, cochi- neal, aromatics and stimulants. ANASARCA. See Dropsy. ANEURISM, OR AN ENLARGEMENT OF AN ARTERY, (known by its pulsation.) Treatment. Bleeding, and proper evacuations ; with low spare diet. Lead may be bound down pretty tight on the part. If these fail, recourse must be had to the operation of ty- ing it above and below the tumour. ANGELICA, root, stalk, leaf,and seed. Stimulant, aromatic ; ʒss. to ʒij. 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, faint- ness, sore throat, with florid colour ; or else, -a broad 15 ANG a broad irregular spot, of a pale white colour, surrounded with red. On the second or third day the face, neck, breast, and hands swelled, and as if erysipelatous ; an efflorescence of many small red pimples sometimes appears on the arms and other parts. The throat sloughs, ulcerates, and is very painful. Offensive taste, and delirium towards night. Treatment. Avoid bleeding and evacuation, gentle sudorifics and a slight emetic at the be- ginning excepted ; and purgings should be checked. Gargle, or rather syringe the throat with the compound decoction of bar- ley, 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 oxymel of verdigris, ʒj. and ℥ij. of the preceding gargle ; or gargle with water acidulated with muriatic acid. But the prin- cipal reliance must be on the bark given freely with wine and acids. To restore the patient give bark and vitriolic acid, with proper strengthening diet. ANGINA MAXILLARIS. Symptoms. Lassitude, heaviness, general restless uneasiness, gentle rigors, and slight fever : these are followed by a stiffness, with obtuse pain, in the articulation of the lower jaw : the parotid glands, neighbouring skin, and cellular membrane, 16 ANG membrane, swell: sometimes a dusky erysipe- latous inflammation covers the tumour. If the swelling subside suddenly, an exacerbation of the symptoms comes on, with tumefaction of one or both testicles. If this subside in like manner, the head is affected, and deliri- um follows, with convulsions, and other alarm- ing symptoms, sometimes proving fatal. Treatment. Promote perspiration from the parts affected by keeping them warm ; cover the swelling with a blister ; and give diaphoretics, with opium, if necessary. The body should be kept gently open ; but bleeding must be carefully avoided, unless the most pressing in- dications require it. ANGINA PECTORIS. Symptoms. A pain underneath some part of the sternum, with a sense of strangling and anxi- ety, coming on suddenly whilst walking, par- ticularly soon after a meal, and vanishing on standing still : after some months it does not cease so instantaneously on standing still; will come on when the patient is lying in bed ; and sometimes even when standing still, or sitting : the pain usually extends across the breast, and is felt particularly at the insertion of the pectoral muscle into the os humeri: it is generally on the left side, sometimes on both ; it recurs more or less frequently, per- haps 17 ANI ANT haps for years ; and at length terminates in sudden death. Treatment. Wine and cordials have generally been found to prevent or alleviate the night fits, and opiates still more so. In one instance antimonials, and the fetid gums, relieved the disease confiderably in an early stage. ANISEEDS. Carminative ; gr. iv. to gr. xv. or in infusion to ℥iv. COMPOUND SPIRIT of. ʒj- to ℥ss. ESSENTIAL OIL OF, gt. iv. to xx. ANODYNES. See Sedatives. ANTACIDS. All alkalis, fixed or volatile, and Absorbents ANTALKALINES. All acids, wine. ANTHELMINTICS. Tin, mercurials, cowitch, fern, Indian pink, to- bacco, camphor, assafoetida. Lubricating. Oils of almonds and olives, castor oil. Tonic. Wormseed, tansy, savine, camomile, rue, worm- wood, lime-water. Cathartic. Hedge-hyssop, bearsfoot, gamboge, aloes, scammony, jalap, vitriolated natron. St. ANTHONY'S FIRE. See Eryfipelas. ANTIMONY, PREPARED. Alterative ; ℈fs. to ʒj. CALCINED. Diapho- B 2 retic, 18 ANT retic, nauseating ; gr. v. to ʒfs. MURIATED Caustic. PRECIPITATED SULPHUR OF. Al- terative, emetic ; gr. ij. to viij. SAFFRON OF. Emetic ; gr. ij. to vj. TARTARISED. Su- dorific, febrifuge ; gr. [1/4] to i. Emetic ; gr. ij. to iv. VITIRIFIED. For making the WINE OF A. WINE OF. Alterative, diaphoretic ; gr. x. to lx. Diuretic, cathartic ; ʒj. to ʒij. Emetic ; ʒij. to ʒiv. TARTARISED, WINE OF. The same. ANTIMONIAL POWDER; gr. v. to xv. Said to be the same with James's Powder. ANTISCORBUTICS. Antiseptics. Alteratives. ANTISEPTICS. Refrigerant. Acids, cold water, cold air. Tonic. Bark, columbo, quassia, camomile, wormwood, southernwood, mastic, lime-water. Stimulant. Alcohol, wine, madder, rattle-snakeroot, horse- radish, brook-lime, water-cress, scurvy-grass, cummin. Antispasmodic. Camphor, myrrh, assafœtida. ANTISPASMODICS. Stimulant. Electricity, spirit of vitriolic æther, animal oil, oil of amber, musk, castor, mille- pedes, fossil tar, camphor, assafœtida, galba- num, myrrh, lady's-smock, ipecacuanha. Sed- ative. Opium, compound spirit of vitriolic æther, 19 APH APP æther, valerian, warm-bath. Tonic. Bark, ginseng, rue, calcined zinc, blue vitriol, cold water. APHTHÆ. See Thrush, and Fever Aphthose. 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 ; respira- tion strong, and attended with snorting. Treatment. Blisters should be applied to the back and legs, and mustard poultices to the feet. Medicines of the warm, nervous kind, as castor, valerian, camphor, assafœtida, and vol- atile 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 ferous matter in the ventricles. In the latter case, emetics of the antimonial kind are serviceable, and bleeding should be prescribed with great caution : in the former, bleeding and evacuations are proper. 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. APPETITE, canine. Treatment. If an acid in the stomach be the cause, 20 APH APP cause, vomit, and give testaceous powders, magnesia, or alkalis. If worms, give anthel- mintics. If it be natural, or proceed from other causes, oils, fat meats, and broths, milk, and flour diet, will be proper : also opiates. Smoking tobacco is likewise of service. APPETITE, LOSS OF. Treatment. If the stomach be foul, give a gen- tle emetic of ipecacuanha ; and if necessary, a gentle cathartic also. If it proceed from re- laxation, the bitters, chalybeates, or bark, with or without vitriolic acid. If acidity and wind abound, join kali, or calcined magnesia, with the bitters. Sena, rhubarb, tartarifed kali, or other laxatives, may occasionally be employ- ed, if necessary. ARABIC, GUM. Obtunding ; ℈j. to ʒij. ARNICA. See Leopard's-Bane, German. AROMATICS. Cinnamon, cloves, nutmeg, mace, pimento, gin- I ger, canella alba, cubebs, calamus aromaticus, clove-july-flower, elecampane, angelica, cas- carilla. ARSENIC, white. This has lately been employed with great success in intermittent fever, and periodical head-aches, in 21 ART AST in the following form. Dissolve 64 grs. with an equal quantity of pure kali, by gently boil- ing in a Florence flask, in half a pint of wa- ter. When cold, add as much water as will make the whole a pint. Of this the dose should be sufiicient to excite nausea, generally from gt. viij. to xx. twice or three times a day. It sometimes vomits, gripes, and purges. ARTICHOKE, LEAF. Diuretic; a spoonful or two of the expressed juice. Also in infusion. ARUM, root. Stimulant; ℈fs. to ℈j. Conserve of, ʒfs. to 3j. ASAFŒTIDA. Stimulant, antispasmodic, vermifuge ; ℈fs. to 3j. MILK OF, ℥fs. to ℥ij. TINCTURE OF, gt. x. to lx. ASARABACCA, LEAF. Stimulant, emetic, purgative ; ʒss. to ʒj. It is also a powerful sternutatory. COMPOUND POWDER OF. Errhine ; gr. v. or vj. ASCITES. See Dropsy. ASTHMA. Symptoms. A difficulty of breathing, attended with wheezing ; it returns at intervals ; is preceded by disinclination to motion, loss of appetite, 22 AST 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 pa- tient can only breathe in an erect posture, and can scarcely speak or expectorate. If he hap- pen to sleep, he snores 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 difficulty ; 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 weak- ness do not forbid ; blister between the shoul- ders or at the pit of the stomach ; the body should be opened with gentle cathartics ; then give the pectorals and expectorants, joined, if necessary, with antispasmodics and sedatives. In the spasmodic asthma ipecacuanha in small doses has suceeded: so has extract of hem- lock given freely. ASTRINGENTS. Acetated cerusse, alum, iron. Opium, log-wood, oak, galls, pomegranate shell and flower, tor- mentil, simarouba, cinnamon, red rose, rhu- barb, sloe, quince, catechu, lime-water, burjit hartshorn, French bole. Externally. Prepa- rations 23 ATR rations of lead, calcined and vitriolated zinc, calamine, tutty, water of vitriolated zinc with camphor, white calx of quicksilver, decoction of white hellebore, cerate of soap, stavesacre, cold water. ATROPHY. Symptoms. A nervous consumption, or wasting of the body ; without fever, or other hectic symptoms. Treatment. This must be varied according to- the cause. If the appetite and digestion be bad, give a gentle puke, and afterwards the bitters with iron. If scrophulous, chalybeates with bark. If worms be the cause, anthel- mintics. If lues venerea, mercurials and de- coct, of sarsaparilla. If hysterics or hypo- chondriasis, join chalybeates with the gum pill or other medicines of this class. If profuse evacuation, as fluor albus ; the bark, chaly- beate waters, sarsaparilla, and exercise. If attended with scurvy, the scorbutic juices, vegetable acids, and bark. If asthmatic symptoms appear, the squill preparations, or other pectorals and antispasmodics, and blis- ters. Diet, however, must assist medicine in the cure ; which, where nothing forbids, should be of the soft, nutritive, and strength- ening kind, and easy of digestion ; as milk, calves feet, and other jellies, &c The coun- try air is good. AT- 24 ATT BAR ATTENUANTS. Diluent. Thin watery liquors, whey. Solvent. Mercurials, alkalis, nitre, sal ammoniac, soap, millepedes, burnt sponge, pareira brava, deadly nightshade, broom, black hellebore, horse- radish. BALAUSTINES. Tonic, astringent; ℈ss. to ʒss. Also in de- coction. BALM. Tonic. BALSAM, CANADA. Tonic, stimulant, diuretic; gr. x. to xxx. lx. or more. BALSAM OF CAPIVI. Corroborant, diuretic ; gut. x. to xxx. or up- wards. BALSAM OF PERU. Gut. iv. to xv. for nervous complaints and head- aches, gonorrhœas, asthmas, &c. TINCTURE OF, ℈j. to ʒj. BALSAM OF TOLU. Gr. v. to ℈j. for coughs, &c. TINCTURE OF. ʒj. to ʒij. BARK, PERUVIAN. Sec Cinchona. BARLEY, DECOCTION OF. Emollient, obtunding; as common drink. COM- POUND. The same. BA - 25 BAR BIT BARYTES, MURIATED. Deobstruent, diuretic, tonic; gt. iv. to x. Twen- ty have been given without producing nausea : but in large doses it has deleterious effects. BAY, LEAVES AND BERRIES. Tonic. The leaf is also narcotic. BEARING DOWN, See Procidentia, and Prolapfus. BEARSFOOT, LEAF. Anthelmintic ; ʒj. to ʒij. in decoction, ʒij. to ℥fs. of the expressed juice. BENJAMIN. Gr. v. to ʒss. as a pectoral and asthmatic. FLOWERS OF, the same; to ℈j. COMPOUND TINCTURE OF. Stimulant, tonic, ℈j. to ʒifs. Externally vulnerary. BISTORT ROOT.| Tonic ; to ʒ. BITES and STINGS OF VENOMOUS ANIMALS. Treatment. To those of small insects, as gnats, bugs, wasps, &c. apply volatile liquor of harts- horn, milk, oil, honey, or vinegar : to that of the viper, its own fat, oil of almonds, or wa- ter of ammonia ; foment, poultice, and bleed, if inflammation require; and give milk in- wardly, with salt of hartshorn, opiate confec- etion, 26 BLA BLO tion, or other antidote. For the rattlesnake's bite, give a spoonful or two of the juices of plantain and horehound, and apply a tobacco leaf steeped in rum to the part. BLADDER INFLAMED. Symptoms. Acute burning pain, and tension in the part; with fever, frequent inclination to go to stool, and constant desire to make water. Treatment. As directed for kidneys inflamed. BLEEDING EXTERNAL. Apply the styptics mentioned under that word. Bleed at the arm, purge, and give cooling medicines if necessary. 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 Erysipelas. BLOOD, SPITTING OF, OR HÆMOPTOE. Symptoms. A cough and short respiration at- tend. If the blood coughed up appear florid, liquid, and frothy, especially if the patient be consumptive, it indicates a rupture of some vessel in the lungs ; and is attended with pain if occasioned by a fall, or bruise. Treatment. Bleeding, laxatives, and styptics; as alum, bark, compound tincture of benjamin, nitte, 27 BLO BOL nitre, and occasionally an opiate ; the feet bathed in warm water ; a slender cooling diet, and no exercise. A table spoonful of fine fait, taken in a dry form, has been found ex- tremely efficacious. 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 than in an hæmoptoe. Treatment. As in the preceding case. Small doses of vitriolated iron calcined are efficacious in this, and also in a rupture of a vessel in the intestines, and a consequent discharge of blood by stools. BOILS. Treatment. They are to be ripened with proper poultices ; opened, digested with ointment of yellow resin, &c. and healed with cerate of calamine, or the like. If fungous flesh ap- pear, destroy it with red nitrated quicksilver, or other proper escarotic. Alteratives and edulcorants, with corroborants, if necessary, should be given internally. BOLE, FRENCH. Absorbent, astringent; ℈j. to ʒij. Externally desiccative. BORAX. 28 BOR BUC BORAX. Emmenagogue, stimulant, diuretic ; gr. v. or x. to ℈ij. Externally to aphthæ. BREASTS INFLAMED. Symptoms. A few days after delivery the breasts sometimes feel uneasy, or painful, and swell, the milk stagnating. Treatment. Gentle purges and cooling diapho- retics. Apply the plaster of litharge, or of soap, warm cloths, or the like, to the parts, and to the axillae. If inflammation, foment, and poultice with bread and milk. If suppu- ration, continue to poultice, and let it break. of itself; after which, digest with poultices or otherwise, and cicatrize. If fever appear during the inflammation, treat it as directed for fever (milk.) If the breasts be merely hard, fomentation, poul- tices, and oil rubbed over them, are best. BROOKLIME. Antiseptic. BROOM, TOP AND SEED. Aperient, diuretic ; ʒfs- to ʒifs. EXTRACT OF THE TOP, ʒfs. to ʒj. BRUISES. See Contuficns. BUBO. See Venereal Disease and Abscess. BUCKBEAN. Tonic, aperient; of the infusion a pint a day. BUCK- 29 BUC CAN BUCKTHORN, BERRY. Cathartic; fresh about xx. in number, dry ʒj : of the juice ℥j. SYRUP OF. ℥j. to ℥iij. BURDOCK, ROOT. Diuretic, sudorific ; ʒj. BURNS. See Scalds. CACHEXY. See Dropsy. Treatment. Acetated kali, squills or other diu- retics ; cathartics ; then chalybeates, bark, &c. with proper exercise. CALAMINE. Astringent. In collyriums for inflamed eyes. CERATE OF. Epulotic. CALAMUS AROMATICUS. Aromatic; gr. v. to ℈j. CAMOMILE, FLOWERS. Stomachic, tonic, antiseptic ; gr. v. to ʒss. Some recommend a-cold infulion. EXTRACT of. ℈j. to ℈ij. CAMPHOR. Diaphoretic, diuretic, antispasmodic ; gr. iij. to ʒfs. or more. LINIMENT OF. Stimulant. In local pains, chiefly of the head. CANCER. Symptoms. A round unequal tumour, of a livid colour, surrounded with varicose vessels, and C 2 seated 30 CAN seated in the glandular parts of the body. Some cancers are fixed, others moveable ; some pale, others red and inflamed ; some- times they remain harmless for years, at others they increase hastily, ulcerate, discharge a fe- tid sanious ichor, and soon prove mortal. Treatment. Bleeding ; in cafe of inflammation, cooling laxatives ; salt water, extract of hem- lock, magnesia, soap, or the like, in small doses as alteratives ; muriated barytes, the deadly nightshade, and arsenic, have also been found serviceable. Externally, apply lint only if the tumour break : ablution with cold water has been recommended, but water a little warmed would, perhaps, be preferable. Hem- lock fomentations have been found beneficial, as hath also the herb called clivers. Calm- ness of mind and proper regimen muft be ob- served ; but extirpation with the knife, where it can be done, is the only certain remedy. For cancer in the womb, see womb. CANELLA ALBA. romatic, stimulant; ℈j. to ℈ij. CANTHARIDES. Analeptic, diuretic ; gr. ¼. to gr. ij. TINC- TURE OF. The same ; gt. x. to xx. CE- RATE OF. For raising or keeping open blisters. Ointment of. For perpetual blisters. 31 CAR CAS blisters. PLASTER OF. For raising blis- ters. CARAWAY, seed. Carminative; ℈ss. to ʒss. or in infusion. Es- sential oil of. gt. i. to iij. This is said by some to be also diuretic. SPIRIT OF. ʒj. to ʒiij. CARDAMOMS, LESSER. Carminative; gr. iij. to ʒfs. TINCTURE OF. ʒss. to ʒij.—Compound. Stomachic; ʒj. to ℥fs. CARDIALGIA. See- Heart-burn. CARMINATIVES. Aniseeds, caraway, lesser cardamoms, coriander, fennel, juniper, rosemary, spirits of nitrous and vitriolic æther, Aromatics. CARROT, WILD, SEED. Stimulant, diuretic ; ℈j. to ℈ij. in infusion, CARUNCLES. See Urine. CARUS. Treatment as in the apoplexy, of which this is only a slighter degree. CASCARILLA, BARK. Aromatic, tonic; ℈j. to ʒj. EXTRACT OF. ℈j. to ʒss. TINCTURE OF. ʒj. to ʒij. CASSIA FISTULARIS, FRUIT. Laxative; ʒij- to ℥ij. of the pulp, ELECTU- ARY OF. ʒij. to ℥ij. CAS- 32 CAS CAT CASTOR, RUSSIAN. Nervous, antispasmodic, emmenagogue ; gr. iv. to ℈j. TINTURE OF. ʒfs. to ʒij. CASTOR OIL. Laxative ; ℥fs. to ℥j. also nephritic and icteric. CATALEPSY. Symptoms. Sudden loss of sense and motion, the limbs retaining any posture into which they are put. Treatment. Antispasmodics, stomachics, bark, and opiates. CATARRH. See Cold and Cough. CATECHU, THE RESIN. Astringent; ℈ss. to ʒss. Tincture of. ʒj. to ʒiij. CATHARTICS. Stimulant. Elaterium, gamboge, scammony, col- ocynth, buckthorn, elder, aloes, jalap, fresh juice of orris root. Refrigerant. Vitriolated and tartarifed natron; vitriolated, tartarifed, and acetated kali; crystals of tartar, common salt, purging mineral waters, flowers of sul- phur, cassia fistularis, tamarinds, prunes. As- tringent. Rhubarb, rattle-snakeroot, damask rose, violet, senna. Emollient. Castor oil, oil of almonds, soap, manna, honey, sugar. Nar- cotic. Fox-glove, meadow-saffron, white and black hellebore, hedge-hyssop, tobacco. CAUSTICS. 33 CAU CHI CAUSTICS, Pure kali, lime with pure kali, nitrated silver, muriated antimony, mineral acids. CENTAURY, LESSER, TOPS. Tonic ℈j. to ʒj. CEPHALICS. Compound spirit of ammonia, lavender, rose- mary, nervous medicines. CERUSSE. Externally cooling, astringent. ACETATED. The same.— OINTMENT OF. The same. COMPOUND POWDER OF CERUSSE. The same. Acet. Cer. has been given internally, from gr. ss. to gr. iij.. CHALK. Absorbent, cardialgic ; ℈j. to ʒj. Compound powder of. The same, also astringent; ℈j. to ʒj.—with opium. 43½ gr. contain 1 of opium. TROCHES OF. Chiefly for the heart-burn. CHICKEN-POX. See Pox. CHILBLAINS. Is not broken, bathe them with camphorated spirit, oil of turpentine, urine, brine, melted salt butter, or rub them with snow. Is they break, dress them with warm digestives, and afterwards with the cerate of calamine. CHILD. 34 CHI CHO CHILD-BIRTH. If there be a profuse discharge os the lochia, give cooling medicines and acids. Is the lochia be stopped, clysters, laxatives, and antimonials in nauseating doses : but be cautious of bleed- ing. If a puerperal, or milk fever, treat them as under those articles. After delivery, and the after-birth, spermaceti, with gentle opi- ates ; and, is necessary, castor, or other uterine. remedy. Keep the body open, and let stools be procured the second or third day after de- livery at farthest. CHLOROSIS. See Menses obstructed. CHOLERA MORBUS. Symptoms. Violent vomiting and looseness, from; bile abounding in the stomach and bowels; sharp pains, gripings, and flatulency ; thirst, heat, anxiety, with quick and unequal pulse; cold sweats, and at length syncope, and cold- ness in the extremities. Chiefly attacks young persons, and in the summer and autumn. Treatment. Large and frequent draughts of chicken broth, without salt, to the quantity of a gallon or two ; and clysters of the same should be continually injected. If the vomit- ing continue, give an infusion of oat bread, toasted brown, in water ; afterwards cinna- mon water, aromatic confection, columbo root, 35 CIN CLO root, compound powder of chalk, or the like, with opium. An emetic may be proper, as also ripe fruit, &c. See Colic, bilious. CINCHONA, the bark. Tonic, febrifuge, antiseptic, stomachic ; ℈j. to ʒj. or more, several times a day. The red bark is the species that ought to be preserred. DECOCTION OF. ℥ij. or upwards. EX- TRACT OF, and EXTRACT OF WITH THE REZIN. ℈j. or more. TINCTURE OF, and COMPOUND TINCTURE OF. ʒj t0 ℥ss or more. AMMONIATED TINCTURE OF. ʒss. to ʒj. or more. CINNABAR. Alterative, vermifuge ; gr. iij. to ℈j. CINNAMON. Aromatic, carminative, astringent; ℈ss. to ʒss. TINCTURE OF. ʒj. to ʒij.—COMPOUND. ʒss. to 3iss. SPIRIT OF. Cordial; ʒj. to ʒiij. WATER OF. ℥j. to ℥ij. CINQUEFOIL, ROOT. Tonic ; ʒss. to ʒij. CLOVES. Aromatic, stimulant; gr. v. to ℈j. CLOVE-JULY FLOWER. Aromatic, tonic. COCHINEAL 36 COC COL COCHINEAL. Cordial, sudorific Now chiefly used as a col- ouring drug. CŒLIAC PASSION. Symptoms. A purging or discharge of aliment indigested, and somewhat like chyle, with wasting of the body. Treatment. An emetic ; stomachic, astringent, and warm tonic remedies ; as bitters, extract of logwood, chalk, opiate confection, opium, &c. with proper diet. COLD and COUGH. Symptoms well known. In phlegmatic habits, the cough is moist ; and in the hypochondriac and scorbutic, dry. Treatment. Gentle and regular warmth ; bleed- ing, if nothing forbid ; and especially is a fe- ver, or pain in the breast, &c. arise. Oily, or spermaceti medicines, or other pectorals, with opiates. If costive, proper laxatives ; and if the stomach be loaded with phlegm, an emetic. Where greasy medicines disagree, give muci- lages of linseed, tragacanth, or quince seeds, squills, lozenges of liquorice, &c. Blisters are very efficacious, as are also gentle sudorif- ics repeatedly taken, with diluents and saline febrifuges, when the perspiration is obstructed, and fever appears. COLIC, 37 COL 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 one part to another. A pulsa- tion 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 infusion of camomile, or the like, to work it oss; then give cathartics (pills chiefly, or castor oil) with opium, and open- ing emollient clysters. If these fail, put the patient into the warm bath. If the vomiting continue, saline draughts, with tincture of opium. In this case columbo root has been particularly useful. 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 is a disease to which women of lax and gross habits, and of irritable disposi- tions, chiefly are subject. It begins with vi- D olent 38 COL olent pain in the region of the stomach, much green and yellow matter is vomited, and great lowness of spirits succeeds ; the pain goes off in a day or two, and frequently returns again in a few weeks with equal violence. Some- times it is 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, camomile tea, &c. then give a carminative antispasmodic, with opium, (as castor, aromatic confection, opiate confection) which may be occasionally repeat- ed. Recruit the strength with bark, bitters, air, exercise, chalybeates, &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 is ne- cessary, and the pulse will bear it; procure stools with soft mild cathartics, as castor oil, oily mixtures with manna, and tartarised kali, or the like ; or is these will not stay, with pills 39 COL pills of the comp. ext. of colocynth and opi- um ; emollient clysters should be frequently given, and soft emollient liquids drunk ; the bowels should be fomented, bladders of water, bags of salt or oats heated, the skins of ani- mals just killed applied to the part; and the warm bath should be prescribed, is 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 may be thrown up the fundament, is all other cathartics fail; or give quicksilver. COLIC, NERVOUS, CALLED ALSO THE DEVONSHIRE COLIC, COLIC OF POICTIERS, DRY GRIPES, AND THE DRY BELLY-ACHE. Symptoms. It begins with a sense of weight or pain at the pit of the stomach, attended with loss of appetite, yellowness in the counte- nance, a slight nausea, and costiveness ; a vom- iting of acrid slime, and green bile, succeeds ; the pain often descends to the navel, shooting thence to each side, with great violence ; the intestines seem drawn to the spine, with con- vulsive spasms ; the pain continues without re- mission for several hours together; pulse as in health; 40 COL health ; no fever, but rather lowness ; when at length the pain abates, an odd tingling is felt along the spine of the back, which ex- tending to the legs and arms, they become weak and paralytic. Treatment. Vomit several times with warm cam- omile 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 castor oil, infus. of sen. with salts, and the like ; laxative clysters may also be pre- scribed ; bleed, if the pulse be high ; stools being procured, an anodyne, carminative, and antispasmodic may be given, as camphor, va- lerian, castor, aromatic confection, or the like, with opium. Is the pain return, have recourse again to opium pills ; is paralytic symptoms come on, embrocate the limbs and spine with lin. of ammonia, camphor, spirit, or other warm liniment. If convulsions, give musk with opium. After the disorder, bark, with bitters and rhubarb, should be ordered ; to- gether with a light, but nutritive diet. Flan- nel may also be worn round the waist. Painters and glaziers, who are subject to this dis- order on account of the lead used in their work, rely on burnt gin, which I have seen them take with surprising success. A dose or two of alum, of ℈j. each, have been sound to . be a powerful remedy. COLIC 41 COL COLIC, STONE, OR NEPHRITIS. Symptoms. The colic which sometimes ariseth from the stone, may be known from the other kinds by the following signs : There is a fix- ed 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 be- ginning than afterwards, but in this, it is at first clear and thin, and afterwards lets fall gravel, or other sediment. Treatment. Turpentine clysters are given with good effect ; soap with opium, or other ne- phritic 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 abate on the expulsion of air ; the pain is not increased by pressure ; thirst not extraordinary; and the pulse but little disturbed. Treatment. Bleed, if the patient can bear it ; stools must be procured by saline or other ca- thartics, and emollient clysters ; previous to which, an emetic may also be given, is judged necessary; fomentations, or bladders of hot water, may be applied to the belly ; as may D 2 likewise 42 COL CON likewise anodyne, spirituous, and aromatic embrocations, as the soap liniment with opium and oil of mint, or the like. A passage being procured, carminatives joined with opium may be administered. COLICA MECONIALIS. See Meconium. COLOCYNTH, PITH OF THE FRUIT. Cathartic ; gr. viij. to xij. COMPOUND EX- TRACT OF. gr. xv. to ℈ij. COLTSFOOT. Obtunding, tonic. COLUMBO, root. Tonic, stomachic, antiseptic, antiemetic ; ʒss. to ʒij. TINCTURE OF. ʒss to ʒij COMA. See Carus. CONFECTION, AROMATIC. Cordial, carminative ; ℈ss. to ʒj. CONsECTION, OPIATE. Alexipharmic, anodyne ; ℈ss. to ℈ij. 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 43 CON about the diaphragm and breasts ; the expec- torated matter purulent; sometimes bloody and offensive, with white round lumps. If the symptoms be violent, a spitting of blood soon follows, which is thin, florid, and frothy ; but it afterwards becomes paler, and the dis- charge changes at length into pus. Towards the end of the disease a diarrhœa frequently comes on, and the legs are apt to swell. Ul- cers, or tubercles in the lungs, are the cause. In general the complexion is florid, and the teeth sound, and of a milky whiteness more or less opaque. Treatment. At the beginning, whilst symptoms- of inflammation occur, bleed in small quantity, and repeat it is necessary, giving nitre, and pur- suing the antiphlogistic regimen. Ipecacuanha in small doses, or decoction of seneka root, is sometimes useful. Issues or setons are frequent- ly serviceable, or a perpetual blister at the pit of the stomach. But the antiphlogistic plan must be pursued no longer than the inflammatory stage continues. After that has subsided regard must be had to strengthening the system by the bark, chalybeates, &c. Opiates may be administered at night, is necessary, to appease the cough, and procure rest. Myrrh given to ʒiij. or ʒiv. a day, with camphor and ni- tre, has been sound an efficacious remedy by some : 44 CON some : others have recommended burying the patient up to the chin in fresh dug earth for some time. for sweats give the vitriolic acid ; or let a calico waistcoat, steeped in a strong decoction os bark, well dried, and re- newed daily, be worn next the skin. Change . of air, and gentle exercise, are good: the body sbould be guarded against cold ; and the diet be light, mild, and nutritive ; as jellies, broths, milk, butter-milk, &c. Dr. Simmons's excellent treatise on this subject may be con- suted. CONTRAYERVA, ROOT. Tonic, stimulant, diaphoretic; gr. v. to ℈j. or more. COMPOUND POWDER. Sudorif- ic ; ℈j. to ʒj. CONTUSIONS. Treatment. Bathe the part with vinegar, lin. of soap, or of ammonia, water of acetated am- monia, or arquebusade ; and, if necessary, ap- ply a poultice of oatmeal and vinegar. If there be inflammation, bleed, and purge, use emollient fomentations and cataplasms. If suppuration appear, apply proper topical rem- edies to forward it, and treat as in abscesses. CONVULSIONS. Symptoms. Involuntary contractions or spasms of the muscles, and consequent motions of the parts 45 COP COR parts which they serve. Children, and women of delicate constitutions, are most subject to this complaint. 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 assafœti- da, castor, camphor, musk, volatile salts, ani- mal oil, with opium, if necessary. If the bow- els be convulsed, opium may be added to the clysters also. The parts may be rubbed ex- ternally with some warm anodyne embroca- tion : free air should be allowed to the patient. In children, this complaint often proceeds from an acid in the primæ viæ; magnesia is then proper. Worms may also occasion it; an- thelmintics are in this case to be given. Blis- ters, and anodynes, used with caution, are good. Valerian, in very large doses, both in powder and decoction, has cured violent convulsions, of a long standing. A spasm os the œsopha- gus, preventing deglutition, has been cured by cataplasms of hemlock and henbane. COPPER, AMMONIATED, WA, TER OF. Externally detersive. CORAL, RED. Absorbent; ℈j. to ʒj. CORIANDER, 46 COR COU CORIANDER, SEED. Aromatic, stimulant; ℈j. to ʒj. CORNS. Cover them with litharge or other plaster, 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 rub- bed or pressed. CORROBORANTS. Incrassants, and Tonics. COUGH, HOOPING. Symptoms. It affects children ; who by reason that the phlegm is difficult of expectoration strain violently to bring it up ; with a whoop- ing noise, till they are almost suffocated and convulsed. Treatment. If inflammatory symptoms, or fever appear, bleed ; give small doses of ipecac, or tartarised antimony, to bring up the phlegm. Keep the body rather lax ; and prescribe an- tispasmodics : gentle sedatives of syr. of white poppy are efficacious ; blisters, gentle sudo- rifics, and a spare, thin, but nourishing diet. Bark may be given, with castor, to support the patient's strength. But change of air, srequently repeated, sometimes does wonders in these cases. COW-ITCH. 47 COW CUT COW-ITCH. Anthelmintic. The hairs covering the pods are given in syrup or melasses ; those of one pod a dose. CRAB, the claws. Absorbent; ℈j. to ʒj. COMPOUND POWDER OF. The same. CUBEBS. Aromatic, stimulant; gr. v. to ℈j. CUCKOW-PINT. See Arum. CUCUMBER, WILD, FRESH FRUIT. Strongly purgative, stimulant; gr. ss. to ij. or iij. of the dried fecule of the juice. CUMMIN, SEED. Stimulant, antiseptic; ℈j. to ʒj. POULTICE OF. The same. PLASTER OF. Discutient. CURRANT, BLACK and RED, the FRUIT. Cooling, antiseptic. INSIPISSATED JUICE OF THE BLACK. In recent catarrhs, attended with slight sore throat. CUTANEOUS DISEASES. See the articles Itch, Scurvy and Tetters. CUTS. Apply compound tincture of benjamin, afterwards dress with some mild digestive, and then cica- trize. 48 DAN DEA trize. If an artery be wounded, it must be ta- ken up, or the sponge 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 ideot; with variety of odd and ridiculous ges- tures. Chiefly affects the youthful. Treatment. Emetics, cathartics, valerian root in large quantities ; bark, chalybeates, sea- bathing ; electricity, millepedes, and quick- silver with sulphur, have been of use ; blisters and bleeding, if judged necessary. If worms be the cause, give anthelmintics. DANDELION, ROOT AND HERB. Aperient, diuretic ; ℥iss. to ℥iv. of the expressed juice. DEAFNESS. Treatment. If it proceed from hardened wax, syringe the ears with warm water, or soap and water, or apply a tent made of the fresh pith of a cabbage stalk. If the wax be deficient, drop in oil of almonds, with a little oil of rose- mary, or the like. If cold be the cause, warmth, the remedies used against colds, and syringing with some warm soft liquid. If it be nervous, give the nervous medicines, bark, &c. and apply blisters. Electricity has been found 49 DEL DIA sound useful. If inflammation, bleed, purge, blister, foment, poultice, and prescribe the pediluvia. Is there be ulcers, use injections, with tinct. of myrrh, honey, &c. If insects be in the ear, fill the meatus with warm oil or water, or throw in the fumes of tobacco. DELIVERY. See Child-birth. DENTITION. See Teething. DETERGENTS. Verdegris, water of ammoniated copper, tincture of myrrh, simple oxymel, honey of roses, hon- ey, turpentine. DIABETES. See Urine. DIAPHORETICS. See Sudorifics. DIARRHŒA. Symptoms. A purging, without much sickness or pain ; succeeded by loss of appetite ; and sometimes nausea, fever, with weak pulse, dry skin, and thirst. Treatment. If it proceed from any thing offen- sive in the bowels, give rhubarb first, either in powder or tincture ; and afterwards astrin- gents and absorbents, as chalk mixture, com- pound powder of chalk, extract of logwood, columbo root, &c. with or without opium as you see necessary. Starch clysters, with opium, and bleeding, if requisite, may be pre- scribed. E If 50 DIG DIS If weakness of the bowels and indigestion occa- sion the complaint, the bitters, bark, or cha- lybeates. If obstructed perspiration, gentle sudorifics should be interposed. Sometimes a purging is an effort of nature, to relieve the constitution from offending mat- ters, or it is critical. You must be careful to distinguish in these cases, as checking the purging may be followed by a fever, or other bad consequences. In diarrhœas, vegetable and acescent diet should be refrained from ; decoct. of hartshorn is best for common drink, and rice victuals for food. When purgings proceed from a pu- trescent cause, ripe fruits and antiseptics are proper. DIGESTIVES. Turpentine ; ointments of gum elemi, yellow re- sin, and tar ; plaster of wax. DILL, SEED. Stimulant, slightly aromatic ; ʒss. to ʒj. WA- TER OF. To infants, ʒj. DISCUTIENTS. Liniment os ammonia, all ointments and plasters with quicksilver, sal ammoniac, camphor, lin- iment and plaster of soap, hemlock, plaster of cummin, wormwood in fomentations, decoc- tion for fomentation, electricity. DIU- 51 DIU DRO DIURETICS. Stimulant. Salt of amber, oil os turpentine, tur- pentine, balsams of Canada and capivi, juniper, wild carrot, broom, artichoke, parsley, mead- ow-sassron, sennel, pareira brava, squill, soap, millepedes, cantharides. Refrigerant. Kali, nitre, acetated kali, spirits of nitrous and vit- riolic æther. Diluent. Watery liquors, min- eral waters. Narcotic. Fox-glove, tobacco, woody nightshade, dandelion. DRAGON's-BLOOD. Tonic ; ℈ss. to ʒss. DROPSY. Symptoms. A collection of water or serum in some part of the body. Before the disorder is perfectly formed it is called Cachexy ; when the lymph is accumulated in the cellular mem- brane it is called Anasarca, or Leucophlegma- tia; when there is a collection of water in the abdomen, it is termed Ascites ; if in the head, Hydrocephalus ; if in the breast, Hy- drops pectoris ; if in the womb, Hydrops uteri; and if in the scrotum, Hydrocele. In common dropsies the legs usually swell, and a 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 ; and thirst, slow fever, shortness of breath, lassitude and heaviness, at- tend. 52 DRO tend. These symptoms obtain especially in the anasarca and ascites. In the hydrocepha- lus, convulsions, squinting, shunning the light, opening of the sutures, and vomiting of bile, commonly occur, especially is the disease be far advanced. Treatment. In the Anasarca and Ascites, purges with jalap, scammony, calomel, gamboge, ela- terium, or the like, twice or thrice a week. Squills, tinct. of cantharid. prepared kali, or acetated kali, with bitter infusion. Emetics and sudorifics, blisters and scarifications, pre- scribed with due caution, have often good ef- fect, otherwise they may do harm. Bark may be given if the strength flag, or consump- tive symptoms appear. Weak liquids of all kinds used to be avoided, but are now allow- ed freely with success, especially after the drastic purges. Crystals of tartar, given in large quantity, have had good effect. Gum guaiacum has also been recommended. Of late fox-glove has been much celebrated ; and infusion of tobacco has been remarkably effi- cacious. In Germany the deadly nightshade is said to have been very successful. In this complaint bread is generally ordered to be toasted, and flesh to be baked, roasted or broiled. Smoking is of great use, and mus- tard-seeds taken whole have often been of service. If 53 DRO If the disorder arise from the too copious use of weak liquids, or obstructed perspiration, sudo- rifics 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 severs; cathartics should not be used too freely, but chalybeates, bark, and bitters sliould be chiesly 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. Blisters applied below the breast, and even on the thighs or legs, and kept open, are also very effectual. In the Hydrocephalus internus, a salivation ex- cited by mercury has of late been recommend- ed, but its efficacy is not yet clearly ascer- tained ; purges may be given, and medicines of the carminative and antispasmodic kind. Blisters, setons, and issues, should also be pre- scribed. In the Dropsy of the womb, emetics, stimulating clysters, and occasionally cathartics ; diuretic, attenuant, and resolvent medicines should be given ; and fomentations and vapour baths advised. E2 In 54 DRY DYS In the Hydrocele, let out the water with the tro- car at the bottom part of the scrotum, and in- ject wine to produce adhesive inflammation. If pure wine give too much pain, dilute it with water ; if it do not excite sufficient in- flammation, acuate it with spirit. When water is contained in the cellular membrane, treat it as an Anasarca. DRY GRIPES, OR DRY-BELLY-ACHE. See Colic, Nervous. DYSENTERY, BLOODY-FLUX. Symptoms. A discharge of mucus, blood, and pu- rulent matter by stool; violent gripings ; pain in the loins, and anus ; tenesmus, and fever. Treatment. A rhubarb, or other gentle purge, and, after proper evacuation, chalk mixture with spermaceti, and an opiate. Avoid bleed- ing, unless the pulse be hard, full, and strong; and give starch clysters with opium and astrin- gents ; columbo root, and boluses of bees wax and spermaceti, with compound powder of chalk, are efficacious. Small doses (a grain or two) of ipecac, have often succeeded. Su- dorifics 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 55 DYS ELE ton suet boiled in it, and the fat afterwards taken off, is esteemed excellent. DYSURIA. See Urine. EAR-ACHE. See Deafness. ELATERIUM. See Cucumber, Wild. ELDER, INTERIOR, BARK, FLOWER, AND BERRY. Bark strongly emetic and purgative; ℥ss. to ℥j. of the expressed juice : flower and berry lax- ative. Inspissated juice of the berry. Diuretic, laxative, sudorific ; ʒj. to ℥j. or more. Ointment of. Cooling, emollient. ELECAMPANE, ROOT. Aromatic, stimulant; ʒj. to ʒij. ELECTRICITY Has been sound beneficial in rheumatism, gout, deafness, tooth-ache, swellings not suppurated, inflammations, gutta serena, fistula lachryma- lis, palsy, ulcers, cutaneous eruptions, nervous head-ache, ague, suppression of the menses, St. Vitus's dance, and contractions of the muscles. It should be applied by directing a stream of the fluid to the part. Shocks in general should be avoided, or be at most very slight. ELEMI, GUM Stimulant. In ointments. COMPOUND OINT- MENT OF. Digestive. ELM, 56 ELM EMP ELM, INNER BARK. Tonic, aperient. DECOCTION OF. ℔ss. to ℔j. EMETICS. Irritating. Blue vitriol, vitriolated and calcin- ed zinc, vitriolated quicksilver, titillation of the fauces. Heating. Mustard, horse-radish, blessed thistle, camomile. Nauseating. An- timonials, squill, ipecacuanha, elder bark, warm water. Narcotic. Tobacco, fox-glove, white hellebore. EMMENAGOGUES. Iron, mercurials, antimonials, black hellebore, savine, madder, horehound, pills of gum, aloes, myrrh, cantharides, borax, rectified oil of amber, essential oil of juniper, garlic, horse- radish, electricity, compression of the femoral arteries. EMOLLIENTS. Expressed oils, lard, spermaceti, mucilages, mal- low, marsh-mallow, coltsfoot, fenugreek, figs, raisins, liquorice, sweet almonds, barley, warm vapour, the warm bath. EMPYEMA. Symptoms. An enlargement of the cavity of the thorax, and œdematous fulness 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, 57 EPI Treatment, may be much like that prescribed in the Vomica. Medicines which promote ab- sorption, and blisters, may also be useful. But letting out the matter, where it can con- veniently be done, is the best cure. 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 pre- vious symptoms. The patient falls down sud- denly, gnashes the teeth, froths at the mouth, uses many disagreeable gesticulations and dis- tortions, and sometimes discharges involunta- rily by stool and urine. Treatment. If the vessels be full, bleed ; emet- ics and laxatives are proper ; warm, nervous, antispasmodic, and attenuating remedies, as castor, valerian, assafœtida; cinnabar, animal oil, salt of hartshorn, &c. should be directed. Blisters kept open, and setons, are very ser- viceable ; 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 corroborant, and the cold bath, with proper diet, air, and exercise. EPISPASTICS. Rubefacient. Burgundy pitch, mustard, nettle, horse-radish, volatile alkalis, liniment of am- monia, 58 ERR ESC monia, liniment of camphor, oil of fossil tar, essential oil of lavender. Vesicating. Cantha- rides, fresh inner bark of mezereon or spurge- laurel. Suppurative. Issues, setons, perpetual blisters. ERRHINES. Sternutatory. White and black hellebore, ipe- cacuanha. Evacuant. Vitriolated quickfil- ver, afarabacca, tobacco, Syrian herb-mastic, marjoram. ERYNGO, ROOT. Stimulant, diuretic. ERYSIPELAS. Symptoms. The usual precursory symptoms of a fever ; the face, or other parts affected, in- flamed, with scurfs, pimples, and blisters, heat, redness, itching, and smarting ; drowsiness and difficulty of breathing commonly attend. Treatment. Is symptoms indicate, bleed, and give proper lenitives, and cooling diaphoretic febrifuges. Blisters, and cordial sudorifics, as camphor, contrayerva, &c. if low pulse and malignancy require. In the present practice the bark is chiefly relied on. The parts may be bathed with softening fomentations, milk, &c. ESCHAROTICS. Blue vitriol, red nitrated quicksilver, burnt alum, verdegris, Caustics. EXPEC- 59 EXP EYE EXPECTORANTS. Stimulant. Ammoniacum, affascetida, guaiacum, elecampane, orris. Nauseating. Squill, gar- lic, tobacco, tar. Antispasmodic. Warm bath- ing, aqueous vapour, vapour of spirit of vitri- olic æther, blisters. Irritating. Acid va- pours, tobacco smoke. EYES INFLAMED, OR OPHTHALMIA. Inflammation of the outward coats of the eye, attended with pricking pain, heat, pulsation, redness, swelling, and scalding tears. Treatment. Bleed, purge, apply leeches to the temples, and blister the back or behind the ears ; cooling febrifuges may also be given ; direct collyriums, with vitriolated zinc, ace- tated cerusse, or alum ; or, if astringents disa- gree, warm milk, decoction of mallow leaves in milk or water, or other emollient fomenta- tion ; or poultice of milk and bread, and bathe the feet in warm water. If it arise from mere weakness of the vessels, astringent collyriums, or alum curd ; and bark, or other tonics, may be given internally. If Nervous, join Vale- rian, 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 be the cause, anoint them with ointment of quicksilver, and give small doses of calomel till they disperse. For 60 FAL FEV For watery eyes, gentle cathartics and alteratives, and wash them with brandy and water. For specks in the eye, blow lap. cal. sugar, of. sæpiæ, tutty, white vitriol with sugar, or the like, through a small tube into the eye ; or drop in solutions os vitriolated zinc, acetated cerusse, &c. FALLING SICKNESS. See Epilesy. FEBRIFUGES. Bark, arsenic, tartarised antimony, wine of anti- mony, antimonial powder, water of acetated ammonia, nitre, sal ammoniac, spirits os ni- trous and vitriolic æther. FENNEL, SWEET, SEED. Carminative, diuretic ; ℈j. to ℈ij. or in infu- sion. WATER OF. The same. FENUGREEK, SEED. Obtunding, emollient; chiefly in cataplasms, fo- mentations, and clysters. FERN, ROOT. Anthelmintic ; ʒj. to ʒss. fasting. FEVER APHTHOSE, 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 red- ness over the fauces. Treatment, 61 FEV Treatment. Febrifuges, bark, and antiseptics ; blisters if necessary. Proper laxatives, and detergent gargles. Borax, alum, or vitriolic acid, when mixed in small quantity with hon- ey, are good to touch the aphthæ with. See also Thrush. FEVER, erysipelatous. See Erysipelas. FEVER, INFLAMMATORY. Symptoms. Slight 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 the vessels, bleed ; give proper laxatives, and if the stom- ach be foul, an emetic ; saline febrifuges, with small doses of wine of antim. or tartarised an- timony, and if diaphoresis be wanted, add con- trayerva. If delirious, blister, and give camph. mixture. If colliquative sweats, the decoct. of bark, with or without vitriolic acid. If spasm and catching of the tendons, with low pulse, blister the arms and legs, and apply stimulating plasters to the feet, first bathing them with warm water. If hiccups, give musk. While the pulse is high, and inflammatory symp- toms continue, the antiphlogistic treatment, cooling febrifuges, acids, and gentle aperients, are proper. But care must be taken not to F bring 62 FEV bring the patient too low, else he will want strength to carry him through the disease. Gentle opiates may be ordered at night occa- sionally in case of restlessness. If the pulse sink, he should be supported with proper cor- dials. Costiveness should be avoided, and even a purging should be checked with cau- tion, 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 prop- er ; the food may be panada, gruels, pud- dings, 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 a profuse sweat of a peculiar frowy sourish smell, with tingling or pricking sensation) appears, chiefly on the neck, breast and back. It consists of little bladders resembling millet- seeds, (from which the fever is denominated) either white or red, according to the colour of the liquid they contain; and sometimes both sorts. 63 FEV 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 necessary, (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 will be proper. If delirium appear, blister ; if low nervous symptoms, give proper cordials; if putrid ones and petichæ, the bark ; if aphthæ, gargles with tinct. of myrrh, honey of roses, or the like. Acidulated li- quids, fruit, &c. should be given in this disease, the air kept pure, and the room not too hot. FEVER, MILK. Symptoms. It ariseth about the third or fourth day aster delivery, with swelling of the breasts, and pain shooting towards the axillæ ; the breasts sometimes are hard, hot, and inflamed ; it generally continues a day or two, then ter- minates in copious sweats and discharge of urine. Treatment. Bleed, if the inflammation be great; keep the body open, and let the breasts be fre- quently drawn. In case of hardness or inflam- mation, emollient fomentations and poultices. FEVER; 64 FEV FEVER, MIXED A fever wherein the symptoms of inflammatory, nervous, putrid, and other fevers, are more or less blended together ; and must therefore be treated according to their appearances. FEVER, PUERPERAL. Symptoms. It begins in two or three days after delivery, with the usual febrile symptoms. The pulse is small, contracted, and seldom so slow as 130 in a minute ; breasts flaccid, with prostration of strength, pain in the abdomen with exquisite tenderness of some part of it, flushed face, short breath, and commonly a pain in the fore part of the head. Treatment. In case of costiveness, emollient clys- ters; and, is necessary, gentle cathartics ; then mild diaphoretics, as saline draughts with wine of antim. and proper diluents. If putrid symp- toms appear, the bark. Emetics (ipecacu- anha gr. vj. or viij.) exhibited early, and re- peated twice a day, as long as necessary, have been attended with remarkable success in the Hotel Dieu at Paris. FEVER, putrid or malignant. Symptoms. A giddiness precedes the attack ; then burning heat, sudden loss of strength, heaviness, lowness of spirits, watching, pulse weak, low, and unequal, pains in various parts of 65 FEV of the body, anxiety, oppression at the præ- cordia, nausea, vomiting, noise in the ears, delirium, coma, catching of the tendons, and thin crude urine. The tongue is generally black and dry, though sometimes it continues clean throughout the disease. Petechiæ; often appear on the fourth, fifth, and seventh days. Treatmet. Avoid bleeding ; give small doses of tartarised antimony, with the camph. mix- ture, and, if necessary, rhubarb, or other gen- tle laxative, should be occasionally interposed. An emetic in the beginning is often efficacious. Antiseptics, the bark, and cordials, of which wine given freely is the best, are proper ; as are also blisters. Opiates should be freely ad-, ministered, and purgings, unless critical, should be checked. Mustard poultices to the feet are proper in case of stupor ; antispasmodics and the musk mixture in case of convulsive symptoms, or hiccups. The liquids drunk should be acidulated ; fruit may be allowed ; the air in the room should be kept as pure as possible, and not too warm ; vinegar should be sprinkled on the floor. Picking the 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 cer- tain number of hours it remits, or abates, but F 2 does 66 FEV does not go off. It is also called the autum- nal remitting Fever, the bilious Fever, the marsh Fever, and the camp Fever. It usually comes on suddenly, with debility, lowness of spirits, chilliness, and other febrile symptoms ; the hands tremble ; countenance pale or yel- lowish ; skin dry, breathing difficult, and pulse small and quick ; great nausea succeeds. Vom- iting of bile, and sometimes discharge of it by stool; the tongue becomes foul, delirium en- sues, with moisture on the face, and at length on the other parts, when the remission follows. As the disorder increases the remissions are less, and at length 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. An emetic is sometimes proper ; the body should be opened is necessary; then prescribe the bark with wine copiously. FEVER, SCARLET. (SIMPLE.) Symptoms. The usual precursory symptoms of a fever, viz. Shivering, heat, &c. then an efflo- rescence 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. 67 FEV Treatment. Cooling saline febrifuges, with gen- tle laxatives and diaphoretics, is necessary. FEVER, SCARLET. (MALIGNANT.) Symptoms. Chilliness, languor, sickness, oppres- sion, 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. As in malignant angina, FEVER, SLOW OR NERVOUS. Symptoms. Shiverings, lassitude, weariness, de- bility, sighing, pale desponding looks, great anxiety, depression of spirits, pain and giddi- ness of the head, white tongue (sometimes red) with a yellow or brownish list running along the middle of it, but no thirst ; nausea, diffi- culty of breathing, pulse weak, quick, and un- equal ; urine limpid and pale ; pain and cold- ness in the back part of the head ; drowsiness. These symptoms are at first so slight as to be scarcely noticed, but increase gradually ; they are all worse towards night; if a delirium, not violent, but a muttering to themselves ; sometimes miliary eruptions and sweats ap- pear, but seldom afford relief. Treatment. Gentle cordial diaphoretics, with wine ; previous to which, an emetic, is noth- ing forbid. Costiveness should be removed by gentle 68 FEV FLU gentle laxatives; bleeding should be- resrained from, unless urgent symptoms indicate ; blis- ters ; is an intermission appear, the bark ; is convulsions, musk with castor or other anti- spasmodics, and opium ; is aphth[ae], gargles, with tinct. of myrrh, honey, decoct, of bark, alum, or the like ; and in case of much phlegm, oxymel os squills or ipecac, to bring it up. Care should be taken after the fever, to restore the patient by proper nutritious di- et, chalybeate waters, bark, &c. FEVER, WORM. See Worms. FIG, THE FRUIT. Aperient, obtunding. FLOODING. See Menses and Abortion. FLUOR ALBUS. Symptoms. A flux of thin matter from the va- gina, os a transparent or white colour, some- times tinctured with yellow or green ; some- times it is sharp and corroding, with a fetid smell, especially when of long continuance. Treatment. An emetic will generally be proper at first ; then give olibanum, bals. of capivi, amber, bark, or the like. In phlegmatic con- stitutions chalybeates, alum, or vitriolated zinc ; the extract of hemlock is often of great use ; strengthening plasters may be applied to the back and loins, astringent injections used, and 69 FLU FRA and a light, but strengthening and nutritive diet, with little exercise. Crabs, eyes, given to ℥ss. in a day have been very successful, par- ticularly where the discharge was acrimonious. FLUX, BLOODY. See Dysentery. FOX-GLOVE. Diuretic ; gr. i. to iij. Also in infusion, ʒij. to ℔j. of water; ℥ss. to ℥iss. It should be given twice a day, and desisted from as soon as the urine begins to slow, the pulse becomes slow, or nausea commences, which usually happens when ʒss- of the powder, or ℔ss of the infusion has been taken. In large doses it proves strongly emetic and purgative, and ex- hibits deleterious effects. Its diuretic prop- erties are less certain if given in nauseating doses. The leaf should be gathered about the time that the blossoms are coming forth, and the leaf-stalk and mid-rib should be rejected, FRACTURES. Treatment. Replace the ends or pieces of the bone so as to be in their natural situation ; and keep them in that posture by proper com- presses, splints, bandages, &c. but not too tight; and vinegar may be poured on them. Is there be great inflammation or tumour, bleed, and use other proper methods to re- move them before you attempt reduction. If there 70 FRA FUR there be loose fragments or splinters which hinder the extension and reduction, or cause irritation, remove them by proper incisions, or otherwise. The limb, or part, must be kept still; proper diet must be ordered ; the callus will be formed in a month or two, according to the bone injured, &c. ; the joint should be cautiously moved at times to prevent stiffness; the medical treatment should be regulated ac- cording to the symptoms that arise. If the fracture be of a desperate kind, amputation is necessary ; but it should be deferred, if pos- sible, till the first inflammation has subsided. FRANKINCENSE. Stimulant, tonic. PLASTER OF. The same. 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, ac- companied with libidinous speeches and ges- tures. 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 ; ni- tre ; or refrigerant, diuretic, and diluting li- quids ; anodynes and thin diet. Tartaric J. antimony in small doses, with camphor, and extract 71 GAL GAN extract of henbane, has been employed with success. GALBANUM. Nervous, antispasmodic ; gr. v. to ℈j. also ex- ternally in plasters. COMPOUND PILL OF. NERVOUS, emmenagogue; ℈ss. to ʒss. Tinc- ture of. ʒj. to ʒij. GALLS. Tonic, astringent; gr. ij. to vj. or more. Also outwardly in liniments for the piles, &c. GAMBOGE. Emetic, cathartic ; gr. ij. to viij. it has been given to ℈j. GANGRENE. Symptoms. In some cases, when a part is vio- lently inflamed, the inflammation and pain suddenly disappear; the integuments turn pale, blue, livid, or blackish; the skin becomes flac- cid and pitting, with bladders filled with yel- low or reddish ichor ; and this is termed Gangrene. Treatment. Scarify the parts, and foment them with the decoction for fomentation and cam- phorated spirit; apply poultices of oatmeal and beer ; and give cordial medicines, with plenty of bark. In gangrene of the toes, par- ticularly in old people, opium has been sound peculiarly serviceable. GAR- 72 GAR GON GARLICK. Expectorant, diuretic, emmenagogue, sudorific, a chive or two at a dose, or in infusion. GENTIAN, ROOT. Tonic, stomachic ; ʒss to ʒj Compound IN- FUSION OF. ℥iss. to ℥iij. COMPOUND TINC- TURE OF. ʒj- to ʒiij- Extract of. ℈j. to ℈ij. GINGER, ROOT. Cordial, aromatic, carminative; gr. v. also in infusion. TINCTURE OF. gt. x. to lx. GINSENG, ROOT. Tonic, obtunding, antispasmodic; ʒj. or more, in decoction. GLEET. See Venereal Disease ; but is it do not proceed from that cause, the same treatment will be proper, viz. Corroborants, as bark, olibanum, alum, vitriolic acid, bals. of capivi, &c. and . necessary, astringent injections and the cold| bath. GONORRHŒA, SIMPLE. See Gleet. GONORRHŒA, SPURIOUS. Symptoms. A purulent discharge from minute exulcerations round the corona glandis, pro- duced by the sebaceous fluid secreted by the glandulæ odoriseræ becoming acrimonious. It has been mistaken for virulent gonorrhœa, Treatment. 73 GON GOU Treatment. Nothing is necessary but keeping the part clean by washing it with warm milk and water, or warm water alone. GONORRHŒA, virulent. See Venereal Disease. GOUT. Symptoms. An acute pain in the joints, partic- ularly of the feet. It is called regular when it is 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 at- tacks the stomach, head, or other internal parts. It chiefly affects the membranes, ten- dons, and ligaments : the pain is like that of a dislocated bone, with a sensation as if warm water were 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 inter- vals, the more severe the fit; but the symp- toms 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 appli- cations G 74 GRA HÆM cations, as the case may require ; a temperate diet, exercise, friction, and the Bath waters ; same have ventured to blister the part with success. GRAVEL. See Stone. GUAIACUM, gum, wood, and bark. Sudorisic, alterative, antirheumatic, antivenereal, Gum in powder, ℈j. to ʒj. Wood and Bark in decoction. Tincture of. ʒj. to ʒiij. GUTTA SERENA. Symptoms. A blindness, though the eyes seem perfectly unaffected, the cause being in the re- tina, or optic nerve. Treatment. Blisters to the head, back, or be- hind the ears ; bleeding, if nothing forbid ; valerian, castor, assafœtida, cinnabar, bark, vol- atile salts, millepedes, rosemary, or other ner- vous and attenuant remedies. Calomel, or chalybeates, is obstruction be the cause; emet- ics and cathartics discretionally; sternutato- ries should also be used. Electricity has sometimes succeeded. HAEMORRHAGE, EXTERNAL. Apply compound tincture of benjamin, cobweb, dry lint, flour, agaric, alum, or the vitriolic styptics ; is an artery be injured, take it up, or apply the sponge tent. HÆMOR- 75 HÆM HEA HÆMORRHAGE, INTERNAL. See Blood. HÆMORRHOIDS. See Piles. HARTSHORN, BURNT. Astringent, absorbent; ℈j. to ʒj. DECOCTION OF. As common drink. OIL OF. This, when rectisied, is called animal oil, which see. SALT OF. As prepared Ammonia. SHAV- INGS. In jelly, corroborant, nutritive. VOL- ATILE LIQUOR OF. As Water of Ammonia. HEAD-ACHE. Treatment. If occasioned by plethora, use the pediluvium, bleed or cup, and purge : is by viscid blood, give attenuants also : is by a foul stomach, an emetic : is by costiveness, purges : if it be nervous, castor, valerian, bark, com- pound tinct. of lavender, comp. spirit of am- monia, assafœtida, or electricity, blister the back, and bathe the temples, forehead, &c. with æther, or water of ammon. with a little roch alum in it : if a weak stomach, give bit- ters or other stomachics. Head-aches may arise from various other causes, which, when known, will indicate proper remedies. In periodical head-aches arsenic has been sound very efficacious. HEART-BURN. The common heart-burn, proceeding from acid- ity irritating the upper orifice of the stomach, is 76 HEL HEM is removed for the time by magnesia, chalk, lozenges of chalk, and alkalis fixed or volatile; but to cure it stomachics must be given. Heart-burn may be occasioned by corroding hu- mours of other kinds, and will not therefore be eased by alkalis. Emetics, with plenty of camomile tea or other liquid, to cleanse the stomach, are here proper ; cathartics may also be useful, and these may be followed by sto- machics : but water with gum arabic dissolved in it will give occasional relief. Worms will also sometimes occasion this complaint; ver- mifuges are then proper. HELLEBORE, BLACK, ROOT. Deobstruent, attenuant, alterative ; gr. v. to ℈ss. from gr. xv. to ʒss. strongly purgative. EX- TRACT OF. ℈ss. to ℈j TINCTURE OF. ʒj- -WHITE, ROOT. Violently emetic and cathartic, gr. v. to ℈ss. also sternutatory. DECOCTION OF. Externally in, cutaneous diseases. OINTMENT OF. The same. HEMICRANIA. See Head-ache. HEMIPLEGIA. See Palsy. HEMLOCK. In fomentations discutient and resolvent. IN- SPISSATED JUICE OF. Alterative, diuretic, sedative ; 77 HEP HIC sedative ; in large doses narcotic ; gr. ij. may be increased gradually to ʒiij. or iv. a day. HEPATITIS. See Liver. HERB-MASTIC, SYRIAN. Stimulant, sternutatory. HERNIA, OR RUPTURE. Treatment. Return the intestine, is practicable, and confine it with a proper truss. Costive- ness must be avoided, as must likewise violent exercise, drunkenness, &c. If it be strangulated, cold applications to the part, as powdered ice, &c. are adviseable. Clysters of tobacco smoke have facilitated the reduction : so has keeping the patient in a warm bath till fainting came on. If nothing succeed, the operation must be performed. Be cautious of bleeding, though apparent symptoms of inflammation with a full pulse seem to require it: these will soon go off when the intestine is reduced. HERNIA HUMORALIS. See Testicles. HICCOUGH, OR HICCUP The common hiccup is usually removed by drinking a draught of any weak liquid, by holding the breath, and sometimes by swal- lowing dry bread. For the hiccup or singultus, which comes on in the G 2 78 HIP HYD the last stages of fever, &c. give the musk mixture, or musk in substance, in large doses ; volatile salt, castor, or the like ; to which, opium may be discretionally added. When a primary disease, sternutatories and emetics have been useful: so has the plaster of lada- num applied to the pit of the stomach. HIP, FRUIT. Cooling. CONSERVE OF. At pleasure. HOG's LARD, OINTMENT OF. Softening, healing. HONEY. Pectoral, detergent, aperient. ACETATED. An- tiseptic, cooling, detergent. HOOPING COUGH. See Cough. HOREHOUND, WHITE. Tonic, aperient ; ʒss to ʒj. HORSE RADISH, ROOT. Stimulant, diuretic, deobstruent, ad libitum. In- fused in water, wine, or spirit, ℥jss. to ℥iij. SPIRIT OF. ʒss to ʒj. HYDROCELE. } HYDROCEPHALUS.} See Dropsy HYDROPHOBIA. It is of more consequence here to describe the symptoms in the dog than those of the patient. We 79 HYD We may know the dog to be mad by his dull, heavy look; endeavouring to hide himself; seldom or never barking ; being angry and snarling at strangers, but fawning on his own- er; refusing all food, drooping, hanging down his ears and tail, and often lying down as if going to sleep. This is the first stage. He next begins to breathe quick and heavy, shoots- out his tongue, slavers, and froths at the mouth ; looks half asleep ; flies suddenly at by-standers; and runs forward in a curve line. At length he knows not his owner, his eyes become thick and dim, and water runs from them ; his tongue is of a red colour; he grows weak and faint; often falls down, then rises, and attempts to fly at something; and 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 dis- order may be known to be this by the follow- ing effects, which will come on sooner or la- ter. The bitten part begins to be painful, wandering pains come on gradually, with heaviness and uneasiness ; the patient has dis- turbed sleep, frightful dreams, startings, spasms, sighing, anxiety, and loves solitude; pains shoot from the bitten part up to the throat, with straitness, sensation of choaking, and hor- ror 80 HYP ror or dread at sight of water or other liquids, which is a sufficient characteristic of the dis- ease. Treatment. Cut out the bitten part immediate- ly, which is the only certain cure : cupping- glasses should then be applied; cauterize and wash it daily with salt water, or rub in the stronger ointment of quicksilver, keeping it open with escarotics ; bleed, if the vessels be full; vomit with vitriolated quicksilver : give musk gr. xvi. cinnabar ʒss. (to which camphor and opium 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 arid change of the moon. The ointment of quicksilver applied externally, and vitriolated quicksilver given inwardly, so as to raise a salivation for several weeks, are said to be efficacious. In Germany the root of dead- ly nightshade has been given, from gr. iij. to vj. at a dose, and is reported to have proved infallible in the first stages. The Ormskirk medicine has failed in a variety of cases, and has indeed been sound to be of no efficacy. HYPOCHONDRIASIS. Symptoms are generally low-spiritedness, (the dis- order being chiefly in the imagination) heavi- ness, oppression, and despondency; yet at times uncommon 81 HYS uncommon cheerfulness and flow of spirits ; timidity, anxiety, sear, dread of dying, short cough, dissicult breath, flatulency, pale urine,. pains in the head, odd fancies, spasms. Treatment. Bark, and other tonics ; nervous antispasmodics, as castor, valerian, assafœtida, &c. attenuants, as volatile salts and spirits ; bitters and chalybeates is no fever ; emetics, aperients, opiates, issues, and blisters, discre- tionally ; the cold bath and chalybeate wa- ters, food light and easy of digestion, cheerful company, and gentle exercise. HYSSOP, HEDGE. Violently emetic and purgative, diuretic, anthel- mintic ; ℈ss. to ʒss. Also in infusion. HYSTERIA. Symptoms. In women similar to those of hypo- chondriasis in men, but usually more violent, and attended with convulsive fits ; which gen- erally come on with oppression at the breast, difficult breathing, a sense of something rising in the throat, which seems to threaten suffo- cation ; convulsive motions ; frothing at the mouth ; laughing, and sometimes crying. May be known from a mere syncope by the pulse and breathing continuing, whereas in a syncope they are not perceptible ; it also comes on gradually, but a syncope more suddenly ; in 82 HYS JAU in that, the sit 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 hypo- chondriasis. In the fit fetid volatiles, sin- ged feathers, &c. may be applied to the nos- trils, and cold water and fetid volatiles giv- en. The feet and legs may be placed in warm water ; the pure cold air should be free- ly admitted ; cold water may be sprinkled on the face and breast ; and if a plethora be in- dicated, bleed ; otherwise cautiously avoid it. In this disease, particular attention should be paid 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 au- thors, may be consulted, HYSTERITIS, OR INFLAMMATION OF THE WOMB. See Womb. JALAP, ROOT. Cathartic ; gr. xv. to ʒss. or more. Extract of. gr. vj. to xij. TINCTURE. ʒj, to ʒij- 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 ; 83 ILI INF stomach ; bitter taste in the mouth ; some- times attended with purging, at others costive- ness ; stools generally like blue clay, but some- times of a dark earthy, and at others of a deep yellow colour. 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. Chalybe- ate waters, or water or cyder with a red hot iron quenched in it, may be used as common drink; gentle exercise, air, and cheerful com- pany. ILIAC PASSION. Symptoms. Acute pains in the bowels, oppres- sion at the stomach, tension of the belly, vom- iting 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. Kino, ginseng, sarcocolla, sarsaparilla, and fari- naceous and mucilaginous substances. INDIAN PINK. See Pink, Indian. INFLAMMATION, superficial. See Phlegmon. IN- 84 INF ISS INFLAMMATION OF THE BOWELS. See Colic and Iliac Passion. INFLAMMATION OF OTHER PARTS. See the respective Parts. IPECACUANHA. Emetic; gr. vj. to ʒss. Antispasmodic ; gr. ss. to iij. and with opium, sudorific. Also in dysenteries. COMPOUND POWDER of. Su- dorific ; gr. v. to ℈j. Wine of. ℥ss. to ℥jss IRON. Tonic, astringent, deobstruent; ℈ss. to ʒss. AMMONIACAL. gr. ij. to x. TINCTURE OF. gt. x. to xl. MURIATED TINCTURE OF. gt. x. to xl. RUST OF. gr. v. to ʒss TAR- TARISED. gr. V. to ʒss VlTRIOLATED. gr. j. to x. or more. WINE OF. ʒj. to ℥ss. 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 pease with which it is afterwards dressed may be smeared with ointment of yellow resin, or of canthar- ides, is necessary; and dipped in blue vitriol water if fungus appear. The pea may be se- cured 85 ITC JUN cured with the litharge plaster with resin ; is the issue inflame, dress with ointment of wax, or bleed or purge. ITCH. Symptoms. An eruption in the sorm of small pimples or pustules, chiefly about the joints, wrists, hams, the bend of the arms, the waist, and between the fingers ; the pimples gene- rally hard at first, afterwards watery, especial- ly if rubbed or otherwise inflamed : also itch- ing, which is greatest when warm, or in bed. It is infectious. Treatment. Anoint with sulphur and lard, oint- ment of quicksilver, or white calx of quick- silver and pomatum ; hellebore, or sal am- moniac, may occasionally be added ; or wash with a weak solution of muriated quicksilver, a decoction of white hellebore root, or strong compound water of acetated litharge, with salt. A quicksilver girdle may be worn, but sulphur is the most safe and certain. Flowers of sulph. may be given inwardly ; or vitriolic 1 acid, which has been said to have performed a cure alone. Bleed and purge first in case of inflammation or costiveness. JUNIPER, BERRIES, AND TOPS. Carminative, diuretic, in decoction or infusion ; at pleasure. COMPOUND SPIRIT OF. ʒj. to H ℥ss. 86 KAL KID ℥ss. Essential oil of the berries. Carminative, stomachic ; gt. j. to ij. Stimu- lating, diuretic, emmenagogue ; gt. vj. to x. KALI, PREPARED. Antacid, diuretic ; gr. iij. or iv. to xv. or xx. ACETATED. Diuretic, cathartic ; ℈ss. to ʒij. or more. PURE. This is the strong common caustic. SULPHURATED. The so- lution chiefly as a wash in cutaneous diseases. TARTARISATED. Laxative; ℈j.to ʒij Ca- thartic ; ʒij. to ℥j. VITRIOLATED. Ape- rient; ℈j. to ℈ij. Cathartic; ʒij. to ʒv. WATER OF. As the prepared, in a quadru- ple dose. WATER OF PURE KALI. An- tacid, diuretic, lithontriptic ; gt, v. to ʒj. KIBES. See Chilblains. KIDNEYS, INFLAMMATION OF. Symptoms. Burning pain in the kidney, or kid- neys ; vomiting ; eructations ; numbness of the thigh ; pain in the groin, ilium, and testi- cle of the same side ; frequent, but small dis- charges of urine, which is red and high-col- oured, yet limpid and watery in the height of the disease. Treatment. Bleed ; open the body with cathar- tics and clysters; give emollient diuretics, with plenty of milk of almonds, or the like, sor common drink ; warm bathing; and opi- ates in case of violent pain. If 87 KIN LEM If the pain abate, leaving behind a sense of weight, with frequent shiverings, followed by heat, and whitish turbid urine, it denotes suppuration. In this case give bals. of capiv. with nitre, and rhubarb, or other balsamic diuretics. The pain suddenly remitting, with cold sweats, in- termittent pulse, hiccup, fetid urine, and sup- pression of that discharge, are signs of mortifi- cation. KING'S EVIL. See Scrophula. KINO, GUM. Tonic, obtunding ; ℈ss. to ʒss. LABOUR. See Child-birth. LADANUM. Tonic, stimulant, externally. PLASTER OF. Stomachic. LADY's-SMOCK, FLOWERS. Antispasmodic ; ℈j. to ʒj. LAVENDER, FLOWERS. Cephalic; nervous; ℈j. to ʒj. COMPOUND SPIRIT OF. gt. x. to c. ESSENTIAL OIL OF. gt. j. to v. Also externally stimulating. SPIRIT OF. ʒss. to ʒj. LEAD, RED AND WHITE. Externally desiccative, repellent, sedative. LEMON, JUICE AND PEEL. Juice, Cooling, antiseptic, opening ; ʒj. to ℥ss. Peel, 88 LEO LIQ Peel, Stomachic; ℈ss. to ʒss. In infusion ℥j. to iij. INSPISSATED JUICE OF. As the juice m a smaller dose. LEOPARD's-BANE, GERMAN. Stimulant; ʒj. to ʒss. in infusion, in the course of the day. LETHARGY. This may be considered only as a less degree of Apoplexy, and should be treated accordingly. The chief symptoms are, sleep, or great drow- siness. LIENTERY. In this disease the aliment is discharged with but little alteration, and the body wastes. The Treatment as in the Cœliac Passion. LIME, WATER OF. Antacid, astringent; ℥iv. to ℔j. In clysters, vermifuge. It has also been reputed lithon- triptic, and good in scrophula. WITH PURE KALI. The milder common caustic LINSEED. Pectoral, diuretic; in infusion and mucilage, from ʒij to ℥ss. The powder is used in cat- aplasms. Oil of. ℥ss. LIQUORICE, ROOT. Obtunding. EXTRACT OF. At pleasure. TROCHES OF. The same. LI- 89 LIT LIV LITHARGE. Astringent, sedative in external applications. ACETATED, CERATE OF. The same. WA- TER OF. ʒij. of this with distilled water ℔ij. proof spirit ʒij make the COMPOUND WATER OF ACETATED L. commonly called Goulard's Vegeto-mineral Water. Its virtues the same. Plaster of. Desiccative. PL. OF, COMPOUND. Digestive. WITH QUICK- SILVER. Discutient. WITH RESIN. Ad- hesive. LITHONTRIPTICS. Antacid. Water of pure kali, kali, limewater, soap. Tonic. Muriatic, vitriolic, and aerial acids, mephitic alkaline water, uva ursi, wild carrot. LIVER inflamed. Symptoms. Obtuse pain in the part, shooting up towards the throat and shoulder, but never great, unless the membranes affected; hic- cup ; vomiting ; dry cough ; lassitude ; fe- ver ; tension of the hypochondrium ; eyes, skin, and urine, sometimes yellow ; coftive- ness ; difficulty of breathing. The symp- toms are aggravated by lying on the left side. Treatment. Bleed as largely as the pulse will bear ; blister the part; purge; give cooling febrifuges H 2 90 LOC LUM febrifuges and diuretics ; direct cooling emol- lient clysters, somentations, and poultices, and pediluvia. If a tumour appear, forward and open it, is nothing forbid, and give the bark. In the East-Indies they cure this disease by salivation, bleeding and purging being pre- mised. If a Schirrus succeed, soap, rhubarb, mercuri- als, and chalybeates will be proper. LOCHIA. See Child-birth. LOCKED JAW. Symptoms. A rigid contraction of the muscles which raise the lower jaw, whence the jaws continue violently closed, with great pain. Treatment. The best remedy is large and re- peated doses of opium. Blisters, purges, clysters, and antispasmodics, may also be pre- scribed. LOGWOOD. Tonic, astringent; ℥ij. to ℥iv. of the decoftion. Extract of. ℈ss. to ʒj. LUES VENEREA. See Venereal Disease. LUMBAGO. A kind of rheumatism in the loins, or small of the back, without any nephritic symptoms. Antirheumatic remedies prove most effica- cious. See Rheumatism. Strengthening or stimulating 91 LUX MAD stimulating plasters, or even blisters to the part, are also useful: or cupping, and the warm bath. LUXATIONS. Treatment. Place the limb or part, so that the muscles may be relaxed, and the head of the bone free from obstacles ; then reduce the bone into its natural situation, and apply proper bandages, not too tight, to keep it so, till the ligaments have recovered their tone. If there be inflammation, bleed, give laxa- tives and cooling remedies, foment and poul- tice. Rest and proper diet should be ad- vised. MACE. Aromatic, stimulant; ℈ss. to ʒss. Oil of. See Nutmeg, expressed oil of. MADDER, ROOT. Aperient, diuretic, emmenagogue, antiseptic ; ʒss. to ʒj. MADNESS. The symptoms are too well known to need enu- meration. Emetics, cathartics, blisters, oc- casional bleeding, antispasmodics, opiates, and low diet. These may be varied ac- cording to the nature of the complaint (that is, whether it be Melancholy or the contrary) and to the symptoms that arise in either. Dr. 92 MAG MEA 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 persormed, by large doses of camphor, in maniacal cases; ℈j. every hour or two. MAGNESIA. Antacid, opening ; ℈j. to ʒij. BURNT. This is equally mild, though at least doubly as powerful as an antacid : it is also prefer- able in many cases, because no fixed air will be disengaged from it in the stomach. TRO- CHES OF. Chiefly for the heartburn. VIT- RIOLATED. Cathartic; ℥ss. to ℥iss. MALLOW, LEAVES AND FLOWERS. Obtunding, emollient. MANNA. Aperient, obtunding ; gj. to giij. MARJORAM, SWEET and WILD. Stimulant ; ℈j. to ʒss. Also sternutatory. ESSENTIAL OIL OF. gt. ij. to iv. MARSHMALLOW, ROOT AND LEAF. Obtunding, emollient. MASTIC. Tonic, antiseptic ; ℈j. to ʒss. MEADOW-SAFFRON, FRESH ROOT. Strongly cathartic, diuretic ; in substance small doses 93 MEA doses produce alarming effects, but of the OXYMEL ℥ij. or iij. may be given in a day. Of this the common dose is from 3ss. to 3iss. at first. MEASLES. Symptoms. Chilliness, shivering, pain in the head, fever, sickness, and sometimes vomiting; cough, heaviness of the eyes, with swelling, inflamma- tion, and discharge of watery humour from them, and also srom the nostrils. The third or fourth day, an eruption like flea-bites ap- pears in the face, neck, and breast, and soon aster in the body and limbs ; it rises above the skin, but does not suppurate. The fever and other symptoms do not, as in the Small-Pox, &c. abate on the appearance of the eruption, which continues about three days, then dries away, the skin peeling off; but the other symp- toms remain and even increase, especially the cough, which is also attended in general with difficulty of breathing, and oppression at the breast. Treatment. Cooling and aperient febrifuges ; gentle diaphoretics, is necessary ; bleeding, is nothing forbid ; pectorals for the cough ; opi- ates occasionally at night; blisters, if the cough be obstinate: and bathing the feet in warm water. Gentle physic should be given as soon as the eruption disappears. 94 MEC MEN It has been proposed to inoculate the Measles; but Dr. Simmons, in his dissertation de Rube- ola, 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 sound to an- swer when repeated by others. MECONIUM, RETENTION OF, IN INFANTS; (called also Colica Meconialis.) Treatment. Give magnesia or syr. of roses, cas- tor oil, or oil of almonds, with oil of aniseed, or other oil in case of wind, and, if necessary, emollient clysters. If purging, give chalk, or other absorbents, &c. If vomiting, syr. of white poppy, given with caution in small doses. MENSES, IMMODERATE FLUX OF. Treatment. Tonics, as infusion of roses, alum, bark, amber, &c. with opiates. In desperate cases, small doses of blue vitriol, or acetated cerusse, but with great caution. Astringent fomentations to the part, as vinegar, alum, or the like ; rest, and proper mild diet. Some- times chalybeates are proper ; and, is necessa- ry, laxatives. MENSES OBSTRUCTED. Treatment. In phlegmatic habits, purge with aloetics, and give chalybeates. In plethoric habits, bleed, avoid chalybeates, and give the compound 95 MEZ MIS compound powder of myrrh, castor, or the like, with tinct. of black hellebore, 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; emetics are often efficacious, as are sometimes small doses of mercurials; exercise, and, is the appetite be vitiated, proper sto- machics. Of late, electricity has been sound efficacious in cases of this sort, by drawing sparks, and sending gentle shocks through the pelvis. MEZEREON, BARK OF THE ROOT. Antivenereal, alterative ; from gr. j. upwards. In decoction, dofe ʒij. to iv. Chiefly in ve- nereal pains of the bones, and affections of the skin. Externally the bark of mezereon raises blisters. MILLEPEDES. Diuretic, attenuant, deobstruent ; gr. v. to ʒss. MINT. Tonic, antiemetic. ESSENTIAL OIL of. gt. j. to iij. or more. SPIRIT of. ʒj. to ℥ss. WATER OF. ℥j. to ℥ij. MISCARRIAGE. See Abortion. MIXTURE, 96 MIX MYR MIXTURE, CAMPHORATED. Diaphoretic, antispasmodic, diuretic; ℥ss. to ℥iij, - CHALK. Antacid, and in diarrhœa; to ℔j. or ij. in a day. - MUSK. Stimulant, antispasmodic; ℥j. to ℥iij. or more. MONKSHOOD. See Wolfsbane, blue. MORTIFICATION. See Sphacelus. MULBERRY, THE FRUIT. Cooling, antiseptic. MUMPS. See Angina maxillaris. MUSK. Stimulant, antispasmodic ; gr. vj. to ʒss. MUSTARD, seed. Stimulant. The powder mixed with crumb of bread and vinegar, now called MUSTARD POULTICE, formerly a sinapism, is used ex- ternally as a stimulus. OIL OF. This has been recommended in rheumatism, but it ap- pears to be perfectly bland. MYRRH. Tonic, deobstruent, antispasmodic ; gr. v. to ʒss. In phthisis to 3iij. or iv. in a day. TINC- TURE OF. gt. xv. to lx. Externally, de- tersive. COMPOUND POWDER OF. Emmen- agogue; ℈j. to ʒj. NATRON, 97 NAT NIG NATRON, PREPARED. Antacid, deobstruent in scrophula ℈j. to ℈ij. TARTARISED. Cathartic; ℥ss. to ℥iss. VIT- RIOLATED. The same. NEPHRITICS. Opiates, emollients, diuretics. NEPHRITIS. See Kidneys. NERVOUS COMPLAINTS. See Hypo- chondriac and Hysteric Diseases. The class of medicines called Nervous, with cor- roborants, air, and proper regimen, are most useful in these cases. NERVOUS FEVER. See Fever. NERVOUS MEDICINES. Fetid spirit of ammonia, pills of gum, affafœtida, galbanum, castor, opoponax, sagepanum, rec- tified oil and pure salt of amber, vitriolic æther, valerian, rue, pennyroyal, balsam of Peru, cha- lybeates, cephalics, tonics. NETTLE, COMMON. Aperient. Externally as a rubefacient. NIGHTSHADE, DEADLY, LEAF AND ROOT. Narcotic, sudorific, aperient, diuretic, resolutive ; gr. ij. to vj. It is recommended against hy- drophobia. - WOODY, STALKS. Sudorific, aperient, diuretic. NIP I 98 NIP OLI NIPPLES, SORE. Treatment. Apply oil of wax, cream, mucilage of gum arabic, ointment of wax, suet, or the like. If they be moist, ointment of wax, with some drying powder, as starch, French bole, &c. NITRE, PURIFIED. Cooling, febrifuge, diuretic; gr. ℈ss. to ʒj. TROCHES OF. These have been employed with success in some cases of difficult deglu- tition. NUTMEG, ESSENTIAL OIL OF, AND EXPRESSED OIL OF. Stimulant, aromatic ; gr. j. to vj. SPIRIT OF. ʒss. to ʒij. OAK, BARK. Tonic, astringent; ℈j. to ʒj. OIL, ANIMAL. Anodyne, antispasmodic ; gt. x. to xxx. OIL, SULPHURATED. Stimulant, pectoral; gt. x. to xl. Externally detersive. OISTER, THE SHELL. Absorbent; ℈j. to ʒj. OILS, ESSENTIAL. The virtues of the plants they are drawn from, in doses of gt. j. to iij. on sugar, or otherwise. OLIBANUM. Corroborant; gr. y. to ℈j. OLIVE, 99 OLI PAL OLIVE, OIL. As oil of almonds. OPIUM. Anodyne, antispasmodic, &c. gr. ¼ to ij. PILL OF. gr. jss. to x. TINCTURE OF. gt. x. to XXV. CAMPHORATED. ʒss. to ʒij. OPOPONAX. Nervous, stimulant, aperient; gr. v. to ℈j. to ʒj. purgative. ORANGE, SEVILLE, LEAF AND FLOWER, AND JUICE AND RIND of THE FRUIT. Leaf, antispasmodic ; ʒss. Flower. The same. Juice and rind. As those of lemon, but weaker. CONSERVE OF THE RIND. ℈iji TINCTURE OF. ℈j. to ʒij. ORRIS, ROOT. Tonic ; ℈j. to ℈ij. of the fresh juice, ℈iij. or iv. prove cathartic. PALPITATION of THE HEART. Treatment. In proper constitutions bleed re- peatedly ; but where the disorder proceeds from relaxation, the bark and corroborants. Nervous medicines, musk, volatile salts, &c. are good ; as are also blisters. In bilious Iiabits it is srequently removed by ℥ss. of pure lemon-juice. PALSY, 100 PAL PAR PALSY, or PARALYSIS. Symptoms. A loss or diminution of the motion or feeling, or both, of some part or parts of the body. If it happen to all the parts below the head, it is called Paraplegia ; if to one side of the body, Hemiplegia ; and if to a par- ticular part, Paralyis. Treatment. Emetics, blisters kept open, and strong clysters ; nervous, attenuating, and stim- ulating medicines, as valerian, castor, mustard, salt of hartshorn, horse-radish, &c. slinging the part with nettles, or mustard, or other warm stimulating application rubbed into them, and that part of the spine from which the nerves serving the part issue. Electricity and dry fric- tions are good, as are also chalybeate, and Eath or Bristol waters. Palsy of the lower extremities, arising from ca- ries of the spine, and accompanied with a dis- tortion of it, has been frequently cured by ap- plying a large caustic on each side of the pro- tuberant vertebra, and keeping the ulcers open as issues. PARAPHYMOSIS. See Phymosis. PAREIRA BRAVA, ROOT. Diuretic, attenuant; ℈ss. to ℈ij. Also in de- coction. PARSLEY, ROOT AND SEED. Stimulant, diuretic. PARSNIP, 101 PAR PEM PARSNIP, WATER. The expressed juice, ℥ij. to ℥iv. every morning, in cutaneous diseases. PECTORALS. Obtunding. Oils of almonds, olives, and linseed, spermaceti, linseed, honey, liquorice, troches of starch, compound powder of tragacanth. Balsamic. Balsams of Peru and Tolu, ben- jamin, storax, sulphur, sulphurated oil, sul- phurated fossil tar. Sedative. Camphorated tincture of opium. PELLITORY OF SPAIN, root. Stimulant. Chiefly as a masticatory. -OF THE WALL. Mildly diuretic, aperient, emollient; ʒij. or iij. of the expressed juice. PEMPHIGUS. Symptoms. Fever, accompanied with the suc- cessive eruption from different parts of the body, internal as well as external, of vesicles about the size of an almond, which become turgid with a saintly yellowish serum, and in three or four days subside. Treatment. The debility and tendency to pu- tresaction indicate the bark and cordials : yet a few grains of mild muriated quicksilver at night, with a cathartic in the morning, have been successful. When vesicles appear on in- ternal I 2 102 PEN PER ternal parts, irritation must be guarded against by opiates, demulcents, and gentle laxatives. PENNYROYAL. Simulant, antihysteric. ESSENTIAL OIL OF. gt. i. to v. SPIRIT OF. ʒj- to ʒiij. WA- TER OF. ℥iss. PEPPER, BLACK, THE BERRY; CAYENNE, THE CAPSULE ; LONG, THE FRUIT. These are all hot and stimulant; the Cayenne most so. This may be given to gr. vj. or viij. PEPPERMINT. Stimulant. ESSENTIAL OIL OF. gt. ss. to ij. SPIRIT OF. gt. xx. to lx. WATER OF. ℥ss. to gij. PERIPNEUMONY, OR INFLAMMATION OF THE LUNGS. Symptoms. Difficult breathing, with oppression and seeming load at the breast ; the breath hot ; cough ; fever ; redness in the face ; pulse sometimes hardly perceptible, but after bleeding, strong, though unequal. Differs from a Pleurisy in the cough being more moist, the pain less acute, and the pulse not so strong. Treatment. Bleed repeatedly, if necessary; and give nitre, with spermaceti, or oil of almonds, salt 103 PER PHL salt of hartshorn, gentle antimonials, or the like. Cooling emollient clysters are useful, as are also blistering and cupping, PERIPNEUMONY, BASTARD. Symptoms. Heat and cold alternately ; pain and giddiness of the head, when the cough is most troublesome ; vomiting; quick, difficult breathing, and wheezing ; pain of the breast ; urine turbid, with red sediment. Differs from a true Peripneumony, in not having ex- traordinary heat, pain, thirst, or fever ; by its usually seizing those of a relaxed and gross habit; and by prevailing most in moist soggy weather, contrary to the other. Treatment. Bleed not, unless the pulse be very full, and comatose symptoms appear ; blisters, emetics, laxatives, emollient clysters, attenu- ants and diluents ; pectorals for the cough, and opiates is necessary. PHLEGMON, OR SUPERFICIAL INFLAMMATION. Symptoms. Heat, pain, tension, redness, and throbbing in the part; fever ; if not resolved, the part proceeding to suppuration, gangrene, or scirrhus. Treatment. Remove any perceivable external cause ; bleed, purge, and give diaphoretic feb- rifuges ; apply emollient fomentations and poultices 104 PHR PHY poultices to the part, or preparations of lead. If matter form, cease evacuation, and forward the suppuration ; when ripe, open the abscess, and digest. If gangrene appear, treat as di- rected under that article. PHRENSY, PHRENITIS, OR INFLAMMATION OF THE BRAIN. Symptoms. Constant delirium and fever, difficult breathing, violent pain in the head augmented by light; great sensibility to sound ; redness 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 delirium preceding the fever. Treatment. Bleed largely ; stimulating clysters, blisters, the pediluvium, and sinapisms to the feet ; spirituous embrocations to the head, first shaved. Nitre, salt of hartshorn, or other at- tenuants, purges, and diluents ; opiates, is necessary ; promoting the hæmorrhoidal flux is of great use. PHTHISIS. See Consumption. PHYMOSIS and PARAPHYMOSIS. Symptoms. The first is a closing of the prepuce over the glans penis, so as not to be drawn back ; the last, a constriction of it behind the glans, so as not to be drawn over it. Treatment, 105 PIL PIM Treatment. Foment, poultice, bleed, and purge ; vomit is necessary ; and give cooling sebrisu- ges. If these fail, proper incisions must be made. PILES, OR PAINFUL TUMOURS IN THE ANUS OR RECTUM. Treatment. Bleed, if necessary ; and give sul- phur, or quicksilver with sulphur, nitre, and elect, of senna ; is very painful, opiates ; if they be external, foment them with warm emollient liquors, or anoint them with oint- ment of elder, or the like ; if they bleed much, apply gentle astringents ; if much swell- ed and inflamed, scarify, or apply leeches to them. Sulphurated oil is very proper to ap- ply to the Piles, and the ointment of quick- silver has also been found useful. They may more expeditiously be driven away by lini- ments made of powder of galls, or acetated cerusse, or by washing them with solutions of white or blue vitriol. But as the hæmorrhoi- dal discharge is generally salutary, caution must be used in repelling it. PIMENTO, BERRY. Aromatic, stimulant; gr. xv. to ʒj. Spirit of. ʒss. to ʒij. WATER OF. ℥j. PIMPLES. Treatment. Wash them with a solution of ace- tated 106 PIN PLA tated cerusse, or vitriolated zinc. If these fail, try camphorated spt. a solution of prepar- ed kali, or white calx of quicksilver mixed with pomatum. If they proceed from foul blood or a scorbutic cause (as it is termed) treat them with alteratives, as directed for the Land Scurvy ; with now and then a cooling purge. PINK, INDIAN, ROOT. Sedative, anthelmintic ; ʒj. to ʒiss. Also in insusion, ʒiij. to ʒiv. PITCH, BURGUNDY. Stimulant, epispastic, externally applied. COM- POUND PLASTER OF. The same. PLAGUE. Symptoms. Shivering ; pain in the head, back, and stomach ; sickness and vomiting; des- pondency; anxiety; difficult breathing ; wild- ness of countenance ; high fever ; faintings; hiccups ; and catching of the tendons. Tu- mours at length appear in the groin, arm-pits, or behind the ears ; and then the fever abates, but returns is the tumours sink. Fetid 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 cir- cles : they are small tumours, with corrupted flesh 107 PLE flesh underneath, and attended with great itch- ing. The symptoms, however, vary accord- ing to the constitution and state of the air, but these are the most general. Treatment, The tumours are critical, and should be encouraged by ripening cataplasms, and proper cordials ; the carbuncles should be poulticed with cataplasms of cummin, or the like ; and is they appear gangrenous, scarify, and dress them with oil of turpentine, 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 general, camphor, nitre, snakeroot, and bark, &c. an emetic being first given, seem most eligible in this dreadful disorder. N.B. The vapour generated by nitre, especially is 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 physi- cian ; but if the disease be liable to attack more than once, which seems to be the case, this can be of no use. PLEURISY. Symptoms. Chilliness and shivering, succeeded by heat, thirst, and restlessness ; a violent acute pain on one side, near the ribs, extending to- wards 108 POI POM wards the shoulder-blades, back, and breast, and worst when the affected side is lain on ; difficult breathing; redness of the cheeks; nausea ; and dry cough ; the matter spit up, is any, yellowish or bloody. Treatment as in the Peripneumony ; but repeated bleeding, laxatives, and cooling attenuants, as salt of hartshorn with nitre, are chiefly to be relied on. POISONS. Treatment. When these are taken, if the time have been but short, give a strong emetic of white or blue vitriol, drinking plentifully of warm water to wash the stomach ; oily clys- ters should also be given repeatedly; as should likewise cathartics. If muriated quicksilver were the poison, give a solution of any fixed alkaline salt. If opium, or other narcotic, give acids (as vinegar) with water or broth; apply blisters ; and, is necessary, bleed. A- gainst all mineral poisons, sulphurated kali has been recommended. 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. for Anemic - Vinegar POMEGRANATE, SHELL AND FLOWERS. Tonic, astringent; ℈ss. to ʒss. Also in de- coction. POPPY, 109 POP POX POPPY, CORN, FLOWERS. Weakly sedative. POPPY, WHITE, HEAD. Sedative. SYRUP OF. ʒss. to ʒiss. EXTRACT OF. As opium, in about double the dose. POWDER, ALOETIC. Cathartic, deobstruent; ℈ss. to ʒss. - WITH GUAIACUM. Deobstruent, sudorific, antirheumatic; gr. v. to x. Cathartic ; ℈j. to ℈ij. - WITH IRON. Emmenagogue ; ℈ss. to ʒss - ANTIMONIAL. See Antimony. - AROMATIC. Gr. v. to ℈j. - OPIATE. Gr. x. contain 1 of opium. POX. See Venereal Disease. POX, CHICKEN; or SWINE POX. Symptoms. Chilliness, heat, and the usual pre- cursory symptoms of fever; but milder than in the small pox. The eruptions appear about the third day. They rise like those of the small pox, but may be known from them by the matter being more like water than pus; by K 110 POX QUA 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 others do not till at least the seventh. Treatment. Cooling febrifuges, as nitre, with magnesia, antimonials, 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. Corroborants, as bark, &c. laxa- tives, clysters, and aperients, if costive ; clys- ters of infusion of roses, or other bracers; chalybeates and cold bathing. N. B. If there be inflammation, emollient fomentations and poultices. The part should be gently reduc- ed, 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. PRUNES. Laxative, cooling. QUASSIA, WOOD, BARK, AND ROOT. Tonic, corrector of putrid bile ; grs. v. to xv. in infusion. QUICK- 111 QUI QUICKSILVER. All the preparations of quicksilver, taken inter- nally, are antivenereal, alterative, deobstruent, and vermifuge. Taken freely they induce salivation. The preparations now directed by the college are: ACETATED. gr. ij. to vj. CALCINED. gr. ss. to ij. MURIATED. gr. ⅒ to ss. MILD MURIATED, or CALOMEL. gr. i. to iv to 15. PILLS OF. ℈ss. to ʒss. RED SULPHURATED, gr. iij. to ℈j. VlTRIOLAT- ED. gr. ss. to j. As an emetic ; gr. iv. to viij. Also an errhine. WHITE CALK. ℈j. to ʒss. WITH SULPHUR. ℈j. to ʒj. The following are for external use. Red nitrated. Escharotic. WHITE CALX OF. Repellent, discutient. OINTMENT OF, MILDER AND STRONGER. The same. The latter is generally employed to excite saliva- tion. OINTMENT OF NITRATED. Chiefly in cutaneous assections. OINTMENT OF WHITE CALX OF. The same, Plaster OF AMMONIACUM WITH. Resolvent. PLAS- TER OF LITHARGE WITH. The same. QUINCE, FRUIT AND SEED. Fruit, cooling, restringent. Seed, obtunding. QUINCY. Symptoms. Inflammation of the throat, with pain, great heat, tumour, redness, difficulty in 112 RAI RHE in swallowing, and fever ; the uvula some- times relaxed and inflamed ; the face red. Treatment. Bleed according to exigency ; open the body ; blisters to the back, and near the part ; gargle with water of ammonia and comp. decoct, of barley, strong of the former ; poultice the part with bread and milk, to which camphor may be added; and the liniment of ammonia may also be applied. If it suppurate, cease to evacuate ; and inhale emollient steams. When ripe open the ab- scess ; afterwards gargle with infusion of roses and tinct. of myrrh. RAISINS. Obtunding, aperient. RASPBERRY, THE FRUIT. Cooling, antiseptic. RATTLESNAKE-ROOT. Diuretic, diaphoretic, antiseptic ; ℈j to ʒss. It sometimes salivates. REFRIGERANTS. Nitre, water of acetated ammonia, crystals of tartar, sorrel, simple oxymel, tamarinds, prunes, summer fruits, acids. RESIN, YELLOW, CERATE OF. Digestive. OINTMENT OF. The same. RHEUMATISM, ACUTE. Symptoms. Rigor, shivering, fever, thirst cos- tiveness, 113 RHE tireness, wandering gnawing pains, with swelling and redness in the part affected. The pain worse towards night, and in bed. Treatment. Bleeding ; salt of hartshorn, nitre, camphor, guaiacum, antimonials, or the like ; laxatives, and opiates occasionally. The part may be rubbed with lin. of soap, camphor, and oil ; lin. of ammonia, &c. Warm somentations are good ; the part may be covered with flannel, diluents should be freely given, and a diaphoresis kept up. When the urine deposits a copious sediment, the bark may be given ; it may be joined with some of the above, and opium, may be occasionally added; RHEUMATISM, CHRONIC. Differs from the acute, in that it is not attended with fever or inflammation in the part; and chiefly attacks those advanced in life, contra- ry to the other. Treatment. If necessary, bleed, and purge with elect, of scammony, senna, &c. Compound powder of ipecacuanha, or other anodyne sudorific, may be given : calomel in small doses, with wine of antim. has been found ef- ficacious ; as hath likewise precipitated sul- phur of antimony, with camphor, about three grains of each. Bark, and sarsaparilla are given by some ; but gum guaiacum with vol- atile K 2 114 RHU RIC atile salts, the guaiacum with an opiate, or salt of hartshorn with nitre, and the camph. mixture, according to circumstances, are gen- erally successful. Sydenham praises con- serve of arum. Warm embrocations to the part, and flannel, are also serviceable ; cold bathing, where not improper on other ac- counts ; a flannel shirt worn next the skin, is a good preventive of a return. N. B. Mustard has been effectual, taken inwardly, and rubbed into the part. Electricity, fric- tion, and exercise of the part, are useful RHUBARB, ROOT. Cathartic ; ℈j. to ʒj. or. more. Stomachic ; gr. iv. to ʒss. TINCTURE, COMPOUND TINCTURE, and WINE OF. ʒj. to ʒij- As a. cathartic ; ℥ss. to ℥ij. RICKETS. Symptoms. The head large ; the fontanels keep long open ; the face full and florid; the teeth produced with difficulty dark, irregu- lar, and apt to decay ; the joints knotty, and the bones protuberant, causing incurvation and distortion ; the ribs protuberate, and be- come crooked ; the belly swells ; cough and pulmonary disorders succeed. The disease usually appears about the eighth month, and continues till the sixth year; the child moves weakly 115 RIN RUP weakly and waddles; the understanding is very early. Treatment. Cold bathing ; friction ; bathing the back with spirituous embrocations, or warm balsamic liniments ; strengthening plasters; gentle vomits of ipecacuanha ; purges with rhubarb and quicksilver with sulphur ; bark, chalybeates, air, and exer- cise. RING WORMS. See Tetters. ROSE, DAMASK, the flower leaf. Laxative. WATER OF. As a perfume. - RED, THE FLOWER LEAF. Astringent; gr. v. to ʒss. CONSERVE OF. ʒj. to ʒij. or more. INFUSION OF. ℥ij. to ℥iv. HONEY OF. A mild, cooling, deter- gent. Chiefly in gargles. ROSEMARY, TOP AND FLOWER. Cephalic, carminative, nervous, in infusion. ES- SENTIAL OIL OF. gt. ij. to iv. SPIRIT OF. ʒss. to ʒj- Externally as a stimulus. RUE. Nervous, antispasmodic, alexipharmic, antipesti- lential; ʒss. to ʒj- Also in infusion. Juice in clysters, vermifuge. EXTRACT OF. ℈ss. to ℈j. RUPTURES. See Hernia. SAFFRON. 116 SAF SAR SAFFRON. Cordial, gr. iij. to ℈j. also in infusion. SYRUP OF. ʒj. or more. SAGAPENUM. Aperient, stimulant, nervous ; gr. v. to ʒss twice a day. SAGE, THE LEAF. Tonic. ST. JOHN'S-WORT, FLOWER. Tonic. SAL AMMONIAC. Attenuant, febrifuge; gr. v. to ℈j. Diuretic, diaphoretic; to ʒj. In a large dose it proves emetic Externally discutient. SALT, COMMON. Stimulant. Chiesly in clysters. A table spoon- ful, taken dry, has been found very efficacious in stopping hæmoptysis. SANDERS, RED, wood. Slightly tonic. SARCOCOLLA. Obtunding, slightly stimulant. SARSAPARILLA, ROOT. Alterative, antivenereal, obtunding, tonic, ʒss to 3ij. DECOCTION OF. ℔ss. to ℔j. COM- POUND, The same. This is an elegant mode of preparing the Lisbon Diet Drink. SAS- 117 SAS SCA SASSAFRAS, WOOD, ROOT, AND BARK OF THE ROOT. Alterative, antiscorbutic, tonic, sudorisic ; dose as in Sarsaparilla. ESSENTIAL OIL OF. g. j. to x. SAVIN, LEAF. Stimulant, diuretic, emmenagogue ; ʒss to ʒj. In infusion, ℥ij. to ℥iv. COMPOUND TINC- TURE OF. gt. x. to ʒj. EXTRACT OF. ʒss, to ℈ij. SCALDS, OR BURNS. Ol Origan Treatment. Apply oil of linseed alone, or mixed with an equal quantity of limewater ; but preparations of lead have been sound par- ticularly beneficial ; afterwards cerate of calamine, or other cicatrizer. If inflamma- tion render it necessary, bleed and purge. Cotton SCALD-HEAD. Treatment. Rub the part with ointments made of sulphur, pitch, tobacco, or the like ; the ointment of white calx of quicksilver has been used with success ; bathing with salt water ; mercurials, antimonials, or other al- teratives ; blisters kept open, and issues, are proper. SCAMMONY. Cathartic ; gr. v. to ℈j. COMPOUND POWDER OF. gr. iv. to xvj. -- WITH ALOES, TO ℈j. 118 SCI SCR ℈j. -WITH CALOMEL. to ℈j. ELECTU- ARY OF. ʒss. to ʒij. SCIATICA. Symptoms. A fixed pain in the hip, like the rheumatism. Called also the Hip Gout and Ischias. Treatment as in Lumbago. SCIRRHUS, OR HARDENED GLANDS. Treatment. Endeavour to disperse by mercu- rial unction, ext, of hemlock, or mercu- rials, with sarsaparilla, &c. and occasional purges. If it incline to suppurate, treat it as directed in abscesses, &c. If it neither dis- perse nor suppurate, extirpation is the only cure, where it can be done ; otherwise treat it with coolers, and occasional anodynes. SCORDIUM. Astringent. SCROPHULA. Symptoms: Scirrhous unequal tumours, which do not readily suppurate, affecting the glan- dular parts, but chiefly on the sides of the neck ; frequently an enlargement of the nose and upper lip, and sometimes of the belly. Treatment. Purge occasionally with jalap and calomel ; and give alteratives, as, calomel, with precipitated sulph. of antimon. or some other; 119 SCU other; millepedes are good ; burnt sponge 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 ; vegeta- ble acids, especially Seville oranges, are prop- er ; electricity is sometimes beneficial. Mu- riated barytes has lately been much com- mended. SCURVY. Symptoms. Heaviness, lassitude, low spirits ; offensive breath ; tender gums ; sallow bloat- ed countenance ; hemorrhages 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 mentioned ; and the disease is in general sufficiently known. It is, however, distinguished into Sea and Land Scurvy. Treatment. In the Sea Scurvy, the juices are disposed to putridity from the use of animal food, and moist air ; 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 vitriolic acid are good. Liquids impregnated 120 SCU SED impregnated with fixed air for common drink, and wholesome air. Chalybeates have been sound serviceable, especially when joined with the bitters, or bark. Burying the patient up to the chin in fresh dug earth has been sound extremely serviceable. The Land Scurvy (improperly so called) is rather a cutaneous disease ; scurfy or scabby eruptions appear, either partially, or more uni- versally ; often with itching and heat. The antimonial alteratives, with gentle mercu- rials, are frequently efficacious; lime water, or the compound juice of scurvygrass, may be used with them. Crystals of tartar and flowers of sulphur are good. The parts may be anointed with saturnine liniments, with a little white calx of quicksilver, is necessary. SCURVY GRASS, GARDEN. Stimulant, antiscorbutic; the juice or infusion, ℥ij. to ℥iv. twice a day. Compound juice of. ℥j. to iv. SEDATIVES. Soporific. Opium, poppy, animal oil, oil of wine, compound spirit of vitriolic æther, spirits of nitrous and vitriolic æther. Nar- cotic. Blue wolf's-bane, deadly night-shade, hemlock, bay leaf, bitter almond, Indian pink. Topical. Opium, preparations of lead, cerate of soap. SENEKA. 121 SEN SKI SENEKA. See Rattlesnake-root. SENNA, THE LEAF. Cathartic; ʒj. to ʒiij. COMPOUND POWDER OF. ʒss. to ʒj. ELECTUARY OF. ℥ss. to ℥ij. EXTRACT OF. ℈ij. to ʒj. SIMPLE INFU- SION OF. ℥j. to ℥ij. TARTARISED INFUSION OF. The same. TINCTURE OF. ℥ss. to ℥ij. SETON, TO MAKE. Pinch up the skin and fat with the finger and thumb, and run a proper needle through them, armed with a skain of silk or thread smeared with digestive ointment; which must be shift- ed a little every day, so as to keep both ori- sices running. SHINGLES. See Tetters. SIALAGOGUES. Topical. Tobacco, pellitory of Spain, arum, angelica, pepper, cloves. Internal. Prepara- tions of quicksilver, rattlesnake-root. SILVER, NITRATED. Formerly Lunar Caustic. SIMAROUBA, BARK. Tonic, astringent; ℈ss. to ʒss. Also in de- coction. SINGULTUS. See Hiccups. SKIN, diseases of. See Cutaneous Disease:. SLOES. L 122 SLO SMA SLOES. Astringent. Conserve of. ʒij. to ℥ij. SMALL-POX. Symptoms. Chilliness ; shivering ; heat; pain in the head and back ; sickness and pain at the stomach, and sometimes vomiting ; fever; costiveness ; convulsive fits sometimes in chil- dren, which is a good symptom. On the third or fourth day the eruptions appear, like flea-bites, in the face, breast, arms, body and feet successively, with pains and soreness in the throat. The eruption being completed, the fever goes off or abates. The eruptions sill, or maturate like boils, and the skin between them is red ; the eye-lids, face, hands and feet swell successively ; the pocks, from red, grow whitish and smooth in the body, yellow and rough in the face, and are full of 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, cool- ing febrifuges, with laxatives, or clysters oc- casionally ; but is the symptoms require it (as low 123 SMA low pulse, &c.) gentle cordials and diaphoret- ics. After the eruption, little is generally required but a gentle anodyne at night, proper diluents, and, if necessary, opening clysters, &c. If purging come on, check it with cau- tion ; is delirium or fever, apply blisters ; and if the pock sinks, give bark, with proper dia- phoretics and cordials ; especially if malignant or putrid symptoms, or petechiæ appear. Spt. of vitriolic æther 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 to its height till the eleventh or four- teenth day after ; the fever also continues af- ter the eruption 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 be opened, and the matter let out, so much the better; es- pecially 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 mat- ter 124 SNA SOA ter 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 scars skin, which may afterwards be pressed down with the flat side of the lan- cet. Three or four days afterwards the punc- tures 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, is the patient be of a full or gross habit ; and he should also be restrained to a milk and farinaceous or vegetable diet, avoiding especially high season- ed food. It is found best to keep him out of bed, and much in the cold air. The symp- toms are generally so favourable, that little as- sistance is required from medicine, except a few mercurial purges after the disorder goes off. SNAKEROOT, VIRGINIAN. Stimulant, tonic ; ℈ss. to ʒss. Also in infu- sion to ʒj. or ij. TINCTURE OF. ʒj- to ʒiv. SOAP. Diuretic, icteric, lithontriptic, attenuant; ℈j. to ʒij. twice a day. CERATE OF. Astringent, sedative. COMPOUND LINIMENT OF. Dis- cutient, strengthening. PLASTER OF. Re- solvent. SORE 125 SOR SPH SORE THROAT, PUTRID. See Angina maligna. SORREL, COMMON, LEAVES. Cooling, antiseptic. -WOOD, LEAVES. The same. CONSERVE OF. At pleasure. SOUTHERNWOOD. Tonic, antiseptic. SPASMS. See Convulsions. SPERMACETI. Pectoral, obtunding, emollient ; ℈j. to ʒj. Ointment of. Healing, softening. SPHACELUS, OR COMPLETE MORTIFICATION. Symptoms. This succeeds a Gangrene (which. see) is it cannot be stopt: the part loses all sensation, and yields an intolerable smell. Treatment as in Gangrene. When the separa- tion 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. When accom- panied with convulsive spasms, or occasioned by them, or by local injury producing irrita- tion, large and frequent doses of musk and salt of hartshorn have proved very efficacious. The doses have been augmented from ℈ss.to ʒij. of each. SPIRIT, L2 126 SPI STI SPIRIT, CAMPHORATED. Externally stimulant, discutient. SPLEEN. See Hypochondriacal and Hysteric Diseases. SPONGE. Externally styptic. BURNT. Stimulant, resol- vent; ℈j. to ʒss. SPRAINS. See Strains. SQUILL, ROOT. Stimulant, diuretic, expectorant; gr. iij. to viij. Emetic; ℈ss. to ℈j. CONSERVE OF. ʒss. to ℥j. OXYMEL OF. ʒss. to ʒiss. Emetic ; ℥ss. PILL OF. gr. v. to xx. VINEGAR OF. ʒss. to ʒj. Emetic; ℥ss. HONEY OF. ʒss. to ʒiss. Emetic; to ℥ss. TINCTURE OF. ʒss. to ʒj. STARCH, MUCILAGE OF. An useful clyster in diarrhœa. TROCHES OF. Pectoral. STAVESACRE, SEED. Externally in some kinds of cutaneous erup- tions, and for destroying vermin. STIMULANTS. Electricity, æther, musk, volatile alkalis, alcohol, wine, rectified oil of amber, essential oils, Ger- man leopard's bane, asarabacca, Syrian herb- mastic, pellitory of Spain, pepper, mustard, horse- 127 STI STO horse-radish, arum, squill, ammoniacum, snake- root, zedoary, contrayerva, pepper-mint, mar- joram, penny-royal, savine, elecampane, eryn- go, scurvy grass, water-cress, dill, cummin, coriander, wild carrot, parsley, assasœtida, sa- gapenum, opoponax, frankincense, sarcocolla, borax, common salt, tar, sulphurated fossil tar and oil, compound tincture of benjamin, min- eral acids, Aromatics. Externally. Oil of turpentine, camphorated spirit, spirit of rose- mary, ladanum, gum elemi, Epispastics. 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 ; continual retching ; hiccup ; small, weak, in- termitting pulse. Treatment. Bleeding, emollient liquids, and clysters ; fomentations ; gentle opiates ; blis- ters ; mucilage of gum arabic ; with small doses of nitre occasionally. STOMACH, PAIN IN. See Heart-burn. STOMACHICS. Gentian, camomile, orange and lemon peel, co- lumbo, quassia, bark, rhubarb, essential oil of juniper, plaster of ladanum. STONE 128 STO STONE and GRAVEL. Symptoms. Pain in the back and loins, or the region of the bladder ; nausea ; vomiting ; strangury ; sometimes bloody urine ; costive- ness ; retraction of the testicle of the affect- ed side ; numbness down the thigh and leg. When the calculus is got into the bladder, the pain in the kidneys abates, and the urine be- comes turbid. Treatment. Bleed, is no objection appear ; draughts with oil of almonds and large quan- tities of gum arabic, with manna and opium added occasionally. As solvents, the water of pure kali from x. to xxx. or lx. drops in veal broth twice a day. Soap, oyster-shells, and lime-water, are also good; and in some cases, the salt of hartshorn, or marine acid. Water impregnated with fixed air, or the mephitic alkaline water, and the effervescent mixture, have been sound solvents in some cases ; as have also spt. of nitrous æther, uva ursi, live millepedes, and decoction or oil of juniper. In violent fits of the disorder, the semicupium is good; and clysters with Venice turpentine, or oil of turpentine, and opium. In nausea and vomiting, the saline draughts, with tinct. of opium ; and care should be taken to keep the body properly open with cathar- tics of the cooling saline kind, or rather with manna, 129 STO SUD manna, castor oil, and ins. of senna, or other mild purge. Milk of almonds, decoction of marshmallow roots, or the like, may be used freely as common drink. (See also Colic, Stone ; and Urine, Suppression of.) STORAX. Pectoral, tonic ; gr. v. to ℈j. STRAINS. If internal, give spermaceti, or compound tinc- ture of benjamin, with spruce beer. If out- ward, apply lin. of soap, vinegar, lin. of am- monia, or arquebusade. If there be inflam- mation, foment and poultice, bleed and purge. STRANGURY. Symptoms. A difficulty of making water, attend- ed with heat or scalding: it often proceeds from blisters. Treatment. Give milk of almonds or mucilage of gum arabic freely. If these fail, boluses of camphor and opium. See Urine. STYPTICS. Blue vitriol, alcohol, compound tincture of ben- jamin, vitriolated iron, alum, acetated cerusse, lint, flour, sponge. Internal. All astringents. SUDORIFICS. Calefacient. Guaiacum, contrayerva, snake-root, rattlesnake-root, saffasras, mezereon. Stimu- lant. 30 SUL TAB lant. Volatile alkalis, antimonials, sal ammo- niac, inspissated juice of elder-berries. Anti- spasmodic. Compound powder of ipecacuanha, opiate confection, camphor, spirits of nitrous and vitriolic æther, warm bath, vapour bath. Diluent. Vinegar whey, aqueous liquors. SULPHUR, FLOWERS OF. Pectoral, alterative, aperient ; ℈j. to ʒij. PRE- CIPITATED. The same. WASHED FLOWERS OF. The same. OINTMENT OF. For the itch. SWINE-POX. See Pox, Chicken. TABES DORSALIS. Symptoms. A wasting of the whole body, at- tended with fever, but no spitting or cough, by which it is known from a Phthisis. A col- lection of matter in some part of the body is usually the cause, but it particularly attends the inflammation of a scirrhous gland. Treatment. If it arise from a scirrhous liver, soap, and mild chalybeates. If the scirrhus or abscess be external, open or extirpate. The bark is often proper in these cases, as is also myrrh with nitre, or vitriolated kali. The body must be kept properly open ; but purgings should be checked. Gentle exercise, whole- some air, and proper mild diet, with the use of asses milk, and the like, are often of much service. TAMARIND, 131 TAM TEE TAMARIND, THE FRUIT. Cooling, antiseptic, laxative ; at pleasure. TANSY, FLOWER AND HERB. Tonic, anthelmintic ; ℈j. to ℈ij. TAR. Stimulant, diuretic. Made into pills with pow- der of elecampane; ʒss. of the mass is given for a dose in disorders of the breast, cutane- ous diseases, &c. Of Tar-water ℔j. or ℔ij. may be drunk in a day. OINTMENT OF. Digestive. Also in cutaneous diseases. -FOSSIL, OR BARBADOES. Stimulant. Oil of. The same, but more acrid. Sulphurated. Stimulant, pecto- ral ; gt. v. to xx. TARTAR, CRYSTALS OF. Cooling, opening ; ʒij to ℥j. TEETHING. Symptoms. Inflammation and swelling of the gums, with flavering; fever; and sometimes Convulsions. Treatment. Cooling febrifuges in case of fever; the body should be kept gently open. If con- vulsions arise, give tinct. of assafœtida and car- minatives, or oil of aniseed with magnesia ; if a rash appear, compound powder of contrayer- va with nitre is usually given ; if a cough, sper- maceti, 132 TEN TET maceti, or other balsamic pectoral: leeches and blisters may be applied is necessary ; and if the disorder be violent, the gums should be lanced. Gentle anodynes are often useful. TENESMUS. Symptoms. Frequent, or even continual inclina- tion to go to stool, without occasion, or being able to void any. Treatment. Clysters, with mutton broth and opium ; or with starch, oil, and compound powder of chalk ; or with spermaceti, suet, or the like. Spermaceti with opium may al- so be given inwardly. TESTICLES, INFLAMED. Treatment. Bleed, purge, and even vomit, is necessary, in order to cause revulsion. Warm emollient fomentations and poultices are usually recommended ; but cold applica- tions to the part are much more efficacious. Febrifuges and gentle diaphoretics, with an opiate at night, are good. If matter form, open and let it out. The testicles should be suspended, and the patient kept as much as possible in an horizontal posture. TETANOS. Symptoms. A rigid and painful contraction of the muscles of the neck and trunk of the body, drawing it backwards or for- wards TET 133 wards in a curve, with convulsions; some- times an attempt to swallow liquids pro- duces general convulsion, as in hydrophobia. Treatment. Give large doses of musk and opium, keeping the body open with castor oil, or other proper purge. The warm bath, emollient fomentations and spirituous embro- cations to the parts, are good; so are salt of hartshon, nervous medicines, and clysters with turpentine and opium. If it be the con- sequence of local injury, excite inflamma- tion in the part injured. After the disorder give bark, or other restoratives. TETTERS. Treatment. They may be touched with ink, a weak solution of vitriolated iron or zinc, acetated cerusse, prepared kali, or muriated quicksilver. If these prove too violent, soft- ening and cooling liniments, or cream. Camphorated spirit and the ointment of the white calx of quicksilver are good. Some- times alteratives of the mercurial and antimo- nial 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. THISTLE, M 134 THI TOB THISTLE, BLESSED. Tonic, is lightly insused: strong decotion emetic. In powder, dose ℈j. to ʒj. THROAT, SORE. See Quincy and Angina gangrenofa. THRUSH. Symptoms. Little ulcers in the mouth and throat, of a white or yellow colour. Fre- quent in children. Treatment. Keep the body gently open with magnesia or rhubarb; give the saline mix- ture, with comp. powder of contrayerva, and touch the ulcers now and then with syr. of mulberries and borax, or with alum, French bole and honey, infusion of roses, &c. See also Fever Aphthose, Fever Miliary, Angina gangrenosa, and Venereal Disease. TIN, POWDER OF. Vermifuge ; ʒy. to ℥j. TOBACCO, LEAF. Powerfully diuretic; sometimes emetic, purga- tive, and diaphoretic: frequently produces giddiness and nausea. If one ounce of the best Virginian tobacco be infused in a pint of boiling water for an hour, and ℥xiv. be strained off, adding to them ℥ij. of alcohol, gt. xl. to lx. or more, may be given twice a day. 135 TON TOO day. An ounce of this infusion, in half a pint of gruel, may be given as a stimulating clyster, instead of the common one of tobac- co smoak. Some prefer an insusion in Span- ish white wine, ℥j. to ℔j. TONICS. Iron, alum, blue vitriol, vitriolated and calcin- ed zinc, mineral acids, bark, quassia, colum- bo, gentian, camomile, oak, galls, lesser cen- taury, cascarilla, logwood, pomegranate shell and slower, simarouba, tormentil, bistort, ginzeng, zedoary, bay, blessed thistle, worm- wood, horehound, southernwood, cinquefoil, tansy, buckbean, uva ursi, mint, sage, balm, elm, clove-july-flowers, valerian, snake-root, contrayerva, sassafras, sarsaparilla, coltssoot, orris, kino, balsams of Canada, Capivi, and Peru, frankincense, turpentine, mastic, myrrh, olibanum, storax, compound tincture of ben- jamin, amber, dragon's-blood. Topical. Vinegar, camphorated spirit, liniment of soap, Astringents. TOOTH-ACHE. Treatment. If hollow or decayed, apply com- pound tincture of benjamin, or some essential oil, upon cotton, to the part; or pills with camphor and opium; or chew the root of pellitory of Spain. Some burn the nerve - nitric acid with 136 TOR TUR with vitriolic or nitrous acid, or a hot iron ; or touch the antihelix with the latter. If there be inflammation, bleeding, purging, and blisters behind the ears. If it proceed from Cold or Rheumatism, treat it as directed for those complaints. Vitriolated zinc in nau- seating doses has been effectual, and like- wise electricity. TORMENTIL, ROOT. Tonic, astringent; ℈ij. to ʒj. TRAGACANTH, GUM. Obtunding. COMPOUND POWDER OF. ʒss. to ʒiij. TREMORS. Treatment as in Nervous Complaints and Palsy. TUMOURS, ENCYSTED. Try to disperse them with quicksilver ointments or plasters, friction, or electricity ; if these fail, hemlock fomentations and poultices, and give inspissated juice of hemlock, or mercu- rials, with sarsaparilla, &c. and occasional purges. If you cannot disperse them, endeav- our at suppuration ; if that fail, extirpation, where it can be done, is the only cure. TURMERIC, ROOT. Aperient, diuretic ; ℈j. to ʒj. TURPENTINE, 137 TUR VAL TURPENTINE, CHIO, AND COMMON. Diuretic, detergent, strengthening ; ℈j to ʒjss. The common is rarely given internally. OIL OF. Diuretic, sudorisic ; gt. x. to xv. REC- TIFIED OIL OF. gt. viij. to xij. TUTTY. Externally in collyriums sor the eyes ; cooling, astringent. OINTMENT OF. The same. TYMPANY. A collection of wind or air in the intestines, par- ticularly the colon, by which they become vi- olently distended. Treatment. If fever and full pulse, bleed ; keep the body open with gentle laxatives, joined with aromatics; but refrain from strong purges, and from carminatives not joined with proper aperients. The belly should be frequently rubbed, and swathed with flannel. Exercise is good ; gentle corroborants, as camomile flowers, and small doses of chalybeates joined with aromatics, are also very proper. It has been relieved by clysters with infusion of to- bacco. VALERIAN, WILD, ROOT. Tonic, nervous, antispasmodic ; ℈j. to ʒj. or more. TINCTURE OF. ʒj t0 ʒiv. AM- MONIATED. ʒss. to ʒij. VARIX, M2 138 VAR VEN VARIX, OR ENLARGEMENT OF A VEIN. Treatment. Keep it compressed with proper bandages, and, is necessary, bleed and evacu- ate. If these fail, treat it as in the operation for Aneurism. VENEREAL DISEASE. Symptoms. An itching at the orifice of the ure- thra, sometimes extending over the whole glans : a little fulness of the lips of the ure- thra : inflammation : a discharge from the urethra, at first whitish, but sometimes chang- ing to yellow or green, attended with pain, and smarting in making water, or without ei- ther : commonly a fulness of the penis, par- ticularly of the glans : frequently a soreness in part, or throughout the whole of the ure- thra, occasioning pain in erection : when the inflammation or irritability of the urethra is great, the penis is incurvated downwards in erection, with considerable pain, and some- times hemorrhage. These symptoms are sometimes accompanied with swellings of the testicles, or sympathetic tumefactions of the neighbouring glands. This stage of the dis- ease is called the virulent gonorrhœa. Sometimes the infection is received by the viru- lent matter remaining in contact with the pre- puce, 139 VEN puce, or glans, in which it produces an ulcer, indisposed to heal, and with a hardened base ; this is termed a chancre : is the matter pro duced by this ulcer be absorbed, we find bu- boes in the groin ; blotches on the skin, at first: attended with inflammation, which goes off and a white scurf arises, successively peeling off and returning, at length becoming copper- coloured, and finally forming a scab with an ulcer underneath ; ulcers in the throat; nodes on the tendons, ligaments, periosteum, and bones ; caries ; and nocturnal pains. Treatment. In the gonorrhœa some rely on mer- curials given internally in small doses : others employ injections alone : some lay the chief stress on diuretics : others combine these dif- ferent methods. Quicksilver, however, is by no means necessary to the cure of this stage of the disease. If the inflammation be consider- able, no injections should be used but those of the sedative kind, as those composed of opium or lead : if very great, emollients alone must be ventured on, as milk and water, oil of al- monds, or thin mucilage : when slight, astrin- gents may be employed : and in some cases irritating injections are proper, as a weak so- lution of muriated quicksilver. Whatever method we pursue, the constitution should be attended to, which, with the symptoms, will in 140 VEN in general best direct the treatment. Painfull erections and chordee are srequently relieved by opium, and in the latter leeches applied to the part are sometimes serviceable at the be- ginning. When a gleet will not yield to the turpentine balsams, as bals. of capivi, or astringent injec- tions, and amending the constitution, irritating injections are sometimes successful. If the disorder be a confirmed lues, quicksilver is the only remedy. Calomel, or calcined quick- silver, may be given internally in small doses, or a portion of the strong quicksilver ointment may be rubbed into the thighs every night. The quantity must depend on the constitu- tion of the patient. We should always stop as soon as a slight soreness of the mouth is produced, resuming the mercurial in a few days, and persisting in its use till about a fort- night after the symptoms have disappeared, but carefully avoiding a salivation. After the cure, the bark, restoratives, and a strengthen- ing diet, are proper. In obstinate venereal complaints, not yielding to mercurials, decoctions of box-wood, woody nightshade, mezereon, daphne lagetto, epiden- drum claviculatum, sarsaparilla, or the outer green shells of walnuts, have been said to have proved successsul. Chancres 141 VER VIN Chancres may be dressed with some preparation of quicksilver mixed with ointment of wax, or conserve of roses. Recent ones may some- times be cured by consuming them with caus- tic, and afterwards healing : but it is never safe to omit the use of mercurials internally. Buboes should be dispersed by rubbing the strong- er quicksilver ointment into the thigh, perine- um, and root of the penis ; keeping the pa- tient at rest ; and the antiphlogistic regimen. Some recommend the liniment of ammonia rubbed in, in the same manner, every hour or two. For Hernia humoralis, see Testicle, inflamed. See also Phymosis. VERDIGRIS. Externally detergent, good against fungous flesh. Oxymel of. The same. 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 5 blisters kept open ; a vomit and laxatives ; then the nervous med- icines, and chalybeate waters. VINEGAR. Cooling, antalkaline, antiseptic ; ʒj. to ℥ss. DISTILLED. The same, but stronger. VIOLET, 142 VIO VOM VIOLET, THE FRESH FLOWER. Aperient. VITRIOL, BLUE. Emetic ; ℈ss. to ℈j. Tonic ; gr. ¼ to j. Externally escarotic, styptic. GREEN. See Iron. White. See Zinc. ULCERS. Treatment. Dress them with proper digestives; and if they be fungous, apply an escar- otic ; if foul, mix red nitrated quicksilver with the digestive, or use the oxymel of ver- digris, or tinct. of myrrh. Dry lint alone, in some cases, is good. If callous, cut or eat away the callosity. If the bone be carious, either scrape it, or make small perforations to promote exfoliation ; or dress with lint, ei- ther dry, or wetted with tinct. of myrrh. If humours abound, give proper alteratives and purges ; and if putridity appear, the bark and vitriolic acid. VOMICA, OR ABSCESS IN THE LUNGS. Symptoms. Cough, difficult breathing, even after the pain which preceded-it goes, off; slight shiverings, followed by heat ; a quick weak pulse ; hectic fever ; wasting of the body ; the patient cannot lie down but on the side affected. 143 VOM affected. It is sometimes a consequence of pleurisy. Treatment. Gentle medicines of the turpentine kind, balsamics and diuretics, steams of hot water, with bals. of Tolu, benzoin, &c. receiv- ed into the lungs ; occasional laxatives, bleed- ing if inflammation, soft balsamic food, and gentle exercise. VOMITING. Treatment. If it arise from foulness of stomach. (as bile, acidity, &c.) an emetic will be use- ful; and afterwards, if necessary, a rhubarb or other gentle purge ; and stomachics, co- lumbo root, magnesia, opiates, &c. according to circumstances. If from spasms, the saline draughts, and proper opiates : medicines of the nervous class, joined with laxatives ; and, if necessary, a blister to the back. If from inflammation, bleeding, cooling diluents and febrifuges, as the saline draughts with proper laxatives ; and anodynes at discretion. If from weakness of the stomach, bark, bitters, or other corroborants ; premising a vomit is judged necessary. Chalybeate waters are also proper. If the stomach be sore, as it is termed, the compound tincture of benjamin, spermaceti, or other-balsamics, are good. In vomitings, the best form of medicine is pills. Vomitings 144 VOM URI Vomitings are often symptomaric, as in sits of the gravel, pregnancy, &c.; the original dis- order must, in those cases, claim the chief at- tention. VOMITING OF BLOOD. See Blood. URINE, BLOODY. The treatment may be similar to that prescribed for the Diabetes. URINE, PROFUSE DISCHARGE OF, OR DIABETES. Symptoms. An excessive discharge of urine, pale and sweet, having lost its natural appear- ance and qualities, sometimes with a fragrant odour ; the body emaciated. Treatment. Tonics, as bark, vitriolic acid, cha- ' lybeates, alum, bitters, and the like. Tincture of cantharides has been sound efficacious, as hath also blue vitriol, in doses of half a grain, twice in a day. Exercise, and light, but strengthening diet, are also proper. but steak URINE, SUPPRESSION OF. Called Ischury, if total ; Strangury, if but in part ; and Dysury, if the latter be attended with heat : usually occasioned by inflamma- tion or spasms on the neck of the bladder, in consequence of blisters, or some other cause. Treatment. 145 UTE WAR Treatment. Oily medicines, and plenty of gum arabic, with opiates or camphor, if necessary. The body should be kept open with gentle laxatives, and emollient clysters; if necessary, bleed, foment the belly, rub the liniment of ammonia into the perineum, and advise the warm bath. If caruncles in the urethra be the cause, bougies, introduced with proper caution, are serviceable. When arising from gravel, the infusion of tobacco has been very successful, and frequently, in bilious habits, ℥ss. of pure lemon juice. Sometimes ischury has been removed by placing the feet and legs in water as cold as possible. If nothing suc- ceed, puncturing the bladder is the last re- source. UTERUS INFLAMED, &c. See Womb. UVA URSI, LEAF. Tonic, antinephritic ; ℈j. to ʒj. WALNUT, UNRIPE FRUIT. Anthelmintic ; of a watery extract about ℈ij. have been given as a dose. WARTS. Touch them with some caustic or escarotic dai- ly, 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 con- veniently N 146 WAT WOM veniently be done, tie round the bottom a fine hair, or silk thread, and they will die away. The juice of celadine, or spurge, rubbed over them, is esteemed good. WATERCRESS. Stimulant, antiseptic; ℥j. or ij. of the expressed juice. WAX. Balsamic, antidysenteric; externally healing. OINTMENT OF. Cooling. COMPOUND PLASTER OF. Drawing. WHITES. See Fluor albus. WHITLOW. Treatment similar to that directed for Boils and Abscesses. WINE. Stimulant, antiseptic. OIL OF. Sedative, an- tispasmodic. Used for making the Camp. Sp. of Vitriolic Æther, or Hossmann's Anodyne Liquor. WOLFSBANE, BLUE. Narcotic, and violently evacuant, in a large dose; sedative and sudorific, in a small one ; from ⅙ of a gram of the expressed juice to gr. vj. twice a day. WOMB INFLAMED. Symptoms-. Pulsation, pain, heat, and tumour in 147 WOM in the part; fever, tenesmus, pain on going to stool, and difficulty of making water. Treatment. Bleeding, laxatives, emollient clys- ters, cooling febrifuges, diluting liquors, fo- mentations and poultices, &c. as in other in- flammations : (See Stomach, Bladder, Kid- neys, &c.) but if the patient be weak, bleed- ing and all considerable evacuations must be avoided. If a Cancer succeed, it must be palliated with gentle anodynes, occasional bleeding and lax- atives ; and proper detergent, or other in- jections. WOMB RETROVERTED. Symptoms. A total obstruction of the urine and feces, the fundus of the womb occupying the hollow of the sacrum, and the orifice being turned towards the symphysis pubis. It gen- erally happens about the third month of pregnancy. Treatment. Draw off the water by the cathe- ter ; and replace the uterus, if it can easily be done. If it cannot, it is best left to itself, as it will naturally resume its proper-position, if care be taken to prevent an accumulation of water in the bladder, by an occasional use of the catheter if requisite. The flexible male catheter is most convenient, and should be introduced 148 WOR introduced slowly. After the water is drawn ofs, a clyster should be given, and repeated if necessary WORMS. Symptoms. Itching of the nose and anus; hun- ger, with ravenous appetite ; nausea ; gnaw- ing pain in the stomach or intestines; fetid breath ; grinding of the teeth, and moaning in sleep ; intermitting weak pulse, and hectic fever ; faintings, and sometimes convulsive fits ; paleness ; 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 stom- ach, and voraciousness, the maw worms. And a weight in the belly, like the rolling of a ball, the tænia, or tape worm. Treatment. Tin filings, with rhubarb, or other proper aperient; sem. santon. calomel, æthi- ops, or other mercurials, every night, with a purge now and then ; cowitch. The infusion of bears-soot leaves is esteemed good ; cab- bage-tree bark has also been recommended. Aloes, wormwood, rue, favine, especially in clysters ; and for the ascarides, oil of olives, or the fumes of tobacco thrown up the rec- tum ; WOR WOU 149 turn ; 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. WORMSEED. Anthelmintic ; gr. v. to ℈j. WORMWOOD, COMMON. Tonic, antiseptic, vermifuge ; ℥ss. to ℥ij. of the 3uice. In fomentations, discutient. -SEA, TOPS. Tonic, antiseptic. CONSERVE OF. ℥ss. WOUNDS. Treatment. Remove extraneous substances ; if the wound be simple, close the lips with slips of sticking-plaster, or the stitch if necessary ; and apply lint, either dry, or wetted with compound tincture of benjamin, &c. If nec- essary, bleed and purge ; or give cordials, &c according to circumstances. Dress with some mild digestive, or defensative ; and if fungous flesh appear, use escarotics : afterwards cica- trize. If there be loss of flesh, defend the part from the air with proper, mild, vulnerary dressings, while nature supplies the loss. In other respccts, N 2 150 ZED ZIN respect (the future excepted) proceed as above. If an artery or vein be wounded or divided, apply styptics, ligatures, &c. accord- ing to circumstances. If a nerve be divided in part, (as violent pain, convulsions, and de- lirium will indicate) divide it entirely; as must also be the case with a tendon or artery in like circumstances. If there be fever, bleed, purge, and give cooling febrifuges ; and if in- flammation, apply emollient poultices and fo- mentations. If the patient be low, and the wound do not go on kindly, bark, or other proper cordial and strengthening medicines, with suitable diet, should be prescribed. ZEDOARY, ROOT. Tonic, stimulant; gr. x. to ʒss ZINC, CALCINED. Emetic, tonic, antispasmodic ; gr. ss. to viij. It has been increased to ʒss. Also externally, as Tutty or Calamine, to either of which it is preserable. VITRIOLATED. Astringent; gr. ij. to-x. Emetic; gr. v. to ʒss. Ex- ternally, cooling, astringent. WATER OF VITRIOLATED Z. WITH CAMPHOR. Ex- ternally astringent. Diluted as a collyrium. A TABLE, A TABLE, exhibiting the Proportions of OPIUM, MERCURIALS, AND CATHARTICS, contained in the feveral Compositions into which they enter. Opiate confec-} contains of { Opium gr. I. tion, gr. 36 Pill Of Opium,} _ _ gr. I. gr. 5 Compound pow-} der of Chalk } _ _ gr. I. with Opium, gr. } 43⅔ Compound pow-} der of Ipecacu- } _ _ gr. I. anha, gr. 10} Opiate powder, } _ _ gr. I gr. 10 Tincture of Opi-} _ _ gr. 4[1/1]⅙ urn, m.* 3j. Camphorated } tincture of Opi-} _ _ gr. 1⅞ um, m. ℥j. } Ointment of white} {White calx of calx of Quick-} _ {Quickfilver, silver, 13 parts} {1 part. Ointment * Where m occurs, in this Table, it stands for meas- ure, in contradistinction to weight. 152 TABLE. Ointment of ni-} {Nitrated Quick trated Quicksil-} contains of {silver, 1 ver, 5 parts} {part. Stronger oint-} ment of Quick-} _ {Quicksilver, 1 silver, 2 parts} {part. Weaker ointment} of Quicksilver,} _ _ 1 part. 6 parts} Plaster of Am-} moniacum with} _ _ 1 part. Quicksilver, 5} parts Plaster of Li-} tharge with} _ _ 1 part. Quicksilver, 5} parts} Quicksilver with} _ _ 3 parts. Chalk, 8 parts} Quicksilver with} Sulphur, 2 parts} Pill of Quicksil-} _ _ gr. 2. ver, gr. 5} Powder of Scam-} {Calomel, gr. 1. mony with Cal-} _ {Scammony, omel, gr. 4} {gr. 2. Compound pow-} {Scammony, gr. 4 der of Scammo-} _ {Hard extract of ny, gr. 9} {Jalap, gr. 4 Compound 153 TABLE Compound pow-} {Scammony, gr. 3. der of Scammo-} contains of {Hard extract of ny with Aloes,} {Jalap, gr. 6. gr. 17} {Aloes, gr. 6. Compound pow-} {Scammony, gr. 2. der of Senna,} _ {Senna, gr. 8. gr. 19} {Crystal of Tar- Electuary of} {tar, gr. 8. Scammony, ʒss.} _ {Scammony, gr. Aloetic powder,} {5. gr. 15} _ Aloes, gr. 12. Aloetic powder} with Guaiacum,} _ _ gr. 1 gr. 2} Aloetic powder} with Iron, gr.} _ _ gr. 3. 11} Pill of Aloes, ℈j. _ _ gr. 12. Pill of Aloes with} _ _ gr. 14. Myrrh, ʒss.} Wine of Aloes,} _ _ ʒss m. ℥j.} Tincture of Al-} oes, m. ℥j.} _ _ gr. 15. Compound tinc-} ture of Aloes,} _ _ gr. 45. m. ℥j.} Tincture of Jal-} _ Jalap, 3ss. ap, m. ʒij.} Wine 154 TABLE. Wine of Rhu-} contains of { Rhubarb, ʒss. barb, m. ℥j.} Tincture of Rhu-} barb, m. ℥j.} _ _ ʒss Compound tinc-} ture of Rhu-} _ _ gr. 34. barb, m. ℥j.} Tincture of Sen-} _ Senna, gr. 45. na, m. ℥j.} Simple infufion of} _ _ ʒiss. Senna, m. ℥ij.} {Senna, ʒifs Tartarifed infu-} _ {Crystal of Tar- sion of Senna,} {tar, gr. 15. m. ℥ij.} {Senna, gr. 25. Electuary of Sen-} _ {Pulp of Caffia, na, ʒss.} {℈j. Pulp of Electuary of Cas- {Tamarinds, ℈j. sia, ʒij {Pulp of French {Prunes, ℈j {Pulp of Cassia, ʒj. {Manna, ʒj. Pulp {of Tamarinds, {℈ss. THE END. in a pint of wills Tartar Emetic - Dose 6 grs - 6 Ipeac. - 30 grs. --- 1/ Tulap - 40 grs --- 9d Salts from ℥j to ℥ij - 6d Rhubarb --- ʒj --- --- 1/ Tartar vit & Rhub. 3ss of each 1/ Calomel - grs 8 to 12 grs 9d & 20 Jalap Manna - ℥j --- --- 1/ Senna - 3ij - manna } & } - man. Sen. ⅙ sennel} Laudanum Paregoric Elix. Propeictat Fr Sacra vin Antimon -