.wp^ l&i /-/ ■VtA , ^t/u ^"4 \ v>^Vlo -r'/w 0 *., /I |L*il H &yior >.r NATIONAL LIBRARY OF MEDICINE Washington Founded 1836 U. S. Department of Health, Education, and Welfare Public Health Service :-m,. / o DISTRICT CLERK'S OFFICE. DISTRICT OF MASSACHUSETTS, TO WIT: BE it remembered, That on the thirtieth day of April, A. D. 1813, and in the thirty- seventh year of the Independence of the United States of America, THOMAS B. WAIT AND CO. of the said district, have deposited in this office the title of a book, the right whereof they claim as proprietors, in the words following, to wit: " The American New Dispensatory. Containing general principles of pharmaceutic chemistry. Chemical analysis of the articles of materia medica. Pharmaceutic operations. Materia medica, including several new and valuable articles, the production of the United States. Preparations and compositions. With an appendix, containing an account of mineral waters. Medical prescriptions. The nature and medical uses of the gases. Medical electric;ty. Galvanism. An abridgment of Dr. Currie's reports on the use of water.' The cultivation of the poppy plant, and the method of preparing opium. And several useful tables. The whole compiled from the most approved authors, both European and American, By James Thach.'i-, M. D. Fellow of the American Academy of Arts and Sciences, and of the Massachusetts Medical Society, and honorary member of the Georgia Medical Society. Second edition." In conformity to the act of the Congress of the United States, intitled, " An Act for the Encouragement of Learning, by securing the Copies of Maps. Charts, and Books, to the Authors and Proprietors of such copies, during the times therein mentioned;" and also to an act intitled, " An act supplementary to an act, intitled, an act for the encouragement of learning, by securing the copies of Maps, Charts, and Books, to the authors and proprie- tors of such copies during the times therein mentioned; and extending the benefits thereof Co the Arts of Designing, Engraving, and Etching Historical, and other Prints." WILLIAM S. SHAW, Clerk of the District of Massachusetts. RECOMMENDATION. 3=E HEFORT OF A COMMITTEE OF THE MASSACHUSETTS MEDICAL SOCIETY. The Committee appointed by the Massachusetts Medi- cal Society, to examine a manuscript submitted to their inspection by Doctor James Thacher, under the title of the American New Dispensatory, have performed that service as minutely as their various avocations would admit 5 and are of opinion, that a work of this kind is much wanted at the present period, on account of the improvements and important discoveries, which have been made in chemical science within a few years, by which the existing publications have been in some measure su- perseded. Dr. Thacher appears to have made his compilation from the most approved modern publications, and to have adapted it to the purpose of " a standard work, exhibiting, in familiar language, and a concentrated form, the prin- ciples of modern pharmacy, chemistry, and materia medica.*' Many of the ancient pharmaceutical articles and pre- parations, which experience has proved to possess little or no value, have been left out of the work, by which means it is compressed into a smaller compass, and ren- dered less expensive than most European publications of the same kind. A number of indigenous substances are introduced into the Materia Medica, which have been hitherto unknown, or which, though their properties are in some instances highly active, have never been brought into general use. iv RECOMMENDATION. As it appears to have been a principal object of Dr. Thacher to adapt the work to American practice; and, as he has adopted for the basis of his work the Pharma- copoeia of Massachusetts, lately published by the Medical Sooiety, and recommended for general use, they are of opinion, that it will co-operate with the views of the So- ciety in that publication, especially as " its nomenclature and order of arrangement seem to be strictly observed" in the manuscript. They therefore conclude, that it will be for the interest of medical science in this country, to encourage the work, and that it may be the means of exciting a more general attention to the medicinal virtues of American productions, many of which might be introduced into the Materia Medica, and advantageously, as well as econo- mically, supply the place of foreign articles. JOHN WARREN. AARON DEXTER. JOSIAH BARTLETT. Boston, October 1±, 1809. TO JOHN WARREN, M. D. PROFESSOR OF ANATOMY AND SURGERY IN THE CNIVERSITY Or CAMBRIDGE, AND PRESIDENT OF THE MASSACHUSETTS MEDICAL SOCIETY. SIR, Were any apology necessary for the liberty I have taken, of inscribing to you the following sheets, without previously soliciting your assent, it might be found in the various relative circumstances, which designate you as the most proper patron of the work. You have been eminently instrumental in the establishment and advance- ment of the philanthropic institutions over which you preside; while the applause of the public bears ample attestations to your pre-eminent attainments in medical science, and numerous qualifications as a distinguished teacher of medicine. But, if permitted to indulge, on this occasion, considerations of a more personal nature, I might recur to that interesting period, when officiating in a military hospital, I experienced from your benefi- cence civilities and acts of friendship yery propitious at the time ,• and which, with more recent instances of friendly intercourse, I shall ever recollect with the most pleasing emotions. Permit me, therefore, to profier this dedication, as a tribute of respect and gratitude, accom- panied with my fervent wishes, that you may long continue to exhibit to the public and to your friends thos? virtues and that benignity, which are conspicuous traits in your character. vi DEDICATION. It has become one of the felicities of your day to have associated with you as coadjutor a son, whose talents and intelligence have already attracted public attention, and whose prosperity is peculiarly interesting to yourself.* May this important union, so auspicious to the medical character of our country, with your excellent example and influence, excite emulation in the field of science, and prove a shield to the community against the baneful effects of medical demerit and empiricism. I am, sir, with sentiments of profound consideration, Your most obedient servant, JAMES THACHER. Plymouth, January 1,1810. * John C. Warren, M. D. recently elected adjunct Pro- fessor of Anatomy and Surgery. / PREFACE TO THE FIRST EDITION. Such has been the series of improvements in Chemical Science for the last thirty years, that Dispensatories and Pharmacopoeias have in constant succession been super- seded and rendered obsolete. Those gentlemen, there- fore, whose education is not of modern date, are sub- jected to the alternative, either of making continual accessions to their libraries, or of treating with disrespect the prevailing systems of the day. Medical students seldom have leisure to search the pages of numerous volumes on the subject; and there is much reason to apprehend, that candidates frequently commence their professional duties under circumstances extremely inaus- picious as respects this branch of education. The mutual duties, therefore, both of the medical instructer and the student, might be facilitated by a standard work, exhi- biting in familiar language, and in a concentrated form, the principles of modern Pharmacy, as well as those of Chemistry and Materia Medica, to which it is so closely allied. European Dispensatories, it will be conceded, are not well suited to the views and purposes of American physi- cians : they still contain in their catalogues many anti- quated substances and Pharmaceutical preparations, whose medicinal powers are found by experience to be too trivial to entitle them to consideration ; while some valuable remedies employed in this country have not been introduced. The Epitome of Chemistry, and a variety of tables, plates, &c. with the Pharmaceutic apparatus, occupying nearly one hundred and fifty pages in Dr. Dun- Vlii PREFACE TO THE FIRST EDITION. can's Dispensatory, are altogether omitted in this work : and the more concise and perhaps no less judicious *» Ge- neral Principles of Pharmaceutic Chemistry" of Mr. Murray, are substituted. Under the head of Prepara- tions and Compositions, the amticgous officinals of the three British Pharmacopoeias, are inserted in his Dis- pensatory ; and in some instances the different processes of each are particularly described. These, although of utility in a scientific view, are not to be considered as indispensable to American practitioners in general: nor do they comport with the plan here prescribed. The Pharmacopoeia of the Massachusetts Medical Society, it will be confessed, is not inferior in [Mi'.nt of merit to any other. It contains an ample and judicious selection of medicinal substances and preparations ; but, being intended merely as a standard of uniformity, the natural history, chemical properties, and medicinal vir- tues of natural and artificial substances, and their appli- cation as remedies, not being appropriate subjects, were inadmissible in such a work. Indeed, since the appear- ance of that production, the expediency of a concise compilation adapted to our own practical use, has become more evident; and from the desire of co-operating with the views of the Massachusetts Medical Society, their Pharmacopoeia is adopted as the basis of this work, and its nomenclature and order of arrangement are strictly followed throughout. It is, however, to be considered in the character of a compilation only; and when other than the language of the original is substituted, it is with the view of condens- ing the subject. The general principles of Pharmaceutic Chemistry, general analysis of the articles of Materia Medica and classification of Medicine, taken from Mur- ray's Elements, will be found to enrich the first part of this volume. With respect to the natural history, chemical composition, and properties of medicinal sub- stances, both Duncan and Murray, together with the PREFACE TO THE FIRST EDITION. ix American Dispensatory by Dr. Cox, have been carefully consulted, and the same respectable and well established authorities have been the sources resorted to for informa- tion relative to officinal preparations and compositions. The munificence of Providence is so amply displayed in our country, that it may not be deemed too enthusi- astic to anticipate the happy period, when by the asso- ciated labours of medical men, our Materia Medica shall be copiously furnished from the three kingdoms of na- ture, with such materials, as will derive additional value from the consideration of their domestic origin, and the facility with which they may be procured. Several indi- genous substances, not to be found in any other Dispen- satory, have, on this occasion, received proper attention, and their respective characters delineated under all the advantages which the most unexceptionable sources of information could afford. Professor Barton, whose au- thority is held in universal respect, furnishes in his valu- able collection for a Materia Medica of the United States, the requisite information relative to most of these pro- ductions. On some occasions the compiler has had recourse to that excellent publication, the Domestic Encyclopedia, edited by Dr. Mease, and also the commu- nications to be found in the several volumes of the Medical Repository of New York. In other instances, where important information re. specting medicinal substances has been announced by American physicians, or otherwise found floating on the surface of science, he has not failed to collect, and incor- porate into the general mass. To the Rev. Dr. Cutler acknowledgments are due for his botanical account of indigenous vegetables,* in which are described some productions that have hitherto escaped the investigation of other writers ,• and we are induced to hope, that, from the more extended researches of this * Vid. Memoirs of the American Academy of Arts and Sci- ences, vol. I. X PREFACE TO THE FIRST EDITION. respectable botanist, the public will derive advantages still more considerable. Although the appendix augments the size and price of the volume, its contents will be found to afford the reader ample compensation. Indeed, the advantages derived from access to public and private libraries, and an exten- sive correspondence, have been accompanied with a dili- gent and zealous application to the subject, and a con- stant endeavour to compress in this volume an unusual mass of well authenticated medical facts, embracing ob- jects of solid and practical utility. Plymouth, Mass. January 1, 1810. PREFACE TO THE SECOND EDITION, vVhen the American New Dispensatory was first pre- sented to the public, it was contemplated as an essay to ascertain how far such undertaking would be received and encouraged by the learned faculty of the United States, among whom, the character of the compiler was unknown. He is unable to express the grateful emotions excited by the unexpected honour and patronage which have already been bestowed on the work; the whole number of one thousand copies having been disposed of in about two years. The flattering accounts relative to the employment, as remedies, of many of our indigenous vegetables, first introduced in that Dispensatory, en- hances the source of satisfaction, and increases his soli- citude to render the work still more deserving of publie auspices and confidence. The second edition, now offered, if not enriched with all the improvements of which the original is susceptible, will nevertheless be found to contain numerous additional articles of acknowledged virtues, some of which have not been introduced into any preceding Dispensatory. A large proportion of every Materia Medica is derived from the vegetable kingdom, and the wise Author of Nature, who clothes the earth with rich productions, has probably furnished every climate with the most appropriate reme- dies for its own peculiar diseases; and in no country, perhaps, has the Divine hand been more bountiful than in our own. Foreign drugs are not at all times to be procured, are always expensive, and not unfreqiiently Xll PREFACE TO THE SECOND EDITION. sophisticated, and some of them less efficacious than remedies derived from our own soil. Some may be surprised that so few of our productions have been incorporated into medical catalogues : but this is not to be expected until, by botanical researcSi and inquiry, we attain a more perfect knowledge of their virtues and properties. Of all the branches of our pro- fession, medical botany and Materia Medica have been the least cultivated and made the slowest progress among men of science in New England. ,Few subjects, there- fore, can, at the present period, excite greater interest than a systematic investigation of the medical character and properties of our native productions, and assigning them their respective rank in the Materia Medica. Every thing invites and constrains to explore the recesses of the mountains and fields ,♦ for the earth is replete with riches. Let the cultivating hand of science be extended ' to bring into view the hidden treasures which have so long remained unenjoyed. If the native Indians possess- ed a knowledge of practical botany and formed a Materia Medica of sufficient powers to fulfil their medical purposes, what may not be expected to result when theoretical and practical botany shall be combined with accurate experi- ments and observations under all the advantages of modern improvements? A correct botanical arrangement of our medicinal ve- getables, distinguishing the several species of foreign plants from those that are peculiarly American, would be of the greatest utility, as the means of obviating that confusion and embarrassment so frequently experienced from the application of English names to American plants. This presents an extensive and very profitable field, inviting young candidates for medical degrees to exercise their talents and display their taste and ingenu- ity. The subject is inexhaustible, and every judicious theme appertaining to it will be viewed as an important acquisition, honorary to the author, facilitating his own. PREFACE TO THE SECOND EDITION. xiii improvement, and contributing to the great object of fabricating an American Materia Medica. In arranging the botanical part of this improved edi- tion, it was not conceived essential to specify the particu- lar class and order; but merely to detail the distinctive character of plants in language that will enable the attentive observer to recognise them in the herbarium, or while waving in their native state in the field. For the convenience of the young student and botanist, a glossary of botanical terms employed, will be found in the appendix of the work. Among the new subjects introduced, oxide of bismuth, in gastrodynia and pyrosis; veratrum album, as the basis of the Eau medicinale d'Husson, so celebrated in gout and rheumatism; are of themselves sufficiently important and valuable to inspire the most zealous interest and attention. The new reme- dy for consumption and other diseases of the lungs, the Mcomorque of South America, is noticed so far as our limited knowledge of its character will permit. The department of preparations and compositions, seemed to require little or no addition, it has therefore received only a few formulae from Dr. Powel's late trans- lation of the London Pharmacopoeia. The subject of mineral waters, the analysis of those of Balston and Stafford, together with an account of artifi- cial mineral waters, which occupy a few pages in the appendix, are of such obvious utility, that a Dispensatory would, at the present day, be considered as greatly incomplete if these were excluded. Upon the whole, every practicable endeavour has been exerted with the hope of bestowing on the various sub- jects connected with this work, that investigation and inquiry which their great importance demand, and of deriving correct information from every source which is supposed to claim public confidence and respect. Pr/VMOUTU, January 1, 1813. TABLE OF CONTENTS, Page Introduction............. xxi PART I. General principles of Pharmaceutic Chemistry .... ^5 Sect. I. Chemical Analysis of the articles of the Materia Medica............25 Sect. II. Pharmaceutic operations.......78 PART II. MATERIA MEDICA. Classification of Medicines, and a view of the operation of Medicine on the living system ......97 Class I. Narcotics...........97 II. Antispasmodics . ,.......100 III. Tonics............101 IV. Astringents...........103 I0CAL STIMUIANTS. V. Emetics............105 VI. Cathartics.......... 108 VII. Emmenagogues.........112 VIII. Diuretics............113 IX. Diaphoretics..........114 X. Expectorants ..........116 XI. Sialagogues ..........117 XII. Errhines............118 XIII. Epispatics and rubefacients * ... 118 XVI TABLE OF CONTENTS. REMEDIES ACTING CHEMICALLY. Page XIV. Refrigerants..........120 XV. Antacids............121 XVI. Lithbntriptics..........122 XVII. Escharotics...........122 REMEDIES ACTING MECHANICALLY. XVIII. Anthelmintics..........123 XIX. Demulcents..........123 XX. Diluents............124 XXI. Emollients...........124 PART III. PRAPARATIONS AND COMPOSITIONS. Chap. I. Sulphur............381 II. Acids, alkalis, earths, and their compounds 382 III. Metalline preparations.......421 IV. Ether and etherial spirits ......459 V. Expressed and inspissated juices .... 464 VI. Fixed oils.and oily preparations .... 468 VII. Distilled waters and spirits......471 VIII. Volatile oils........... 475 IX. Infusions and decoctions......480 X. Emulsions and mucilages.......488 XI. Syrups............491 XII. Medicated vinegars ........496 XIII. Tinctures...........498* XI\r. Medicated wines .........519 XV. Extracts .'..........524 XVI. Powders............527 XVII. Conserves and electuaries......532 XVIII. Troches............535 XIX. Pills.............537 XX. Cataplasms...........545 XXI. Liniments, ointments, cerates and plasters . 548 TABLE OF CONTENTS. xvii APPENDIX. No. I. Of mineral waters.........565 II. Medical prescriptions........575 III. On the nature and medicinal uses of the gases 578 IV. Medical electricity ........587 V. Galvanism ......'..... 592 VI. An abridgment of Dr. Currie's medical reports on the use of water........595 Cold and warm bathing........640 VIII. Method of cultivating American opium . . 647 TABLES. Table of synonymes of the medicines, simple and compound, in the pharmacopoeias of London, Dublin, and Edinburgh.........652 Table, shewing the proportion of antimony, opium, and quicksilver, contained iu some compound medicines............. 687 A Glossary of botanical terms........689 English Index ............695 Latin index..............721 TULIP, OR POPLAR TREE. [The author is indebted to Dr. S. Drown, for the following useful information respecting the tulip or poplar tree, which he deems important and necessary to be communicated to the public, although received too late to be inserted in the proper place.—See page 257.] Liriodendron Tulipiiera. Tulip, or Poplar Tree. "The Liriodendron tulipifera, tulip or poplar tree grows throughout the United States of North America. The best time to procure the bark for medicinal purposes, is in the month of February; as the sap at this time, being more confined to the root increases its virtue. It possesses the qualities of an aromatic, a bitter, and an astringent; the bitter quality is greater, the astringent less than in the Peruvian bark. It likewise possesses an aromatic acrimony; hence I infer, it is highly antiseptic and powerfully tonic. I have prescribed the poplar bark in a variety of cases of the intermittent fever ; and can declare from experience, it is equally efficacious with the Peruvian bark, if properly administered. In the phthisis puhnonalis, attended with hectic fever, night sweats, and diarrhea, when combined with laudanum, it has frequent- ly abated these alarming and troublesome symptoms. I effectually cured a Mr. Riser, fifty years of age, who was afflicted with a catarrh and dyspeptic symptoms for five yi-ars, which baffled the attempts of many physicians, and the most celebrated remedies, by persevering in the use of the poplar bark for two weeks. I can assert from experience there is not in all the Ma- teria Medica, a more certain, speedy and effectual remedy in che hysteria, than the poplar bark combined with a small quantity of laudanum. I have used no remedy in the cholera infantum but the poplar, after cleansing the prima; vise, for these two years. It appears to be an ex- cellent vermifuge. I have never known it fail in a single case of worms which has come under my observation. I prescribed it to a child when convulsions had taken place. After taking a few doses, several hundreds of dead asca- XX POPLAR TREE. rides Were discharged with the stools. The do*e of the powder to an adult, is from a scruple to two drachms, it may likewise be used in tincture, infusion, or decoction ; but its virtues are always greatest when given in sub- stance." The foregoing is part of a letter addre'ssed to Go- vernor Clayton of Delaware in 1792, by Dr. J. T. Young, of Philadelphia. (American Museum, Vol. 12.) In his reply, the Governor observes, " During the late war the Peruvian bark was very scarce and dear. I was at that time engaged in considerable prac- tice, and was under the necessity of seeking a substitute for the Peruvian bark. I conceived that the poplar had more aromatic and bitter than the Peruvian, and less astringency. To correct and amend those qualities I added to it nearly an equal quantity of the bark of the root of dogwood (cornus ilorida or boxwood) and half the quantity of the inside bark of the white oak tree. This remedy I prescribed for several years, in every case in which I conceived the Peruvian bark necessary or pro- per with at least equal if not superior success. I used it in every species of intermittent, gangrenes, mortifica- tions, and in short in every case of debility. It remains to determine whether the additions of those barks to the poplar increases its virtues or not; this can only be done hy accurate experiments in practice." A further account of the analysis and virtues of this medicine is given by Professor Rush in the transactions of the College of physicians of Philadelphia and in a paper published in one of the volumes of Tilloch's Phil. Magazine. Eupatoritjm Perfoliatum. [See p. 217 of this work.] After the printing of this work was completed, an inaugural dissertation on the Eupatorium perfoliatum by Dr. Andrew Anderson, of New York, was politely commu- nicated. The production evinces ingenuity and ability, and its contents are interesting and important. His investigation is judicious, and experiments executed in a manner highly creditable to the character of the author. He designates the species in the following botanical terms: E. Perfoliatum. Lin. E. Virginianum. Morris Hist. E. Virginianum. Pluk. Mm. E. Connatum. Mich. Flor. Bor. timer. He then proceeds to enumerate the various trivial names by which the plant has long been familiarly known throughout the United States, such as thoroughwort, indian-sage, cross- Avort, bone-set, vegetable antimony, &c. The chemical properties of this plant the author has ascertained by accurate analysis, and its medicinal virtues by practical experiment. According to his chemical experiments it seems to be satisfactorily proved, that the E, Perfoliatum . contains firstly a free acid; secondly, tannin; thirdly, extractive matter; fourthly, a gummy matter; fifthly, a resin ,• sixthly, azote; seventhly, lime, probably the ace- tate of lime; eighthly, gallic acid, probably modified; ninthly, a resiniform matter, soluble in water and in alcohol, and which seems to contain a bitter principle. Hence he deems it warrantable to conclude that this plant possesses active medicinal properties; that many of them are similar to those which characterize the cinchona officinalis, the anthemis nobilis, and other valuable arti- cles of the materia medica ; but that these virtues reside in greatest quantity in the leaves. As pharmaceutical preparations of this plant the author recommends the decoction of the flowers and of the leaves ,• infusions of the same parts; the leaves in sub- stance pulverized; and a tincture of the flowers and of Che leaves, prepared with proof spirits. This last form X\ii EI'PATOIUUM PERFOLIATUM. is the most pleasant and convenient, and at the same time the most powerful, for proof spirits was ascertained to be the best menstruum. Our author does not hesitate to assert that the chemical properties of E. Perfoliatum as deduced from experiment are in very many respects exactly similar to the peruvian bark; and that for its active medicinal virtues, particularly as a sudorific and as atonic, it will not suffer by comparison with any of the articles drawn from the vegetable kingdom. In addition to his own opportunities of witnessing the employment of this plant, in different diseases in the New York Alms- house, he appeals to the observations and experience of several distinguished practitioners, particularly of Dr. Barton and of Dr. Hosack for the importance and efficacy of this remedy in the treatment of most febrile disorders, particularly in intermitting and remitting fevers, yellow fever, and in other disorders of specific contagion; in many cutaneous affections, and in diseases of general debility. It may however be observed, that if it be exhibited as a warm decoction, it often proves emetic, and acts especially upon the skin, in producing diapho- resis : if in the form of cold infusion or decoction, or in substance, it acts as a powerful tonic. Dr. Anderson proceeds to detail six cases of intermittent fever in which after a single evacuant the thoroughwort effected radical cures, and adds that the same remedy was administered in almost all the instances of intermittents that occurred in the New York alms-house in the year 1812 to the exclusion of the Peruvian bark, and with uniform success. It was given either in decoction, or in powder from 20 to 30 grains every second hour during the intermission. In remitting fever, as a sudorific it produced the most salu- tary effects, and in those cases where tonics were indi- cated it proved no less advantageous. In the treatment of yellow fever he adduces the high authority of Dr. Hosack and Dr. Bard, who after proper evacuations placed almost exclusive dependence on sudorifics, and among this class of medicines the eupatorium adminis- tered in the form of decoction was deservedly considered of great value. The disease called by some the petechial or spotted fever, and by others the malignant pleurisij or typhoid peripneumony has been more successfully treated by the class of remedies denominated sudorifics than by any other, and in many cases of this epidemic which EUPATORIUM PERFOLIATUM. xxiii occurred in the city of New York in the winter of 1812- 13 after the proper evacuations had been employed, the eupatorium was resorted to, and its sudorific, its tonic and its cordial properties were clearly demonstrated, and much benefit was derived from its use. In some obstinate cutaneous diseases according to Dr. Barton eupatorium has produced very beneficial effects. During the author's attendance in the New York alms-house in the year 1812 very liberal recourse was had to this remedy in diseases arising from general debility. In anasarcous affections of the extremities, and in ascites when it may be consi- dered as a disease of debility, the alcoholic tincture of eupatorium may be safely recommended as an excellent tonic ; and in addition to its tonic effects, the properties of a diuretic render the employment of it still more advantageous in cases of this description. INTRODUCTION. JVl 4teria medica, understood according to the strict definition of the term, is that department of the science of medicine which relates to the knowledge of remedies, or of the effects produced in the human system by such substances as are employed for the removal of disease* The objects to be attended to in its study are the natu- ral iiistory, the chemical composition and properties, and the medicinal powers and applications of the substances which belong to it. The natural history of these substances is of utility in furnishing appropriate characters by which they may be distinguished. Many of them bear a close resem- blance to each other, and can only be discriminated by those minute and accurate distinctions which the methods of natural history afford; From the intimate connection which frequently sub- sists between those properties on which natural classifica- tion is established, and the various qualities with which bodies are endowed, natural history is likewise, to a cer- tain extent, capable of affording indications of the virtues of remedies. Thus, in the vegetable kingdom, the diffe- rent species of the same genus, and even the different genera of the same natural order, are composed of sub- stances which frequently exert the same actions on the living system; yet to this connection there are excep- tions so numerous and important, that it is incapable of just application to any considerable extent; it can only suggest conjectures, which require to be brought to the test of experiment. 3* xxvi introduction. The more full description of the sensible properties of the articles of the materia medica, affords the most obvi- ous method of distinguishing them, and in many eases the easiest and most certain criterion of their purity and per- fection. It has likewise been imagined, that the sensible qua- lities of medicines afford indications of their peculiar powers. Those, for example, which are inodorous and insipid, are seldom active remedies; and those which have a similarity in taste or in flavour, have also a gene- pal resemblance in their virtues. But though indications of this kind may be partially true, they are extremely limited in their application, and are liable to many causes of obscurity and error. The chemical history of the articles of the materia medica, embraces several important subjects of inquiry. Their analysis, especially that of those belonging to the vegetable kingdom, has been supposed capable of leading to a knowledge of their virtues; and the opinion does not a priori appear improbable, since the medicinal powers of any compound body, in common with its other internal properties, must arise from its peculiar compo- sition. Without any reference, however, to the very imperfect analyses of the older chemists, it may be re- marked, that even from the researches of modern che- mistry little information of this kind can be acquired. It may be discovered, indeed, in what proximate principle of any vegetable substance its virtues reside ; but this affords no previous indication of these virtues. Nor can the analysis of these principles explain the source of the powers which are attached to them in particular substances; the peculiarities of composition from which these may originate, being] by far too subtile to be de- tected by chemical means. Chemistry, however, is in other respects more directly useful in its application to the materia medica. It ena- bles us, by the use of proper solvents, or by the due appli. INTRODUCTION. XXV ii cation of heat to separate those proximate principles of vegetables in which their virtues reside, from other inert or noxious matter with which they may be mixed ; it as- certains how far these processes are useful, points out those changes in composition by which the virtues of the substances acted on are frequently altered, and the means by which such injuries may be lessened or pre- vented. Similar advantages are obtained from its applica- tion to the few products of the animal kingdom that are used in medicine. Those which are derived from the mineral kingdom, can be employed with advantage and discrimination only when their composition is known; and the analyses of these substances have exploded many- errors respecting them, have enabled us to distinguish them from each other, have pointed out the identity of others, and have rectified the processes by wliich they are prepared. By new combinations, chemistry furnishes us with many remedies equally active and important with those afforded by nature; and by pointing out the mutual che- mical action of different substances, it guards against the errors which might arise from improper mixtures. THE AMERICAN NEW DISPENSATORY. PART I. OF THE GENERAL PRINCIPLES OF PHARMACEUTIC CHEMISTRY. Pharmaceutic Chemistry is that branch of chemical science which investigates the composition of bodies, and considers their mutual chemical relations, so far as these are connected with their medicinal properties and appli- cations. It connects the doctrines of Materia Medica and Pharmacy, and forms a proper introduction to the study of each; an exposition of its principles being necessary in delivering the history of the articles of the Materia Medica, and being not less indispensable in explaining the operations of Pharmacy. It includes two subjects, first, the analysis of bodies, so far as relates to the enu- meration of their constituent principles; and secondly, the general operations to which they are subjected in their preparation as remedies. SECTION I. Of the Chemical Jhialysis of the articles of the Materia Medica. The ultimate object of chemical investigations is to discover the composition of bodies; and the result of these investigations is the reducing them into two classes, those wliich are simple and those which are compound. The 26 PHARMACEUTIC ClliiMlSTRY. former are such as consist of parts perfectly alike; the most minute particles into which a simple body can be resolved, retaining all its essential properties, and b^ing similar to each other. Compound substances can, on the contrary, be resolved into parts different in their qualities from each other, and from the compound which they had formed. It is from the union of simple substances that compounds arc produced. When two simple bodies are placed in contact, under certain circumstances, an attraction is often exerted by the particles of the one to those of the other: they unite and form a compound, having peculiar properties. These compounds are farther capable of combining with other simple bodies, or with each other, which gives rise to a series of bodies still more extensive; and these again are capable of new combinations, or of such intimate mixtures with each other, as to form many peculiar substances. There are thus produced, from a few simple substances, all the products of nature, and all those wliich are the results of the operations of art. It is the province of chemistry to trace these com- binations; to determine whether bodies are simple or compound, and, if compound, to ascertain the number of their constituent principles, the proportions, and the modes in which they are combined. The general process by which these objects are attained, is termed, in the language of chemistry, analysis. It is merely the separation of a compound body into its con- stituent parts, and is effected either by the agency of heat, or by the exertion of a superior attraction. The analysis from the application of heat, differs ac- cording to the composition of the body analyzed. If a compound, consisting of two simple substances, be expos- ed to heat, it in many eases happens that the mutual attraction by which its principles were united ceases, and a decomposition or separation of these principles takes place. This is an example of pure analysis; no change being produced, but merely the separation of the compo- nent parts of the compound, so that each is obtained in its original state. An analysis more complicated is that where several substances are combined together, in such a manner that their attractions are reciprocally balanced, and one com- pound is formed. When a compound of this kind is PHARMACEUTIC CHEMISTRY. 27 exposed to a high temperature, this balance is frequently subverted, and the compound is decomposed. But its constituent principles, instead of passing off pure, enter into new combinations with each other, and form other compounds, each of which may be collected, and in its turn analyzed. It is in this manner that vegetable and animal substances are acted on by heat: the products afforded by their analysis are not such as pre-existed in them, but are compounds formed during the decomposi- tion, from newr combinations of their ultimate constituent principles. This is what is named false or complicated analysis. Chemical analysis is also effected by the exertion of a superior attraction. If a compound be placed succes- sively with different substances in situations favourable to the operation of chemical action, one or other of these substances may exert a superior attraction to one or other of its component parts ; a decomposition will be produced, and from the products the const ituent princi- ples of the compound as well as their proportions may be determined. As compound substances can combine together so as to form a new compound, it is obvious, that this compound may be resolved either into the im- mediate principles from the union of v/hieh it has been formed, or into those of which these consist. It is ne- cessary, therefore, that these should be distinguished. The former are accordingly named the proximate prin- ciples of a compound ; the latter the ultimate principles. The proximate principles are of course compounds ; the ultimate principles are the elements of these compounds; and the results of analysis are extremely different, ac- cording as one or other of these is obtained. When by analysis the constituent principles of a body have been obtained, they may often be combined again, so as to reproduce the substance analyzed. This operation is named Chemical Synthesis ; and when it can be effected, is the surest proof of the accuracy Of the analysis. In analyzing the various products of nature, we arrive ultimately at substances which we are unable to decom- pose, and which are therefore regarded as simple. The absolute simplicity of these is not indeed established ; for our inability to decompose them may not arise from this, but from the imperfections of our modes of analy- sis ; and it is even probable, that all the' substance* 28 PHARMACEUTIC CHEMISTRY. which are yet knoAvn to us may be compounds, and that a more refined chemistry may discover their composi- tion. Until this be accomplished, however, they are re- garded as simple, and they are so with regard at least to our knowledge of them. As the ultimate principles, therefore, of all analysis, they are first to be considered in proceeding to the general analysis of the articles of the Materia Medica. Of these bodies, oxygen is the most important. There is no simple substance which exerts an attraction to so many others, or which gives rise to such important com- pounds. With a few exceptions, indeed, all the produc- tions of nature are either capable of combining, or are already combined with this principle ; and the develop- nient of its agencies constitutes the most extensive and important part of chemical science. * Oxygen always exists in the gaseous state : when it en- ters indeed into combination with other substances, it often becomes concrete; but its properties are at the same time changed, and its descriptive characters are therefore taken from it as it exists in the aerial form. Like other gases it is invisible and elastic; its specific gravity is rather greater than that of atmospheric air; it is absorbed by water, but in a very small proportion. The distinguishing properties of oxygen gas are those of supporting respiration and combustion. An animal lives much longer in this air than it does in any other; and combustion in it is more vivid and durable. It is st simple is precipitating it from the infusion of a vegetable astringent by lime water, and afterwards submitting the compound of lime and tannin, which is formed, to the action of dilute muriatic acid, Avhich abstracts the lime, and leaves the tannin. Tannin evaporated from its solution is loose and friable, having a resinous fracture, of a broAvn colour, a peculiar odour, and a taste rough and bitter. It is soluble in water, cither cold or Avarm, and in alcohol not very highly rec- tified. It appears to suffer decomposition from exposure to the air in a humid state. By the acids, it is precipi- tated from its watery- solution, and by some of them is decomposed. It unites with the alkalis, forming soluble compounds; Avith the earths it forms compounds of spar- ing solubility; it exerts affinities tqjpthe metallic oxides, and it is principally from its action that infusions of vegetable astringents produce dark coloured precipitates with metallic salts. Exposed to heat, it affords an acid liquid, an oil, and a considerable quantity of carbonic acid, leaving a spongy charcoal. Its action on animal gelatin is its most important property in relation to the object of the present outline, as on this probably depends its astringent power; it com- bines with it, forming an insoluble precipitate, whence it corrugates and renders more dense the animal fibre of which gelatin constitutes a principal part. It exists in all the poAverful vegetable astringents, mixed Avith ex- tractive matter, mucilage, gallic acid, and other princi- ples. It has also been established, that it is capable of being artificially formed, principally by the action of sulphuric and nitric acids on vegetable products which abound in carbonaceous matter. Vegetable Acids. The acid found in the juices and other parts of plants, is not always the same. Not less than seven acids, different from each other, are of vege- table origin,—the gallic, oxalic, malic, citric, tartaric, benzoic and acetic. To these may be added the prussic, t hough this is more peculiarly formed from animal matter. Gallic Acid. The existence of this acid in some of the more powerful astringents, particularly in the gall nut, can be discovered by their Avatery infusion reddening the infusion of litmus. If the concentrated infusion be left 9 66 P11ARMACI I TIC CHEMISTRY. exposed to the air for some months, this acid is deposited in the state of a en stalinc deposite, mixed with mucous flakes, from which'it maybe purified. It may also be obtained by sublimation from the gall nut, or even by distillation with water, though it is doubtful whether, as procured by these or other processes, it is altogether free from tannin; that by sublimation appears to be most so. By crystalization it is obtained in slender prisms of a white'colour; its taste is sour, and it reddens the vegeta- ble colours; it is soluble in twenty-four parts of cold, and in less than two parts of boiling water; it is also soluble in alcohol. It suffers decomposition from heat, and the process indicates a large quantity of carbon in its com- position. It combines With the alkalis and earths, and also Avith the metallic oxides, forming Avith the latter, in general, coloured precipitates; it is doubtful, however, whether these coIoM\ are not in a great measure derived from the tannin aulrcring to it. Gallic Acidxv&s at one time supposed to be the principle of astringency, from being contained in the vegetable astringents, and giving a dark colour Avith the salts of iron, the chemical test by which astringency appears to be indicated. It is doubtful, however, as has been just remarked, whether this latter property does not arise from the presence of tannin : the colour it docs produce is less deep too, than that which the infusion itself strikes: and the acid in its insulated state has no astringency: tannin is much rather to be considered as the astringent principle, and it exists accordingly in some of the more poAverful vegetable astringents, as in catechu or kino, with scarcely any trace of gallic acid. Malic Acid is contained in the juice of unripe apples. and other fruits, it is uncrystalizable, forming when eva- porated merely a thick liquor, which, if the heat be continued, becomes charred. By this and by the proper- ties of the salts which it forms, it is principally distin- guished from the other vegetable acids. Citric Acid often accompanies the malic acid in the juices of unripe fruits, and it exists in a purer form in the juice of the lemon and lime fromAvhich it is extract- ed; the mucilaginous matter of the juice being separated by alcohol. It crystalizes in rhomboidal prisms; which, Avhen it is pure, are colourless; its taste is extremely sour, it is abundantly soluble in ay atcr; its solution under- PHARMACEUTIC CHEMISTRY. 67 goes spontaneous decomposition, but the crystalized salt can be preserved Avithout injury. The more poAverful acids decompose it, converting it principally into acetic acid. Oxalic Acid exists in the juice of the sorrel (oxalis acetosella) and some other plants, combined with a portion of potash not sufficient to neutralize it. It can also be artificially formed by subjecting fecula, gum, or sugar, to the action of nitric acid. It crystalizes in slender prisms of a white colour; its taste is extremely sour; it is solu- ble in twice its weight of cold Avater, and an equal Aveight of boiling Avater, it is also soluble in alcohol. It is de- composed by the more poAverful acids: in its decomposi- tion by heat, it affords little empyreumatie oil; hence it appears to contain a small proportion of hydrogen; and as some of the other vegetable acids are converted into it by the action of nitric acid, there is probably a large proportion of oxygen in its composition. The test by Avhich it is peculiarly distinguished, is the insoluble pre- cipitate it forms with lime, which it attracts from all the other acids. Tartaric Acid. This acid, as it exists in vegetables. is usually combined Avith potash, in such a proportion, however, as to leave an excess of acid in the combination. This forms the super-tartrite of potass which is contain- ed in a number of vegetable fruits. It is deposited from the juice of the grape in its conversion into Avine, or in the slow fermentation wliich the Avine suffers Avhen kept. The acid procured from this salt is in tabular crystals, transparent; they are very soluble in Avater, the solution when concentrated being of an oily consistence. It is decomposed by heat, affording a large quantity of liquid acid little changed, with much carbonic acid gas. By nitric acid repeatedly distilled from it, it is converted into oxalic acid. This acid is an important one in phar- macy, from the numerous combinations of it applied to medicinal use. Benzoic Acid is obtained from the vegetable balsams, generally by the process of sublimation. It condenses in slender crystals, Avhite and brilliant. It is volatile, as this mode of preparation shews; its vapour is also inflam- mable, it is very sparingly soluble in cold water, but abundantly in hot wafer, the solution on cooling deposit- ing nearly the Avhole of the acid in prismatic crystals: it is also soluble in alcohol, froniAvhich it is precipitated 6S PHARMACEUTIC CHEMJSTRY. by cold water: it is pungent, but not very acid to the taste : in its usual state its smell is fragrant, especially Avhen it is heated; but this odour has been supposed to arise from a minute portion of the oil of the balsam ad- hering to it; as by repeated combinations with an alkaline base and precipitation by an acid, it is obtained at length inodorous. It is not easily decomposed by the action of the more powerful acids. Decomposed by heat, it affords a larger quantity of empyreumatie oil than any other vegetable acid, whence hydrogen is supposed to predomi- nate in its composition. Acetic Acid. This acid has been considered as more exclusively the product of fermentation; it exists like- Avise. however, ready formed in the sap of the vine, and, combined Avith alkalis and earths, very generally indeed in the sap of plants. In its pure and concentrated state, in Avhich state it can be procured only by artificial pro- cesses, it is a very poAverful acid, highly pungent and fragrant, volatile and inflammable, and is distinguished by the peculiar action it exerts on some of the other proximate principles of plants,—essential oil. resin, gum- resin, camphor, gluten, and caoutchouc, Avhich it dissolves without decomposing. Hence, even in its diluted state, under the form of distilled vinegar, it is sometimes used as a solvent in pharmaceutic processes ; though it is seldom that it can be employed to advantage, as it is liable to modify the poAvers of the substances it dissolves. Prussic Acid. The substance to wliich this name is given, is formed from some varieties of animal matter by artificial processes. It had often been remarked, that its odour is similar to that of the peach blossom, and that the same odour is perceptible in the distilled Avater of the cherry laurel, and of the bitter almond. This led to experiments on these; whence the fact, rather singular, has been discovered, that all of them contain this acid. The fact, not less important, has been established, that the narcotic property possessed by these distilled waters depends on the prussic acid. In its insulated state, this substance is volatile, so that it escapes even from its wa- tery solution under exposure to the air. It has no sensible sourness, and does not redden even the more delicate vege- table colours. The character of acidity is therefore given to it, rather from its powers in the combinations it forms. PHARMACEUTIC CHEMISTRY. 69 especially those with the metallic oxides, than from its properties in its insulated state. Several of the vegetable ;.< ids, particularly the citric, malic, and tartaric, exist together in the same vegetable, and in proportions varying according to the stage of vegetation, whence it is probable that they are inutuafiy convertible. They seldom exist pure, but generally in combination with saccharine, mucilaginous and extractive matter. Combined with alkaline and -arthy h..s ;s, t;piritous Avhen alcohol has been the solvent* The design PHARMACEUTIC CHEMISTRY. 75 of this preparation is to obtain the active matter of the vegetable in a small bulk, and in such a state that it may bepreserved a long time Avithout suffering any alteration. It is evident, that it is a process which can be properly applied to such plants only as have their virtues dependent on some of their fixed principles, and even-these arc often injured by the heat applied, and the free access of the atmospheric air. Distillation is another process applied to vegetable substances, by Avhich Ave obtain some of their active principles, particularly their essential oil. If the vege- table matter be heated with a large portion of ay ater, the oil is volatilized Avith the aqueous vapour: it separates from the Avater on being allowed to remain at rest; a part of it, hoAvever, is also dissolved, and communicates to the water a considerable degree of flavour, and often also of pungency. Tliis forms Avhat are named distilled Avaters. If alcohol be used instead of Avater, the essential oil is completely dissolved in it, and Ave thus obtain what are termed distilled spirits. By such processes Ave extract the active matter of vege- tables from the inert matter with Avhich it is more or less mixed, and are enabled to administer many remedies under a variety of forms, suited to particular circumstan- ces. A single example will shew the utility of investiga- tions of this kind, respecting the component principles of vegetable products, and their relations to the more important chemical agents. Peruvian bark is one of the most important remedies in the Materia Medica. Prac- titioners have not always found it practicable to exhibit it in substance Avith advantage, as Avhere the stomach is uncommonly irritable, or Avhere from the nature of the disease, it is necessary to give it in large doses, frequently repeated, it is apt to occasion sickness and other uneasy sensations, and even to be rejected by vomiting. Such inconveniences are attempted to be obviated, by giving it in the different forms of infusion, decoction, tincture, or extract, as any of these may be best suited to the case. Our knowledge of its constituent parts can only lead us to the proper application of these processes. From an accurate analysis of this bark, it has been proved that seven parts out of eight consist of woody fibre, or of a matter inert and insoluble, Avhich cannot act on the system, and which affects the stomach only by its Aveight and 76 PHARMACEUTIC CHEMISTRY. insolubility. The remaining eighth part is that in which the activity of the medicine resides; it is therefore evident that if this be extracted, without injuring its activity, the medicine could be exhibited with much more advantage. This is in part accomplished by the preparations of it that have been mentioned; but even these do not convey it in all its force. If one ounce of the bark be infused or boiled in a certain quantity of Avater, the infusion or decoction is not nearly equal in efficacy to the Avhole quantity of bark operated on. It is therefore evident, that during either of these operations, the active matter of the bark has not been entirely extracted, or has suffered some change. And here chemistry lends her assistance, and still farther elucidates the peculiar nature of this substance, and the changes produced in it by these pro- cesses. It has been proved by experiment, that the matter on Avhich the poAver of the bark depends, has a strong attraction for oxygen at a temperature moderately increased; that during the infusion and particularly during the decoction of that drug, this active matter absorbs oxygen from the atmosphere, and is converted into a substance insipid and inert. This leads to the improvement of the preparations of this medicine: and experiments instituted for the purpose have accordingly proved, that, while by long boiling the virtues of the bark are nearly totally destroyed, they are fully extracted by a few minutes decoction in covered vessels. The same investigations have pointed out the nature of the action of some other substances on bark, formerly not w ell understood. Thus, it has been found by experience, that the alkalis, and more particularly magnesia, enableAvater to extract the virtues of bark, more completely by infusion,—a circumstance elucidated by the fact since discovered, that the extractive matter of the bark, to Avhich its activity is owing, com- bines with facility with these substances, and forms soluble compounds. Similar examples might be given from several other important vegetable remedies, which Avould sufficiently prove the utility to be derived from the analysis of the substances belonging to the vegetable kingdom, and that indeed researches of this kind are absolutely necessary for their proper preparation as medicines. PHARMACEUTIC CHEMISTRY. 77 The account of the analysis of animal substances, and of their proximate principles, Avould, to the same extent at least, be foreign to the objects of this sketch, as so fcAv of these substances are employed in medicine; and of those which are used, the composition, and conse- quently the pharmaceutic treatment, are in a great measure peculiar to each. Their general chemical characters are similar to those t)f vegetable principles.—Composed of a few ultimate elements, the differences in their properties arise in a great measure from the different proportions, or the dif- ferent modes in which these are combined. And these elements having powerful reciprocal attractions, and being disposed to enter into combinations almost indefinitely diversified Avith regard to these circumstances, these sub- stances are extremely susceptible of decomposition, from the reaction of their elements, favoured by humidity, by the action of the air, or by elevation of temperature. They are even more liable to this than vegetable substan- ces ; for their elements existing in simultaneous combina- tion are more numerous, their affinities are therefore more nicely adjusted, and of course the equilibrium is more easily subverted. Along Avith carbon, hydrogen, aud oxygen, Avhich are the chief constituent principles of vegetable matter, nitrogen, and frequently sulphur and phosphorus enter into the composition of animal substances. Hence, when decomposed by heat, they afford products composed of these, of which ammonia is ahvays the principal; and the reaction of these principles, and the evolution of the products arising from this, seem principally to form the series of changes which constitute putrefaction, the species of spontaneous decomposition to Avhich animal matter is more peculiarly subject. Like vegetable substances, the animal products consist of various proximate principles, and some analogy may be traced between several of the vegetable and animal proximate principles. Animal fat has a strict connection in properties and composition with, fixed oil; animal mucus resembles vegetable mucilage; fecula has a similar relation to gelatin; vegetable and animal gluten are nearly if not entirely the same; a substance similar to saccharine matter exists in milk, and in some of the other 73 PHARMACEUTIC CHEMISTRT. animal secretions: in the bile is found a principle strictly analogous to resin; and benzoic, oxalic and acetic acids are common to both. Hence, generally speaking, the feAV animal substances belonging to the Materia Medica are acted on by the usual solvents in nearly the same manner as vegetable substances, and are submitted to similar pharmaceutic processes. The results of these are similar officinal preparations. Thus, by the action of alcohol, the active matter of musk, castor, and can- tharides is extracted, and tinctures of these are employed. In other cases water is the proper solvent, particularly of those wliich consist of gelatin; but such solutions being very liable to decomposition, must always be of extempo- raneous preparation. SECTION II. Of the Pharmaceutical operations to which tlie articles of the Materia Medica are subjected. Natural substances, it has been remarked, are not ahvays obtained in that state in Avhich they are best adapt- ed to exhibition as remedies. They are subjected, there- fore, to various processes, with the vieAV of preserving them, or of preparing them for use; and to complete this statement of the principles of pharmaceutic chemistry, the nature of these is to be pointed out. These processes, or at least the greater number, and the most important of them, are chemical, and are de- pendent therefore on the agencies of those general forces whence chemical changes arise; they are indeed little more than applications of these, under peculiar regula- tions adapted to different substances. The general facts, therefore, connected witii the operation of these forces are first to be stated, in so far as they have any relation to the present subject. The force principally productive of chemical action, is that species of attraction exerted betAveen the particles of bodies, Avhich brings them into intimate union. If Iavo substances of different kinds be placed in contact, and Avith that degree of fluidity Avhich admits of the par- ticles of the one moving to those of the other, it often happens that they unite together, and form a substance PHARMACEUTIC CHEMISTRY. 79 in Avhich neither can be any longer recognised, and which is homogeneous, and in general possessed of iicav proper- ties. This constitutes what, in the language of chemis- try, is named combination, and is conceived to arise from an attraction exerted between the particles of the one body to those of the other. It is this Avhich is denomi- nated chemical attraction or affinity, and Avhich is distin- guished from the other species of attraction by the phe- nomena to Avhich it gives rise, or by the laws it obeys,— from the attraction of gravitation, by not being exerted at sensible distances, or on masses of matter, but only at insensible distances, and on the minute particles of bodies,-—.froim the attraction of aggregation, by being exerted between particles of different kinds, and forming a substance with new properties, Avhile that force operates on particles of a similar nature, and of course unites them into an aggregate in which the same essential pro- perties exist. It is possible that these forces, though thus distinguished, may be the result of the same poAver modified by the circumstances under which it acts. The substance formed by chemical combination is named a compound. The substances united are the con- stituent or component parts or principles of the com- pound. When these are separated, the process is named decomposition. The most minute parts into Avhich a body can be resolved without decomposition are named its integrant parts ; and it is betAveen these that the force of aggregation is conceived to be exerted. Chemical at- traction is exerted between the constituent parts. The most important phenomena attending chemical combination is a change of properties. In general, the form, density, colour, taste, and other sensible qualities, as well as the fusibility, volatility, tendency to combina- tion, and other chemical properties in the compound are more or less different from Avhat they are in either of its constituent parts, and frequently indeed they are wholly dissimilar. There are cases, too, however, where the change is less considerable, as is exemplified in several of the operations of Pharmacy,—the solution of the vegeta- ble proximate principles in water or in alcohol, or the solution of salts in water, in which the body acquires merely the liquid form, with perhaps a slight change of density, but in wliich no important property is changed, nor any new one acquired. 80 PHARMACEUTIC CHEMISTRY. Chemical attraction is not an invariable force exerted by every body to every other, and always Aviih the same degree of strength. BetAveen many substances, it does not sensibly operate, though this perhaps may be owing to the predominance of external circumstances, by v\i.ieh its operation is influenced, rather than to the absence of all mutual attraction. It is exerted too by each body towards others, Avith different degrees of strength. It is not limited in its action to two bodies, but is fre- quently exerted at the same time betAveen three, four,'or a greater number, so as to unite them in one combination. Such compounds are named Ternary, eve. according to the number of their constituent principles; they are abundant among the productions of nature, and can be formed also by the arrangements of art. This force is exerted too, so as to combine bodies in more than one proportion; and, from the union of two substances in different proportions, compounds are formed frequently as dissimilar in their properties as if they were composed of principles totally different. In some cases, the combination is unlimited with regard to pro- portions, in others, it is fixed to two or three relative quantities, and there are examples where it can be esta- blished in only one proportion. The opinion has been maintained, and is probably just, that the tendency of chemical attraction is to unite bodies indefinitely Avith regard to proportion, and that determinate proportions are established only by the operation of external forces. The compounds formed by the exertion of chemical attraction have apparently the same relation to this pow- er as simple bodies have : they have a similar tendency to combination, unite in different proportions, and with different degrees of force; and all these combinations arc accompanied by the same phenomena, and appear to ob- serve the same laAvs. It has been supposed, however, that Avhen compound substances combine together, the combination is the result, not of the mutual attraction betAveen the integrant particles of these compounds, but of the affinities of their ultimate elements modified by the condition in Avhich they exist. In all cases attraction is much modified, and its results determined by circumstances foreign to the attractive force itself. The operation of these circumstances has been established Avith more precision by the labours of PHARMACEUTIC CHEMISTRY. 81 Berthollet, and been proved to be more important than was formerly believed. They require, therefore, more distinct enumeration, especially as some of them give rise to important results in the processes of pharmacy. 1st. Quantity of matter influences affinity, an increase in the relative quantity of one body with regard to another enabling it to act ay ith more force; or, as the law has been stated, "every substance having a tendency to enter into combination, acts in the ratio of its affinity and its quantity." Hence an effect can be produced from the mutual action of two bodies, Avhen one is in a certain re- lative proportion to the other, which Avill not be obtained when the proportion is changed,—a circumstance of much importance in pharmacy, requiring, in particular, attention toAvards insuring the uniform strength of active preparations; and of much influence too on the results of chemical decomposition, rendering it frequently partial, where it Avas supposed to be complete. 2nd. Cohesion, or the state of a body with regard to the aggregation of its integrant particles, must obviously modify the chemical action of another body upon it, by opposing a resistance which must be overcome before the union of their particles can be effected; hence the cause, that two solid bodies seldom act chemically on each other, and that fluidity promotes chemical action. But besides this obvious effect, cohesion, even when it has been over- come, still modifies the exertion of chemical attraction, by resuming its force whenever the force of that attrac- tion is diminished, and thus sometimes giving rise to neAV combinations; and sometimes too, when suddenly establish- ed in consequence of the affinities becoming effective, it determines the proportions in Avhich bodies combine, by insulating the compound at a certain stage of the combi- nation. It is thus the most powerful cause in placing limits to the exertion of chemical attraction. Insolubi- lity, is merely the result of the force of cohesion, in re- lation to the liquid Avhich is the medium of chemical action, and its action is of course similar; and great densi- ty, or specific gravity, so far as it influences attraction, operates in nearly the same manner, counteracting it, by withdrawing the substances betAveen which it is to be ex- erted from the sphere of mutual action. 3d. Elasticity, or that property of bodies arising from repulsion betAveen their particles, and present to any extent 11 S2 PHARMACEITU CllEMISTKV. only in those existing in the aeriform state, opposes the exertion of chemical attraction, by enlarging the distan- ces at which these particles are placed. Hence aerial fluids combine in general with difficulty; and hence too, a e«u»-,poMiid which contains an ingredient which, when instated, assumes the aerial state, is more easy of de- conuiosition, and the decomposition is more complete, than a compound, the ingredients of which are fixed; for the tendency to elasticity in the volatile ingredient coun- teracts the mutual affinity; and when by the application of heat, or Uw operation of a superior attraction, any portion of it is displaced, by assuming the elastic form it is withdrawn from the sphere of action, and ceases to oppose any obstacle by its affinity or quantity to the pro 'ess of the decomposition. Elasticity too, by coun- teracting attraction, places limits to the proportions in which bodies combine. 4th. The last circumstance influencing attraction is temperature, or the state of a body Avith regard to heat or cold, which sometimes favours, and in other case3 subverts combination. The cause of temperature is a peculiar subtle poAver or principle, (in modern chemical language denominated caloric,) capable of being commu- nicated to bodies, and of being in part at least vvithdrawn from them. Its immediate tendency is to establish a repulsion between their particles; hence it gives rise to expansion or enlargement of volume, greater in each body according to the quantity of caloric introduced. This progressive augmentation of distance, at which the par- ticles are placed by its action, is accompanied with a pro- portional diminution in the force of cohesion; if carried, therefore, to a certain extent, that force is so far modi- fied, that the particles become capable of moving easily Avith regard to each other,—a state which constitutes fluidity; and, if the communication of caloric be con- tinued, the expansion still continuing, the particles are at length placed at such distances, that the attraction is entirely overcome, and they repel each other,—a state which constitutes the aerial or gaseous form. The ope- ration of caloric in influencing chemical attraction, ap- pears to depend on the changes it occasions in the cohe- sion and elasticity of bodies,—favouring combination by diminishing cohesion, counteracting or subverting it by communis rtin.i or increasing elasticity; these effects too being often produced together, and modifying each other. PHARMACEUTIC CHEMISTRY. 83 From the difference of the forces of affinity among bodies, or still more perhaps from the operation of those circumstances by Avhich affinity is modified, its poAver is often suspended or overcome, and substances which have been combined are separated. This forms what in chemistry is named decomposition, and it presents results equally important with those from combination. The decomposition may be simple, that is, a compound may be resolved into its constituent parts, each of which is insulated. This is in general effected by the agency of heat. Within a certain range of temperature, the affinity which has combined two bodies continues to operate; but when the temperature is raised, and when the bodies differ in their volatility, or the tendency they have to assume the elastic form, the elasticity of the more volatile one is so far favoured by the elevated temperature, that the mutual affinity is overcome, and it is disengaged. It is generally obtained pure; but the fixed substance, from the influence of quantity on chemical attraction, frequently retains a portion of the other combined Avith it. Decomposition is more complicated when it is produced by the introduction of a third substance, which exerts an attraction to one of the ingredients of a compound. When this is effective, the body added combines Avith this ingredient, forming a neAV compound, and it is only the other ingredient of the original compound that is obtained insulated. A case still more complicated is, where tAVO compound substances are brought to aet on each other, and the principles of the one exert affinity to those of the other ; so that an interchange takes place, the tAVO com- pounds are decomposed, and two neAV ones are formed. Both these kinds of decomposition are likeAvise materially modified by the state Avith regard to temperature. The former case used to be named by chemists single elective attraction; the latter double elective attraction; and both Avere considered as the results of the relative forces of attraction among the bodies concerned. But there is reason to believe that they arise from the operation of cohesion, elasticity, and the other forces that influence attraction; and that but for the operation of these forces, three or more bodies presented to each other would enter into simultaneous union, instead of passing into binary combinations. Galvanism, as Avell as calorie, influences chemical affini- Si PHARMACEUTIC CHEMlSTRf. ty, and by the attractive as avcII as by the repulsive force it exerts is even more powerful in producing decomposi- tion. It scarcely admits, hoAvever, of being applied to any pharmaceutic process. The operations of pharmacy are generally dependent on these chemical powers; they consist of arrangements of circumstances with the vieAV either of promoting their exertion or of obtaining the products of chemical action. Some preliminary operations arc frequently had re- course to of a mechanical nature, to diminish the cohesion of bodies, or enlarge their surface. Such are pulveriza- tion, trituration, levigation, granulation, &c. Pulverization is the term employed where solid bodies are reduced to poAvder by beating. Trituration that where the same effect is produced by continued rubbing. Levigation denotes the operation where the powder is rubbed to a still greater fineness, the rubbing being facili- tated by the interposition of a fluid, in which the solid is not soluble. As by any of these operations, the powder must consist of particles of unequal size, the finer are separated from the coarser by sifting or washing. Sifting is passing the powder over a sieve, the interstices of which are so minute as to allow only the finer particles to pass. Washing or Elutriation, is an operation per-' formed onlv on substances which are not soluble in water. The powder is diffused through a quantity of that fluid, and the mixture is allowed to remain at rest. The coarser particles quickly subside, and the finer remain suspended. It is then decanted off, the powder is alloAved to subside, and is afterwards dried. These methods of reducing bodies to powder, can be applied to very few of the metals, their force of cohesion being too strong. They arc mechanically divided by rasping, or by being beat into leaves; or they are granulated,'—an operation performed by melting the metal, and when it is cooled down as far as it can be, without becoming solid, pouring it into Water: it passes to the solid state, assuming the granular form. In pharmacy, these operations are sometimes of im- portance, besides merely promoting chemical combination, as there are some medicines which act with more certainty, and even with more efficacy, Avhen finely levigated, than Avhen given in a coarse powder. As means of promoting chemical combination, it h PHARMACEUTIC CHEMISTRY. 85 evident, that they can act only indirectly; the bodies being far from being reduced to their minute particles, between which only chemical attraction is exerted. They are therefore employed, merely as preliminary to those operations in which such a division is obtained by chemi- cal means. Of these, the first is solution. By this is understood that operation in which a solid body combines with a fluid in such a manner that the compound retains the fluid form, and is transparent. Transparency is the test of perfect solution. When the specific gravity of a solid body differs not greatly from that of a fluid, it may be diffused through it, but the mixture is more or less opaque; and on being kept for sonic time at rest, the heavier body subsides; while in solution the particles of the solid are permanently suspended by the state of com- bination in which they exist, and are so minute as not to impair the transparency of the liquid. The liquid has, in this case, been regarded as the body exerting the active power, and has been named the solvent or menstruum; the solid is considered as the body dis- solved. The attraction, hoAvever, whence the solution proceeds, is reciprocal, and the form generally proceeds from the larger quantity of the liquid employed, and from the absence of cohesion being more favourable to the combination proceeding to a greater extent. In general, the solution of a solid in a liquid can be effected only in a certain quantity. This limitation of solution is named saturation; and when the point is reached, the liquid is said to be saturated with the solid. As the fluid approaches to saturation, the solution pro- ceeds more sloAvly. When a fluid is saturated with one body, this does not prevent its dissolving a portion of another; and in this way three, four, or five bodies may .be retained in solution at the sane time by one fluid. In these cases, the fluid does not dissolve so large a propor- tion of any of these substances, as if it had been perfectly pure, though sometimes the Avhole proportion of solid matter dissolved is increased from the mutual affinities the bodies exert. Neither is the solvent power always thus limited, there being many cases where a solid may he dissolved in a fluid to any extent. Gum or sugar, for example will dissolve in water, and form a perfect solution in every proportion. S6 FHARMACECTlC CHEMISTRY. An increase of temperature, in general, favours solu- tion, the solution proceeding more rapidly at a high than at a Ioav temperature ; and in those cases, in Avhich a cer- tain quantity only of the solid can be combined Avith the fluid, a larger quantity is taken up Avhen the temperature is increased. The quantity dissolved is not in every case promoted alike by an increase of temperature ; Avater, for example, having its solvent power, Avith regard to nitre, greatly increased by augmentation of temperature, while sea salt is dissolved in nearly as great a quantity by Avater at a low as at a high temperature. This difference in these salts, and in many others, depends on the differ- ence in the degree of their fusibility by heat; those Avhich are most easily fused having their solubility in water most largely increased by increase of temperature. All these facts, indeed, Avith regard to solution, are ex- plained, by considering this operation as depending on chemical affinity overcoming cohesion in the body dis- solved. Agitation favours solution, by bringing successively the different parts of the liquid into contact with the solid, and thus preventing the diminished effect which arises from the approach to saturation in the portion imme- diately covering the solid. The mechanical division of a solid too, is favourable to its solution, principally by en- larging the surface which is acted on. Solution is an operation frequently had recourse to in pharmaceutical chemistry, the active principles of many bodies being dissolved by their proper solvents. Salts are dissolved in Avater, as are also gum, extract, and other vegetable products. Products of a different kind, as resin, camphor, and essential oils, are dissolved in alcohol and Avine; and metals are rendered soluble and active by the different acids. Solutions in water, alco- hol, or Avine, possess the sensible qualities and medical virtues of the substance dissolved. Acid and alkaline liquors change the properties of the bodies which they dissolve. In Pharmacy, the operation receives different appellations, according to the nature of the solvent, of the substance dissolved, and of the manner in Avhich it is performed. When a fluid is poured on any vegetable matter, so as to dissolve only some of its principles, the operation is named Extraction, and the part dissolved is said to be extracted. If it is performed without heat, it PHARMACEUTIC CHEMISTRY. 87 is termed Maceration ; if Avith a moderate heat, Diges- tion ; if the fluid is poured boiling hot on the substance, and they are kept in a covered vessel till cold, this is de- nominated Infusion. Decoction is the term given to the operation when the substances are boiled together. It is evident, that these are all instances of solution, varied only by particular circumstances; and I have already stat- ed, under the analysis of the vegetable part of the materia medica, the advantages belonging to each. Lixiviatiou is the term applied to solution performed on saline sub- stances Avhere the soluble matter is separated, by the action of the solvent, from other substances that are insoluble; and the solution obtained in this case is named a ley. The other principal method by Avhich that fluidity ne- cessary to chemical action is communicated, is fusion. It requires, merely Avith regard to each substance, the ne- cessary degree of heat; and Avhere this is high, it is per- formed usually in crucibles of earthern ware, or sometimes of black lead, or on a large scale in iron pots. Chemical combination is frequently promoted by an elevation of temperature, though the heat may not be so high as to produce fusion, but only to diminish cohesion to a certain extent. Calcination, as it used to be named, or metallic oxidation, is an example of this; a metal being heated to a high temperature, so as to enable it to combine Avith the oxygen of the air. Deflagration is a similar operation, an inflammable or metallic substance being ex- posed to a red heat in mixture with nitre: the acid of the nitre yields its oxygen; Avhich being thus afforded in large quantity and nearly pure, the oxidation takes place Avith rapidity, and generally to its maximum. When chemical action has been exerted, other opera- tions are sometimes required to obtain the product, or* sometimes this product is formed and collected in the operation itself. By evaporation, or dissipating a liquid by the applica- tion of heat, a solid substance which has been dissolved in it is recovered, and this operation is one frequently performed in pharmacy. When performed on a small scale, vessels of glass, or of earthern Avare, are generally employed, and the heat is applied either by the medium of sand, or if it is required to be more moderate, the vessel is placed over Avater Avhich is kept boiling, forming Yvhat is named the Avater ha(h, or Balneum Maviee. When 88 PHARMACEUTIC C SIEMISTRT. performed on a larger scale, shadow iron pots or leaden troughs are used, to which Vm- fire is directly applied; and experiments have shewn that the operation is conduct- ed more economically when the liquor is kept boiling strongly than when it is evaporated more slowly by a more gentle heat. There is, on the other hand, bow ever, some loss, from part of the dissolved substance being carried off when the heat is high, by its affinity to the liquid evaporating; and in many cases in pharmacy, par- ticularly in the evaporation of vegetable infusions or tinctures, the flavour, and even the more active qualities of the dissolved substance, are liable to be injured, espe- cially towards the end of the operation, by a strong heat. When the object is to obtain the volatile matter by evaporation, the process is of course conducted in close vessels adapted to condense the vapour and collect the liquid. This forms the operation of distillation, which, with regard to different substances, requires to be con- ducted in various modes. When a volatile principle is to be obtained from vege- table substances by this process, the difficulty is to apply the heat sufficiently Avithout raising it too high. The mode generally employed is to heat the vegetable matter Avith water, and the distillation is then usually performed in the common still. At the heat of boiling water, the essential oil of plants. Avhich is the chief volatile principle they contain, is volatilized; it rises Avith the watery va- pour; is condensed; if little water has been employed. the greater part of the oil is obtained apart; if much ha^ been used, it retains it dissolved, acquiring taste and fla- vour, and thus forming the distilled water of plants. If alcohol, pure or diluted, has been the medium of distilla- tion, it always retains the oil in solution, and forms what are named distilled spirits. The still in which the opera- tion is performed Avith these views is of copper, or iron; it consists of a body and head, the former designed to contain the materials, and to which the fire is applied, the latter to receive the vapour; there issues from it a tube, Avhich is connected with a spiral tube, placed in a vessel, named the refrigeratory, filled with cold water. The vapour, in its progress through the tube, is condens- ed, and the liquid drops from the extremity of it. When metallic matter would be acted on, by the mate- rials or the product of dhiillation, vessels of glass or PHARMACEUTIC CHEMISTRY. 89 earthenware are employed; the retort, which is generally used, being connected with a single receiver, or with a range of receivers, according as the vapour is more or less easily condensed; or, if the product is a permanently elastic fluid, Avhich cannot be condensed but by passing it through Avater, a scries of bottles connected by tubes, on the principle of Woolf's apparatus, is used. When the product obtained by distillation is not perfectly pure, it can be frequently purified by a second distillation; the process is then named Rectification: when it is freed from any superfluous water combined Avith it, the operation is named Dephlegmation or Concentration. When the product of volatilization is condensed, not in the liquid, but in the solid form, the process is named Sublimation, and the product a Sublimate. As the con- densation takes place Avith much more facility, a more simple apparatus is employed, consisting usually of a conical bottle or flask Avith a round bottom, thin and equal, named a cucurbit, in which the materials are con- tained, heat being applied by the medium of a sand bath. The vapour condenses in the upper part of the flask form- ing a cake, Avhich adheres to it, the orifice being lightly closed to prevent any part from being lost; or a globular head, with a groove at its under edge, and a tube to con- vey off any liquid that may be condensed, (a capital as it is named,) being applied. When a solid substance is thrown down from a liquid by chemical action, it forms the operation of precipitation, and the matter thrown doAvn is named a precipitat'. Frequently the substance precipitated is one Avhich had been dissolved in the liquid, and which is separated by a substance added, combining Avith the liquid, and Aveaken- ing its attraction to the one Avhich it held in solution. Op sometimes it arises from a compound being formed by the union of one body Avith another, Avhich is insoluble in the liquid that is the medium of action. The precipitate is allowed to subside, is usually washed with water, and is dried. From the law of chemical attraction, that quantity influences the force of affinity, it often happens v that the precipitate either retains in combination a portion of the substance by Avhich it had been dissolved, or attracts a portion of the substance by Avhich it is thrown down, and this sometimes proves a source of impurity, or of peculiar powers in medicinal preparations. 12 90 PHARMACEUTIC C1EEMISTRY. When a substance, in passing to the solid state, assume* a regular geometric form, the process is named crystal- izatiou, and these figured masses are denominated crystals. Their forms are various, though nearly constant with regard to each substance; they are usually transparent, hard, and have a regular internal structure. The crys- talization may happen in two Avays, from a state of solution. If a saturated solution has been prepared Avith the aid of heat, the increased quantity of the solid Avhich the heat has enabled the liquid to dissolve, separates as the tem- perature falls; and the attraction of cohesion being thus slowly exerted between the particles, unites them so as to form crystals. Or, if a portion of the solvent be with- drawn by evaporation, and especially by sIoav evaporation, the particles of the solid unite slowly, and with a similar result. In both these kinds of crystalization from a Avatery solution, the crystalized substance always retains a quan tity of water, and frequently even a considerable proportion in its composition. It is essential to the constitution of the crystal, its transparency, structure and form, and is hence named the water of crystalization. Some crystals lose it from mere exposure to the air, when they are said to effloresce; others attract water, and become humid, or deliquesce. Crystalization is promoted by the mechanical action of the air; likeAvise by affording a nucleus, whence it may commence, and especially a crystal of the substance dis- solved ; and with regard to a feAV substances, their affinity to the solvent requires to be diminished by the addition of another substance to enable them to crystalize. In pharmacy, crystalization is of importance, by ena- bling us to obtain substances, especially those belonging to the class of salts, in a pure form; different salts, even when present in the same solution, being thus separated by their different tendencies to crystalization, according as they are more or less soluble in the solvent, or have their solubility mors or less promoted by heat, and each salt, when it does crystalize, being in general pure. These are the principal operations of pharmacy. Con- nected with this subject, there remain to be noticed the weights and measures which are usually employed. The division according to what is named troy Aveight is that PHARMACEUTIC CHEMISTRY. 91 ordered in the pharmacopoeias. Its parts, with the symbols by which they are denoted, and their relative proportions, are represented in the following table: A pound (libra), ft ^ » / 12 ounces. An ounce (uncia), § f '5 1 8 drachms. A drachm (drachma), 3 £ a \ 3 scruples. A scruple (scrupulus), 9} <■> ^ 2Q grains (grana) gr. Measures have been subdivided in a similar manner, being made to correspond to the specific gravity of Avater. As the specific gravities of liquids vary, however consi- derably, a source of error is introduced in applying the standard measure to different liquids, unless the due allowance be made for the difference in specific gravity. This it is to be presumed will often be neglected, and hence the Edinburgh college have rejected the use of measures, and given the proportions of every liquid by weight. The use of measures, hoAvever, in apportioning liquids, being more easy and convenient, Avill probably always be retained; and the London college have there- fore, in the late edition of their pharmacopcea, sanctioned their use. They adopt measures subdivided from the wine gallon, as represented with their symbols in the following table: A gallon (congius), } *> £ -8 pints. A pint (octarius), 0 f •£ \ 16fluidounces. A fluidounce (fluiduncia), f§ £ c j 8fiuidrachms. A fluidrachm (fluidrachma), f 3 J u * 60minims (minima.) m. This last measure is one newly introduced. In appor- tioning liquids into very small quantities, the quantity has been usually estimated by drops (gutta, gtt.) alloAved to fall from the edge of the mouth of a bottle ; but the size of the drop is liable to vary much, not only accord- ing to the mobility and specific gravity of the liquid, a circumstance of little importance, since Avith regard to each substance it remains the same, but also according to the thickness of the edge and degree of inclination. The .London College have therefore substituted this division of minims, which are measured in a slender graduated glass tube. The measure of a tabic and of a tea spoon- 92 PHARMACEUTIC CHEMISTRY. ful are sometimes used in extemporaneous prescription, and though not very accurate, may be admitted where a small difference in the dose is not important. The one is understood to be equal to half an ounce by measure, the other to about one drachm. The following characters are also in general use. R Recipe, Take. a aa. ana, of each. ss. the half of any thing. Cong. Congius, a gallon. Cochl. Cochleare, a spoonful. PART II. MATERIA MEDICA. The Materia Medica comprehends all those substan- ces whether natural or artificial, which are employed as remedies; and in the Pharmacopoeias lately published by the colleges of London, Dublin, and Edinburgh, the simple articles composing the catalogue are arranged in alphabetical order, and the same plan is also adopted by the Massachusetts Medical Society in their Pharmaco- poeia. In the very respectable and learned production of which the preceding pages are a part, Mr. Murray has exhibited a new classification : it seems, however, more eligible to adhere to the system most generally adopted, and to employ that nomenclature, Avhich will also coin- cide with the plan of the Pharmacopoeia Avhich is the basis of this Avork. A considerable number of unimpor- tant European articles are excluded, and several new indigenous substances introduced; to these is subjoined a short view of the natural, medical, and pharmaceutical history, Avith the virtues and doses of each. As, howr- ever, Murray's medicinal distribution of substances, and explanation of their operations, are the most unexcep- tionable of any that have hitherto appeared, it may be proper to premise his observations relative to a neAV clas- sification of the articles of the Materia Medica; and his concise view of their operations on the living system. In explaining the operations of medicines, and classing them according to these operations, it is to be regarded as a first principle, that they act only on the living body. The presence of life is accompanied Avith peculiar pro- perties, and with modes of action, inexplicable on mere mechanical or chemical principles. Substances acting on the living system no doubt produce effects referrible to these; but the changes they produce are also always so far modified as to be peculiar in themselves, and regulated by laAvs exclusively belonging to organized matter. 9* MATERIA MEBICA. Medicines, in general, operate by stimulating the liv- ing fibre, or exciting it to motion. This proposition has even been stated as universal, and was received as an axiom, in a system superior, perhaps, to any, in conveying just and precise ideas on the nature of life, and the affections to which it is subject. Medicines, in common with all external agents, are, according to this system, incapable of directly altering the state of the vital poAver: they can only excite the parts possessed of that power to action ; and however diversified their effects may appear to be, such diversities are to be referred merely to the different degrees of force in which they exert the general stimulant power they possess. This proposition cannot, however, be received in an un- limited sense. From the exhibition of different medicines, very different effects are produced, which cannot be satis- factorily explained from the cause assigned,—the differ- ence in the degree of stimulant operation. They differ in kind so far, that even in the greater number of cases, one remedy cannot by any management of dose or adminis- tration be made to produce the effects which result from the action of another. It is therefore necessary to admit some modifications of the general principles above stated, and the following arc perhaps sufficient to afford grounds for explaining the operations of remedies, and for establishing a classifica- tion of them sufficiently just and comprehensive. I. Stimulants arc not to be regarded as differing merely in the degree of stimulant .operation Avhich they exert. An important distinction exists betAveen them, as they arc more or less diffusible and permanent in their action. A stimulus is termed diffusible, which, whenever it is applied, or at least in a very short time after, extends its action over the whole system, and quickly produces its full exciting effect. A diffusible stimulus is generally also transient in its action; in other Avords, the effect, though soon produced, quickly ceases. There are others, on the contrary, Avhich, though equally powerful stimulants, are sIoav and permanent. These varieties, Avhich are sufficiently established, serve to explain the differences in the powers of a number of the most im- portant medicines ; and they lay the foundation for the distinction of two great classes, narcotics and tonics, Avith their subordinate divisions of antispasmodics and astrin- MATERIA MEDICA. 95 gents, both consisting of poAverful stimulants ; the one diffusible and transient, the other slow and permanent in their operation. II. There is a difference betAveen stimulants, in their actions being directed to particular parts. Some, Avhen received into the stomach, quickly act upon the general system; others have their action con lined to the stomach itself, or, at least, any farther stimulant effect they may occasion is slow and inconsiderable; while a third class consists of those Avhich operate on one part, often without producing any sensible effect on the stomach or general system. Some thus act on the intestinal canal; others on the kidneys, bladder, vessels of the skin, and other parts; the affection they excite in these, being the conse- quence, not of any stimulant operation equally extended over every part, but of one more particularly determined. This difference in the action of stimuli is the principal foundation of the distinctions of medicines into particular classes. Cathartics, for instance, are those medicines, which, as stimuli, act peculiarly on the intestinal canal: diuretics, those which act on the secreting vessels of the kidneys : emmenagogues, those wliich act on the uterine system: diaphoretics, those which exert a stimulant action on the vessels of the skin. With these operations, medicines, at the same time, act more or less as general stimulants, by which each individual belonging to any class is thus rendered capable of producing peculiar effects ; and many of them, by a peculiarity of constitu- tion in the patient, or from the mode in Avhich they arc administered, frequently act on more than one part of the system, by Avhich their effects are still farther diversified. Medicines, vvhen thus determined to particular parts, are sometimes conveyed to these parts in the course of the circulation; more generally their action is extend- ed from the stomach, or part to which they are applied, by the medium of the nervous system. III. Medicines, besides acting as stimuli, sometimes occasion mechanical or chemical changes in the state of the fluids or solids, by Avhich their action is more or less diversified. These operations of medicines were formerly supposed to be more extensive than they really are; and many absurd explanations were deduced from the supposed changes Avhich the solids and fluids underAvent in disease. Though these notions are now exploded, it must still he 96 MATERIA MEDICA. admitted that changes of this kind take place in the living system. Chemical changes in particular, there is reason to believe, very frequently modify the actions of remedies; and some very obvious operations of this kind, as well as others of a mechanical nature, serve as distinctions for establishing several particular classes. These observations point out the principles on Avhich the arrangement of the articles of the Materia Medica, from their medicinal operations, may be established. Those stimulants, which exert a general action on the system, may first be considered. Of these there are two Avell marked subdivisions, the diffusible and the perma- nent; the former corresponding to the usual classes of narcotics and antispasmodics; the latter, including like- wise two classes, tonics and astringents. In these there is a gradual transition passing into the one from the other, from the most diffusible and least durable stimulus, to the one most sIoav and permanent in its action. The next general division is that comprising local stimulants; such are the classes of emetics, cathartics, emmenagogues, diuretics, diaphoretics, expectorants, sialagogues, errhines, and epispastics. These all occasion evacuation of one kind or another, and their effects are in general to be ascribed, not to any operation exerted on the Avhole system, but to changes of action induced in particular parts. After these, those few medicines may be considered whose action is merely mechanical or chemical. To the former belong diluents, demulcents, and emollients. Anthelmintics may perhaps be referred with propriety to the same division. To the latter, or those which act chemically, belong antacids or absorbents, lithontriptics, escharotics, and perhaps refrigerants. Under these classes may be comprehended all those substances capable of producing salutary changes in the human system. Several classes are indeed excluded which have sometimes been admitted; but these have been rejected, either as not being sufficiently precise or com- prehensive, or as being estabhshed only on erroneous theory. The subdivisions of these classes may sometimes be established on the natural affinities existing among the substances arranged under each; on their chemical com- position ; their resemblance in sensible qualities; or, lastly. MATERIA MEDICA. 97 on distinctions in their medicinal virtues, more minute than those Avhich form the characters of the class. In different classes one of these methods Avill frequently be found preferable to any of the others. TABLE OF CLASSIFICATION. A. General stimulants. a. Diffusible. B. Local stimulants. f Narcotics. \ Antispasmodics. b. Permanent, i A ,n.cs' , (_ Astringents. Emetics. C. Chemical remedies. D. Mechanical remedies. Cathartics. Emmenagogues. Diuretics. Diaphoretics. Expectorants, Sialagogues. Errhines. Epispastics. Refrigerants. Antacids. Lithontriptics. Escharotics. Anthelmintics. Demulcents. Diluents. Emollients. CLASS I.—NARCOTICS. This first division of the preceding classification, is that comprehending those stimulants, the action of which is general over the system. The first class of this division comprises those Avhich are highly diffusible, and at the same time transient in their operation. This corresponds with the common class of narcotics or sedatives, usually defined, Such substances as diminish the actions and pow- ers of the system, without occasioning any sensible evacu- ation. The definition is imperfect, as it does not include that stimulant operation which it is jicknoAvledged thev equally produce. 13 98 matkria mi;:jica. When given in a moderate dose, narcotics eveite the functions hoth of body and mind: the force and frequency of the pulse are increased, muscular action is more vigor- ous, and hilarity or intoxication are induced. These symptoms, after continuing for some time, are succeeded by those of diminished action : the pulse becomes sloAver, is full and soft, the body is less sensible to impressions. and less capable of voluntary exertion, and the mind is inactive. This state terminates in sleep. When it ceases, there remains a degree of general debility, marked by sickness, tremor and oppression. By a large dose, de- bility, without previous excitement, is occasioned, and the consequences of an immoderate quantity are delirium, paralysis, coma, and convulsions, sometimes terminating in death. These are the general effects, considerably diversified, hoAvever, as arising from different narcotics, awl varied by other circumstances. Habitual use con- siderably diminishes their poAver. These medicines act primarily on the stomach, whence their action is conveyed by nervous communication to the general system. Externally applied, they exert their usual action, though Avith less force. Directly applied to the muscles of animals, they first stimulate them to contraction, but ultimately exhaust their irritability. As the medicines belonging to this class diminish the actions of the system, Avhen given even in small doses, their primary operation Avas generally considered as of a depressing kind; and the stimulant effects Avhich occa- sionally appeared to be produced by their exhibition, Avere ascribed to what was termed the re-action of the system, or the exertion of that salutary poAver supposed to belong to the living body, by which every noxious application is resisted and throAvn off. They were therefore considered as directly sedative, and indirectly stimulant. Precisely the reverse of this doctrine Avas likewise ad- vanced. As their exciting effects Avere those Avhich appeared first, and were succeeded by those of debility, and as the first Avere produced from a small dose, while the others were occasioned Avhen the dose Avas compara- tively large, these substances were regarded as direct stimulants, capable of exciting the actions of the system: and the symptoms of debility Avhich they so frequently produced, were considered as arising from that exhaustion of power, which, according to a general law of the system, MATERIA MEDICA. 99 always folloAvs increased action suddenly raised and not kept up. They Avere regarded, therefore, as directly stimulant, and indirectly sedative, and the peculiarities of their action Avere ascribed to their rapid and transient stimulant operation. If, in investigating this subject, we merely contrast these two theories, little doubt can remain of the supe- riority of the latter. The suppositions of there being a poAver in the living system, fitted to resist any noxious agent, and of such a poAver acting before the deleterious effects have taken place, and thus retarding or preventing their production, are improbable and unsupported by any satisfactory proof. Since the stimulant operation of narcotics always precedes the symptoms of languor and debility Avhich they produce; it is the direct conclusion, that these latter are the consequences of the former. The analogy betAveen narcotics and other substances, admitted to be stimulants, but which are less rapid in their operation, is also in many respects so direct, as to prove similarity of action. And their utility in several diseases, in Avhich they are employed as stimulants, is scarcely consistent with the opinion, that they possess a real depressing poAver. Some doubt, however, is still attached to the theory that they are direct stimulants, from the fact, undoubtedly true, that the sedative effects of narcotics are frequently disproportioned to their pre- vious stimulant operation, allowing even in such cases, for its lapidity and little permanence; and the proposition, though apparently someAvhat paradoxical, is perhaps just, that these substances are at once capable of stimulating the living fibre, and, independent of that stimulant ope- ration, exhaust to a greater or less extent, by direct operation, the living poAver. The effects of certain chemi- cal agents on the living system, as lately ascertained, appear to support some conclusion of this kind. Narcotics being capable of producing either stimulant or sedative effects, may be practically employed Avith very different intentions. Either operation is obtained chiefly by certain modes of administration. If given in small doses, frequently repeated, the actions of the system are excited, and kept up. But if given in larger doses, at distant intervals, the state of diminished action and les- sened sensibility is obtained. As stimulants, they are employed in various diseases of debility: in intermittent 100 MAI 1XIA MEDICA. fever, and continued fevers of the typhoid type; in gout, hysteria, etc. As sedatives, they are used to allay pain and irritation, to procure sleep, and diminish secretions; hence their applications in spasmodic and painful diseases, in hsemorrhagies and increased discharges. In an in- flammatory state of the system, the use of some of them is not altogether without danger from their stimulating effects. CLASS II—ANTISPASMODICS. This class might perhaps be considered as a subordi- nate division of narcotics. They have similar virtues, being used principally to allay pain and inordinate action, and they differ only in not producing that state of general insensibility and diminished action, which arises from the action of narcotics. This might be supposed owing merely to a difference in power; yet there seems also to be something more than this, since they produce no such effect in any dose, and since, although they are so much inferior to narcotics in this respect, they are equally poAverful in repressing inordinate and irregular muscular action. This difference may be explained, on the suppo- sition that they arc equally poAverful stimulants, but are less diffusible, and more durable in their action, or that they are powerful diffusible stimulants, possessing little direct power of diminishing the excitable principle. Con- sidered in this point of view, they will form an interme- diate class between narcotics and tonics; and experience shows, that they partake of the properties of both; several narcotics and tonics being frequently used as antispasmodics* From the name given to this class, their effects may be easily understood. Spasm is an irregular contraction of a muscle; sometimes the contraction is permanent, at other times it alternates with relaxation, but is still ir- regular. Such medicines as obviate and remove such affections, are termed antispasmodics. Spasm may arise from various causes. One of the most frequent is a strong irritation continually applied; such as dentition or worms. In these cases, narcotics prove useful, by diminishing irritability and sensibility. Sometimes spasm arises from mere debility; and the obvious means of removing this is by the use of tonics, MATERIA MEDICA. 101 Both narcotics and tonics, therefore, are occasionally useful as antispasmodics, such as opium, camphor, and ether, in the one class, and zinc, mercury, and Peruvian bark, in the other. But there are farther, several sub- stances which cannot be with propriety referred to either of these classes, and to these the title of antispasmodics may be more exclusively appropriated. CLASS HI.—TONICS. By tonics, are understood those substances Avhose pri- mary operation is to give strength to the system. Their operation is not mechanical, as was once conceived; they act not on the simple solids, increasing their tension or tone, but on the living fibre, and are merely powerful stimulants, permanent in their operation. By producing a gradual excitement, they give vigour to the actions of the system, and as that excitement is gradually produced, it is in like manner gradually diminished, and the habitual stimuli continuing to operate, diminished action does not succeed. Where tonics, however, are given in excess, are used unnecessarily, or for too long a time, they weaken the powers of life. Tonics act primarily on the stomach, the action they excite in that organ being communicated generally by the medium of the nerves to the rest of the system. Some of them, however, are received into the mass of blood. The immediate effects of a tonic, given in a full dose, are to increase the force of the circulation, to augment the animal heat, promote the various secretions, or mode- rate them Avhen morbidly increased, quicken digestion, and render muscular action more easy and vigorous. By some of them, hoAvever, these effects are very sloAvly induced. The affections of the system in which tonics are em- ployed, must be obviously those of debility; hence their use in the greater part of the diseases to which mankind are subject. This class may be subdivided into those individuals derived from the mineral, and those from the vegetable kingdoms. The former division comprehends several of the metals and one or tAvo of the earths. These are in general 102 MATERIA MEDICA. more local in their nature than the vegetable tonics, they do not operate so speedily, and seldom occasion considera- ble excitement. TONICS FROM THE VEGETABLE KINGDOM. The tonic poAver in vegetables is intimately connected with certain sensible qualities, with their bitterness, astringency, and aromatic quality, all of them perhaps possessing these qualities, though, in each, one may be more predominant than the other. The purest bitters, astringents, and aromatics, possess also more or less of a tonic poAver. Of these divisions, the pure astringents form a distinct class ; the remaining tonics may be arrang- ed according as the bitterness or aromatic quality is pre- dominant in them. The stimulant operation of the purer bitters is little diffusible, and very sIoav in its operation; their effects are principally on the stomach and digestive organs, to which they communicate vigour, though they also act in some degree on the general system, and obviate debility, as is evident in particular from their efficacy hi intermittent fevers, in dropsy, and gout, and from their debilitating effects Avhen used for too long a time. Aromatics are more rapid and diffusible in their action; they quicken the circulation, and augment the heat of the body. Their action has little permanence; hence, in medicine, they are employed either as mere temporary stimulants, or to promote the action of bitters or astrin- gents. From these different modes of action of bitters and aromatics, it is evident, that a more powerful tonic will be obtained from the combination of these qualities than where they exist separately. The most poAverful tonics are accordingly natural combinations of this kind. AROMATICS. The substances belonging to this subdivision of the vegetable tonics, stimulate the stomach and general sys- tem, augment the force of the circulation, and increase the heat of the body. They are scarcely sufficiently per- manent in their action to be used by themselves as tonics; but they always promote the action of bitters and astrin- MATERIA MEDICA. 103 gems, and are used with advantage to obviate symptoms arising from debility of the stomach-or intestinal canal. Their aromatic quality in general resides in an essential oil, which in each of them varies in flavour, pungency, and other sensible qualities, but which is nearly alike in its chemical properties. It is soluble entirely in alcohol, is sparingly soluble in Avater, and is extracted from them by distillation. CLASS IV—ASTRINGENTS. Astringents have been usually considered as sub- stances capable of obviating or removing increased eva- cuations, by their poAver of constringing or condensing the simple solids, of which the vessels are formed, and this by an action entirely ehemical or mechanical, the same as that which they exert on dead animal matter. AlloAving, hoAvever, these substances to posses some power of this kind, their effects as remedies cannot be explained merely from its exertion. Increased evacua- tions cannot be ascribed to mere mechanical laxity of the solids; and their removal cannot be referred to simple condensation of these solids. Neither can it be admitted that active substances may be applied to the system Avith- out occasioning changes in the state of the living powers. Many substances, arranged as astringents, occasion very considerable alterations in several of the functions; they produce effects too which cannot be solely referred to a condensing power, and therefore, in all the changes they produce, part at least of their operation must be referred to their acting on the powers peculiar to life. For reasons of this kind, some have denied the existence of such remedies, and have considered those Avhich usually receive the appellation of astringents, merely as stimu- lants, moderate and permanent in their action; in other Avords, as tonics of inferior power. But though there be a great analogy betAveen these tAVO classes in their effects. and probably in their mode of operation, there is also a wry obvious difference: the most powerful astringents,— that is, substances which immediately restrain excessive evacuations, being much inferior in real tonic power to other substances having little astringency; while there are powerful tonics, or medicines capable of removing debility, Avhich do not Avith any uniformity produce the immediate effects of astringents. *0t MATERIA MUDICA. Perhaps astringents may be regarded as moderate permanent stimulants, having their stimulant operation modified by their power of condensing the animal fibre by a mechanical, or rather a chemical action. That they exert a stimulant operation, is proved by their poAver of curing intermittent fever, and other diseases of debility; and that they possess a constringing quality is evident, not only from the sensation they excite on the tongue,but is proved by the change they produce in animal matter. If these combined actions be exerted on the fibres of the stomach, the change produced, it is possible, may be propagated by nervous communication to other parts of the system. The hypothesis of Dr. DarAYin, that astringents pro- duce their effects by powerfully promoting absorption, though it serves to explain part of their operation, seems to be refuted by their poAver of stopping haemorrhage. Some narcotics, as opium, have, in certain cases, effects apparently astringent. These are, Avhere increased dis- charges arise from irritation, in Avhich, by diminishing irritability, they lessen the discharge; but such an opera- tion is altogether different from that of real astringents. As remedies against disease, astringents may some- times, from their moderate stimulant operation, be sub- stituted for tonics. They have thus proved successful in the treatment of intermittent fever; and in all eases of debility, they seem to be serviceable, independent of their poAver of checking debilitating evacuations. It is, however, for restraining morbid evacuations that astringents are usually employed. In the various kinds of hamiorrhagy, menorrhagia, haemoptysis, &c. they are frequently employed Avith advantage, though their power is also often inadequate to stop the discharge. In diar- rhoea they diminish the effusion of fluids, and at the same time give tone to the intestinal canal, and thus remove the disease. In the latter stage of dysentery they prove useful by a similar operation. In profuse sweating, and in diabetes, they are frequently sufficiently powerful to lessen the increased discharge; and in tho§e kinds of inflammation, termed passive, and even in certain cases of active inflammation, they are applied Avith advantage as topical remedies. It is an obvious caution, that astringents are not to be used to check critical evacuations, unless these proceed to excess. materia medica. 105 Astringents may be subdivided into those belonging to the vegetable, and those belonging to the mineral king- dom, which differ very considerably from each other in their operation. VEGETABLE ASTRINGENTS. Astringency in vegetables seems to be connected with a certain chemical principle, or at least Avith some peculiarity of composition, since vegetable astringents uniformly possess certain chemical properties. The astringency is extracted both by Avater and alcohol, and these infusions strike a black colour Avith any of the salts of iron, and are eapable of corrugating more or less pOAverfully dead animal matter. Chemical investigations have accordingly discovered two distinct principles in the vegetable astringents, one or both of which may probably give rise to the astringent property. One of these, the gallic acid, is distinguished by its property of striking a deep black colour with the salts of iron; the other, the tanning principle, or tannin, is characterized by its strong attraction to animal gelatin, with which it combines, and forms a soft ductile mass, insoluble in water. These maybe separated by a solution of animal jelly, which unites with the tannin, and leaves the gallic acid pure. As both these principles exist in all the stronger vege- table astringents, it is probable that the corrugating pro- perty by which the action of these substances as medicines is modified, depends on their combination, especially as, in their action on dead matter, the change produced on the animal fibre by the gallic acid, promotes the combi- nation of that fibre with the tanning principle. MINERAL ASTRINGENTS. Of these, the principal are the mineral acids, especially the sulphuric, and the combinations it forms with some of the metals and earths. LOCAL STIMULANTS. CLASS V.--EMETICS. Emetics are substances capable of exciting vomiting, independent of any effect arising from the mere quantity 106 MATERIA MEDICA. of matter introduced into the stomach, or of any nau- seous taste or flavour. The effects of an emetic, are an uneasy sensation in the stomach, with nausea and vomiting. While the nau- sea only is present, the pulse is feeble, quick and irregu- lar, and the countenance pale : during vomiting the face is flushed, the pulse is quicker, and it remains so during the intervals of vomiting. When the opera* ion of vomit- ing has ceased, the nausea goes off gradually; the patient remains languid, and often inclined to sleep ; the pulse is weak, but becomes gradually sIoav and full, and the skin is commonly moist. The general nature of vomiting is sufficiently evident. The peristaltic motion of the stomach is inverted, the dia- phragm and abdominal muscles are called into action by association, and the pylorus being contracted, the con- tents of the stomach are forcibly discharged. The peri- staltic motion of the upper part of the intestinal canal is likeAvise frequently inverted. Hoav this peristaltic motion is thus inverted, it is diffi- cult to explain. The substances which have this effect, no doubt possess a stimulant power, but the effect is by no means produced in proportion to the degree of stimu- lant operation exerted on the stomach, and it has not been explained how such an operation can invert the usual motion. Dr. Darwin considers vomiting as the effect, not of increased action from the operation of a stimulus, but of diminished action, arising from the disagreeable sensa- tion of nausea. This being induced, the usual motion is gradually lessened, stopt, and is at length inverted, Avhieh gives rise to the phenomena of vomiting. The susceptibility of vomiting is very different in dif- ferent individuals, and is often considerably varied by disease. Though nausea generally accompanies vomiting, this is scarcely a necessary connexion: some emetics acting Avithout occasioning much nausea, while others induce it in a much greater degree than is proportioned to their emetic poAver. The feeble and low pulse Avhich accompanies vomiting, has been ascribed to direct association between the mo- tions of the stomach and those of the heart, or it may be owing to the nausea excited, Avhich being a disagreeable sensation, is equivalent to an abstraction of stimulus. MATERIA MEDICA. 107 It is supposed also, that a sympathy exists between the stomach and the surface of the body, so that the state of the vessels of the one part is communicated to the vessels of the other. Hence vomiting is frequently folloAved by diaphoresis. Emetics poAverfully promote absorption. They often occasion increased evacuation by the intes- tinal canal, more especially Avhen they have been given in too small a dose to excite vomiting, an effect arising from their stimulating power. Lastly, several of the effects of vomiting have been ascribed to the agitation of the body, and to the compres- sion of the viscera, by the action of the diaphragm and abdominal muscles. Emetics are employed in many diseases. When any morbid affection depends upon, or is con- nected with over-distention of the stomach, or the pre- sence of acrid indigestible matters, vomiting gives speedy relief. Hence its utility in impaired appetite; acidity in the stomach ; in intoxication, and where poisons have been swalloAved. From the pressure of the abdominal viscera in vomit- ing, emetics have been considered as serviceable in jaun- dice arising from biliary calculi obstructing the hepatic ducts. The expectorant poAver of emetics, and their utility in catarrh and phthisis, have been ascribed to a similar pres- sure extended to the thoracic viscera. In the different varieties of febrile affections, much ad- vantage is derived from exciting vomiting, especially in the very commencement of the disease. In high inflam- matory fever, it is considered as dangerous; and in the advanced stage of typhus it is prejudicial. Emetics given in such doses as only to excite nausea, have been found useful in restraining haemorrhage. Different species of dropsy have been cured by vomit- ing, from its having excited absorption. To the same effect, perhaps, is owing the dispersion of swelled testicle, bubo, and other swellings, Avhich has occasionally resulted from this operation. The operation of vomiting is dangerous or hurtful in the following cases: Avliere there is determination of blood to the head, especially in plethoric habits; in visceral inilammatioa: in the advanced stage of pregnancy: in 108 MATERIA MEDICA. hernia, and prolapsus uteri, and wherever there exists extreme general debility. The frequent use of emetics weakens the tone of the stomach. An emetic should always be administered in the fluid form. Its operation may be"promoted by drinking any tepid diluent or bitter infusion. The individual emetics may be arranged under those derived from the vegetable, and those from the mineral kingdom. CLASS VI.—-CATHARTICS. Cathartics are medicines which quicken or increase the evacuation from the intestines, or which, Avhen given in a sufficient dose, excite purging. They evidently act by augmenting the natural peristaltic motion, from their stimulant operation on the moving fibres of the intestines, whence the contents of the canal are more quickly pro- pelled. The greater number, or perhaps all of them, seem likeAviseto stimulate the extremities of the exhalant, vessels terminating on the internal surface of the intes- tines, and hence the evacuations they occasion are not only more frequent, but thinner, and more copious. Besides these immediate actions, the stimulant opera- tion of cathartics appears to be more or less extended to neighbouring organs, and hence they promote the secretion and discharge of the bile, and other fluids usually poured into the intestinal canal. It is also excited on the stomach, so as to occasion a more quick evacuation of the contents of that organ by the pylorus. Besides the differences between individual cathartics in quickness, slowness, or other circumstances attending their operation, there is a general difference in the mode in which they act, from Avhich they may be, and usually have been ranked under two divisions. Some operate mildly, Avithout exciting any general affection of the system, Avithout even perceptibly stimulating the vessels of the intestines, and hence they merely evacuate the contents of the canal. Others are much more powerful stimulants: they always occasion an influx of fluids from the exhalant vessels, and neighbouring secreting organs: they extend their stimulus to the system in general, and if taken in too large a dose, excite inflammation on the MATERIA MEDICA. 109 surface of the intestines. The former are distinguished by the title of laxatives; the latter are termed purgatives, and the stronger of them drastic purgatives. Cathartics, as medicines, are capable of fulfilling va- rious indications. Where there exists a morbid retention of the contents of the stomach, Avhere these contents are acrid, or where extraneous bodies are present, they are calculated by their ca acuating poAver to relieve the symptoms arising from these affections, and hence their utility in consti- pation, colic, dysentery, and a variety of febrile affections. Partly by exciting the intestines to action, and partly by extending their stimulus to the other abdominal viscera, cathartics are of service in dyspepsia, hypochondriasis, ameaorrhcea, jaundice, and visceral obstructions. By their poAver of stimulating the exhalant vessels, on the internal surface of the intestinal canal, and causing a larger portion of fluid to be poured out, cathartics are capable of producing a diminution of the fluids with respect to the general system, and of course cause an abstraction of stimulus. Hence purging is a principal part of what is termed the antiphlogistic regimen, and is employed as a remedy of much power in highly inflam- matory diseases. From the same power of causing effusion of fluid, is to be explained the utility of cathartics in the various species of dropsy. A balance is preserved in the system between exhalation and absorption, so that when one is increased, the other is so also. The increased secretion and dis- charge of serous fluid, which cathartics occasion, causes an increased absorption; Avhenee the effused fluid in dropsy is frequently taken up and removed. Partly by the serous evacuation which cathartics occa- sion, and partly by the derivation of blood they make from the head, they are highly useful in the prevention and cure of apoplexy, all comatose affections, mania, phrenitis, and headach. By a change in the distribution of the blood, it has been supposed that purging determines from the surface of the body; and hence in a great measure has been explained its utility in small-pox and some other eruptive diseases. The administration of cathartics is rendered improper by inflammation of the stomach or intestines, or tendency to it, and by much debility. Several cautions are like- wise requisite in their exhibition. The nausea or griping 110 MATERIA MEDtCA. they frequently produce, may be obviated by the addition of an aromatic, or by giving them hi divided doses. The more powerful cathartics should ahvays be given in the latter mode; and in general tiny irritate less ay hen given diffused in a fluid than Avhen given in a solid form. The different cathartics may be considered under the two divisions of laxatives and purgatives: the former being mild in their operation, and merely evacuating the contents of the intestines; the latter being more powerful, and even extending their stimulant operation to the neighbouring parts. A division of cathartics remains, intermediate in their operation between the laxatives and purgatives, more powerful than the one, less violent and stimulating than the other. These are the neutral salts. They seem to act principally by stimulating the exhalant vessels on the inner surface of the intestines; and by the Avatcry evacua- tion they occasion, they are particularly adapted to those cases Avhere inflammatory action or tendency to it exists. The valuable observations of Dr. Hamilton have esta- blished still more clearly the importance of this class of remedies, have shewn that they admit of more extensive application, and have pointed out Avith more precision than has hitherto been done, the principles Avhich regulate their administration. In many diseases, there exists a state of the intestinal canal giv ing rise to retention of its contents, Avhich is not to be obviated by the occasional administration of a ca- thartic, but Avhich requires a continuation of the operation ) short of that of purging, until the healthy state of the bowels be restored. By this practice the cure of diseases has been accomplished, Avhich, previously to Dr. Hamil- ton's publication, were treated by xery different methods, and Avere not supposed to be so peculiarly connected Avith any state of the aivine evacuation. Thus in fever, the peristaltic motion of the intestines is diminished, the "feculent matter is retained, and becomes a source of irritation; its evacuation, therefore, by the exhibition of purgatives is clearly indicated, nor has this been altogether neglected. Physicians, however, Avere scarcely aAvare of the ne- cessity of producing it to a sufficient extent; and in fevers of the typhoid type in particular, Avere frequently deter- red from doing so by the fear of reducing the strength of the system by an evacuation considered as debilitating. MATERIA MEDICA. Ill Dr. Hamilton's observations establish the propriety of the freer use of purgatives in fever, so as to produce complete and regular evacuation of the boAvels, through the whole progress of the disease; and the cases he has published afford striking proofs of the advantages derived from the practice. It is attended'Avith equal advantage in scarlatina. Several of the diseases comprehended under the class neurosis appear to depend on, or to be very intimately connected" with a torpid state of the in- testines, from which an accumulation of their contents takes place, proving a source of irritation that often affects the general system. Chorea is proved hy Dr. Hamilton's observations to arise from this cause, and he has introduced Avith great success the mode of treatment, by the free use of purgatives, continued until the healthy state of the alvine evacuation has been established. The same practice, and with similar success, applies to hyste- ria, and, in Dr. Hamilton's opinion, to that species of tetanus, Avhich, prevailing in warm climates, and in warm seasons, appears to have its origin in disorder of the stomach and bowels. And ample evidence has establish d the success of the same treatment in the marasmus wliich at'-acks the young of bq|h sexes, which is marked by loss of appetite, Aveakness, wasting of the body, and at length total prostration of strength; likewise in chlorosis, and in that hsematemesis to wliich females are liable bet v/een eighteen and thirty years of age. In some of these diseases, the quantity of matter accumulated in the in- testines is extremely great; the extent to Avhich the ex- hibition of purgatives must be carried, and the length of time during wliich they must be continued, much exceed what would be calculated on from the usual administration of remedies of this class. The whole practice requires therefore both decision and perseverance. Analogies from some of these diseases lead to a similar exhibition of cathartics in other fevers, particularly in the bilious remitting fever of warm climates, in measles, erysipelas, and smallpox; likewise in scrofula, in dyspepsia, whether simple, or complicated with hysterical or hypochondriacal mania; in cramp of the stomach, or of the extremities; in palpitation of the heart, and in those cases of hydro- phobia which are not the effect of specific contagion. Cathartics, especially the more powerful ones, require to be administered with caution even in diseases w.^re thev arc indicated, by peculiar circumstances, particularly 115 MATERIA MEDICA. any tendency to inflammation or to extreme debility; also during pregnancy, immediately after delivery, during the flow of the menses, and in tliose liable to lnemorrhoidal affections. The too frequent use of them induces Avasling of the body, and sometimes renders the intestines morbidly irritable, so that purging is easily excited, while in other habits it renders them more torpid, and induces eostive- ness. Dr. Hamilton has pointed out the common error in the exhibition of cathartics, that of their not being given to the requisite extent; and given the general rule in all morbid affections, of repeating, and, if necessary, enlarg- ing the dose while the evacuations remain offensive, or of an unnatural appearance, without however carrying their administration so far as to produce purging, unless this be the indication which is designed to be fulfilled. To this class of remedies may be added those substances which act as cathartics under the form of enema. CLASS VII—EMMENAGOGUES. The medicines arranged under this class are those capable of promoting the menstrual discharge. As the suppression of this discharge is usually owing to, debility of the uterine vessels, or want of action in them, the medicines capable of exciting it must be those which can stimulate these vessels. General stimulants or tonics must have this effect to a certain extent, and there are several stimulants both diffusible and permanent, employed as Emmenagogues. It is doubtful, whether there are further any medicines, wliich have their stimulant operation particularly deter- mined to the uterine vessels. There are several, hoAvever. which, acting on neighbouring parts, have their action extended to the uterus, and hence exert an emmenagogue power greater than can be ascribed to any general stimu- lant operation they exert on the system. Several cathar- tics act in this manner. Under one or other of these divisions, may be arrang- ed the principal medicines employed as emmenagogues. MATERIA MEDICA. 113 CLASS VIII—DIURETICS. Diuretics are those medicines Avhich increase the urinary discharge. It is obvious that such an effect will be produced by any substance capable of stimulating the secreting vessels of the kidneys. All the saline diuretics seem to act in this manner. They are received into the circulation, and, passing off with the urine, stimulate the vessels, and increase the quantify secreted. There are other diuretics, the effect of wliich appears not to arise from direct application, but from an action excited in the stomach, and propagated by nervous com- munications to the secreting urinary vessels. The diur- etic operation of squill, and of several other vegetables, appears to be of this kind. There is still, perhaps, another mode in wliich certain substances produce a diuretic effect, that is, by promoting absorption. When a large quantity of watery fluid is introduced into the circulating mass, it stimulates the secreting vessels of the kidneys, and is carried off by the urine. If, therefore, absorption be promoted, and if a portion of serous fluid, perhaps previously effused, be taken up, the quantity of fluid secreted by the kidneys will be increased. In this Avay digitalis seems to act: its diuretic effect, it has been said, is greater w hen exhibited in dropsy than it is in health. On the same principle, (the effect arising from stimu- lating the absorbent system,) may probably be explained the utility of mercury in promoting the action of several diuretics. * The action of these remedies is promoted by drinking freely of mild diluents. It is also influenced by the state of the surface of the body. If external heat be applied, diuresis is frequently prevented, and diaphoresis produ- ced. Hence the doses of them should be given in the course of the day, and the patient if possible be kept out of bed. The direct effects of diuretics are sufficiently evident. They discharge the Avatery part of the blood; and by that discharge they indirectly promote absorption over the Avhole system. > Dropsy is the disease in which they are prineipalla employed, and Avhen thev can be brought to act. the dis- 15 Hi MATERIA MEDICA. ease is removed, Avith less injury to the patient than it can be by exciting any other evacuation. Their success is very precarious, the most powerful often failing; and as the disease is so frequently connected with organic affection, even the removal of the effused fluid, when it takes place, only palliates Avithout effecting a cure. Diuretics have been likewise occasionally used in calculous affections, in gonorrhoea, and Avith the view of diminishing plethora, or checking profuse perspiration. CLASS IX—DIAPHORETICS. Diaphoretics are those medicines AYhich increase the natural exhalation by the skin. When this is carried so far as to be condensed on the surface, it forms sweat; and the medicines producing it are named sudorifics. Be- tAveen diaphoretics and sudorifics, there is no distinction; the operation is in both cases the same, and differs only in degree, from augmentation of dose, or employment of assistant means. Since diaphoresis or sweat is merely the increase of the natural exhalation, it must arise from increased action of the cutaneous exhalant vessels, and the medicines belong- ing to this class must be those Avhich are capable of exciting that action. Of stimulants capable of producing this effect, the application of heat to the surface affords an example. It is one of the most effectual, and is always employed to promote the action of sudorifics. The same effect may be produced indirectly, by increas- ing the general force of the circulation, which acts as a stimulus on the exhalant acsscIs, and increases their discharge. By one or other of these modes of operation, the medicines classed as diaphoretics seem to act. The saline diaphoretics, as they do not sensibly aug- ment the force of the circulation, probably act in the former manner, exerting a particular action on the stomach, which is communicated to the vessels of the skin, or perhaps being received into the blood, and directly applied to these vessels. Those diaphoretics, on the contrary, which are termed heating, as the aromatic oils and resins, act by directly MATERIA MEDICA. 115 simulating the heart and arteries, and increasing the force of the circulation. Diaphoresis is not, hoAvever, the necessary consequence of the circulation being increased; for the surface often remains dry, Avhere the pulse is frequent and strong. In this r of the silk Aveed are of a pale purplish hue. The flowers appear in July and August, and are distinguished by their size and brilliancy from all the floAvers of the field. These are succeeded by long slender pods, containing the seeds, Avhich have a delicate kind of silk attached to them. T is is probably the only variety of asclepias that is des- titute of a milky juice. The root is spindle, or carrot shaped, of a light brownish colour on the outer surface, Avliite coarse and striated within. The root of this plant is a valuable addition to our Materia Medica, having been found to possess medicinal virtues of no inconside- rable importance. It has been long celebrated in Virginia and the Carolinas, as a remedy in pleurisy, and in pneu- * monic affections in general. It is said to display a re- markable poAver of affecting the skin, inducing general and plentiful perspiration Avithout heating the body7. In the form of decoction it often induces a diaphoresis Avjien other medicines have failed to produce that effect. We have the testimony of Professor Barton in favor of the great efficacy of this medicine in pulmonic affections. He corroborates the account published by Mr. Thompson Mason, of Virginia, Avhose experience of its virtues in pleurisy has been so extensive as to establish its reputa- tion. After the use of an antimonial emetic and the loss of some blood, he gives his patients about half a drachm of the root finely powdered in a cup of warm Avater, and repeats the dose every two hours until the patient is per- fectly recovered, which happens frequently in three days. Mr. Mason asserts that by those simple means he has cured hundreds, and never failed in a single instance. The poAvdered root frequently acts as a mild purgative, but it is particularly valuable for its virtues as an expec- torant, diaphoretic, and febrifuge, and in this respect its efficacy is amply confirmed by the testimony of Dr. Ben- jamin Parker, of Br.dford, Massachusetts, from his own observation during an extensive practice for many years in Virginia. From the successful employment of the pleu- risy root for twenty-five years, this respectable physician has imbibed such confidence, that he extols it as possessing the peculiar, and almost specific quality of acting on the organs of respiration, powerfully promoting suppressed expectoration, and thereby relieving the breathing of pie iritic patients in the most advanced stage of the dis- ease; aud in pneumonic fevers, recent colds, catarrhs and diseases of the breast in general, this remedy has in his 156 MATERIA MEDICA. hands proved equally efficacious. He directs it to be given in the form of strong infusion, a tea-cup full every two or three hours. By many families in the country this root has long been esteemed as a domestic medicine, resorted to for the relief of pains of the stomach from flatulence and indigestion, hence the vulgar name of wind root, by Avhich it is known in some parts of the country, and from its colour it is by sonic called white root. It is said that by a perseverance for several Aveeks in the use of about one drachm of the powdered root every day, the lost tone of the stomach and digestive powers has been restored. This plant is Avell deserving a place in every garden, it?i ornamental appearance, and medicinal utility, Avill richly compensate the cultivator. I have this season had the satisfaction of examining a plant of tAventy-nine stalks, more than tAVO feet high, spreading like a potatoe hill, the brancheshandsoniely crowned with elegant orange coloured flowers, and constantly visited by large brilliant butterflies. Other species of sAvallow-Avort, it is highly probable, as suggested by Professor Barton, will be found on trial to possess medicinal virtues, and they ought to arrest the attention of physicians in the country, until they become familiarized to the specific character, and properties of this valuable class of American plants. Dr. Cutler describes another species, asclepias syriara, or common silkweed, often called also milkweed, fromjts abundance of milky juice. The leaves are spear or tongue shaped, larger than the preceding, and in August its ag- gregate, reddish, or purple blossoms, are exhibited at the extremities of the branches, and axillae of the leaves. The seeds are contained in large oblong pods, and are crowded with doAvn extremely fine and soft, resembling silk, Avhich has occasioned the name of silk weed. This substance has been mixed Avith cotton and spun into candle Avicks. The stalk of this species^ from three to six feet high, the leaves large, standing on short foot stalks. A milky juice exudes from the stems or leaves when broken. The root, as soon as it penetrates the earth, shoots off horizontally, and often sends out other stalks. The large roots are cortical and ligneous. It abounds near fences on the road side in all parts of the country. Dr. Abijah Richardson of Medway, Massachusetts, has been induced to try the effects of this species. He gave the cortical part of the root in powder, one drachm in a MATERIA MEDICA. 157 day, in divided doses, and also in strong infusion. An asthmatic patient was much benefited by its use. In one case of typhus fever ay ith catarrhal affection of the throat and bronchia", it rendered the expectoration more copious, and the matter thicker and more digested. In both eases it had an anodyne effect, the patients were relieved from pain, from dyspnoea and cough, and expectoration became easier and sleep more refreshing. Astragalus Tragac antha. Goatshorn. The gum called gum tragacanth. Gum tragacanth is the product of a very thorny shrub, Avhich grows on the island of Candia and some other places in the Levant. It is obtained by oxidation; it comes in small rinkled pieces, semi-transparent and brit- tle, has neither taste nor smell, and is entirely a pure gum. It is greatly superior to all the gums in giving vicidity to Avater. Its solution is not perfectly uniform, unless boiled for some time. Tragacanth has virtues similar to gum arabic, and is principally employed as a demulcent to blunt acrimonies, and as a pharmaceutic agent. Atropa Belladonna. Deadly night-shade. The leaves. The deadly night-shade, is a perennial branching plant, tAvo or three feet high, growing spontaneously in gloomy lanes and uncultivated places. The leaves" are ovate, entire. The flowers come out among the leaves singly, on long peduncles, in June and July. The corolla is of a dusky broAVn colour, on the out side, and of a dull purple Avithin; the stalks have a tinge of the same co- lour, as have also the leaves towards autumn. The berry is round, green, changing to red, and when ripe of a shining black, and not unlike a black cherry in size and colour. It contains a purple juice of a maAvkish sweetness, which stains paper of a beautiful and durable purple. The Avhole of this plant is a strong poison of the narcotic kind; and children have frequently been enticed to eat the berries at their peril. The symptoms excited, are a dryness of the mouth; a trembling of the tongue; a very distressing thirst; difficulty of SAvallowing; fruitless en- deavours to vomit; and great anxiety about the prsecordia. Delirium then comes on with gnashing of the teeth and 158 MATERIA MEDICA. r convulsion. The pupil remains dilated, and is not sensi- ble, even to the stimulus of light. The face becomes tumid, and of a dark red colour. The jaws are Iretjuently locked: inflammation attacks the stomach and intestines; mortification and death succeed. The body soon putrilies, say ells, and becomes marked with livid spots; and the stench is insupportable. The best method of cure is, to excite vomiting as soon as possible, to evacuate the bowels by purgatives and clysters, and to give largely, vinegar, honey, milk, and oil. Yet this virulent poison, under proper management, may become an excellent remedy. Besides a very remarkable narcotic power, it possesses considerable inihucnce in promoting all the excretions, particularly by sweat, urine, and it is said by saliva; but its exhibition requires the greatest caution; and Avhen dangerous symptoms occur, its use must be suspended for some time, and aftciAvards resumed in smaller doses. Deadly night-shade has been exhibited in several fe- brile diseases, in obstinate intermittents, in inflammations and gout; in comatose diseases, palsy, and apoplexy; in spasmodic diseases ; in chorea, epilepsy, melancholy and mania; in cachectic affections, in dropsies and obstinate jaundice; in local diseases; in amaurosis; in schirrus and cancer. Belladonna is* supposed by some German authors, to possess properties adapted to the prevention and cure of hydrophobia in doses from two to six grains; and it is said to have proved useful in tic douloureux. Belladonna is best exhibited in substance, beginning with a very small dose of the powdered leaves, or root; such as the fourth or eighth of a grain for children, and one grain for adults; to be repeated daily, and gradually increased. The watery infusion is also a powerful re- medy ; one scruple of the dried leaves are infused in ten ounces of Avarm Avater, and strained after cooling. At first tAvo ounces of this may be given daily to adults, and gradually increased, until the tension of the throat shews that it w ouid be dangerous to go farther. In this manner Dr. Cullen has repeatedly experienced its efficacy in can* eerous affections. Externally the powdered leaves are applied as a narcotic to diminish pain in cancerous and other ill conditioned sores. Several species of this class of plants are found groAV- ing spontaneously among us. One of these has a ligneous stalk Avhich Avith the leaves are armed Avith sharp prickles. The corolla is Avhite, the anthers yelloAV. MATERIA MEDICA. 159 The garden night shade has a branched herbaceous stalk, unarmed, and is annual. It is a common Avecd on dunghills, in gardens and otaer richly cultivated places. The fruit stalks are lateral, hanging midway between the leaves. The flowers grow on a sort of nodding umbel; the corolla is white from July to October, and the berries, when ripe, are of a shining black, and about the size of black cherries. Dr. Withering says, from one to th ee grains of the leaves of garden night shade infused in boiling water, and taken at bed time, occasions a copious perspiration; increases the secretion by the kidneys, and generally purges more or less the following day. These properties, judiciously applied, render it capable of doing essential service in several diseases. But its effects on the nervous system are so uncertain, and sometimes so considerable, that it must ever be administered with the greatest caution. The leaves externally applied abate inflammation, and assuage pain. And in inflammations and swellings, bruises, &c. in horses, the application of these leaves has proved of great utility. Aurum. Gold. This metal Avas formerly supposed to possess medicinal properties, but its preparations have been expunged from modern pharmacopoeias as being considered unfriendly to the human constitution, or devoid of efficacy as a remedy in disease. In a publication printed at Paris in 1811 by Dr. J. A. Chresticn of Montpellier, the medical faculty are again invited to investigate the properties of gold. The author proposes a preparation of this metal as a new remedy for the treatment of venereal and lymphatic disorders. His numerous experiments on the anti-syphilitic powers of the preparations of gold, have greatly elated his lio;>es, and rendered him so sanguine as to affirm, that their effi- cacy is equal if not superior to that of mercury, that they are capable of effecting a radical cure of the varied forms of this disease, Avithout producing salivation, or any derangement of the functions of the body, and thar. no season, no temperament, and no complication of the dis- ease can create any obstacle to their efficacy. Of the above assertions we are not left destitute of '•(♦rroborativc evidence. 160 MATERIA Mr-IHCA. Doctors Seaman and Pascalis of New-York have ex- perienced the anti-syphilitic virtues of the preparations of this metal, and their observations, so far as they have extended, are in confirmation of the opinion of Dr. Chrestien. Gold may be employed, for this purpose, in the state— 1. Of minute dhision. 2. Of oxide. 3. Of oxide in combination Avith ammonia, i. Of oxide in combination Avith oxide of tin. 5. Of muriate. The first of these, denominated by the author, " Or devise," Avas prepared by forming an amalgam of gold and quicksilver, and afterwards AvithdraAving the latter by exposing the compound to the rays of the sun concen- trated by a convex lens, to the heat of a fire, or to the action of nitric acid. The gold remained in the form of an impalpable powder. The yellow oxide of gold Avas obtained by precipitating it from its solution in nitro-muriatic acid by potash. The manner of effecting this he has not mentioned, and, as it will be seen beloAV, there are some difficulties in the way of preparing it of an uniform strength. The oxide precipi- tated from its solution by ammonia Avas soon laid aside from the danger of its spontaneous explosion. The compound oxide of gold and tin, may be obtained by mixing the solutions of these metals, or by adding metallic tin in filings to a diluted solution of gold. He- prefers the latter. The muriate of gold, says Dr. Chrestien, procured by evaporating the solution to dryness, Avas so deliquescent, and caustic, that I made but little use of it; but supposing a muriate with two bases might obviate these inconve- niences, I combined the muriate of soda with the solution of gold, and obtained the desired product. Numerous detailed cases are given in the subsequent part of his Avork on the effects of each of these prepara- tions, in syphilis. Tiiey differ much from each other in activity, the oxides producing more speedy effects than the poAvdered gold, and the muriate more poAverful action than the oxides. They Avere all administered by fric- tion on the tongue, cheeks, or gums. The or devise was thus prescribed to the extent of three graius in a day; the oxide precipitated by potash in a dose of half a grain gradually augmented to tAvo grains ; the compound oxide of tin and gold in rather smaller doses; and lastly, the muriate of gold in the quantity of from one-fifteenth to MATERIA MEDICA. 161 one-tenth of a grain. On account of the superior acthi- ty of the latter, he found it necessary to mix it Avith certain substances Avhich were capable of diminishing its energy, Avithout abstracting its oxygen. He employed for this purpose starch, charcoal, and painters lac. From the variety of cases brought forward by the author, to prove the activity, and the anti-syphilitic vir- tues of gold, Ave collect that Avithin a moderate time it cures chancres, Avarts, secondary ulcers, sore throats, and other forms of inveterate lues. This favourite reme- dy of Dr. Chrestien is said also to have effected impor- tant cures incases of diseases of the uterus, of goitre, and other lymphatic diseases or obstructions; in all similar affections, therefore, it is undoubtedly deserving of trial. It seems proper here to direct to the best mode of obtaining the preparations of this metal of an uniform strength. Gold, in a state of minute division, may be procured with facility, by pouring into a diluted solution of this metal a solution of green sulphate of iron; a brown or bluish broYvn poAvder will be precipitated, which is metal- lic gold minutely divided. The best proportions of the acids to dissolve this metal, according to Vauquelinare, two parts of muriatic to one of nitric acid. Potash and soda, and their carbonates, do not decompose the solu- tion at common temperatures; they merely give it a deep red colour with a little turbidness. The red substance Avhen dried has the appearance of dried blood. It has a styptic metallic taste, and is slightly soluble in water. It is inferred to be a compound of oxide of gold with a minute portion of muriate of gold. To precipitate the greatest quantity of oxide from its solution, by means of the alkalis, we. must manage so that no useless acid shall remain in the solution, in order that less of the triple salt may be formed; this is effected hy evaporation to dryness, very cautiously conducted, the product being again dissolved in distilled water. The compound oxide of gold and tin, or the purple powder of Cassius, may be formed either by adding the solutions of tin and gold much diluted to each other, or by immersing metallic tin in a diluted solution of gold. It is so difficult properly to prepare the solution of tin, so as always to produce the same colour and the same rela- tive proportions in the component parts ef the precipitate; ' 162 MATERIA MEDICA. that the latter method is preferable ; the neutral solution of gold being diluted Avith one hundred parts of distilled Avater, and metallic tin being added to it. The formation and preservation of the muriate of gold is a Avork of some difficulty. The evaporation of the solution must be very carefully conducted ; for the affinity betAveen this metal and oxygen is so slight, that a moderate degree of heat is sufficient to overcome it. When therefore the tempera- ture is high, the muriate will be decomposed, part of the gold will appear in the form of purple oxide, and part in its metallic state. When properly prepared, it has a strong attraction for moisture, it soon deliquesces, and becomes soft and even liquid. The preparations of this metal Avere administered by Dr. Chrestien, by friction ; but if Ave reason from analo- gy, more positive effects might be supposed to follow from its being taken internally. No difficulty would be experienced in preparing the oxide for this purpose; and the muriate might, with equal facility, be exhibited either by forming a triple muriate in the liquid form, or by dis- solving the muriate of gold in a given portion of distilled water.—Med. Repos. Hex. 3. vol. 3. JV. Eng. Med. Jour- nal, JVo. 3. We Avait the issue of more extensive experience and observation to decide Avhether gold is entitled to all, or any part of the merit ascribed to it as a remedy, and is calculated to supersede the mercurial practice so long and so successfully established. Avena Sativa. Oats. The seeds. When deprived of their husks and formed into groats, oats are converted into an excellent dish for the infirm and diseased. When ground into meal, and boiled in Avater, they afford a thick and nourishing mucilage, Avhich, with the addition of a few currants, is very Avholcsome, and produces a mildly laxative effect. An infusion of the husks in water, allowed to remain until it becomes acidulous, is boiled down to a jelly, Avhich is called soAvins. In these forms, oats are nutritious and easy of digestion. Gruels or decoctions, of groats or oatmeal, either plain, acidified, or sweetened, form an excellent drink in febrile diseases, diarrhoea, dysentery, &c. and from their MATERIA MEDICA. 163 demulcent properties, prove useful in inflammatory dis- orders, coughs, hoarseness, roughness, and exulceration of the fauces. Bismuthum. Bismuth. This metal is of a Avhite colour with a shade of yelloAV, has a foliated fracture, is brittle, very fusible, capable of being volatilized, and easily susceptible of oxidation. Though it has not been received into the pharmacopoeias it has a claim to a place in the materia medica, as its oxide, or rather sub-nitrate, has been employed Avith con- siderable advantage in gastrodynia, pyrosis, and other affections connected Avith debility of the digestive organs. This preparation is obtained by decomposing the solution of bismuth in nitric acid by the affusion of water; the sub-nitrate is precipitated, and is washed and dried. It is given in a dose from tAVO to six grains, two grains being given tAvice or thrice a day, or in more severe cases, five grains given at once. In these doses it scarcely produces any other sensible effect than a remission of pain, and ultimately, a removal of the morbid state from which this has arisen. The introduction of this remedy into practice is of recent date, but we are possessed of the most convincing proofs of its having been successfully employed by several eminent practitioners both in Europe and the United States. Dr. Odier, of Geneva, first introduced this mineral into practice, and Dr. Marcet, physician to Guy's hospi- tal, London, and Dr. Bardsley of the Manchester infir- mary, have experienced its medicinal poAvers; and Drs. Post, Osborn and Stringham of NeAV-York, have added their testimony in favour of its efficacy, as an antispasmo- dic, particularly in cramps and other painful affections of the stomach. In an inaugural dissertation by Dr. Samuel W. Moore of New-York, it is the object of the author to present a knowledge of the medicinal powers of the white oxide of bismuth, and to recommend its use in gastrodynia, pyrosis, cardialgia, and other affections of the stomach connected witli dyspepsia. He relates several eases of the successful employment of the remedy, and from the most unques- tionable authority furnishes decisive evidence of its efficacy in the complaints above mentioned, in those affeetions t'6-i. MATERIA MEDICA. of the stomach whether from intemperance or other cause. wliich proceed from a want of tone in its muscular fibres, and where there is a disposition in that organ to generate acid, the oxide of bismuth, it is said, effects a permanent cure, when alkalis and absorbent earths afford but tem- porary relief. The reviewers of Dr. Moore's dissertation in the New- England Medical Journal, after duly applauding the author, thus express their opinion of the utility of the oxide of bismuth. " The action of this substance on the stomach is that of a mild and effectual tonic; and from our own experience of its virtues, Ave do not hesitate to affirm with Odier, Marcet, Bardsley, and Moore, that in pyrosis, cardialgia, and more particularly gastrodynia, it operates more speedily, and Avith more certainty, than any other article of the materia medica. In the course of the last five years, ay e have frequently prescribed it in these forms of dyspepsia Avith almost uniform success; and although a medicine possessing such active properties might be sup- posed occasionally to produce some unpleasant effects on the system, we have never known any injurious conse- quences to result from its exhibition. A substance Avhich discovers such qualities ought to be more generally known and more frequently administered; for even on the suppo- sition that it is capable of producing no greater effects than those of the medicines usually prescribed in these complaints, its use will be attended with the advantage of discarding in some measure, from practice the long continued employment of alcohol and bitters, Avhich ulti- mately lessen the activity of the digestive organs, and either prolong or perpetuate the disease they were intend- ed to relieve." The oxide of bismuth is prepared, as recommended by Br. M. according to the folloAving process. The bismuth to be dissolved should be previously re- duced to poAvder in an iron mortar. Let three parts of nitric acid for one of bismuth be diluted Avith an equal weight of pure water. To this menstruum, contained in a glass vessel, add the bismuth at intervals, and let it stand till it is all dissolved. Let the clear solution be decanted from the sediment, and a few ounces of it be poured into a glass vessel, capable of containing half as many gallons as there have been measured ounces put in; the vessel is then filled Avith pure (distilled) water, when MATERIA MEDICA. 165 a copious and perfectly Avhite precipitate will be instan- taneously formed, giving to the liquid the appearance of milk. After this has subsided, the clear fluid must be decanted, and fresh Avater thrown on the precipitate to wash it. This operation must be repeated several times, till no acid taste is discoverable in the decanted Avater. This precipitate, wliich is pure Avhite oxide of bismuth, should be suffered to dry Avithout heat, or indeed light, for the attraction betAveen oxygen and bismuth is so weak, that if the oxide, Avhile drying, be exposed either to a mo- derate artificial heat, or the direct rays of the sun, it parts Avith a portion of its oxygen, and loses its Avhiteness. The usual dose in Avhich this substance is prescribed is five or six grains twice or thrice a day, mixed with any convenient vehicle, such as the powder of gum tragacanth, gum Arabic, sugar, or starch, in the proportion of one grain of the oxide to four or five of the poAvder of either of these substances. It is extremely probable that other medical properties of this valuable article are yet to be ascertained by more extensiAe research and experi- ment. Bitumen Petroleum. Rock Oil. Barbadoes Tar. Bitumen is now employed as a generic name for seve- ral inflammable bodies of different degrees of consistency from perfect fluidity to that of a brittle, but xery fusible solid, and of little specific gravity. Petroleum is a bitumen of a red colour, and thick consistence, of a disagreeable smell, and a bitter, acrid taste. In medicinal virtues, it participates of those of oil of amber, and of turpentine. It is, at present, very rarely employed as a medicine; some of the more com- mon mineral oils being preferred. An oil extracted from a kind of stone-coal, has been extolled, under the name of British-oil, for external purposes; against rheu- matic pains, paralytic complaints, and for preventing chilblains. Even this is often counterfeited, by adding a small portion of the oil of amber, to the common ex- pressed oils. The Barbadoes tar is found in several of the West India islands, where it is esteemed by the inhabitants of great service as a sudorific, and in disorders of the breast and lungs; though in cases of this kind, attended with inflam- mation, it is certainly improper. 166 MATERIA MEDICA. Bubon Galbanum. Loveaged Leaved Bubon. The gum resin, called galbanum. Galbanum is obtained by exudation from incisions, made in the stem of a perennial plant, which groAVs in Africa. The best kind of galbanum consists of pale co- loured pieces, about the size of a hazel nut, which on being broken, appear to be composed of clear white tears, of a bitterish acrid taste, and a strong peculiar smell. Alcohol dissolves its resin, in Avhich its principal Airtiies reside. Proof spirit dissolves it entirely, the impurities excepted. Triturated with water, it forms a milky-like fluid. J Galbanum possesses the virtues of the foetid gums, and is used for the same purposes; dose from ten grains to one drachm. It is chiefly employed in the form of plaster to Avhite SAvellings, and it is supposed to resolve and dis- cuss tumors, and to promote suppuration; but for these purposes, it is more efficacious in a liquid state. In hys- teric spasms and inflamed haemorrhoids, no application can afford more effectual relief, than a tincture from this gum; but in the latter case, the painful parts ought to be covered with linen rags, moistened in lime water, before the tincture is dropped upon them. Calx. Lime, recently burnt. Ojiick-Ijime. This article is a soft, white, friable substance, prepared from marble, chalk, and other calcareous earths, by the process of calcination. All calcareous earths, whether in the form of marble, lime stone, chalk, marine shells, ccc. are convertible into quick lime by the action of heat. 1 liese substances are found in a state of combination Avith the carbonic acid or fixed air. During the process of calcination, the carbonic acid is expelled from the carbonates, in the state of gas or air; and the product is quick-lime in a caustic state. As quick-lime attracts moisture and carbonic acid from the atmosphere, it should J»e always recently prepared, or preserved in very close bottles for medicinal use. Lime is soluble in water in small quantity; the solution has a styptic taste and is the form under which lime has been medicinally employed. It is used with advantage m dyspepsia; its beneficial effects arising principally from MATERIA MEDICA. 167 its tonic and astringent quality, as in the small quantity which Avater can dissolve, it can have little effect by any chemical agency in obviating acidity. It is employed too as an astringent in chronic diarrhsea and in leueorrhaea. As a pure tonic, the product of the combination of it with muriatic acid, the muriate has been introduced into prac- tice as much superior in efficacy to muriate of barytes, and a formula for preparing it is given by the Edinburgh and Dublin colleges. It has been used principally in scrofula and hectic feA'er, and in dyspepsia. Its dose is from half a drachm to a drachm of its saturated solution; and as it is a medicine of considerable activity, it requires to be given with caution. On the living body, lime acts as an escharotic, and as such is applied to ill-conditioned sores, to soften their callus edges. Farriers are in the practice of applying lime to ulcers and other sores of horses, Avith much benefit, as a convenient, cheap, and useful escharotic. Lime is much used in pharmacy, for the purpose of form- ing lime water, and as a chemical agent in several prepa- rations. Cancer Astagus. The Craw Fish. Cancer Pagurus. The black clawed Crab. The claAvs, called crabs' eyes. In the head and stomach of the craAV fish, are found certain concretions, about the size of peas, or larger, of a Avhite colour, and sometimes of a redish and bluish east. They are prepared by levigation and washing with water. They are termed lapilli cancrorum p'wparati, formerly occuli cancrorum prmparati. The tips of the claAvs of the common crab, are precisely similar in composition, and are prepared in the same manner. They are named chela; cancrorum prazparatce. Both these substances are carbonates of lime, free from the other earths, Avhich chalk always contains, and therefore preferable to it for medicinal use. Canella Alba. Canella Alba. The bark. This is the inner bark of the branches of a tree which is very common in Jamaica and other West-India islands. It is in quills, or flat pieces, of a light brown or grayish colour; its flavour is aromatic, and its taste pungent, Canella is a moderately strong aromatic, and is employed 168 MATERIA MEBICA. principally on account of its ilavour. It enters iuto the composition of several tinctures, and is scarcely applied to any other use. Capsicum Annuum. Cockspur-Pepper. The fruit. This species of pepper is a native of South America, and is cultivated extensively in the West-India islands. The pods are long, pointed, and pendulous, at first of a green colour, and afterwards of a bright orange red. The taste of capsicum is extremely pungent and acrimo- nious ; setting the mouth, as it were, on fire. Its pun- gency is completely extracted by alcohol, and partly by water. Cayenne pepper is an indiscriminate mixture of the powder of the dried pods of many species of capsicum. These peppers have been chiefly used as a condiment. They prevent flatulence from vegetable food, and have a warm kindly effect upon the stomach. An abuse of them, hoAvever, gives rise to visceral obstructions, especially of the liver. Of late they have been employed also in the practice of medicine. There can be little doubt, but they furnish us with one of the purest and strongest stimulants, that can be introduced into the stomach; Avhile, at the same time, they have nothing of the narcotic effects of ardent spirits. Dr. Adair Makitrick, who Avas perhaps the first that employed them as a Htedicine, directs them to be given to the extent of six or eight grains, under the form of pills; or in tincture, made by infusing half an ounce of the pods, in a pound of rectified spirit, and to be given from one, to three drachms in a dose. He has found them useful in a variety of affections, particularly in that morbid disposition, Avhich he calls the cachexia africana; and which he considers as a most frequent and fatal pre- disposition to disease among the slaves. Dr. Wright says, that in dropsical and other complaints, where chalybeates are indicated, a minute portion of poAvdered capsicum, forms an excellent addition, and recommends its use in lethargic affections. This pepper has also been successfully employed, in- fused in vinegar, as a gargle in a species of cynanchc maligna, which proved very fatal in the West-Indies, resisting the peruvian bark, Avine. and the other remedies eommonly employed. The practice, though successful MATERIA MEDICA. 169 in the West-Indies, it is said, is not Avithout danger from the inflammation it is liable to induce. In tropical fevers, coma and delirium are common attendants; and in such cases, cataplasms of capsicum have a speedy and happy effect. They redden the parts, but seldom blister, unless kept on too long. In ophthalmia, from relaxation, the diluted juice of capsicum is a sove- reign remedy. Carbo Ligni. Charcoal of Wood. Common charcoal of wood, (carbonous oxide) or carbon of the French chemists, is a sort of artificial coal, con- sisting of half burnt Avood. It is in the form of solid masses of a black colour, is brittle, and has neither smell nor taste. It is extremely porous, and therefore absorbs light strongly, Avhich accounts for its blackness; for, the rays of light, striking on the charcoal, are received and absorbed in its pores, instead of being reflected, whence, the body must of necessity appear black. This substance also attracts air from the atmosphere, which it continues to absorb for a considerable time. It is insoluble in water, and a bad conductor of caloric, but an excellent one of electricity. This substance is found to consist of 63, 86 of carbon, and 36,14. of oxygen. Charcoal possesses a number of singular properties, which render it of considerable importance in many re- spects. It is incapable of putrifying or rotting, like wood; and so remarkable is the durability of this sub- stance, that it may be preserved to an indefinite length of time; for there yvt exists, according to Dodart, charcoal made of corn, (probably in the days of Csesar,) which is in so complete a state, that the wheat maybe distinguish- ed from the rye. Besides the great advantage which this article affords to the artist and manufacturer, it has been of late employed Avith considerable success—First, in correcting the burnt, or empyreumatie taste in ardent spirits—Secondly, in depriving rancid oil of its disagreea- ble flavour—Thirdly, in restoring putrid meat. For these useful purposes, it should be previously reduced to poAvder, and that only used which is fresh prepared, or has been kept in close vessels, that it shall have absorbed no fixed air from the common atmosphere. The tainted flavour of ardent spirits, or the unpleasant one of those no 170 MATERIA MEDICA. distilled from grain, may be entirely destroyed, by merehr shaking it with powdered charcoal. Charcoal is of still greater utility for purifying water on ship board. The most offensive water may be rendered perfectly sweet, by merely filtrating it through maple, hickory, or oak coal and sand. New made charcoal, by being rolled up in cloths that have contracted a disagreea- ble odour, effectually destroys it; and the bad taint of meat, beginning to putrify, is in like manner corrected. It is possible that meat surrounded by fresh charcoal, might keep sweet for months. On account of its absorbent and antiseptic properties, this substance promises to be of considerable service in medicine. It has been found to arrest the progress of mortification, Avhen applied in the form of medicated poultice to the affected part, and fre- quently repeated. In a variety of instances it has been found to have a remarkable effect, in removing habitual costiveness, without inducing an extraordinary degree of Aveakness, especially if it be mixed Avith syrup of yellow roses. Many persons, afflicted Avith that disagreeable complaint, a foetid breath from a costive habit, have obtained effectual relief by taking two or three times in a day, a table spoonful of each of the above articles. Char- coal, made from maple Avood, or burnt bread, finely pow- dered, makes a simple, efficacious, and safe tooth powder. Avhich is preferable to any other. It neutralizes, and entirely destroys for a time, any farter Avhich may arise from a carious tooth. It has lately been found to cure tinea capitis, by being sprinkled over the ulcer in fine powder. The most eligible process for preparing charcoal for medicinal uses, free from all impurities and disagreeable taste, is, to inclose small billets of wood in an iron cylin- der, having a tube fixed to one end, and distill them until no more smoke and Avater escape from the tube. Then put out the fire, and close the mouth with clay, until the cylinder cool. The barrels of old guns or pistols, may serve for this purpose; or the pieces of wood may be put into a pot not closely covered, and surrounded with live coals, until all smoke from the pot shall cease. Then remove the coals and closely lute the cover Avith clay, until the pot cool. Or pulverize some Avell burnt common charcoal, and then beat it in a covered crucible to a glowing red, till it cease to give out any inflammable va- pour. It should be immediately secured in well stopped MATERIA MEDICA. 171 glass bottles, and in that way it may be preserved unim- paired for any length of time. Charcoal is one of the greatest non-conductors of heat. This quality renders it applicable to a variety of eco- nomical purposes. Carbonas. Carbonate. Is a generic name for the combinations of the carbonic acid, with earths, alkalis, and metallic oxyds. The nature of these substances was totally unknoAvn until the year 1756, when the genius of Dr. Black at once removed the veil, and displayed to his contempora- ries a neAV and immense field, in which the most important discoveries might be made; and to their ardour in culti- vating it, we are indebted for the present state of chemical knoAvledge. Before the brilliant epoch Ave have mentioned, the carbonates were supposed to be simple bodies; and the facts of their acquiring new and caustic properties by the action of fire, was attempted to be explained by supposing the particles of fire combined with them. Dr. Black, however, demonstrated by proofs that carried universal conviction along with them, that these bodies in their caustic state are simple, and that their mildness is owing to their being combined with an aeid, to which the name of carbonic is now given. The most general character of the carbonates, is their effervescing violently when any of the stronger acids are poured upon them. This phenomenon is owing to these acids displacing, by their greater affinity, the carbonic acid, Avhich flies off in the form of gas. The carbonates may be also deprived of the carbonic acid, either by the action of heat alone, or by heating them Avhen mixed with charcoal, which decomposes the carbonic acid, by combining Avith part of its oxygen, so that both the acid and charcoal are converted into car- bonic oxyd gas. The carbonates may be divided into three great fami- lies : the alkaline, the earthy, and the metallic. Family 1st. The alkaline carbonates have an acrimo- nious taste; tinge vegetable blues green, and are soluble in Avater, and insoluble in alcohol. Family 2d. The earthy carbonates are insipid, and insoluble in water, but soluble in water saturated with carbonic acid. 172 MATERIA MEDICA. Family 3d. The metallic carbonates scarcely differ in appearance from the metallic oxyds. We shall have occasion immediately to notice some individuals of each of these families. Carbonas Barytes. Carbonate of Barytes. Carbonated baryta is rarely found in nature, and as it was first discovered by Dr. Withering, Mr. Werner gave it the name of Witherite. Its colour is grayish white, sometimes inclining to milk white, and sometimes Avith a slight tinge of yellow. It is found in solid masses, sometimes filling an entire vein, sometimes interspersed with sulphated baryta, frequently rounded, or effecting that form, seldom crystalyzed. Although it has no sensible taste, it is poisonous; even in a small dose, it occasions dangerous symptoms. It is used for preparing the muriate of baryta, to which the reader is referred. Carbonas Calcis. Carbonate of Lime. Chalk. 1. Soft Carbonate of Lime, called Chalk. 2. Indurated Carbonate of Lime, called Marble. Of the two varieties of this article, the soft carbonate of lime, Creta alba, white chalk, is principally enmioved In medicine. This is a carbonate of lime found 'abun- dantly in nature; it always contains more or less argilla- ceous, and siliceous earths. From the grosser impurities with which it is mixed, it is freed by levigation and washing. It is then termed prepared chalk, and is very commonly employed as an antacid. As the salt it forms with the acid in the stomach, has no purgative quality, it is the one commonly employed to check diarrhoea, proceeding from acidity. It is given in a dose of one or two drachms, with the addition of a small quantity of any aromatic. In pharmacy, it is employed for the prepara- tion of carbonic acid gas, and of the muriate of lime. Powdered chalk has been externally applied with success to scalds and burns. MATERIA MEDICA. 173 Carbonas Potass.e Impurus. Impure Carbonate of Potass, called Pearl Ashes. The potashes of commerce are made by reducing large quantities of wood of any kind to ashes; this process is termed incineration. The ashes, which are of a blackish gray, or white colour, are next boiled in water, so as to form a strong lixivium or ley; Avhich, after being strain- ed, is evaporated in an iron vessel almost to dryness. The saline matter whieh remains at the bottom, is then put into a crucible, and liquified over an intense heat, and poured out on iron plates, Avhere it speedily cools, and assumes the form of concrete salt. This, however, being mixed with many impurities, is again burnt in a reverba- tory furnace, and in this state, although not free from impurities, it receives the name of pearl ashes. This is the fixed vegetable alkali, and was formerly known in Pharmacopoeias under the names of Sal Absiuthii, Sal Tartari, &c. and by the London College, Kali. But, since the fixed vegetable alkali, from whatever vegetable it has been produced, is one and the same thing; those several terms as leading to error, have been with justice expunged, and the neAV chemical term potassa, universal- ly adopted. The best vegetable alkali is obtained from weeds, the ashes of which yield a larger proportion of salt, than most kinds of wood; and among these, wormAVOod is said to produce the largest quantity. This kind of salt never preexists in the vegetable, but is ahvays generated during the burning. These salts are acrid and caustic. They may be purified sufficiently, for pharmaceutical uses, by lixiviating them in cold Avater, and evaporating the ley to dry ness in an iron pot. Potassa is of extensive use in medicine, and particu- larly serviceable in complaints of the stomach and intes- tines, produced by acids. The medicinal virtues of this salt are, to attenuate the juices, resolve obstructions, and promote the natural secretions. A diluted solution of it, drank warm in bed, generally excites sweat; if that eva- cuation is not favoured, its sensible operation is by urine. When acidities abound in the first passages, this salt ab- sorbs the acid, and unites with it, into a mild, aperient, neutral salt. As one of its principal effects is to render the animal fluids more thin; it is obvious, that where they 174 MATERIA MEDICA. are already colliquated as in scurvies, and in all putrid disorders, in general this medicine is improper.* The common dose of this salt is from two or three grains to a scruple, or even to a drachm. Its acrimony must, however, be sheathed with some mucilage, or largely diluted with watery liquors. But potassa is more frequently employed in a neutral- ized state with the vegetable acids. It is of late employed in calculous complaints, but its continued use seldom fails to injure the constitution, or the intestinal canal. * According to the theory of Dr. Mitchell, and other re- spectable writers in the United States, alkaline salts, both fixed and volatile, but more especially potash and soda, are the greatest determents, or purifiers, which are known. They are capable of resisting the dangerous progress of the septic acid, abounding in pestilential or infectious air. Hence they are employed as the principal and active ingredient in soaps, and are signally active in the form of lixivia, or leys, in cleansing and purifying apartments in houses and ships, when infected with putrid exhalations. Alkalis, too, are the most powerful antiseptics with which we are acquainted. Potash and soda are remarkable for removing tainted and foetid odours, and for keeping animal substances sweet, entire, and free from decay. They cleanse garments, and every thing else which is contami. nated with common filth, infection, and contagion, which they neutralize, and render harmless. Alkalis are admirable reme. dies in fevers, and in dysentery. Administered by the mouth, they neutralize in their passage through the alimentary canal, the septic acid, which is the existing cause, and, injected in clysters, they allay tenesmus like a charm. In both cases they mitigate pain, allay spasmodic action, and restore and equalize the peristaltic motion. They effectually destroy the foetor and infection of the stools. Alkalis are also excellent helps in surgery; many foul ulcers are very much benefited by their application with the dressings, in weak, watery solution. Experiments have proved, that in foul and degenerate ulcers, of the common, as well as of the syphilitic, cancerous, and scrofulous kinds, the matter secreted on their surfaces, degenerates to a venemous acid ; the propriety of alkaline dressings, therefore, will be instantly apparent. These and other properties of alkalis, have been treated of in Dr. Mitchell's Essays, published in the several volumes of the Medical Repository of New- York; where the reader will find a large body of evidence in favour of the antiputri- factive and aiitipestilential properties of alkalis, and of their virtues in curing various diseases. MATERIA MEDICA. 175 It is applied externally as a stimulant to the inactive state of the vessels, in certain foul ulcers. Dr. Mitchell recommends the use of potash cakes for children, to prevent the injurious effects of acidity in their stomachs, and mitigate the disorders to Avhich their bowels are liable. He observes, that those children who have been aecustomed to eat cakes, a little tinctured with this excellent ingredient, groAV fat and healthy. Carhonas Sod^; Impurus. Impure Carbonate of Soda. The fixed mineral, or fossil alkali, called soda, is a very common mineral production. It is the basis of sea salt, and is found on the surface of the earth in Egypt, Syria, Barbary, &c. but the native production being found greatly inadequate to the consumption of this arti- cle, in the arts and manufactures; it is iioav obtained by the incineration of marine plants, especially the Spanish Barilla, Kali, &c. These plants, after being dried, are throAvn into a deep pit, where they are burnt. When the incineration is complete, the soda is found at the bottom, caked into a solid mass. When good, it is firm, heavy, dry, sonorous, spongy, and internally of a blue colour, mixed with white spots ; does not deliquesce, emits no unpleasant smell on solution, and does not leave a large proportion of insoluble matter. In medicine, this salt possesses similar virtues with the carbonate of potash, and from its crystalizability and efflorescence Avhen ex- posed to the air, it is preferable to it, because its dose may be more accurately ascertained, and may be given. either in the form of poAvder or pills. A solution of soda is an excellent gargle for cleansing the throat, mouth, and gums, both in a sound and a diseased state; Avhile it Avhitens the teeth, and dissolves all incrustations that may have been formed on their surfaces, Avithout injuring their enamel. A small quantity of this liquid occasion- ally swalloAved, after washing the fauces, is said effectually to remove a foetid breath. Soda is also in many instan- ces preferable to magnesia, for correcting acidity in the stomach. It also acts as a tonic, and in many instances gives great relief in calculous complaints, although there can be little reliance placed upon it us a lithontriptic. 176 METERIA MEDICA. Carboxas Zixci Imfurus. Impure Carbonate of Zhie. This mineral is found plentifully in England, Germa- ny, and other countries, either in distinct mines, or inter- mingled with the ores of different metals. It is usually of a grayhm, brownish, yelloYvish, or pale reddish colour. This mineral, formerly called Lapis Calaminaris, is gen- erally roasted, before it comes into the shops, to render it more easily reducible into a fine powder. In this state it is employed in collyria, against defluctions of thin acrid humours upon the eyes, and is the basis of the common healing cerate. Carum Carui. Caraway. The seeds. This is an indigenous, biennial plant, cultivated in our gardens, both for medicinal and culinary uses. On ac- count of their aromatic smell, and ay arm pungent taste, the seeds of caraway may be classed among the finest stomachics and carminatives of our climate. To persons afflicted ay ith flatulency, and liable to colics, if adminis- tered in proper quantities, they generally afford conside- rable relief, and may sometimes be used with advantage in tertian agues. Cassia Fistula. Cassia Tree. The fruit. This tree is indigenous in India and Egypt, and is cul- tivated in Jamaica. Its fruit is a cylindrical pod, scarcely an inch in diameter, a foot or more in length; the outside is a hard, brovyn bark ; the inside is divided by thin, transverse, Avoody plates, covered with a soft black pulp, of a sweetish taste, with some degree of acri- mony. This pulp, which dissolves, for the most part, both in water and rectified spirit, is a gentle laxative, and is frequently given in doses of several drachms, to per- sons of costive habits. In inflammatory complaints, it is sometimes administered in much larger doses, from one to tAvo ounces, Avhen acrid purgations are improper; though it is apt to nauseate the stomach, to produce flatulency, and griping; especially if the pulp be of an inferior kind, or spoiled by long keeping: these effects may, hoAvever, be obviated by the addition of aromatic^ and by taking it in a liquid form. materia medica. 177 There are several species of cassia in the United States. Cassia Marilandiea is used in the southern states, as a purgative, and possesses nearly the same virtues as the senna of the shops. Cassia Senna. Senna. The leaves. This species of cassia is annual, although in its mode of growth, it resembles a shrub, and sends out hollow, woody stems, to the height of four feet. It is principally brought to us from Alexandria, in Egypt. The leaves, the only part in use, are of an oblong figure, sharp point- ed at the ends, about a quarter of an inch broad, and not a full inch in length, of a lively yellowish green colour, a faint, not very disagreeable smell, and a subacrid bit- terish, nauseous taste. Some inferior sorts of this drug are obtained from Tripoli, and other places; but they may be easily distinguished, as the latter is of a fresh green colour, Avithout any yellow shade. Senna is a useful purgative, operating mildly, though effectually; and at the same time promoting the secretion of urine. It is always given in the form of Avatery infu- sion, two or three drachms being infused in four or six ounces of water, with the addition of a few coriander seeds, to cover its flavour, and obviate griping. It is also frequently combined with manna, with tamarinds, or Avith acidulous tartrite of potash, to increase its action on the boAvels. By decoction Avith Avater, the activity of senna is much impaired, if not destroyed. Cassia Maeilandica. American Senna. The leaves. This plant is abundant in America, and knoAvn by the name of senna, is of the same genus Avith the senna of the shops, and possesses nearly the same virtues as the eas- tern species. It is used as a purgative, in different parts of the United States, and, from the high price of foreign senna, deserves to be attended to. It is easily cultivated from the seeds, and ought to be generally introduced into our gardens. Castor Fiber. The Beaver. The substance collected in the follicles, near the anus, called castor. The beaver is an amphibious animal, Avhich inhabits the northern parts of Europe, Asia, and America; in the 178 MATERIA MEDICA. banks of rivers, or lakes, and at a distance from the bah itations of men. Near the rectum of both sexes, there are tw o little bags, about the size of a hen's egg. contain- ing a brownish oily matter, called castor, Avhich is a pe- culiar deposition of fat, interAvoven Avith cellular mem- brane. This substance has a disagreeable, narcotic smell, and a bitterish, acrid, nauseous taste. By drying it in the smoke of a chimney, it may be preserved seven or eight years. The best castor is brought from Russia, PiMissia. and Poland; that procured in Canada, and New England, is of an inferior quality. That Avhich is very old. quite black, and destitute of smell and taste, is unfit for medicinal use. To preserve this drug from injury, it should be kept wrapt up in bladders or oiled-paper. Its active matter is dissolved by alcohol, proof spirit, and partially by wa- ter. The tincture made with diluted alcohol, is the least nauseous. Castor is an excellent antispasmodic, and acts particularly upon the uterine system. It is given with advantage in most spasmodic diseases, especially in hys- teria and epilepsy. In powder, which is the most eligi- ble form, it is exhibited in doses from ten to twenty grains, or from one to tAVO drachms of the tincture. Centaurea Benedicta. Blessed Thistle. The herb. The carduus benedictus is an annual exotic plant, culti- vated in gardens; it floAvers in June and July, and pro- duces ripe seeds in autumn. The virtues of this plant, says Dr. Duncan, seem to be little known in the present practice. The nauseous decoction is sometimes used to provoke vomiting, and, a strong infusion, to promote the operation of other emetics. But excellent effects have been frequently experienced, from a slight infusion of carduus, in loss of appetite, Avhere the stomach has been injured by irregularities. A stronger infusion, made in cold or warm Avater, if drunk freely, and the patient kept warm, occasions a plentiful sAveat, and promotes the secretions in general. Cera. Wax. a. Flava. Fellow. b. Alba. White. For this useful substance, Ave are indebted to the com- mon honey bee, by whom it is collected from the leaves MATERIA MEDICA. 1Z9 and flovvers of vegetables. It is formed into solid cakes by melting the combs, after all the honey has been ex- pressed from them, in hot Avater. The best sort should be hard, compact, of a clear yelloAV colour, and an agree- able odour, similar to that of honey. Pure bees-Avax, when recent, is tough, yet easily broken; by long keep- ing, it becomes harder, and more brittle, loses its fine colour, and, in some measure, its fragrance. The yellow colour of bees-wax, and its peculiar smell, may be destroyed by the combined action of water, air, and the sun's rays. In the process for bleaching Avax, Ave therefore extend its surface as much as possible, by melting it, and forming it into thin plates Avhich are exposed to the sun's rays, and repeatedly moistened until they acquire the Avhiteness desired. White Avax is more delicate, but in medicine, it has no advantage over yelloAV wax. When taken internally, wax agrees in its effects with the fat oils, and is preferable, in being less apt to liecome rancid. Its principal use, is for the formation of cerates, ointments, and plasters. ■Cervus Elaphus. The Stag, or Hart. The horns. The horns of the common male, red deer, have long been considered as an article of Materia Medica. The scrapings, or raspings of these horns, are medicinal, and employed in decoctions, ptisans, or cooling drinks, &c. Hartshorn jelly is remarkably nourishing, and sometimes given as an agreeable demulcent, in cases of diarrhoea. The coal of hartshorn, which is prepared by exposing it to a strong and long continued fire, changes into a very white earth, called calcined hartshorn. It is employed as an absorbent, and likewise in dysenteries, which are sup- posed to arise from acrid and ill digested matter. These animal horns are to be considered of the same nature as bones ; and their products by heat, are those of animal substances in general. They were formerly so much employed for the preparation of the volatile alkali (am- monia) that it yy as commonly called hartshorn. Ohenopodium Anthelminticum. Jerusalem Oak. The herb and seeds. This plant, a native of Buenos Ayres, and of various parts of the United States, ;s said to be an excellent ver- ISO MATERIA medica. mifuge. The Avhole plant has a poAverful smell, of which it is very retentive ; the taste is bitter, with a good deal of aromatic acrimony. The whole plant may be em- ployed. Sometimes the expressed juice is used in the dose of a table spoonful, for a ebild of two or three years old: more commonly, however, the seeds, emphatically called wormseed, are reduced to a fine powder, and made into an electuary with syrup. Of this, the dose for a child two or three years old, is a table spoonful early in the morning. The patient is to be kept without nourish- ment for some hours; after supper another dose is to be administered. It is often necessary to continue this course for several days, and great numbers of lumbriei are frequently discharged, after the use of a few doses of the medicine. Chironia Centaurium. Smaller Centaury. The flow- ering heads. This plant is annual, and "grows wild in many parts of England, and other countries, chiefly on barren pastures. It agrees in every respect Avith other pure bitters. The chironia angularis, common American cen- taury, is a native of the United States, and has the ap- pearance of lesser centaury (gentiana centaurium). It is universally known by the name of centaury, and is deservedly esteemed as an highly medicinal, and very agreeable simple bitter. It is used with great success in relaxations of the sto- mach, loss of appetite, and general debility. In sickly situations, an infusion of this plant, joined with calamus aromaticus, is commonly resorted to as an excellent me- dicine, taken in the morning as a preventive. Cinchona Officinalis. OJ/icinal Cinchona. Peruvian Bark. The bark. a. Communis. The Common. b. Flava. The Fellow. c. Rubra. The Red. It is by no means ascertained, that the two last are the bark of the cinchona officinalis, but have been merely classed under it until we are better acquainted with their botanical history. MATERIA MEDICA. 481 The tree affording this bark groAvs wild in the hilly parts of Peru. In the dry season, from September to November, the bark is stripped from the brandies, trunk, and root, and after being carefully dried in the sun, is packed in skins. The name Cinchona, is derived from that of the lady of the Spanish viceroy, who Avas cured by the bark, in the year 1640. The discovery of its medicinal virtues was in all probability an accident) and on its first introduction into Europe, it Avas repro- bated by many eminent physicians ; and at different pe- riods long after, it Avas considered a dangerous remedy; but its character, in process of time, became universally established. The common pale bark is in the form of small quilted twigs, thin, breaking close and smooth, friable between the teeth, covered with a rough coat of a brownish colour, internally smooth and of a light broAvn ; its taste is bit- ter, and slightly astringent; flavour lightly aromatic, Avith some degree of mustiness. The yellow Peruvian bark has only been introduced since the year 1790. It approaches more to the yellow colour, than cither of the others do; is in flat pieces, not convoluted like the pale; nor dark coloured, like the red; externally smooth, internally of a light cinnamon colour; friable, and fibrous; has no peculiar odour dif- ferent from the others ; but a taste incomparably more bitter, with some degree of astringency. The red Peruvian bark is in large thick pieces, exter- nally covered with a brown rugged coat, internally more smooth and compact, but fibrous; of a dark red colour, taste and smell similar to that of the pale, but the taste rather stronger. Its powder is reddish, like that of Ar- menian bole; its astringency and bitterness are more intense, and it contains more resin than the pale bark. It also produces its effects in smaller doses; but it is said to be more frequently adulterated. Practitioners have differed much with regard to the mode of operation of the Peruvian bark. Some have ascribed its virtues entirely to a stimulant power. But while the strongest and most permanent stimuli have by no means the same effect with bark in the cure of diseas- es, the bark itself sIioavs hardly any stimulant power, either from its action on the stomach, or on other sensible parts to Avhich it is applied. From its action on the dead animal fibre, there can be no doubt of its being a power- 182 MATERIA MEDICA. ful astringent; and from its good effects in certain cases of disease, there is reason to presume that it is a still more poAverful tonic. To this tonic poAver some think that its action, as an antiseptic, is to be entirely attributed; but that, independently of this, it has a very powerful effect in resisting the septic progress to which animal substances are naturally subjected, appears beyond all dispute, from its effects in resisting putrefaction, not only in dead animal solids, but even in animal fluids, Avhen entirely detached from the living body. But although it be admitted that the Peruvian bark acts powerfully as an astringent, as a tonic, and as an antiseptic, yet these principles Avill by no means explain all the effects derived from it in the cure of diseases. And accordingly from no artificial combination in Avhick these powers are combined, or in which they exist even to a higher degree, can the good consequences resulting from Peruvian bark be obtained. Many practitioners, therefore, are disposed to view it as a specific. If, by a specific, we mean an infallible remedy, it cannot indeed be considered as entitled to that appellation ; but as far as it is a Aery poAverful remedy, of the operation of which no satisfactory explanation' has yet been given, it may Avith great propriety be denominated a specific. But, whatever its mode of operation may be, there can be no doubt that it is daily employed with success in a great variety of diseases. It Avas first introduced for the cure of intermittent fe- vers ; and in these, when properly exhibited, it rarely fails of success. Practitioners, however, have differed with regard to the best mode of exhibition; some prefer giv- ing it just before the fit, some during the fit, others im- mediately after it. Some, again, order it in the quantity of an ounce, betAveen the fits; the dose being the more frequent and larger according to the frequency of the fits; and this mode of exhibition, although it may perhaps sometimes lead to the employment of more bark than is necessary, avc consider as upon the Avhole preferable, from being best suited to most stomachs. The requisite quan- tity is very different in different cases; and in many vernal intermittents it seems even hardly necessary. It is iioav given from the very commencement of the disease, Avithout previous evacuations; Avhieh, with the delay of the bark, or under doses of it, by retarding the MATERIA MEDICA. 183 cure, often seem to induce abdominal inflammation, scirrhus, jaundice, hectic, dropsy, &c. symptoms formerly imputed to the premature or intemperate use of the bark, but which are best obviated by its early and liberal use. It is to be continued not only till the paroxysms cease, but till the natural appetite, strength, and complexion return. Its use is then gradually to be left off, and repeated at proper intervals to secure against a relapse; to which, however unaccountable, there often seems to be a pecu- liar disposition; and especially Avhen the Avind blows from the east. Although, however, most evacuants conjoined Avith the Peruvian bark in intermittents are rather preju- dicial than otherwise, yet it is of advantage, previous to its use, to empty the alimentary canal, particularly the stomach; and on this account, good effects are often obtained from premising an emetic. It is a medicine which seems not only suited to both formed and latent intermittents, but to that state of fibre, on which all rigidly periodical diseases seem to depend; as periodical pain, inflammation, hsemorrhagy, spasm, cough, loss of external sense, &c. Bark is now used by some in all continued fevers; at the same time attention is paid to keep the bowels clean, and to promote, Avhen necessary, the evacuation of redun- dant bile; always, however, so as to Aveaken the patient as little as possible. In confluent small pox, it promotes languid eruption and suppuration, diminishes the fever through its whole course, and prevents or corrects putrescence and gan- grene. In gangrenous sore throats, it is much used, as it is externally and internally in every species of gangrene. In contagious dysentery, after due evacuation, it has been used, taken internally and by injection, with and without opium. In all those htemorrhagies called passive, and which it is allowed all hsemorrhagies are very apt to become, and likeAvise in other increased discharges, it is much used; and in certain undefined cases of haemoptysis, some allege that it is remarkably effectual when joined ay ith an absorbent. It is used for obviating the disposition to nervous and convulsive diseases; and some have great confidence in it, joined with sulphuric acid, in cases of phthisis, scrofula, tSi MATERIA MEDICA. ill conditioned ulcers, rickets, scurvy, and hi states of convalescence. In these cases, notwithstanding the use of the acid, it is proper to conjoin it with a milk diet. In dropsy, not depending on any particular local affec- tion, it is often alternated or conjoined Avith diuretics or other evacuants; and by its early exhibition after the water is once drawn off, or even begins to be freely dis- charged, afresh accumulation is prevented, and a radical cure obtained. Mr. Pearson, of the Lock Hospital, praises very highly the powers of this remedy i»i different forms of the vene- real disease; in reducing incipient bubo, in cleansing and healing ulcers of the tonsils, and in curing gangrenous ulcers from a venereal cause. Bat in all these cases mercury must also be given to eradicate the venereal Aims from the system. Peruvian bark may be exhibited, 1. In substance. The best form of exhibiting this valuable remedy is in the state of a very fine powder, in doses of from ten grains to two drachms and upwards. As it cannot be swallowed in the form of a dry poAvder, it must either be diffused in some liquid, as water, wine, or milk; or mixed with some viscid substance, as currant jelly. Its taste, which is disagreeable to some people, is best avoided by taking it immediately after it is mixed up; for by standing any time, it is communicated to the vehicle. In this respect, therefore, it is better for the patients to mix it up them- selves than to receive it from the apothecary already made up into a draught Avith some simple distilled Avater, or into an electuary with a syrup. A much more important objection to this form of giving Peruvian bark is, that some stomachs will not bear it, from the oppression and even vomiting Avhich in these cases it excites, We must endeavour to obviate this inconvenience by the addition of some aromatic, and by giving it in small'doses more fre- quently repeated. If we are unable to succeed by these means, we must extract the most active constituents of the bark by means of some menstruum. It has therefore long been a pharmaceutical problem, Avhat menstruum extracts the virtues of Peruvian bark the best. But the active constituents of this remedy, according to the best and latest analysis, are bitter extractive, tannin,and gallic acid, combined with some mucilage and resin. Of MATERIA MEDICA. 185 these, the two last are not soluble in any one menstruum; but they most probably contribute very little to the poAV- ers of the medicine. The three other constituents, on the contrary, on Avhich ail its activity depends, taken singly, are all of them very soluble both in water and in alcohol, and in every mixture of these. But it would be contrary to analogy to suppose, that these substances should exist so intimately mixed as they must be in an organic body, Avithout exerting upon each other some degree of chemical affinity, and forming combinations possessed of new properties. Accordingly avc find, avIic- ther it arise from tiiis cause, or merely from the state of aggregation, that neither water nor alcohol extracts these constituents from Peruvian bark in the same quantity in which they ai*e able to dissolve them separately, and that Ave must have recourse to direct experiment to determine the degree of action possessed by each menstruum upon it. With this view many experiments have been made, and by very able chemists. But most of them were performed when the science of chemistry was but in its infancy; and even at this time that branch of it which relates to these substances is so little understood, that the results of the late experiments are far from conclusive. 2. In infusion. To those whose stomachs will not bear the poAvder, this is the best form of exhibiting Peruvian bark. Water, at a given temperature, seems capable of dissolving only a certain quantity, and, therefore, avc are not able to in- crease the strength of an infusion, either by employing a larger quantity of the bark, or allowing it to remain longer in contact. One part of bark is sufficient to satur- ate sixteen of water in the course of an hour or Iavo. To accelerate the action of the Avater, it is usual to pour it boiling hot upon the bark, to cover it up, and allow it to cool slowly. After standing a sufficient length of time, the infusion is decanted off for use. The infusion in water is however liable to cue Aery great objection, that it cannot be kept even a xery short time without being decomposed and spoiled. Therefore, in some instances, Ave prepare the infusion with wine; and it fortunately happens that very often the use of the menstruum is as much indicated as that of the solvent. 3. In tincture. The great activity of the menstruum in this preparation, prevents the bark from being given in sufficiently large 2i 186 MATERIA MEDICA. doses to exert its peculiar virtues. It is, however, a powerful stimulant. i. In decoction. Water of the temperature of 212° is capable of dissolv- ing a much larger proportion of the soluble parts of Peru- vian bark than water at 60*. But the solvent powers even of boiling water have their limits, and by protracting the decoction avc do not increase its strength, but rather, by diminishing the quantity of the menstruum, Ave lessen the quantity of the matter dissolved. Besides, at a boil- ing temperature, extractive absorbs oxygen rapidly from the atmosphere, and is converted into Avhat seems to be an insoluble and inert resinous substance. 5. In extract. In this preparation avc expect to possess the virtues of Peruvian bark in a very concentrated state. The princi- pal objections to its use are its great expense, and the decomposition and destruction of the active constituents of the bark during the preparation, Avhen not properly conducted. It is convenient for the formation of pills, and boluses, but Ave would always prefer a fresh infusion or decoction to any mixture in Avhich the extract is re- dissolved. Externally, Peruvian bark is used in substance, as au application to ill-conditioned, carious, or gangrenous ulcers. In the form of clyster, it may be given in substance,, decoction, or extract. The powder is used as a tooth powder for spongy and bleeding gums, and the decoction is an excellent astringent gargle or wash. To increase the power of Peruvian bark, or to direct its efficacy to a particular purpose, or to correct some inconveniences occasionally produced by it, it is fre- quently combined Avith other remedies. When it produ- ces vomiting, carbonic acid forms a useful addition; Avhen it purges, opium; when it oppresses the stomach, aroma- tics; and Avhen it induces costiveness, rhubarb. It may be also combined with other vegetable astringent or bitter remedies, without impairing its powers. But we are afraid that many additions are made, chiefly saline sub- stances, of Avhich the effects are not at all understood. Sulphuric acid, super-sulphate of alumina and potash (alum), muriate of ammonia, carbonate of potash, tar- trite of potash, tartrite of antimony and potash (tartar emetic), iron, lime-Avater, &c. have been frequently MATERIA MEDICA. 187 prescribed with it; but we knoAV that in many of these mixtures decomposition occurs, which renders the Avhole either inactive, or completely deceives us Avith regard to its expected effects. In addition to Dr. Duncan's observations relative to this important article, the folloAving taken from Murray will not be deemed superfluous. The effects of Peruvian bark are those of a powerful and permanent tonic, so slow in its operation that its sti- mulating property is scarcely perceptible by any alteration in the state of the pulse, or of the temperature of the body. In a large dose, it occasions nausea and headach; in some habits it operates as a laxative; in others it oc- casions costiveness. It is one of those medicines, the efficacy of Avhich in removing disease is much greater than could be expected a priori, from its effects on the system in a healthy state. Intermittent fever is the disease for the cure of Avhich bark was introduced into practice, and there is still no remedy which equals it in poAver. The disputes respecting the mode of administering it are noAv settled. It is given as early as possible, Avith perhaps the previous exhibition of an emetic to evacuate the stomach; it is repeated in the dose of one scruple or half a drachm every second or third hour, during the in- terval of the paroxysm; and it may even be given with safety during the hot fit, but it is then more apt to excite nausea. In remittent fever it is given with equal freedom, even though the remission of the fever may be obscure. In those forms of continued fever Avhich are connected with debility, as in typhus, cynanche maligna, confluent small-pox, &c. it is regarded as one of the most valuable remedies. It may be prejudicial, however, in those dis- eases Avhere the brain or its membranes are inflamed, or where there is much irritation, marked by subsultus tendinum, and convulsive motions of the extremities; and in pure typhus it appears to be less useful in the beginning of the disease than in the convalescent stage. Even in fevers of an opposite type, where there are marks of inflammatory action, particularly in acute rheu- matism, bark has been found useful, after blood-letting. In erysipelas, in gangrene, in extensive suppuration, and venereal ulceration, the free use of bark is of the greatest advantage. \ 188 MATERIA MEDICA. In the various forms of passive bamorrhagy, in many other diseases of chronic debility, dyspepsia, hypochon- driasis, paralysis, rickets, scrofula, dropsy, and in a vari- ety of spasmodic affections, epilepsy, chorea, and hysteria, it is administered as a poAverful and permanent tonic, either alone, or combined with other remedies suited to the particular case. Its usual dose is half a drachm. The only inconve- nience of a larger dose is its sitting uneasy on the stomach. It may, therefore, if necessary, be frequently repeated, and in urgent cases may be taken to the extent of one ounce, or even tAVO ounces, in tAventy-four hours.* The poAvder is more effectual than any of the prepara- tions; it is given in Avine, in any spiritous liquor, or, if it excite nausea, combined Avith an aromatic. The cold in- fusion is the least powerful, but most grateful; the decoc- tion contains much more of the active matter of the bark, and is the preparation generally used ay hen the powder is rejected; its dose is from tAvo to four ounces. The spi- ritous tincture, though containing still more of the bark, cannot be extensively used on account of the menstruum, but is principally employed occasionally, and in small doses of tAvo or three drachms, as a stomachic. The extract is a preparation of considerable power, Avhen properly prepared, and is adapted to those cases Avhere the remedy requires to be continued for some time. It is then given in the form of a pill, in a dose from five to fifteen grains. When children cannot take the bark, it may be applied in the form of a quilted Avaistcoat Avith complete success. Cinchona Carib^ea. Cinchona of the Caribbean Isl- ands. The bark. This species belonging to the same genus, a native of the Caribbee Islands, has been proposed as a substitute to Peruvian bark, and has, as such, been received h:to the Edinburgh Pharmacopoeia. The bark comes in pieces about a span in length, rolled together, and a line or half a line in thickness, of a broAvn colour on the surface, * In a case of mortification, Dr. Philip Syng Pbysick, of Philadelphia, exhibited bark to the quantity of from six to eight ounces in twenty-four hours, without its exciting any very un. pleasant sensations. MATERIA MEDICA. 189 which is most commonly covered with white moss. It has at first a sweetish taste, but after being chewed some time it becomes extremely nauseous and bitter. Dr. Wright says he made use of this bark in all cases where Peruvian bark was indicated, and Avith the greatest suc- cess. Citrus Aurantium. Seville Orange. The juice of the fruit and its external rind. The juice of oranges is a grateful acid liquor, consist- ing principally of citric acid syrup, extractive, and mu- cilage; of considerable use in febrile or inflammatory distempers, for allaying heat, quenching thirst, and pro- moting the salutary excretions; it is likewise of use in genuine scorbutus, or sea scurvy. The china, or sweet orange, is to be preferred, as being more mild and less acid ; and it is employed in its most simple state Avith great advantage, both as a cooling medicine, and as an useful antiseptic in fevers of the worst kind. The outer yellow rind of the fruit of the orange has a grateful aro- matic flavour, and a warm bitterish taste. Both are extracted by water; and by distillation, a small quantity of essential oil is obtained. Its qualities are those of an aromatic and bitter. It has been employed to restore the tone of the stomach, and is a very common addition to combinations of bitters used in dyspepsia. It has like- Avise been given in intermittents, in a dose of a drachm twice or three times a day. Citrus Medica. Lemon Tree. The fruit, the rind of the fruit, and its volatile oil. The juice of lemons is similar to that of oranges, from Avhich it differs little otherAvise, than in containing more citric acid, and less syrup. The quantity of the former is indeed so great, that the acid has been named from this fruit, acid of lemons, and is commonly prepared from it. Lemon juice is one of the most cooling and antiseptic vegetable productions ; and is of great utility in medi- cine. Sir John Pringle highly praises its efficacy in the sea scurvy; and it affords a grateful and cooling beverage for febrile patients ; but it should be remarked, that this acid must never be freely given to persons Avhose breast, 190 MATERIA "MEDICA. or respiration is affected. Citric acid is a poAverful and agreeable antiseptic. Its poAvers are much increased, according to Dr. Wright, by saturating it with muriate of soda. This mixture he recommends as possessing very great efficacy in dysentery, remittent fever, the dry bellyache, putrid sore throat, and as being perfectly spe- cific in diabetes and lienteria. Citric acid is often used with great success for allaying vomiting; with this inten- tion it is mixed, with carbonate of potash, from which it expels the carbonic acid with effervescence. This neutral mixture should be drunk as soon as it is made, or the car- bonic acid gas, on Avhich actually the anti-emetic powers of this mixture depend, may be extricated in the stomach itself, by first swallowing the carbonate of potash, dissolved in water, and drinking immediately afterwards the citric acid properly sweetened. The doses are about a scruple of the carbonate dissolved in eight or ten drachms of water, and an ounce of lemon juice, or an equivalent quantity of citric acid. Lemon juice is also an ingredient in many pleasant refrigerant drinks, which are of very great use in allay- ing febrile heat and thirst. Of these the most generally useful is lemonade, or elicited lemon juice, properly sweetened. Lemonade, with the addition of a certain quantity of any good ardent spirit, forms the well known beverage, punch, which is sometimes given as a cordial to the sick. The acid of lemons is a known antidote against narcotic vegetable poisons, and among these in particular against opium. It has therefore been recom- mended that with every dose of opium a proportion of this acid in the quantity of two ounces to the grain, should be taken, by which means the uneasiness Avhich that drug often communicates will be prevented, and its distressing consequences avoided. Hence the use of acids, to per- sons who are habitually obliged to take considerable doses of opiates, cannot be too strongly recommended. To the liberal use of vegetable acids are to be ascribed the slight effects Avhich opium possesses over the Eastern nations, and not to the influence of coffee, as commonly alleged. * Either of the folloAving methods is recommended for preserving the juice of lemons, or limes. Boil the juice after straining it, and bottle it; or squeeze the fruit; put the juice and pulp into a bottle; cover the top with an inch of oil; cork and rosin the bottle. The juice is sup- MATERIA MEDICA. 191 posed to feed upon the pulp. Before using the juice, the pulp and oil must be carefully taken out. The yellow peel is an elegant aromatic, and is fre- quently employed in stomachic tinctures, and infusions ; it is considerably less hot than orange peel, and yields in dis- tillation with water a less quantity of essential oil; its flavour is nevertheless more perishable, yet does not arise so readily with spirit of wine; for a spiritous ex- tract made from lemon peel possesses the aromatic taste and smell of the subject in much greater perfection than an extract prepared in the same manner from the peels of oranges. In the shops a syrup is prepared from the juice, and the peel is candied ; the peel is an ingredient in the bitter infusions and wines, the essential oil enters the volatile aromatic spirit, or spiritus amnionise compo- situs, as it is now called, and some other formulae. Coccus Cacti. Cochineal. Cochineal is a small, irregular, roundish body, of a dark red colour on the outside, and a deep bright red Avith- in. It consists of an insect which derives its nourishment from the leaves of the cactus coccinellfer, or, as it is dif- ferently called, nopal, or riopelleca* This plant is found most abundantly in Mexico, and other parts of New Spain; and from its leaves cochineal insects are collected, and killed either by being immersed in hot water, or put into an oven moderately heated, or more advantageously, by being exposed to the scorching rays of the sun. These singular insects in their successive generations, are taken by the Mexicans three times in a year, carefully preserv- ing over the Avinter in their houses such as may be neces- sary for breeders, while attached to the succulent leaves of the plant. No less than 800,000 pounds, each pound containing at least 70,000 insects, are imported annually into Europe, as a highly valuable colouring drug. They are principally consumed by the scarlet dyers, and for the purpose of making carmine. The best sort has been sold for one guinea the pound. It is remarkable that the dried insect may be kept unimpaired for an in- definite length of time. The true cochineal has been found in South Carolina, and Mr. K. Peal of Philadelphia asserts, that he has dis- covered it upon the island of Little St. Simons, on the coast of Georgia. It is extremely desirable that the 192 materia medica. insect, and the cactus coccinellifer plant on whieh it breeds, should be cultivated in the southern states. The planter might find it a valuable source of revenue, when, from vicissitudes in the season, their crops of rice or cotton should fail. Cochineal is not employed in medicine, except for the purpose of imparting a beautiful red colour to some tinc- tures. Their colour is easily extracted, both by alcohol and water. " CocJiineal flourishes on the native nopal, or prickly pear of South Carolina. The insect thrives well, and increases and spreads on every leaf rapidly. <• The breeding of the cochineal is, however, attended with precarious circumstances; the insect is exposed to a variety of dangers from the violence of the winds, the rains, fogs, frosts, and other causes, and also from the depredations of birds, who are very fond of these insects." Rces' Cijclo. Cocos Butyracea. The Mackaw Tree. Palm Tree. The fixed oil of the nut, commonly called Palm Oil. This oil is obtained from the kernel of the fruit of the palm tree; which is imported from the West Indies, whither the tree has been transplanted from Africa. It is of an orange colour, and of the consistence of ointment, emitting a strong agreeable odour, but having very little taste; both of which it entirely loses by long keeping, when it becomes unfit for use. It is chiefly employed externally, for mitigating pains, cramps, and similar af- fections : it is likeAvise used for the. cure of chilblains, and, if early applied, has often proved successful. With camphor, palm oil makes a common, and very excellent liniment of the stimulating kind. Muriated ammonia, (sal ammoniac) in very fine powder, rubbed with campho- rated palm oil, forms one of the most active and valuable liniments, as a discutient to indolent tumors, rigidity of the tendons, &c. Cochxearia Armoracia. Horse Radish. The leaves and root. An indigenous perennial plant, groAving on the sides of ditches, the banks of rivers, and other damp places, floAvering in the month of May. For medicinal and culi- MATERIA MEDICA. lftS nary uses, it is also cultivated in gardens. Horse radish root has a quick pungent smell, and a penetrating acrid taste ; it nevertheless contains in certain vessels a sweet juice Avhich sometimes exudes upon the surface. By dry- ing, it loses its acrimony; but if kept in a cool place, covered Avith sand, it retains its qualities for a considera- ble time. - The medicinal effects of this root are to stimulate the solids, and promote the fluid secretions; it seems to extend its action through the Avhole habit, and affect the minutest glands. It is greatly recommended by Sydenham in dropsies, particularly such as succeed intermittent fevers. In paralytic complaints horse radish has sometimes been applied with advantage as a stimulating remedy to the parts affected. When steeped in vinegar during a fort- night, this root is said effectually to remove freckles in the face. A syrup made by boiling scraped horse radi h in brown sugar, is an excellent remedy in the decline of colds and of pleurisies, to promote expectoration, and remove hoarseness. Cochxearia Officinalis. Garden Scurvy Grass. The plant. This is an annual plant growing on the sea shore, and in mountainous situations, and is sometimes cultivated in gardens. It possesses a considerable degree of acrimony, and by distillation it affords an essential oil, the smell of Avhich is so strong as to make the eyes Avater. The fresh plant is a gentle stimulant and diuretic, and is chiefly used for the cure of the sea scurvy. It is em- ployed externally as a gargle in sore throat, and scorbutic affections of the gums and mouth. It may be eaten in substance to any quantity, or the juice may be expressed from it, or it may be infused in wine or water, or its virtues may be extracted by distillation. Dr. Withering says it is a powerful remedy in the pituitous asthma, and in Avhat Sydenham calls the scorbutic rheumatism. The juice is prescribed along with that of oranges, by the name of antiscorbutic juice. Coffea. The Coffee Tree. The fruit. A shrub from twelve to eighteen feet hi^h, originally a native of Arabia, but is now cultivated in the East and '25 19* MATERIA MEDICA. West-Indies, and in several parts of America. The- Arabian, or Mocha eoffee, imported from the Levant, is far the most aromatic and resinous, and, on account of its superior flavour, is the most esteemed. Very various have been the opinions entertained by different physicians relative to the medicinal qualities of the coffee-berry; some inveighing against its use as a pernicious indulgence, others, on the contrary, are as vehement in its praise. It has been suspected of producing palsies ; and Dr. Per- cival assures us, from his own observations, that the sus- picion is not, altogether, without foundation. According, however, to the experiments, and, in the language of the same respectable author, coffee is slightly astringent and antiseptic; it moderates alimentary fermentation, and is powerfully sedative. Its medicinal qualities seem to be derived from the grateful sensation it produces on the stomach, and from the sedative powers it exerts on the vis vita. Hence it assists digestion, and relieves the headach; but in delicate habits it often occasions watch- fulness, tremors, and many of those complaints denomi- nated nervous. The celebrated Sir John Pringlc, bestoAvs high enco- miums on coffee, as a remedy in paroxysms of the periodio asthma. He directs the best Mocha coffee, newly burnt, and made very strong immediately after grinding it, an ounce to one dish, without milk or sugar, to be repeated after the interval of a quarter or half an hour, until relief be obtained. We are assured also, that Sir John Floyer, during the latter year of his life, kept free from, or lived easy under this afflictive complaint, by the use of strong coffee. With respect to the medicinal properties of coffee, says Dr. Willich, it is in general excitant and stimulating, though Ave doubt whether it relaxes the animal fibres, as has by some authors been supposed. Its more or less wholesome effect greatly depends on the climate, as well as the age,, constitution, and other peculiarities of the individual. Hence it cannot be recommended to children, or persons of a hot, choleric, nervous, or phthisical habit; nor will it be so useful in warm, as in cold and temperate climates; but to the phlegmatic and sedentary, a cup of coffee, one or tAvo hours after a meal, or, which is still better, one hour before it, may be of service to promote digestion, and prevent or remove a propensity to sleep. In cases of spasmodic asthma, hypochondriasis, scrofula, MATERIA MEDICA. 195 tharrhcea, agues, and particularly against narcotic poisons, such as opium, hemlock, etc. coffee often produces the best effects; nor is there a domestic remedy, better adapted to relieve periodical headachs which proceed from Avant of tone, or from debility of the stomach. The heaviness, headach, giddiness, sickness, and nerv- ous affections, which attack some persons in the morning, after taking an opiate at night, are abated by a cup or two of strong coffee. Colomba. Colomba. The root. Of the plant which furnishes this root, no botanical account has been obtained. It is brought from the town of Colombo in the island of Ceylon, in round pieces; the sides covered Avith a bark; the woody part of a bright yellow colour: It has an aromatic smell, and a bitter taste. It yields its bitterness to water, but proof spirit is its proper menstruum. The Colomba-root is a power- ful antiseptic and bitter; it is used Avith much advantage in affections of the stomach and intestinal canal, accompa- nied Avith redundance of bile; it is also employed success- fully in dyspepsia. Nor is it attended with any heating effect, and it may therefore be advantageously taken in pulmonary consumption and other hectical cases, both with a vieAV to correct acrimony and strengthen the di- gestive organs. Its dose is half a drachm of the powder, which in urgent cases may be repeated every third or fourth hour. The use of this valuable drug has been particularly recommended to the attention of practitioners by Dr. Pereival of Manchester, in his experimental essays; and it has been found to answer expectation; but it is to be regretted that it is not so regularly imported as to admit of our shops being supplied with it of good quality, it being frequently found either in a -decayed or adulte- rated state. It has been discovered in the vicinity of the Ohio river in large quantities, and is said to be of an excellent quality. See Frasera Carolinensis. Coxn m Maculatum. Hemlock. Cicuta. The leaves and seeds. This is a large biennial umbelliferous plant, which grows very commonly about the hie of fields and hedges. and in moist .shady places. The root is white, long, of 196 MATERIA MEDICA. the thickness of the finger, contains when it is young a milky juice, and resembles both in size and form, the carrot. In the spring it is very poisonous, in harvest less so. The stalk is three, four, and often six feet high, hol- Ioav, smooth, and marked with red or brown spots. The leaves are large, and of a dark green colour, having a faint disagreeable smell, resembling the urine of a cat. The seeds are inferior in strength. The Avhole plant is a virident poison, but varying very much in strength ac- cording to circumstances. When taken in an over dose, it produces vertigo, dimness of sight, difficulty of speech, nausea, putrid eructations, anxiety, tremors, and paraly- sis of the limbs: to Avhich may be added dilatation of the pupils, delirium, stupor, and convulsions. But the in- ternal use of this narcotic medicine Avas introduced by Dr. Stork, who found that in small doses, it might be given Avith safety. He recommended it particularly in scirrhus and in cancerous sores, in Avhich it received a very extensive trial. While its ineffieacy towards effect- ing a radical cure is established, its utility as a palliative medicine is generally admitted. It has likewise been found serviceable in scrofulous and venereal ulcerations, cutaneous affections, glandular tumors, chronic rheuma- tism, and various other diseases. In open cancer it often abates the pains, and is free from the constipating effects of opium. The dose is tAvo or three grains of the poAvder- ed leaves, or one or two grains of the inspissated juice. It requires to be increased, in general, to a very conside- rable extent: at the same time, this must be done Avith caution, as both the dried leaves and inspissated juice are variable in their strength. In some cases the former have been increased to upwards of two ounces a dav with- out producing giddiness. Dr. L. Valentine has furnished the public with a remarkable case at St. Domingo, of an inveterate disease of the bladder, attended by tetters and erysipelas, in which he prescribed the latter from six or eight grains to a drachm, and afterAvards to three drachms per day. At the end of one year his patient had taken the quantity of four pounds; by which a radical cure ays? effected.* In this and in other Avell attested instances, salivation Avas induced by the use of hemlock. The dried leaves are less liable to injury from keeping. than the inspissated juice. The leaves should be collected * Med. Repository. MATERIA MEDICA. 197 in the month of June when the plant is in flower, and its peculiar smell strong. The drying of the leaves should be perfornsed quickly before a fire on tin plates, and the powder should be kept in phials closely stopped and se- cluded from the light, for this soon dissipates the green colour, and with it the virtues of the medicine. The proof of the drying having been Avell performed is thepoAvder's retaining the odour of the leaves, and the deepness and freshness of the colour. Dr. Joshua Fisher, a highly- respectable and intelligent physician of Beverly has ex- perienced the beneficial effects of cicuta in a variety of cases of scrofulous affections of the abdominal viscera, and in phthisis pulmonalis. But in the hands of this accu- rate observer, cicuta has been found remarkably success- ful, as a remedy in jaundice occasioned by spasmodic contraction of the biliary ducts. He adduces a variety of instances in Avhich the antispasmodic poAvers of this medicine were happily demonstrated, and cures complete- ly effected. Convolvulus Scammonia. Scammony. The gum resin. This is a concrete gummy-resinous juice obtained from the roots of the convolvulus scammonia, or Syrian bind Aveed, an exotic plant growing in Asiatic Turkey. The best scammoiiy is imported from Aleppo, in light, spongy, friable masses, of a shining blackish ash colour. It pos- sesses a faint unpleasant smell, and a bitterish pungent taste. It consists of resin and gum, in general nearly in equal proportions. In its medicinal effects, scammony is an efficacious but A'iolent purgative, employed chiefly in obstinate constipation. If triturated Avith sugar, almonds, or gum arabic, it becomes sufficiently mild, and safe in its operation. It may also be dissolved in a strong decoc- tion of liquorice, in w hich form it is not disagreeable to the palate, and proves a gentle laxative. The common dose is from three to twelve grains. The true scammony plant has lately, it is said, been found in Sussex county. NeAV Jersey; but with Avhat prospect of its being produc- tive, is not ascertained. Convolvulus Jalafa. Jalap. The root. The dried root of Jalap is imported from Ncav Spain in thin transverse slices; solid and heavy, of si dark gray 198 MATERIA MEDICA. colour, and striated texture. It has little smell, its tast« is bitter and subacrid. The medicinal activity of Jalap resides principally if not wholly in the resin, which, though given in small doses, occasions violent griping, The gummy part bears an inconsiderable proportion to the resinous, and is found to have little or no cathartio power; but as a diuretic it is extremely active. That Jalap is an efficacious and safe purgative, daily experi- ence must evince; and, except when given in very large doses, it is not heating to the system. If triturated with hard sugar it becomes in moderate doses a safe medicine for children, which in this form they will readily receive, as the Jalap itself has very little taste. Jalap in large doses, or when combined with mild muriate of mercury (calomel,) is recommended as an anthelmintic and a hy- dragogue. The dose of the simple poAvder is commonly from one scruple to Iavo, but its efficacy is considerably increased by the addition of crystals of tartar. Dr. Rush's celebrated purgative in yellow fever, consists of ten grains of Jalap and ten of calomel, but double the quantity of the former has been found to be a more suita- ble proportion. Dr. Aiken asserts that fifteen grains of Jalap with two or three of ipecacuanha purge more than twice the quantity of Jalap by itself. Convolvulus Panduratus. Wild Polatoe. The root. This is supposed by professor Barton, to be the mecha- meck, or wild rhubarb of some of our Indians. In the state of Delaware it is called vvild-potatoe-vine; and tho root kussander or kassader, (a corruption of the word cassada.) From one of our species of convolvulus, an extract has been procured, but little if any inferior to the scammony of the shops. In Virginia, and some other parts of the United Stiites, the root of this plant has been much recommended in cases of gravel. It is used cither in poAvder or in decoction. Dr. Harris, of Ncav Jersey. has found an infusion, or decoction of the root, xevy useful in his own case. He is persuaded, that it has enabled him to pass the calculi renalcs with much facility. Cofaifera Officinalis. Copaiva Tree. The liquid resin, called balsam of copaiva. The tree which produces the In:' am copaiva is a native of the Spanish West Indies, and of some part of the con- materia medica. 199 tinent of South America. It grows to a large size, and the resinous juice flows in considerable quantities from incisions made in the trunk. It is thick and tenacious, with a yellowish tinge, has a peculiar not disagreeable smell, and a pungent bitter taste. It is soluble in alco- hol and in expressed and essential oils. Distilled with water it affords nearly half its weight of an essential oil, an insipid resin being the residuum. Balsam of copaiva increases the urinary discharge, and communicates to the urine a violet odour. In too large a dose, it excites inflammation of the urinary pas- sages. From its power of stimulating these parts, it frequently proves successful in the cure of gleet. It has also been given in leucorrhcea and in hemorrhoidal affec- tions with advantage. It is an useful corroborating detergent medicine. It strengthens the nervous system, tends to loosen the bowels; and in large doses proves purgative, promotes urine, and cleanses and heals exul- eerations in the urinary passages, which it is supposed to perform more effectually than any of the other resinous fluids. It has also been recommended in dysenteries, and in diseases of the breast and lungs. Very dangerous coughs have been cured by the use of this balsam alone; but it ought never to be given in coughs Avhere inflamma- tory symptoms are present. In catarrhal affections to which old people are liable, it is an useful medicine. The dose should not exceed from twenty to thirty drops twice or thrice a day. A convenient way to take it is, to mix it up in brown sugar, drinking a glass of water after each dose, or it may be diffused in water by the medium of a mucilage of gum arabic. Coriandrum Sativum. Coriander. The seeds. The seeds of coriander have commonly been imported from the south of Europe ; but the plant is frequently cultivated in our own gardens, and may be produced to any extent. It is an annual umbelliferous plant, and the seeds differ from all the others of that class in being spherical. These possess a pleasant flavour; and when encrusted Avith sugar are sold by the confectioners under the name of coriander comfits. Their taste is moderate- ly Avarm. Like caraAvay, they are used as carminative, and likewise to cover the taste and flavour of some tredi- 200 MATERIA MEDICA. cines, particularly senna, when given under the form of infusion or tincture. Cornus Florida. Common Dogwood. Boxxvood. The fruit and bark. This is one of our most beautiful and useful shrubs, growing in almost every part of the United States. In New England it is Avell knovvn by the name of boxwood. It flowers very early in the Spring, and with so much re- gularity that some of our southern tribes were accustom- ed to name the Spring season from its flowering. The flowers generally make their appearance about the be- ginning of May, in the middle States, and exhibit a most beautiful appearance. The large Avhite floAvers form a fine contrast with the green of the forest, and are the ornament of our Avoods. These are succeeded by oblong drupes or berries of a rich glossy crimson colour which ripen in September. They have a very bitter taste, and an infusion of them in rum or brandy is much esteemed as an agreeable morning bitter. The bark both of the stem and root, is considerably astringent, anil has long been employed in intermittent fevers. And as possessing properties closely allied to the Peruvian bark, this and the following article will be found excellent substitutes. Cornus Sericea, or American red-rod cornel. Called also red willow; swamp dogwood; blue berried dog- Avood. This agrees in its generic character with the cornus florida. It grows in a moist soil by the sides of creeks and rivers and in swamps, seldom attaining in height more than six or eight feet. In general a consi- derable number of steins arise from the same root and are very straight. The bark of the young shoots is very smooth, shining, and of a rich dark red colour. The branches are placed opposite, as are also the leaves which a good deal resemble the cornus florida. The flowers are 'produced in clusters or cymes at the extremity of every branch, and give to this shrub a xery elegant ap- pearance, being of a whitish colour in June and July. They are succeeded by succulent drupes or berries, which are of a blue colour inclining to green when ripe. Both these American species of cornel are found by experiments instituted by Dr. John M. Walker to possess the same ingredients with cinchona. The bark of cor- nus sericea forms a beautiful tincture with proof spirit, MATERIA MEDICA. 201 which has been useful in the latter stages of diarrhoea unaccompanied with fever. This and the poAvdered bark of both species are well deserving a place in the apothe- caries' shops, as valuable additions to our Materia Medica. It is asserted by Dr. Walker that in Avhatever form of disease the cinchona has been decidedly serviceable, the corni will be found equsiliy so. They are like cinchona bark, bitter and astringent in the mouth, tonic and febri- fuge in the stomach ; and their chemical analysis affords results perfectly analogous. Thirty-five grains of pow- dered bark of (logwood is considered equal to thirtv of cinchona. Professor Barton adds his decided testimony relative to the efficacy of dogwood as a valuable substi- tute for the Peruvian bark in the cure of intermittent fevers. This article as a remedy has attracted the attention of medical practitioners of the United States, many of whom have vouched for their tonic and astringent powers, as being little if any inferior to those of cinchona officinalis. If therefore our native prod Actions are adequate to our exigencies let expensive exotics be rejected. Crocus Sativus. Common Saffron. The summit of the pistils, called saffron. Saffron is a bulbous rooted perennial plant, very gene- rally cultivated in gardens in European countries. The smell of saffron is pleasant and aromatic, but narcotic; the taste a fine aromatic bitter, and it immediately gives a deep yellow colour to the saliva, Avhen cheAved. The active matter is equally extracted by alcohol, water, proof spirit, and vinegar. Saffron is remarkably fragrant, and is highly esteemed, as it exhilarates the spirits Avhen taken in small doses; but, if used in too large portions, it produces immoderate mirth, and all the consequences resulting from the abuse of spirituous liquors. This drug Avas formerly considered an excel- lent remedy in hysteric depressions originating from spasms, or in obstruction of the uterine secretions; but in modern practice it is seldom employed, though it enters into several medicinal preparations. The best saffron is that raised in England: it ought to be of a deep red or orange colour, fresh and tough, though neither too dry nor too moist, and of a st;« lg but pie; ,nt as-on-qtic odour. The common saffron of our gardens, if pioperiy 202 materia medica. prepared by moistening with brandy and pressing into cakes, will be found a tolerable substitute for the im- ported drug. Croton Eleutheria.. Cascarilla. The bark. This bark is imported from the Bahama Islands, par- ticularly from one of them of the name of Elutberia, whence its title is derived. But Dr. Wright also found the tree on the sea shore in Jamaica, where it is common, and rises to about tAventy feet. It is imported in the form of curled pieces, or rolled up into short quills about an inch in width, externally resembling the Peruvian bark. Divested of its whitish upper rind, the cascarilla posses- ses an agreeable smell, and a bitterish, pungent aromatic taste. This inflammable drug, Avhen burning, emits a fragrant odour, not unlike that of musk. The cascarilla is frequently and successfully adminis- tered in intermittent fevers, even as a substitute for the cinchona; being less liable to produce the inconveniences which the latter is apt to occasion by its astringency. Cascarilla, according to medical writers, has also been employed with uncommon advantage in dangerous epi- demic and petechial fevers, in flatulent colics, internal hemorrhages, dysenteries, and diarrhoeas. The virtues of cascarilla are partially extracted by Avater, and totally by rectified spirit, though it is more efficacious given in poAvder from ten to thirty grains every four, six, or eight hours. Cucumis Colocynthis. Colocynth. Bitter apple. The pulp of the fruit. This article is the produce of Syria and the island of Crete. The fruit is yellow, of the size of an orange, and resembles a gourd, the shell of which contains a very light, Avhite pulp, interspersed with flatfish seeds. It is this spungy or medullary part of the fruit, when dried, that is used in medicine. Its taste is intensely hit- ter. Boiled in w ater it gives out a large portion of* mu- cilage, less active than the colocynth itself. Alcohol also dissolves only part of its active matter. Colocynth is one of the most drastic purgatives, so much so that its operation is not easily regulated. Its dose is from three to six grains, but it is seldom that it is given by itself, being rather used to promote the opera- MATERIA medica. 203 lion of other cathartics. Combinations of it with jalap, aloe:,, or mild muriate of mercury, are thus given in ob- stinate constipation, in mania and coma; and in these combinations it operates more mildly and more effectually than if given alone. Its infusion has been recommended as an anthelmintic. But as we are possessed of numerous native plants of similar and much milder virtues, there appears to be no necessity for employing this exotic Cuprum. Copper. This has a more perceptible smell and taste than any other metal. Its effects, when taken into the stomach, are highly deleterious, and often fatal. It particularly affects the primse vise, exciting excessive nausea, vomit- ing, colic pains, and purging, sometimes of blood, or* though more rarely, obstinate constipation. It also pro- duces agitation of the mind, headach, vertigo, delirium; renders the pulse small and Aveak, the countenance pale, and causes fainting, convulsions, paralysis, and apoplexy. When any of these symptoms occur, Ave must endeavour to obviate the action of the poison by large and copious draughts of oily and mucilaginous liquors ; or to destroy its virulence by solutions of potash, or sulphuret of potash. Great care ought to be taken that acid liquors, or even water, designed for internal use, be not suffered to stand long in vessels made of copper; otherwise they will dis- solve so much of it, as will give them very dangerous properties. But although copper be thus dangerous, some preparations of it are, in certaiu cases, used Avith great advantage, both internally and externally. Its tonic power, like that of zinc, is estimated by its successful exhibition in epilepsy, and some other spasmodic dis- eases, depending on, or connected with debility. According to Dr. W. Saunders, copper is of all the metals the most astringent and most soluble in the sto- mach; but on account of the uncertainty of acid in the stomach the dose is difficultly ascertained, and it is rarely used. Preparations of copper, however, Avhen the inten- tion is to lessen irritability, are extremely useful, particu- larly in hysterical cases attended with plethora, and in epih-piic spasms. Copper is the basis also of a quack remedy fee the prevention and cure of hydrophobia, and in this view it is probably deserving of attention. 204 MATERIA MEDICA. Curcuma Longa. Turmeric. The root. Turmeric is a perennial plant, a native of India. The roots are tuberous, knotty, long and Avrinkled ; externally of a pale yellow colour, internally of a shining saffron brown. They have a weak aromatic smell, and a slightly bitter aromatic taste. Turmeric, taken internally, tinges the urine of a deep yellow colour, and acts as a gentle stimulant. It has been celebrated in diseases of the fiver, jaundice, cachexy, dropsy, intermittent fevers, &c. Its internal use is now generally dispensed with; and it is only esteemed as affording a valuable yellow dye. Turmeric is a production of the United States, being found on the borders of the Ohio river. Daphne Mezereum. Mezercon. Spurge Laurel. The bark of the root. An indigenous low shrub, growing in Avoods and shady places, and floAvering in the month of February or March. When cultivated in gardens, it attains in a rich soil, the height of sixteen feet. It has no cup but a funnel-shaped corolla of one petal inclosing the stamins, and the border cut into four segments. The fruit is a berry, in which is found a single seed. The leaves are spear-shaped, and the floAvers groAV by threes from the same joint sitting upon the stem, and are of a beautiful red or rose colour. The whole of this plant is so corrosive, that six of its berries are said to kill a wolf. The bark of the root of this plant, is the part used in medicine; its taste, when chewed for some time, is extremely acrid, exciting an in- supportable sensation of burning in the mouth and throat. Its acrimony is somewhat impaired by drying. It is ex- tracted by water and vinegar. Mezereon is a stimulating diaphoretic, Avhich, by determining to the surface, has been found of service in chronic rheumatism, and in cuta- neous diseases. Its principal use has been in syphilis, as being particularly efficacious in removing venereal nodes, and thickening of the ligaments and periosteum, and dis- posing ulcerations to heal. It is given in the form of decoction; tAvo drachms of the bark, Avith half an ounce of liquorice root, being boiled in three pounds of Avater, to two pounds, and four or six ounces of this given four times in a day. It is generally combined with sarsapa- MATERIA MEDICA, 205 rilla: such a combination, forms the decotum sarsapa- rillce compositnm, an improved formula for the Lisbon diet drink. Dr. Withering has found this bark service- able in removing a difficulty of swallowing, and asserts, that a patient who lived under extreme difficulty of swal- lowing for three years, was effectually cured in two months, by chewing the root of mezereon as often as she could support its irritating effects. This bark, Avhen ap- plied to the skin in its recent state, or infused in vinegar, is effectual in raising a blister, and is sometimes employed for the purpose of keeping up a perpetual discharge, for the removal of some chronic local affections. From the ripe berries of this plant, an excellent red lake is prepared by painters. Mezereon groAvs plentifully in the vicinity of the Ohio river. Datura Stramonium. Thorn Apple. Apple Peru. The leaves and seeds. The thorn apple is a native of America, groAving wild among rubbish and on dung hills. It has a large branched purple coloured stalk spreading and rising to three or four feet in height. It is said not frequently to be produced at a distance from the sea coast. It flowers in July and August, having an oblong cup of one leaf divided into five angles and fixe teeth. The corolla is funnel shaped and plaited, Avhite with a tinge of purple. The capsule is large, egg shaped, and covered with thorns Avhich has four divisions, and groAvs upright upon the remains of the cup; and contains numerous black kidney shaped seeds. The leaves are large, egg shaped, pointed, angular, and deeply indented, of a disagreeable smell and nauseous taste. At night some of the upper leaves rise up and enclose the flower. In the southern states this plant is called jameston or jimson Aveed, sometimes stink weed. The species, or the variety called green stramonium is described as having a green or pale coloured stalk and white flowers, and is often found groAving Avith the purple stalk variety. The Datura Tatula is larger than the stramonium, the stalk is purple, sprinkled with Avhite spots, and the floAvers are purple. The leaves are also larger and more angular and notched, the capsules of a larger size, and their spines more substantial. This last species it is supposed is seldom if ever found in NeAV- England. 206 materia mediga. Every part of this plant is a strong narcotic poison, and numerous instances are recorded of children having suffered the most alarming consequences from having swallowed the seeds. Immediately ,fter their being re- ceived into the stomach, dilatation of the pupils, vertigo, delirium, tremor, itching, eruption, insupportable thirst, and palsy ensue; which if not remedied soon, terminate in death. The most effectual antidote will be speedy emetics, folloAved by copious draughts of olive oil, aided by soap clysters, and cathartics. According to Baron Stork and other German physicians, the inspissated juice of the leaves of this plant has been successfully employed in maniacal cases, and in convulsive and epileptic affections. Professor Barton of Philadelphia, esteems it as a good stimulant and diuretic, and as a medicine possessing great and invaluable poAvers. He has frequently exhibited it with success in cases of mania and epilepsy. The form in which he chiefly employed it, is that of an extract prepared from the fresh leaves, and this in large doses; beginning Avith a feAV grains, he increased it gradually to the extent of fifteen or twenty grains. We have also the respectable authority of Dr. Fisher of Beverly, in favor of the efficacy of Stramonium in the cure of epilepsy. From his extensive experience it appears, that great confidence may be reposed in the vir- tues of this medicine in effecting a radical cure in thos« cases of young persons where the fits occur daily, or monthly, at regular periods, especially if assisted by chalybeates, or such other medicines as particular symp- toms appear to require. He observes that the patient must be kept constantly under the influence of the niedi- . cine; for this purpose, he will require every day one or tAvo doses, according to the severity of the symptoms. The saturated tincture, he says, is the most convenient form for children. The requisite dose may be known by the dilatation of the pupils. The stramonium having displayed its efficacy under the prescription of numerous physicians, its character seems to be established, and the use of it is extended to a variety of diseases. As a remedy in epilepsy it is unquestionably one to be relied on even in some of the most deplorable examples. Though its failure is not unfj equently to be ex; * *;«d, its efficacy has often surpassed that of" a'! other remedies. A lady ;i;-;ed about fifty-five years, having for some months been afflicted with alarming attacks of epi- MATERIA MEDICA. 207 lepsy, by which her powers of intellect and of articulation Avere impaired, happily experienced a restoration by tak- ing one grain of the extract once or twice in twenty-four hours. Although she did not suffer another attack after commencing the course, she found it necessary to continue in it during several months to remove all apprehension of a recurrence. A single grain seldom failed to excite un- pleasant vertiginous sensations, accompanied Avith an efflorescence about her face and some degree of sleepiness. In another instance a man took fifty grains daily, divided into two doses, which constantly obviated a recurrence of the fits, though it produced dilated pupil, blindness, and sleepiness. In some spasmodic affections of the breast and lungs, as asthma and spasmodic cough, stramonium is said to have proved essentially beneficial. Reports have been made in favor of the salutary effects which asthmatic patients have derived from the practice of smoking stra- monium ; but no authenticated fact of this nature has occurred, and we are, on the contrary, apprized by Dr, Bee,that in England, the practice of smoking this plant has in a very considerable number of instances been at- tended with injurious or fatal consequences. Lately it has been announced that stramonium has ef- fected cures in some obstinate cases of amenorrhcea. As this medicine will sometimes produce unpleasant sensa- tions, and even alarming effects, it is not to be adminis- tered Avithout some precaution. « A medical gentleman Avas called to a family, eight of whom were suffering the noxious effects of stramonium, the leaves of Avhich had been eaten at table mixed with other vegetables. They exhibited a scene scarcely to be described, and formed a group in Avhich were manifested the symptoms designating the various grades from idio- tism to mania; such as torpor, or abolition of sense, slow pulse, vertigo, tremor, wild delirium and raving, with glaring eyes and dilated pupil. They all recovered in about twenty-four hours by the use of strong emetics. The extract may be made by boiling the bruised seeds or fresh leaves in water for the space of four hours; then strain off the liquor; evaporate over a gentle fire, without taking off the scum, until it has acquired the thickness of syrup; then place it in a Avarm oven, in an earthen glazed vessel, until it becomes of a proper consistence for use. The dose is from one to ten grains or more for an adult. An ointment prepared by simmering the fresh 208 MATERIA MEDICA. leaves in hogs lard, affords great relief in external in- flammations, and especially in the piles. It is also highly useful in burns, and in allaying the swelling of a cow's udder. .The leaves applied to the feet or part affected have been found efficacious in removing spasm. Daucus Carota. Wild Carrot. The seeds. The seeds of wild carrot have a moderately warm pun- gent taste, and an agreeable aromatic smell. They are carminative, and are said to be diuretic. The roots of the cultivated variety, common carrot, contains much mucilaginous and saccharine matter, and are therefore highly nutritious and emollient. When beaten to a pulp, they form an excellent application to cancerous and other ill-conditioned ulcers, allaying the pain, checking the suppuration and foetid smell, and softening the callous edges. A marmalade of earrots, on account of their strong antiseptic qualities, has been successfully used for preventing and curing the sea-scurvey. An infusion of these roots has also been found to afford considerable relief to persons afflicted Avith the stone and worms, but especially the tape worm. Digitalis Purpurea. The purple or common Fox- glove. The leaves. This is a biennial plant not indigenous to the United States, but of late cultivated in our gardens. The plant rises to two feet or more, the leaves are large, oblong, egg shaped, soft, covered with hairs, and serrated. They have a bitter very nauseous taste, with some acrimony. The flowers are in long terminating spikes. Blossoms appear in June and July, of the second year, of a beauti- ful purple colour, elegantly mottled in the inside with spots like little eyes. All its parts arc powerfully nar- cotic, but the leaves being most uniform in strength, are preferred for medicinal use. They are to be collected when the plant is in blossom, and dried before a gentle fire, the thicker stalks being removed: and they ought to be kept Avithout being reduced to powder. The operation of digitalis on the system is extremely peculiar, and there is even considerable difficulty in as- certaining its real effects. In a full dose, it produces exhaustion of poAver, marked by a great and sudden re- MATERIA MEDICA. 209 duction in the force of the circulation; the pulse being reduced both in frequency and force, falling sometimes from seventy to forty or thirty-five beats in a minute, and being small and tremulous. This is accompanied with sickness, anxiety, vertigo, dimness of vision, ant!, in a large dose, Avith vomiting, syncope, coldness of the extremities, convulsions and coma, with sometimes a fatal termination. Yet these effects are not uniform, but even from the same dose Ave observe considerable diversity of operation in different individuals: thus the pulse is some- times rendered loAver without being diminished in fulness; at other times it is rendered irregular: nordocs sickness ahvays accompany the reduction of the force of the cir- culation. Sometimes none of these effects, and scarcely any perceptible change in the state of the functions are immediately apparent; but if the dose be continued, they are suddenly produced. Effects are even observed, from the operation of foxglove, apparently of a very opposite kind. While it reduces the force of the circulation, it appears to increase the action of the absorbent system. and hence proves a powerful remedy in dropsy; and Dr Withering, by Avhom its powers Avere first particularly investigated, observed, that Avhen given in a state of dis~ ease, it Avas most successful, not where there existed in creased action in the system, but, on the contrary, in states of debility, Avhere the pulse Avas feeble and inter mitting, and the countenance pale. Other authors have remarked its stimulant operation; and Dr. Sanders, from a series of observations and experiments, has inferred. that it ahvays acts primarily as a stimulant, augmenting when given in a dose not too large, the force and frequen- cy of the pulse, and inducing a state of increased action; it is only Avhen it is accumulated by repetition, or by too large a dose, that reduction of the force of the circulation and other symptoms of diminished power are produced; and hence, according to this view, it is strictly analogous in its operation to other narcotics. It must be admitted, however, that it is more difficult to regulate the administration of digitalis, so as to obtain its continued stimulant operation, than it is with regard to other stimulants: that there is a rapid transition to a state of diminished action, and that this is greater, and more permanent, compared Avith the primary stimulant effect, than in other stimulants even of the diffusible kind 27 210 MATERIA MEDICA. Foxglove, producing very different effects according to the mode in whicii it is administered,or according to the state of the system, is employed as a remedy in different diseases. On its action as a narcoi ic, in part at least, has been supposed to depend the advantage derived from it as a remedy in phthisis pulmonalis. When given to that extent in wliich it reduces the velocity and force of tho circulation, it proves useful, by counteracting that state of increased action Avhich prevails in the incipient stage of the disease; and by diminishing the rapidity of the circulation through the lungs, it may facilitate the re- moval of thojocal affection. In the more advanced stages, it may operate, it has been conceived, by promoting ab- sorption, thus removing the tuberculous affection, or Aviti id rawing the purulent matter, before it has been ren- dered acrid by the action of the air. Sanguine expecta- tions have been formed of the advantages to be derived from it in the treatment of phthisis, many of the symp- toms disappearing under its use, and the progress of the disease appearing to be arrested. The change of organic structure is, however, so considerable, at least in the ad- vanced state of the disease, as scarcely to admit of a cure from the operation of any remedy; and the operation of foxglove is so much diversified, that perhaps the proper mode of administering it has not been precisely deter- mined, so as to admit of all the advantage being received from it that might be derived: it is difficult, as Dr. W. Hamilton has remarked to give it so as to reduce the force of the circulation, and contiine this effect, without its inducing other consequences, which compel us to re- linquish its use. Foxglove has been proposed as a remedy in pneumo- nia, from its poAver of reducing the force of the circula- tion ay hen given in a sufficient dose, conjoined with blood- letting; and cases have been related of the success attending the practice, while some authors have con- demned it as hazardous, from the excitement it is liable to produce. On a similar principle, it has been proposed to lie employed in croup. In active haemorrhage, it might be expected, from the same operation, to be a remedy of much power; and» a<■-. ording to the observations of Ferriar and others, it may be employed with signal advantage in cpi-taxi-j haemoptysis, and monorrhagia, either alone or in cor.ibi- nation w-..a opium. In spasmodic asthma, the combina- tion of it Avith opium has afforded much relief. In palpi- MATERIA MEDICA. 2fl tation arising from intemperance, or from passions of the mind, and not connected with dyspepsia, the irregular action of the heart has been abated, and at length entirely removed by its operation. Foxglove is given in substance, or under the form of infusion, decoction, or tincture. The medium dose of the powder of the dried leaves is half a grain; the dose of the infusion prepared accord- ing to the formula of Withering, now received into the Pharmacopoeias, is half an ounce; that of the tincture is fifteen drops; these quantities being given twice a day. The decoction is an improper form, as being variable in strength. The tincture is the form of preparation under Avhich it has usually been given as a narcotic: the infu- sion that in whicii it has been employed as a diuretic. Given in substance, there is supposed to be rather more risk of its effects accumulating from repetition of the dose, so as to induce unpleasant symptoms which arise from an over dose. To obtain the full narcotic operation of foxglove, the dose given at first requires to be gradually increased, but this increase must be made Avith much caution, not only from the hazard attending an over dose, but from the circumstance that the action of the remedy is for a time not apparent; but if the dose has been too large, or re- peated at intervals not sufficiently distant, it appears suddenly, and continues progressive. Hence the neces- sity of the practitioner's AvatchingAvith the greatest atten- tion the effects it produces. The augmentation may proceed at the rate of one-fourth of the original quantify every second day, and the dose should not be repeated more than twice, or at farthest thrice a day, unless in acute diseases, Avhere the effect must lie more speedily obtained, and Avhere, therefore, the augmentation must be more rapid. The increase is continued until the effect intended to be obtained from the remedy is produced, or until its operation is apparent on the system: and when- ever the pulse begins to diminish in frequency or force, the increase of dose must be stopt; and if the reduction be considerable, or proceed rapidly, the administration of the remedy must be suspended, and, only after a sufficient interval, cautiously renewed. This is more especially necessary Avhen nausea is induced, dimness of vision, ver- tigo, or any tendency to fainting. When these symp- toms do occur, they'' are best obviated by small doses of 221 MATERIA MEDICA. stimulants, as spirituous cordials warm; sulphuric ether, aromatic spirit of ammonia, bitter infusions, and aro- matics, small doses of opium, and a blister applied to the region of the stomach. Vinegar, which is an antidote to other narcotics, might also be tried. Foxglove has been considered as a narcotic; it is a still more important article of the materia medica as a diu- retic. It had frequently been used as an empirical remedy in dropsy; but the occasional violence of its nar- cotic operation, Avhen not administered with due precau- tion, prevented it from being employed in practice, until Dr. Withering pointed out, Avith more precision, the rides to be attended to in its exhibition. It is difficult to compare the powers of the principal diuretics; yet, on the Avhole, perhaps foxglove is superior to all of them in evacuating the Avater in dropsy: and the conclusions of Withering are still nearly just, that " so far as the removal of the Avater will contribute to cure the patient, so far may be expected from this medicine; and that although digitalis does not act universally as a diuretic, it does so more generally than any other." In hydrothorax, its superiority to other diuretics is more clearly established than in ascites or anasarca; and in the first of these states of dropsy, it is unquestionably superior to any other remedy. Withering remarked, that it Avas most successful in those cases of dropsy in which debility was completely marked, Avhere the coun- tenance is pale, the pulse Aveak, and the muscular energy reduced, Avhile, in an opposite state of the system, it was more liable to fail. In the latter case, therefore, he re- commended a previous exhibition of squill, or of super- tartrite of potass, by which some reduction of strength might be induced. The observation, hoAvever, has. not altogether been confirmed by subsequent experience. If it were, it Avould afford a strong presumptive proof, that the efficacy of foxglove in dropsy depends on its stimulant action. There is a peculiarity in its operation, that it may bo continued for some time Avithout sensibly increasing the floAV of urine; the increase then suddenly commences, and continues of itself without requiring the continued ad- ministration of the remedy for several days, and to a very great extent, so that the dropsical effusion is more speedily reduced by the action of it than by any other diuretic. Its diuretic power too appears only when it is administered MATERIA MEDICA. 213 in dropsy, and hence there can be little doubt that it ope- rates principally, if not entirely, by exciting the action of the absorbents. The absorbed fluid is then discharged by the kidneys. The diuretic effect is not connected with its nauseating operation, or with the reduction in the force of the circulation; it can, on the contrary, be obtained without either of these accompanying it; and Withering remarked even, that he had found the increas- ed discharge of urine to be checked, Avhen the doses had been imprudently urged so as to occasion sickness. He observed also, that if it purges, it is almost certain to fail. The great desideratum Avith regard to this remedy, is to conduct its administration so as to obtain its full diu- retic effect, Avithout those consequences which arise from it, when its action is accumulated in the system. The rules given by Withering for its administration, are to give it in a dose from one to three grains of the powder twice a day; or one ounce of the infusion, Avhich, if the symptoms be urgent, or the patient stronger than usual, may be given once in eight hours : and the dose is to be continued until the medicine either acts on the kidneys, the stomach, the pulse, or the bowels; and is to be stopped on the first appearance of any of these effects. If how- ever the dose be small and given twice in tAventy-four hours, the diuretic operation will be obtained in no long time Avithout any unpleasant symptom, and when it com- mences, Avill continue of itself, even though the dose be suspended. Foxglove may in the treatment of dropsy, be advanta- geously combined Avith other diuretics; and its actitm, like that of squill, is said to be promoted by the operation of mercury. There arc other diseases in whicii foxglove has been supposed to proAe useful by its diuretic poAver; as in insa- nia, or in epilepsy connected with serous effusion in the brain; and more especially in dyspnoea arising from serous effusion in the bronchise. It is employed also with much advantage in humoral asthma, and in catarrh, ob- vionsly from its power of promoting absorption. By- diminishing the quantity of the fluid accumulated in the lungs, it facilitates the expectoration of the remainder, and hence appears to act as an expectorant. In aneurism of the aorta, digitalis has been found to alleviate the most distressing symptoms. Two eases of phthisis arc men- tioned by Dr. Walmsley in which this remedy induced a ,'1 i METER1A .MEDICA. copious ptyalism which lasted some time, but Avithout producing''any beneficial effect. In the second case, the ptyalism Avas a second time induced by its use. Dr. Currie, late of Liverpool, extols in strong terms the efficacy of foxglove in allaying the inordinate action of the heart and arteries, and in this view he considered it as one of the greatest benefits our science has received in modern times. He employed it very extensively in cases of phlegmasia;, hsemorrhagia and dropsy, inflammation of the brain, of the heart, and of the lungs, and found it also an excellent remedy in inflammatory rheumatism. Its efficacy in this last disease has been confirmed by more recent experience. The infusion of foxglove has been applied externally as an anodyne lotion to painful cutaneous eruption or ulce- ration. An ointment composed of the powder mixed with lard, has been found successful in obstinate tinea capitis. In the United States practical inquiries into the medi- cal properties of digitalis have been prosecuted with un- common zeal, and although uniformity of opinion is far from prevailing, every practitioner Avho has adopted the use of it, will alloAv that it is one of the most active me- dicinal agents. Dr. Isaac Rand, a physician of eminence in Boston, and Dr. John Spence, a respectable practitioner in Virginia, have from their oavh experience furnished unquestionable attestations of its efficacy in the early stages of phthisis pulmonalis. Although Dr. Rand does not think with Dr. Beddoes, that foxglove is as infallible a remedy in consumption as mercury in lues venerea, and bark in intermittents, he asserts that he has cured more by this medicine than by all and every other medicine conjoined. He has also experienced the most decided good effects from the use of digitalis in haemoptysis, cpistaxis, and active haemorrhages from the uterus. In one instance of haemoptysis in a very athletic young man, Avhere the discharge eluded the force of every other medicine, it reduced the pulse in eight hours from one hundred in a minute to fifty pulsations, and stopped the haemorrhage. He has ghen it Avith complete success in a case of mental derangement. . Such are the active and virulent qualities of this plant that it ought not to be entrusted to the direc- tion of the inexperienced practitioner; nor resorted to without due attention to the state of the system; and when administered, its peculiar effects should he discrimi- nated with the utmost vigilance and precision. Dr. Rand MATERIA MEDICA. 215 relates for admonition one melancholy example of the fatal effects of digitalis, in a man who having experienced relief from its use, adventurously exceeded the extent enjoined by bis physician. It should be observed that there is a singularity attend- ing the operation of foxglove noticed by a writer in the third volume of the Edinburgh Medical Journal, and also by Dr. Hamilton in his treatise on digitalis, and some others, which appears to merit attention in its adminis- tration. That its action is considerably influenced by the different positions of the patient's body, whether er^at or recumbent. In one case of phthisis, after taking this ined- ieinc, the pulse was not lessened in frequency Avhen the patient stood erect, being upAvards of an hundred. When he sat down it fell considerably, and when lying on his back it fell much more. When sitting it was reduced to seventy-five, and ay hen lying, to forty. The experiment was repeated many times, and always with the same effect. Dr. Mease, of Philadelpia, being of opinion that not unfrcqucntly disappointment to the expectations of the prcscriber is to be attributed to the improper manner of preparing and exhibiting digitalis, advises physicians to cultivate the plant for their own use, and to observe the greatest care in preserving the leaves, rejecting the leaf stalk and middle rib. Some farther observations relative to this important plant will be found under its several preparations. Dolichos Pruriens. Cowhage. The stiff hairs ay hi eh cover the pods. An exotic plant groAving in warm climates, especially the West Indies. The pods are about four inches long, round, and as thick as a man's finger. The outside of the pods is thickly beset with stiff broAvn hairs, which, Avhen applied to the skin, occasion a most intolerable itching. The ripe pods are dipped in syrup, which is again scraped off with a knife. When the syrup is ren- dered by the hairs as thick as honey, it is fit for use. It acts mechanically, as an anthelmintic, occasions no un- easiness in the primse viae, Avhich are defended by mucus-. and may be safely taken from a tea spoonful, to a table spoonful, in the morning, fasting. The Avorms are said to appear with the second or third dose, and, by means of a purge, in some eases the stools have consisted entirely 216 MATERIA MEDICA. of worms. A decoction of the roots of eoAvhage is esteem- ed a powerful diuretic, and a vinous infusion of the pods (twelve to a quart) is said to be a certain remedy for the dropsy; the dose half a pint Avhen made into beer. Mr. Kerr has given a botanical description of the plant in the Medical Commentaries, vol. ii. Dorstenia Contrajerva. Contraycrva. The root. This plant is perennial, and groAvs in South America, and some of the Caribbean Islands. The root is knotty, an inch or two in length, and about half an inch in thick- ness; externally of a reddish brown colour; and pale within; long, rough, slender fibres shoot out from all sides of it, and are generally loaded Avith small, round knots. It has a peculiar kind of aromatic smell, and a someAvhat astringent, Avarm, bitterish taste, Avith a slight, and sAveetish kind of acrimony Avhen long chewed. Con- traycrva is a gentle stimulant and diaphoretic, and is sometimes given in exanthematous diseases, typhus, and dysentery. Its dose is about half a drachm of the pow- dered root. Eugenia Caryophyllata. The Clove Tree. The floAver bud, and its volatile oil. This is a beautiful tall tree, a native of the Molucca Islands. Cloves are the unexpanded floAvers, which are dried by fumigating them, and exposing them to the sun. They have a strong aromatic odour, and a pungent taste. They afford to Avater their flavour principally; to alcohol, their taste. By distillation with Avater, they yield a fra- grant essential oil, not very pungent. The oil of cloves, commonly met with, is rendered acrid by certain additions. Cloves are among the most stimulating aromatics: the dose of them does not exceed from five to ten grains. They are employed principally as adjuvants, or corrigents to other medicines. The essential oil is used with the same intention, and likewise, as a local application in toothach: but from its pungent nature, it is apt to corrode the gums, and injure the adjacent teeth. materia medica. 217 Eupatorium Perfoliatum. Thorough Wort. The leaves and floAvers. This is a native annual plant, flourishing abundantly in Avet meadows and other moist places. The stalk is hairy and rises from two to four feet, perforating the leaves at each joint, from which it is sometimes called thorough stalk, or stem. The floAvers arc AVbite and ap- pear in July and August, forming a corymbus at the ter- mination of the branches. The leaves at each joint are horizontal, serrated and rough, from three to four inches long, and about one inch broad at their base, gradually lessening to a very acute point, of a dark green, and covered with short hairs. Thorough wort certainly possesses active properties, and deserves the attention of American physicians. It acts powerfully as a sudorifie and emetic, and sometimes as a purgative, and has been successfully employed in intermittents and other fevers, either in decoction or the leaves in powder. Every part of the plant may be advantageously employed, though the flowers appear most active. A watery infusion of the leaves is a powerful and not disagreeable bitter, and the flowers are deemed superior in this respect to those of camomile, and ought to be kept in the shops. The dried leaves in powder, or made into pills with lenitive electuary, given in doses of tAvelve or fifteen grains, are of excellent effect as a mild laxative, obviating costiveness Avithout inducing debility or heat; correcting bile and promoting perspiration. This plant is frequently em- ployed in the country as a drench hi diseases of cattle. There are several species in the United States. Eupatorium Pilosum. Wild Horeltound. The leaves. This species of Eupatorium is also an annual plant; it rises from one to two feet. It grows Avild in abundance in the southern states, where it has acquired great repute as a domestic remedy in the prevalent fevers of that cli- mate. We are indebted to the honourable George Jones, Esq. president of the Georgia medical society, for the following sketch of its medical virtues'.. " It serves as an excellent substitute for the Peruvian bark; indeed. umoEig the planters on or near the sea board it supersedes the use of the bark in the cure ef fevers. It is tonic, dia- 23 218 MATERIA MEDICA. phoretic, diuretic, and mildly cathartic, and does not op- press the stomach as the Peruvian bark is apt to do; hence it may often be exhibited Avhere the cinchona is inadmissible. It is usually exhibited in the form of in- fusion; one ounce of the dried leaves infused in a quart of Avater may be taken daily in doses of from tAvo to four ounces every hour or two. It may be advantageously combined with Peruvian bark; and although it may some- times fail of producing the desired effect, I think it well deserves a station among the articles of the Materia Medica." Ferrum. Iron. A metal very abundant in nature, of a bluish gray colour, highly ductile, scarcely fusible, but easily oxidat- ed in atmospheric air, and subject to rust. It seems even to be a constituent of organic substances, and is the only metal, which, when taken into the stomach, exerts no deleterious action upon if. The general virtues of this metal, and the several preparations of it, are, to constringe the fibres, to quicken the circulation, to promote the deficient secretions in the remoter parts, and at the same time to repress inordinate discharges into the intestinal tube. After the use of them, if they take effect, the pulse is very sensibly raised; the colour of the face, though before pale, changes to a florid red; the alvine, urinary, and cuticular excretions, are increased. Fetid eructations, and the feces voided of a black colour, are marks of their taking due effect. When given improperly or to excess, iron produces headach, anxiety; heats the body and often causes hsenioi-- rhagies, or even vomiting, pains in the stomach, and spasms and pains of the bowels. Iron is given in most eases of debility and relaxation, 1. In passive hscmorrhagies. 2. In dyspepsia, hysteria, and chlorosis. 3. In most of the cachexies. 4. In general debility produced by disease, or excessive luemorrhagy. When cither a preternatural discharge, or suppression of natural secretions, proceed from a languor and slug- gishness of the fluids, and weakness of the solids: tliis metal, by increasing the motion of the former, and the strength of the latter, will suppress the flux, or remove MATERIA MEDICA. 219 the suppression; but where the circulation is already too quick, the solids too tense and rigid, Avhere there is any stricture or spasmodic contraction of the vessels, iron, and all the preparations of it, will aggravate both dis- tempers. Soft malleable iron is the only kind fit for internal use, as steel and cast-iron ahvays contain impurities, and often arsenic: as its mechanical division is extremely difficult, it is directed to be kept in the shops in the state of filings or Avirc. Ferri Oxidum Nigrum. The black oxide of iron, such as are the scales of iron, formed at the foot of the blacksmith's anvil. When iron is heated to redness in the smith's forge, to render it more malleable, its surface becomes oxidized by the action of the atmospheric air; and as the oxide formed does not adhere to the iron, it is easily separated by percussion on the anvil, and flies off in the state of sparks, Avhich, on cooling, constitute the scales of iron. hi these, the iron is oxidized to that degree in whicii it is soluble in acids, without the production of hydrogen gas : therefore, Avhen taken into the stomach, they do not produce the distention and flatulence occasioned by the use of the filings. These scales are purified for use by the application of the magnet. For the magnet will at- tract only the smaller and purer scales, and will leave those which are larger and less pure. Ferula Ass a Foetid a. Assafcetida. The gum resin. The plant Avhich furnishes assa foetida is perennial and a native of Persia. It has, hoAvever, borne fertile seeds in the open air, in the botanical garden of Edinburgh. The gum resin is procured from'the roots of plants Avhich are at least four years old. The top of the root is cut off transversely, and the juice suffered to exude, wliich is afterwards exposed to the heat of the sun to harden. It comes to us in large irregular masses, composed of various little shining lumps or grains, Avhich are partly of a whitish colour, partly reddish, and partly of a Aiolet hue. Those masses are accounted the best, Avhich are clear, of a pale reddish colour, and variegated Avith a great number of elegant white tears. This drug has a strong foetid 220 MATERIA MEDICA. smell, somewhat like that of garlic; and a bitter, acrid. biting taste. It loses so ne of its smell and strength by keeping: a circumstance to be particularly regarded in its exhibition. It is the most powerful of all the fcetid gums, and is a most valuable remedy. It acts as a stimu- lant, antispasmodic, expectorant, cmmenagogue, and an- thelmintic. Its action is quick and penetrating, and it affords great and speedy relief in spasmodic, flatulent, hysteric, and hypochondriacal complaints, especially when they arise from obstructions of the boAvels. Where spasms and constipations have weakened the powers of nature, and the functions are in a languid state, it gene- rally affords effectual relief; as it promotes digestion, enlivens the animal spirits, and by increasing the peris- taltic motion of the. intestines, tends to open them in persons of an advanced age. In the spasmodic, as well as humoral asthma, unattended Avith fever, it is an excel- lent remedy; for, in the former, it counteracts the stric- tures of the respiring organs, and in the latter, greatly facilitates expectoration. The hooping cough has been eurcd, and Avorms have frequently been expelled, by the conjoined administration of assa fcetkla, bo.;h by the mouth and in the form of clyster. It is exhibited in the form of pills, in doses of from five to twenty grains, cither alone, or combined Avith bitter extracts or purgatives: or it may be given in tincture, or dissolved in some simple distilled water. In the form of clyster, it is frequently directed to the extent.of two drachms, dissolved in eight ounces of water as an antispasmodic. Ficcs Carica. The fig tree. The fruit. This tree is probably a native of Asia, but grows plen- tifully in the south of Europe. As the fruit is very pulpy, it is dried when it is to be preserved. They consist almost entirely of sugar and mncilage, and arc therefore demulcent. They are grateful to the stomach, and more easy of digestion than any other sweet fruit, and abound- ing in saccharine matter, they are xery nutritious, but apt to occasion flatulency, when eaten Avithout bread, or other mealy substances. A decoction of figs affords ex- cellent gargles to cleanse the throat and mouth. This fruit also forms an ingredient in lenitive electuaries, and pectoral draughts, and is likewise applied externally to soften, digest, and promote maturation. MATERIA MEDICA. 221 Figs ripen very Avell by the middle of September in Philadelphia, when enjoying a free exposure to the sun. In the southern states they flourish luxuriantly, and might become an article of extensive exportation, and home consumption, if pains Avere taken to introduce the large Levant fig. Frasera Carolinensis, Walth.") Columbo of Marietta. Frasera Waltheri, Mich. J The root. This species of columbo is produced in the vicinity of Marietta in Ohio, and we are indebted to Dr. S. P. Hil- dreth of that place for a partial description of the plant. According to him the Columba Americana is a regular and very elegantly proportioned plant, growing to the height of seven feet. It is a production of high land, a rich and loamy soil that is covered with white oak, Avhite thorn, and tufts of prairie grass. The stalk is covered witli a smooth deli- cate membrane of a deep purple colour at the root, but becoming lighter as it ascends toward the top. Beneath this is a pulpy coat, fibrous and vascular, Avhich covers another that is entirely ligneous Avhich is the chief sup- port of the stalk. The remainder is medullary, and com- pletely fills the Avoody circle. The Columbo of Marietta is a triennial plant. The radical leaves, Avhen it springs from the seed, are five in number, to these are added the second season five more. The third spring it sends up a stalk with fixe whorls of leaves, when each Avhorl consists of five leaves, and four, Avhen each whorl consists of four, before it puts out any flowering branches. The leaves are in whorls smooth and spear shaped. The branches are axillary, upright, and of the same number Avith the leaves, from the basis of Avhich they immediate- ly rise and send out opposite fruit stalks.* From the whorls where the flowering branches commence to the top of the stalk, if it consists of five leaves, there are ten whorls growing gradually less to the apex, which ends Avith five peduncles. It floAvers in July. The root as soon as it enters the earth shoots out in a horizontal direction ; is spindle shaped; and when Avell groAvn is from eighteen to thirty inches in length, and two in diameter at the turn. Near the surface of the earth the root is Avrinkled; its colour in the young plant is alight yelloAV; and is solid and brittle. After the stalk is grown the root be- ~~'- MATERIA MEDICA. comes softer and less bitter. The proper time for col- lecting it seems to be in the spring of the third year. Dr. Hildreth asserts that from the experiments he has made with American columbo, he is induced to believe it fully equal, if not superior to the imported. It is in common use there, and has in one instance, in the heat of summer, put a stop to a wide spreading gangrene, on one of the loAver extremities, by internal use and external application, Avhen bark and other remedies had failed. The columbo plant is undoubtedly to be estimated as a valuable acquisition to our Materia Medica. The root, however, is found on examination to be of a lighter colour, and to possess less of the bitter principle than the imported root; its comparative efficacy is therefore doubtful, and yet to be ascertained. Fraxinus Orxus. Manna Ash. The concrete juice, called manna. Manna is obtained from other species of fraxinus be- sides the ornus, and especially from the rotundifolia. It is principally collected in Calabria and Sicily. In the warmest season of the year, from the middle of June to the end of July, a clear juice exudes from the stem and branches of these trees, Avhich, when naturally concreted on the plants and scraped off, is called manna. The best Calabrian manna is imported in oblong, light, friable flakes, or pieces of a whitish or pale yellow shade, and somewhat transparent. The inferior sorts are moist, unctuous, and of a darker colour. Manna is a mild and agreeable laxative, wliich may be safely administered to children and the aged, though in some constitutions it is apt to induce flatulence, and to distend the boAvels; but this inconvenience may lie reme- died by the addition of a little cinnamon Avater, or other warm aromatic. The dose for children is according to their age, from one to three drachms, and for adults, one ounce, or one ounce and an half; as, however, its opera- tion Avhen by itself, is very mild, and sometimes imper- ceptible, it is generally given in laxative mineral Avaters, or combined with salts, senna, rhubarb, or similar ape- rient medicines. Manna is also one of the most useful demulcents in the humid asthma, and similar pituitous as Avell as inflamma- tory affections of the breast; it also beneficially promotes MATERIA MEDICA. 323 expectoration, and is of peculiar service in the second stage of the small pox, or during the suppuration of the pustules. Gambogia. Gamboge. A gum resin. A concrete vegetable juice, of a gunimy, resinous na- ture. It issues from the cambogia gutta, a native of Cambia in the East Indies; whence it is imported in large cakes or rolls. The best sort is of a deep yelloAV colour; is divested of all smell, and has very little taste. When taken as a medicine it operates violently, both upAvards and doAviiAvards. It has been used in dropsies Avith cream of tartar, or jalap, or with both, to accelerate their ope- ration ; but calomel has been found to be a useful addition to gamboge in dropsical cases. Gamboge is also recom- mended to be taken for the expulsion of the tape-worm, in closes of fifteen grains, early in the morning, and, if the Avorni be not expelled in two or three hours, this powerful dose is said to have been repeated with safety and success, even to the third time, and in persons of delicate habits. Great precaution, however, is requisite in the use of this precarious and active medicine; and, if accidentally, too large a dose of it should be sAvallowed, the most effectual antidote wilJ be copious draughts of a solution of pearl ashes in water. Gentiana Lute a. Gentian. The root. Gentian is a perennial plant which grows upon the Alps, Pyrennecs, and other mountainous parts of Eu- rope. The roots are long and thick, externally of a broAvn colour, and Avrinkled; internally spongy, and of a yellow colour, without any remarkable smell! but surpassing all other European vegetables in bitterness. Alcohol dis- solves only the bitter extractive ; Avater, both the extrac- tive and mucilage. Gentian possesses the general virtues of bitters in an eminent degree, and is wholly devoid of astringency. Taken into the stomach, it proves a pow- erful tonic, and in large doses, it evacuates the intestines. It is useful in debility of the stomach, in general debility, and in gout: combined Avith astringents, it cures inter- mittents. The dose of this drug in powder, is from ten to forty grains; though it is more frequently taken as the 224 MATERIA MEDICA. chief ingredient in bitter wines, tinctures, and infusions. There are several species of Gentian in the United States. Dr. Shoepf particularly praises a Ioav species Avith narrow leaves which he found in the glades in Pennsylvania. Ceoffr^ea Inermis. Cabbage bark tree. The bark. The bark of this tree, which groAvs in Jamaica, is of a gray colour externally, but black, and furrowed on the inside. The poAvder resembles jalap, but is not so heavy. It has a mucilaginous and sweetish taste, and a disagree- able smell. Its medical effects are much greater than its sensible qualities Avould lead us to expect. It is given in eases of worms in form of powder, decoction, syrup, and extract. The decoction is preferable, and is made by slowly boiling an ounce of the fresh dried bark, in a quart of water, till it assume the colour of Madeira Avine. This sweetened, is the syrup; evaporated, it forms an extract. It commonly produces some sickness and purging; some- times more violent effects, as vomiting, delirium, and fever. These last are said to be owing to an over dose, or to thinking cold water; and are relieved by ay arm Avater, castor oil, or a vegetable acid. It should always be given at first in small doses; and, Avhen properly and cautiously administered, it operates as a very powerful anthelmintic, particularly for the expulsion of the lum- brici, which are a Aery common cause of disease in the West India islands, and there it is very frequently em- ployed, with singular success. Geranium Maculatum, or Cranes Bill. The plant and roots. This is a common plant near Philadelphia, and in many other parts of the United States. It is commonly known by the English name of" Cr on foot" and flowers in the spring. It is a poAverful astringent, and will stop very violent bleedings, if applied to the Avoundcd vessel. A decoction of this plant has also, on some trials, manifest- ed great efficacy in restraining internal hrenion hagy. The root boiled in milk is a common domestic remedy for the bowel complaints of children. MATERIA medica. 225 Geum Urbanum. Common Avens, or Herb-bennet. The root. This plant groAvs by fences and borders of fields, the blossoms are Avhite or yellowish in July. According to Dr. Willich the roof of avens has lately been employed in Europe Avith singular efficacy in the cure of obstinate agues. A strong tincture of the root given to the quan- tity of half an ounce, or the decoction, or powder, in doses of one drachm several times in a day, has seldom failed to cure intermittents, Avhere the Peruvian bark had proved ineffectual. The root has also afforded an excellent re- medy in several chronic disorders, as a general strength-. ener and astringent, and its antiseptic power is said to be superior to the best Peruvian bark. Dr. Withering says the roots gathered in the spring and put into beer give it a pleasant flavour and prevent its growing soar. Infused in Avine it is a good stomachic, says Dr. Cutler. When it grows in Avarm dry situations, its taste is mildly austere and aromatic. Dr. Cutler describes also another variety. Water Avens. Throat root. Cureall. The blossoms are purplish. In boggy meadoAvs. May. The root is powerfully astringent. A decoction of it has been used, with good success, as a gargle, and a drink, in inflamed and ulcerated sore throats, and cankers. It is said, that the poAvdered root will cure tertian agues, and that it is much used by the Canadians for that purpose. Glycyrrhiza Glabra. Liquorice. The root and extract. Liquorice is a perennial plant, and a native of the south of Europe, but is cultivated in considerable quantities in England, for medicinal purposes. The root of this plant has a SAveet agreeable taste. This SAveetness is extracted by Avater, by infusion or decoction; and, by evaporation, a dark coloured extract, of the same sweet taste, is ob- tained, consisting principally of saccharine and mucilagi- nous matter. Liquorice root is a pleasant demulcent, Avhich is frequently added to infusions of linseed or althaea. There is no doubt of its gentle deterging qualities, Avhich render it an excellent medicine in coughs, hoarse- ness, asthma, &c. for lubricating the throat, softening 29 226 MATERIA MEDICA. acrimonious humours, and affording relief to the organ* of respiration. But with this intention it ought to be taken as a diet drink in considerable portions by way of infusion. This plant is found in the state of Vermont, and on the borders of the Ohio river. Guajacum Officinale. Officinal Guaiacum. The wood and resin. Guaiacum, or lignum vitae, is a genus of plants pro- ducing three species, the principal of Avhich is the offici- nale, or common lignum vitae, a native of the West Indies. The wood of this tree, and the gum resin obtained by exudation from incisions in its trunk, are the parts of it used in medicine. The Avood is hard and heavy, of a yellow colour, has little smell, and a moderately bitter taste. Its virtues depend on the small portion of resinous matter whicii it contains. Gum guaiacum is of a friable nature, of a deep green- ish colour, and sometimes of a reddish hue, and has a pun- gent acrid taste.* This medicine Avas introduced into practice as a remedy in the treatment of lues venerea, and was at one time con- sidered capable of effecting a radical cure. Its powers are no\v better ascertained. It is employed, and with some advantage, in promoting the action of mercury in the confirmed state of the disease, and in alleviating the various symptoms which arise from a protracted mercu- rial course. The general virtues of guaiacum, are those of a warm aromatic medicine; it strengthens the sto- mach and other viscera, and greatly promotes the dis- charge of urine and perspiration. Hence it is of especial service in cutaneous eruptions, and disorders arising from obstructions of the excretory glands; in rheumatic, and other pains, unattended Avith fever, the liberal use of gum guaiacum has often afforded considerable relief. It is likeAvise a good laxative, and furnishes a more active medicine than either the Avood or bark of this tree. This gum Avhen dissolved in rum, or combined Avith Avater, by * Guaiacum is a stimulating medicine, proving diaphoretic in a dose of about half a drachm, and purgative in a larger dose- Its sudorific powers is promoted by opium, or the preparations of antimony. materia medica. means of mucilage or the yolk of an egg, or in the form of tincture and elixir, has been found useful in chronic rheumatism, or even in such yy andering pains of the sto- mach and other parts of the body, as could be attributed to the retrocedent gout. The form in Avhich guaiac wood is administered, is always that of decoction. A quart of it is drunk in the course of the day. If taken warm, it produces diapho- resis. Hamamelis Virginiana. Witch-ha%el. The bark. This tree is a native of the United States. The leaves are nearly inversely ovate. Blossoms, yelloAV: stand three or four together on short flower stalks. In loamy land. Blossoms, September and October. This singular shrub does not commonly bloom until its leaves are destroyed by frost, when its numerous bloss mis make a gay and agreeable appearance; and continue until the weather becomes very cold, often until snow falls. The germen endures the severity of our winters uninjured ; for the fruit does not ripen until the next September, the time of its blossoming again, Avhen ripe fruit and blossoms will be found on the same tree. The Indians considered this tree as a valuable article in their Materia Medica. They applied the bark, Avhich is sedative and discutient, to painful tumors and external inflammations. A cata- plasm of the inner rind of the bark, is found to be very efficacious in removing painful inflammations of the eyes. The bark chewed in the mouth is, at first, somewhat bitter, very sensibly astringent, and then leaves a pungent, sweetish taste, which will remain for a considerable time. The specific qualities of this tree seem, by no means to be accurately ascertained. It is probably possessed of very valuable properties. Cutler. Mr. Bartram informs, that this shrub grows ten or twelve feet high, from one common root. Hbmatoxylum CampechianuMo Logwood Tree. The Avood. This tree was introduced from Honduras into Jamaica, where it is now very common. Logyvood is of a deep red colour; has scarcely any smell; its taste is sweetish, and 22.8 MATERIA MEDICA. astringent. It is used principally as a dye-wood, and also with considerable advantage in medicine. Its active matter is extracted by Avater. and by alcohol; both solu- tions strike a black colour with the salt of iron. It has been employed in medicine as an astringent hi diarrhoea, and chronic dysentery, under the form of de- coction, or watery extract. Helleborus Niger. Black Hellebore. The root. This plant is perennial, and groAvs Avild in the moun- tainous parts of Austria, and the Pyrennees. The root of this plant consists of small fibres attached to one head; externally dark coloured, internally Avhite. Its taste is very acrid, but the acrimony is much impaired by drying and keeping. Its medicinal poAver seems principally to depend on its resinous part. By decoction Avith water, it yields half its Aveight of gummy matter, with some resin; the ex- tract obtained by inspissation is milder than the root itself. Black hellebore root is a very violent cathartic, in a dose from ten to twenty grains; so violent, indeed, that it is seldom used. On its cathartic poAver probably de- pends any advantage that may be derived from its admin- istration in mania and melancholia, in Avhich diseases it was highly, celebrated by the ancients. In dropsy it has been employed as an hydragogue cathartic. It was like- wise strongly recommended by Mead as an emmena- gogue, though Avith others it has seldom been successful. Helleborus Fcetidus. Bears Foot. Setierwort. The leaves. This species is found in meadows, shady places, and under hedges, and is also perennial. The stalk is about three feet high. The leaves are of a deep green, bird- footed. All of them grow on the stem, none tovvards the root. It produces numerous green floAvers, somewhat tinged with purple at the edges, which blow in April and May. The leaves have an acrid, bitter, nauseous taste, and an unpleasant smell, especially ay hen they are fresh. When dried, they are frequently given as a domestic me- dicine to destroy worms; but they must be used with great caution, being so violent in their operation, that MATERIA MEDICA. 229 instances of their fatal effects are recorded. Since we are not destitute of safe and efficacious anthelmintics, this dangerous remedy should be rejected. Heracleum Sphondylium. Common Cow Parsnip. This article Avas brought into notice by the late Dr. Josc.h Orne, of Salem. In a commuuication to the Mas- sachusetts Medical Society, October, 1803, he thus de- scribes it: Common Cow Parsnip. (Sphondylium vulgarc hirsutum. Park. C. B.) It groAvs in hedges; the stalk is large and tubular, invested with a down whicii also covers the leaves, that are large and jagged, five on each stalk, and of the colour of Avormwood ; it is umbelliferous, and floAvers in June; the root is divided into several long and fibrous branches, resembling a large parsley root; and the height of the plant, in its maturity, may be from two to fc, ; r feet: the root has a rank strong smell, and a pungent and almost caustic taste; it should be carefully distinguished from the common parsnip, that grows wild in gardens, and hedges; and indeed, it has a very differ- ent appeaiancc. The particular disease in Avhich Dr. Orne commends the Coav Parsnip, is that of epilepsy. Three of the five cases which are. exhibited in his communication, were cured by the use of this medicine. The author judiciously observes, that in the three successful cases, the patients were remarkably liable to flatulence, with symptoms of morbid sensibility of the stomach, and date their first relief from the sensation of a more firm and healthful tone of that organ, and the carminative effects of the medicine. He commonly prescribed two or three drachms •of the puherized root, to be taken every day for a great length of time, and a strong infusion of the leaves and tops to be drunk at bed time. In the hands of other practitioners, this plant has mani- fested considerable efficacy, exerting its peculiar powers immediately on the stomach, as an excellent carminative, and, if it does not cure epilepsy, it generally mitigates the distressing symptoms attending that disease. In some cases of dyspepsia, accompanied with flatulencies and cardialgia, a strong decoction of this plant has been given by Dr. Mann with satisfactory success. 230 MATERIA MEDICA. Hirudo Medicinalis. The Leech. Tliat species of leech which is used in medicine has a flat and slimy body, composed of rings tapering towards the head wliich is turbinated, commonly about two or three inches long, and of the thickness of a goose quill, but capable of elongating or contracting itself very much. Its back is of a dull olive green colour, divided into three nearly equal parts by four yelloAV longitudinal lines, the two lateral entire, the two central broken Avith black. Besides these, between the lateral and central lines on each side, there are two others resembling a chain of black and yelloAV. The belly is turkey blue, irregularly marked with yellow spots. It attaches itself to solid substances by either end, being furnished Avith a circular sucker at the anal extremity, and a horse shoe one at the head, with a triangular mouth in the centre. They should be collected in summer in water having a clear sandy bottom, as the bite of those found in stagnant waters and marshes is said to cause pain and inflamma- tion. For the same reason the horse leech which is en- tirely broAvn, or only marked with a marginal yellow line is commonly rejected. Leeches are best preserved for use. in a bottle half filled with pure spring or river water, and covered with gauze or muslin. It is adviseable frequently to change the water in which they are kept, although there are instances of their living many months and even years in the same Avater, and it is remarkable water in which they are, keeps much longer sweet than by itself. They should always be kept in a moderate temperature about 50° Fahr. AVhen leeches have gorged themselves with blood, they frequently die of indigestion, and cause a great mortality even among those who have not been used. To avoid this danger, leeches which have recently sucked should be kept by themselves until they have recovered their usual vigour; and a little salt applied to the head of the animal will occasion it to vomit up the blood which it has received. Leeches change their skin frequently; at that time they are subject to indisposition and will rot bite. Leeches are very useful and convenient remedies in exvvy case requiring local blood-letting.—'Flay cause less irritation than cupping, and can often be applied nearer MATERIA MEDICA. £31 to the part. They are employed in inflammations of all kinds, as opthalmia, phrenitis, cynanche, rheumatism, odontalgia, and podagra. In some cases of rubeola and scarlatina, in hamorrhois, in plethora of the head, mania, dysuria and chincough. The application of leeches is sometimes attended with difficulty. In cloudy weather and in the evening they do not readily bite. If kept out of the water some minutes before they are applied and alloAved to crawl on dry linen they are said to bite more eagerly. The part to which they are to be applied should be well washed; first with soap and water and afterwards with water, or milk and water, and if covered with strong hairs, should be shaved. When they are not inclined to bite, the part may be mois- tened with milk, or a little blood drawn by a scratch Avith a lancet. A large leech will draw about an ounce of blood ; but the quantity maybe much increased by bathing the wounds with tepid water or applying over them cup- ping glasses. Sometimes it is difficult to stop the bleed- ing ; but it Avill always cease on applying a little lint and continuing pressure a sufficient length of time. Hordeum Distichon. Barley. The seed stripped of its husk, called pearl barley7. Barley has from the earliest ages been considered as a wholesome and nutritious food. Pearl barley is prepared by grinding off the husk of rough barley, and forming the grain into little round granules, Avhich appear of a kind of pearl whiteness. In this state, barley consists almost entirely of amylaceous matter, and when boiled forms an excellent article of nourishment. In diseases of the kid- neys and the breast, as Avell as in that state of the body where it is said to abound in acrimonious humors, de- coctions made of this grain, sufficiently strong, and acid- ulated with vinegar, are eminently useful. As a cooling and diluent beverage, barley water is of essential service to febrile patients, and in all inflammatory cases, where preternatural heat and thirst prevail; but, to promote its salutary effects, the grosser parts which remain after de- coction, ought not to be swallowed. Hcmulus Lupulus. The common hop. The floAvers. This perennial plant is a very strong bitter accompanied Vith a degree of aromatie flavour and some astringency ; 232 MATERIA MEDICA. these are extracted by water by infusion; by decoction the aromatic flavour is lost. Along Avith its bitterness it has a narcotic power: of this the popular remedy, sometimes successful, of a pillow of bops to procure sleep in the delirium of fever and in mania, is a proof. It ac- cordingly, when given internally in a full dose, reduces the frequency of the pulse and procures sleep. It has been employed as an anodyne, either in substance, in the dose of three grains, or under the form of infusion or tincture. A cataplasm or ointment, prepared from it, has been also used as an anodyne application to cancerous sores. Hydrargyrum. Argenlum Vivum. Mercury or Ojdcksilrer. Mercury is sometimes found in a native state in the boAvels of the earth. The most celebrated mines Avhieh produce it are those of Idria, Hungary, Bohemia and Carinthia; those of Montpellicr in Francis of Normandy, of Spain, and those of Peru. This metal is peculiarly distinguished by its fluidity in all natural temperatures, Avith the exception of the intense cold that sometimes prevails in xery northern regions. Its congealing point is 40° of Fahrenheit. In its liquid state, it has the per- fect opacity and lustre characteristic of metals, and like- wise the property of great density, its specific gravity being to that of water as 13.5 to 1 nearly: it boils at a temperature a little above 600°, and when boiling suffers oxidation from the action of the atmospheric air. It is oxidated even at natural temperatures, when subjected to agitation; or still more easily when triturated with any Viscid matter, which is interposed between its globules, extending their surface. Quicksilver is usually obtained from the ore in Avhich it is combined with sulphur, this being submitted to heat mixed with iron or lime, either of Avhich combines with the sulphur, and the mercury is obtained by distillation. The quicksilver of commerce is sometimes impure, or adulterated by the intermixture of other metals, particularly lead and bismuth. This may be suspected when the metal loses its lustre speedily, and is covered with a gray film, or from its diminished mobility in consequence of which its globules do not preserve exactly the spherical form, nor unite easily with each other; and it may be discoAered, with more certainty, by MATERIA MEDICA, 2^3 exposing it to a heat sufficient to volatilize the quicksilver, when any other metal present Avill remain. It is best purified by distillation from iron filings in an iron retort. Next to gold and platina, mercury is the heaviest of all the metals, with most of which it unites, excepting iron and antimony. Mercury taken into the stomach, in its metallic state, has no action on the body, except what arises from its weight or bulk. It is not poisonous, as Yvas vulgarly supposed, but perfectly inert. There is never- theless indubitable evidence that persons who work in the mines, or are otherwise exposed to the fumes of quick- silver, frequently experience its destructive consequences. Among other diseases arising from this cause, Hoffman mentions palsies, apoplexies, epilepsies, hectic fever, &c. These remarks are corroborated by a recent occurrence which took place on board two vessels in which, from the fumes of quicksilver, an alarming* illness broke out among the crews, all of Avhom Avere more or less salivated. With regard to the medical history of mercury as re- corded by a late writer* no mention is made of it in the Avritings of Hippocrates, though Aristotle and his con- temporaries Avere not unacquainted Avith it. Dioscorides, Pliny, and even Galen, considered it as highly corrosive, and classed it among the poisons, Avicenna was among the foremost Avho, influenced by the practice of some distinguished Arabian physicians, become reconciled to the opinion of its salutary tendency. In the year 1497 this metal was introduced as a sovereign remedy in lues venerea, and after a warm contention relative to its use, between the chemists and Galenists, it was received as one of the most valuable articles of the Materia Medica. Among the various substances with which Ave arc ac- quainted in medicine, the preparations of mercury, as respects their operation on our system, is incomparably the most important, nor have their properties, perhaps, undergone investigation commensurate Avith their avou- derful poAvers and extensive utility. According to Mr. Murray, a late and truly scientific writer on Materia Me- * Dr. John W. Frances, of New-York,in an inaugural dis- sertation on mercury, has presented a new view of the natural and medical history, and curative action of that metal. His production, couched in perspicuous and elegant language, evin- ces ability, and extensive research relative to a subjcci of high importance to medical science, and has strong claims to the at- tention of the physicians of the United States. 30 23* MATERIA MEDICA. dica, mercury is placed in the class of tonics, viewing its tonic power as its primary operation. Its power of ex- citing the salivary discharge is merely a secondary effect, not constant nor uniform, and whicii is not essential in any, disease. It is the most general stimulant belonging to the Materia Medica, pervading every part of the system; as ting, as Cullen has remarked, as a stimulus to every sensible and moving fibre of the body, and producing the most permanent effects. Hence it is the most general evacuant Ave possess; and from its stimulant operation, exerted directly or indirectly, we are able to explain its utility in many diseases. When rendered active on the system, by any of the modes of preparation to Avhich it is subjected, it is received into the blood, and enabled to act on every part of the system. Hence, when given in mo- derate quantity, it communicates general vigour; it in- creases the force of the circulation Avhen this has been languid; by the increased vascular action Avhich it excites, it gives to the blood the disposition to ass ..i«e the huffy coat; and by its stimulant operation on accreting organs, it promotes the secretions, and hence s tht most general evacuant avc have. On its stimulant operation probably depends its efficacy in diseases connected with spasmodic action, as tetanus and hydrophobia; and perhaps also that derived from it in various forms of fever, particularly the remitting fever of warm climates, and yellow fever; and its local operation is distinctly marked in the advan- tage derived from it in chronic hepatitis, and other vari- eties of visceral and glandular obstructions, and in the the different species of cutaneous eruptions. It is fre- quently employed, and with the utmost advantage, in inflammatory diseases and in dysentery; in cachectic diseases, as the various species of dropsical affections, and in many chronic morbid states of the system. Its most important medicinal operation, hoAvever, is that displayed in removing the disease induced by the syphilitic poison. In this, its poAver is nearly, if not altogether specific, no article of the Materia Medica could be substituted for it; and then may be affirmed of it, what cannot Avith equal justice be said of any remedy employed in the treatment of any other morbid affection, that if duly administered, it Avill scarcely ever fail in ef- fecting a cure. It is difficult to assign any satisfactory theory of its operation. Its efficacy lias been ascribed to its general evacuant power, in consequence of which MATERIA MEDICA. £35 the syphilitic virus is discharged from the "body. But the speedy disappearance of the local symptoms of syphilis under its use, affords a proof that it operates on some other principle; no similar advantage is derived from otheF evacuants; and its efficacy is not proportional to the eva- cuation it excites, but is frequently displayed where this is altogether insensible. The opinion has been advanced, that it acts as an antidote to the venereal virus, neutraliz- ing it somewhat in the manner in whicii one chemical agent subdues the properties of another,—an opinion ex- tremely vague and hypothetical, and rendered improbable from the consideration of the very small quantity of some of the more active preparations of mercury, from whicii a cure may be obtained, compared Avith the large quanti- ty of others less active, that requires to be administered. The explanation advanced by Mr. Hunter, that the efficacy of mercury in the treatment of syphilis depends on its general and permanent stimulant operation on the system, byr which it induces and keeps up an action in- compatible with that morbid action which constitutes the disease, until the virus is destroyed by the chemical changes going on in the system, or until it is eliminated from the body by the usual excretion, is on the Avhole most probable: it rests on a principle undoubted, that there are states of morbid action incompatible, so that one suspends the action of the other; and mercury does exert a Aery general action, inducing and keeping up Avhat may be regarded as a morbid state. The mode of administering mercury7, for the cure of the venereal disease, under all its forms, is now ascertained Avith sufficient precision. There is no advantage in giv- ing it so as to induce profuse salivation ; this is even to be avoided as hurtful; at the same time, it is proper that salivation should be excited to a certain extent, not pro- bably as essential to its efficacy, but as a proof of its full action on the system being obtained. This is kept up for a certain time, longer or shorter, according to the state of the symptoms, and the previous continuance of the dis- ease. Exposure to cold is avoided, as being lie hie to cause the more partial operation of mercury on the sali- vary glands; and the state of irritation is diminished, or determination to the intestines producing purging is obviated, by the exhibition of an opiate. When profit* salivation occurs, the remedies employed to check it are cathartics in moderate doses, small doses of opium, -the 236 MATERIA MEDICA. application of a blister to the throat, and the administra- tion of sulphuret of potash; the last being employed from the doubtful hypothesis, that its chemical agency may neutralize the mercury. Free exposure to a cool air is, according to Mr. Pearson, more effectual than any other method. Peruvian bark, mineral acids, and the assiduous application of astringent gargles have their use, Avhile the employment of mercury must be discontinued for a time. On the other hand, the sudden suppression of ptyalism is not Avithout danger. It is most frequently caused by cold liquids being taken into the stomach, or exposure to cold and moisture, while under the influence of mercury. Sometimes also a morbid condition of the system occurs during a mercurial course, and Avhich tends to a fatal issue. Mr. Pearson has termed it erethismus. It is characterized by a great depression of strength; a sense of anxiety about the prrecordia; frequent sighing: tre mil- ling, partial or universal; a small, quick pulse, sometimes vomiting; a pale contracted countenance; a s«nse of cold- ness, Avhile tiie tongue is seldom furred, or the vital ov natural functions much disordered. In this stale, a vio- lent or sudden exertion of muscular power, will sometimes prove fatal. To prevent dangerous consequences the administration of mercury must be immediately suspended, and the pa- tient exposed to a dry, cool air, in such a manner as shall be attended with the least fatigue. An incipient erethis- mus has often been averted or cured by large doses of I he volatile alkali, and by the camphor mixture. Dr. Frances expresses an opinion that the modus ope- randi of mercury remains a question far from being decided. He adopts the opinion, hoAvever, that in a state of an oxide it is one of the most universal stimulants, acting on the nervous system, producing restlessness, anxiety, and debility. On the sanguiferous system, dis- posing the blood to take on the huffy coat, rendering the pulse frequent and harder, increasing respiration and oc- casioning other symptoms of inflammatory action. It affects the secretions, inducing a preternatural Aoav of saliva, an increased action of the mucous vessels of the trachea, lungs, digestive organs, ehylopoktic viscera and wliole intestinal canal. It excites a copious discharge of urine, and in the smallest quantity operates Avith great, certainty on the skin and produces increased action of the MATERIA MEDICA. 23,7 absorbent vessels. It is therefore on its very general and stimulant operation in promoting the excretions of the wliole system, depends its curative action. For the same salutary effects will not be produced when its action is not thus extensive, as Avhen confined to the salivary glands or exerts its influence on the intestinal canal alone. For more than half a century the mercurial practice in the treatment of inflammatory and other febrile dis- eases, has been prevalent among some physicians in New- England; and in pneumonia, pleurisies, acute rheumatisms, and other phlegmasia?, it has been considered a remedy of superior efficacy. About the year 1735 a malignant ulcerous sore throat became epidemical in the vicinity of Boston, and New-York, &c. which having baffled the skill of physicians, at length yielded in a surprising manner to the administration of calomel. Subsequently to this event, the employment of mercury has been extended to the various forms of malignant, pestilential, or yelloAV fever of the West Indies, and to the intermitting, remitting, and typhus fevers which haAe ravaged some of the cities of the L ;ited States. • Various opinions and much con- troversy have subsisted in the medical Avorld respecting this subject. Dr. F. has noAV given to it a zealous investigation. To Dr. Chisholm he ascribes exclusively the credit of being the first who adopted the novel prac- tice of exhibiting mercury to the full extent; having given calomel to the amount of four hundred grains, and at a subsequent season no less than eight hundred, and at other times upwards of one thousand grains were em- ployed. Nay farther! in one instance of yelloAV remitting fever, before any xevy material change took place in the state of the patient, he had taken, says Dr. C. sixty-four grains of calomel by the mouth, thirty-four drachms by clyster, and sixteen ounces of the strongest mercurial ointment carefully rubbed into bis arms and thighs; in all live thousand seven hundred and four grains in the course of fixe days. His recovery Avas astonishingly rapid after the change ay as effected. If it be conceded that the mercurial practice to a greater or less extent in the hands of Dr. Chisholm, Dr. Wright. and other eminently distinguished physicians in the West Indies, Avas eroAvncd with success, exceeding that of any other method, yet the utility of a similar mode of treat- ment in the diseases of the same type in the United States, is deemed problematical. This more appropriate point 238 MATERIA MEDICA. receives an able discussion by our author. The climate of this country, he says, is singularly unfavorable to the salutary operation of this medicine. While the liver appears to be the most diseased organ in those who die of yelloAV fever in the West Indies, this important viseus seems to be in a remarkable degree exempt from derange- ment, in the same disease in our country, as proved hy numerous dissections. The very nature and seat of the disease establish the fact, that, the brain and nervous system are primarily affected, the stomach and duodenum exhibit marks of high inflammation, and approaching sphacelus, attended by acute pain in the gastric region, and extreme irritability of the stomach. These symp- toms, instead of being removed by the use of calomel, are greatly aggravated, and excessive vomiting is induced, whicii terminates but Avith the life of the patient. In the more advanced stage of yelloAV fever, Avhen the most formidable symptoms have occurred, the great pros- tration of strength forbids the recourse to a medicine of such debilitating powers; the rapid termination sets at defiance the slow accomplishment of salivation. Whether therefore, with a view of its action on the salivary glands or otherwise, the indiscriminate employment of mercury in the treatment of yellow fever, or the various forms of intermitting or remitting fever of our country, is accord- ing to Dr. F. to be considered as an abuse of the medi- cine, and altogether inadmissible. With regard to the employment of mercury as a remedy in syphilis, Dr. F. accords in opinion with other Avriters as to its almost infallible poAvers; with much propriety hoAvever, he animadverts on the male ad ministration of it, as producing more destructive consequences than the dis- ease itself. He is most decidedly opposed to the popular method of treatment by a profuse salivation, induced by throAving into the system large quantities of mercury: no absurdity in medical practice having been destructive of more lives; none the source of more pain and calamity. A preternatural action from any one of the secretions is not to be depended on; mercury must be in a state of so- lution in the juices of the body. The specific pohen of lues venerea, must be counteracted by a genera! operation on the constitution, or more directly in promoting Ihe action of all the secretory vessels of the body, and espe- cially those of the surface. Equally opposed therefore, to the opinion declared by Mr. Bell, that no advantage i? MATERIA MEDICA. 239 derived from any increase that may be made to any of the secretions, and to that of Mr. HoAvard, Avho is the advocate for profuse salivation even in the mildest form of the disease, and Avho contends that the greater the dis- charge the more certain the cure; the most successful practice, he observes, depends upon an increased discharge from the excretory vessels of the whole system. The preparation more peculiarly adapted to effectu- ate these several purposes is next to be selected. The mnrias hydrargyri, or the corrosive sublimate, is in his view by far the most eligible. The qualities of this and other forms of mercury will be particularly described under the head of preparations. It has already been observed that quicksilver taken into the stomach in its native state is perfectly inert. It has been prescribed in the first stage of the iliac passion be- fore the bowels are too much weakened and corroded by the stagnant feces. There are instances in which several ounces, nay half a pound and upwards of pure quicksilver have been swallowed vvith the happiest effects, given with castor oil or fresh broth. But in the last stage of obsti- nate and violent colics, when inflammation and gangrene have already taken place in the bowels, its specific gravity would infallibly rend the intestines, and accelerate the fatal crisis. The high importance of the above subject will, it is presumed, justify a reference to the opinions, and valua- ble observations of several writers of distinguished merit, collected into one view, and to be found in Cooper's Dic- tionary of Practical Surgery, under the words Mercury and Venereal disease. Hyoscyamus Niger. Black Henbane. The herb and 6eeds. Henbane is a biennial plant, whicii abounds in villages, road-sides, and among rubbish, and flowers in July. The wliole plant is covered with long hairs, from which ex- udes a clammy fcetid juice. The leaves are large and very soft; they are indented and embrace the stalk closely. The flowers come out in a very long spike, rather on one side, and sit close to the stalk. The corolla is funnel sha ;ed and obtuse, of a pale yellowish colour, beautifully veined with purple. 2iU MATERIA MEDICA. The leaves of this plant, when recent, have a slightly fcetid smell: and a mucilaginous taste; when dried, they lose both taste and smell, and also part of their narct ie power. The root possesses the same qualities its the leaves, and even in a more eminent degree. Henbane, more than any other narcotic, resembles opium in its action. In a moderate dose, it increases at first, the strength of the pulse, and occasions some sense of heat, Avhich is followed by diminished sensibility and motion; in some cases by thirst, sickness, stupor, and dimness of vision. In a larger quantity it occasions profound sleep, hard pulse, and sometimes fierce delirium, ending in coma or convulsions, with a remarkable dilatation of the pupil, distortion of the countenance, a weak, tremulous pulse, and eruption of petechia;. On dissection, gan- grenous spots have been found on the internal surface of the stomach. Its baneful effects arc best counteracted by a powerful emetic; and, after discharging the contents of the stomach, it will be necessary to administer emol- lient and oily clysters, and repeat them as often as they are ejected; and to drink as large portions of vinegar and of the juice of lemons as the stomach Avill support. Henbane has been used in various spasmodic and painful diseases; as in epilepsy, hysteria, palpitation, headach, paralysis, mania, and scirrhus. It is given in the form of the inspissated juice of the fresh leaves, the dose of Avhich is from one to two grains, Avhich ought to he gradually increased. It is sometimes employed as a sub- stitute for opium, Avhere the latter, from idiosyncrasy, occasions any disagreeable symptoms. The henbane is also free from the constipating quality of the opium, and like this last also, its influence is very much diminished by habit. In open ulcers, the powder of the leaves, sprinkled on the part, has often a good effect. Hissorus Officinalis. Hyssop. The herb. The leaves of hyssop have an aromatic smeli, and a Avarm pungent taste; they are particularly recommended in humoral asthmas, coughs, and other disorders of the breast and lungs; being supposed ay onderfully to promote expectoration. According to Rayr, these leaves are of great service Avhen applied in cataplasms to bruises, the pain oT Avhich they speedily mitigate, and at the same time disperse every mark or spot from the part affected. MATERIA medica. 2+1 Inula Helenium. Elecampane. The root. This is a very large doAvny perennial plant, sometimes found Avild in moist rich soils. The root, especially Avhen dry, has an agreeable aromatic smell; its taste, on first chewing, is glutinous and somewhat rancid, quickly suc- ceeded by an aromatic bitterness and pungency. The ancients entertained a high opinion of elecampane, which is recommended for promoting expectoration in humoral asthma and coughs; liberally taken, it is said to excite urine, and loosen the belly. In some parts of Germany, large quantities of this root are^andied, and used as a stomachic, for strengthening the tone of the viscera in general, and for attenuating viscid humors. Its dose is from twenty to sixty grains poAvdered; and in this form it has been found, by expe- rience, to possess considerable efficacy. Icecacuanha. Ijiecacuan. A roof, either of the ccphse- lis ipecacuanha, or psychotria emetica. The root of ipecacuan is brought from Spanish America. It is divided into two sorts, Peruvian and Bra- zilian ; the eye distinguishes three, ash coloured or gray, broAvn, and Avhite. The ash coloured or Peruvian ipe- cacuan of the shops, is a small Avrinkled root, bent and contorted into a great variety of figures; it has very little smell; the taste is bitterish and subacrid, covering the tongue with a kind of mucilage. The broAvn sort has been sometimes observed, even in a small dose, to produce violent effects. The white, though taken in a large one, has scarce any effect at all. The first sort, the ash coloured or gray ipecacuan, is usually prefered for medicinal use. It contains both a resinous and gummy matter. It is generally stated, that its emetic power, and, indeed its principal virtues, re- side in the former, though Dr. Irving has affirmed that they depend on its gum. Its active matter is com- pletely extracted by alcohol, proof spirit, or wine. Vine- gar likewise dissolves it, but at the same time greatly Aveakens its poAver. By decoction Avith Avater, its activity is greatly impaired, though the Avater distilled from it has scarcely any emetic power. It is even injured by 2-i2 MATERIA MEDICA. being kept long exposed, in the state of powder, to the air and light. Ipecacuan is the mildest of those emetics, which are at the same time certain in their operation; and pos- sesses this peculiar advantage, that, Avhen it does not operate by vomiting, it passes off by the other cinuncto- ries. It merely evacuates the contents of the stomach, Avithout exciting violent vomiting, or extending its action beyond the stomach; and is hence adapted to many cases where violent vomiting would be useless or improper. The medium dose of it as an emetic is fifteen grains, though twenty or thirty may be taken with perfect safety. Ipecacuan is employed with other intentions than as an emetic. It was at one time much celebrated as a remedy in dysentery, given either in such a dose as to produce full vomiting, or rather in the quantity of two or three grains, repeated every three or four hours, till it occa- sioned vomiting, diaphoresis, or purging. It has been given in a similar mode in obstinate diarrluea. In spasmodic asthma, it is given in a full dose to relieve the paroxysm; and in a dose of three or four grains, continu- ed every morning for some weeks, to prevent the return of the disease. In hsemorrhagies, it is given in nauseat- ing doses, the nausea diminishing the force of the circu- lation. Combined with opium, it forms a very poAverful sudorific. The primary effect of ipecacuan, says Dr. Duncan, is that of stimulating the stomach. If the dose be suffi- ciently large, it excites vomiting, by inverting the peris- taltic motion of the stomach and duodenum; in a smaller dose, it only produces nausea, and operates by stool; and in still smaller doses, it gently stimulates the stomach, increases the appetite, and facilitates digestion. Its secondary effects depend on the sympathy of the other parts with the stomach; and in this Avay only can Ave ex- plain its action as an antispasmodic, diaphoretic, expecto- rant, and in checking hsemorrhagies. Its beneficial effects in some cases, also, seem to he OAving to the general concussion -given to the Avhole sys- tem during the action of vomiting. It is found to increase the purgative virtue of jalap remarkably. Dr. Aiken asserts that fifteen grains of jalap, with two or three of ipecacuan, purge more than tAvice the quantity of jalap by itself. MATERIA MEDICA. 213 Ipecacuan properly administered, often proves ser- viceablc, 1. In intermittent fevers. It has frequently succeeded in stopping these, when given about an hour before an accession was expected, und also when giA en so as to pro- duce vomiting at the time of an accession, or at the end of the cohl stage. 2. In continued fevers. We have never seen more de- cidedly beneficial effects from the use of any medicine Avhatever, than from the exhibition of inee.ienan in the comnieMcement of typhus fever. An emetic, succeeded by a diaphoretic regimen, Avhen administered sufficiently early in tiiis disease, very frequently cuts it short at once ; and when it fails in this desirable object, it always has a beneficial influence on the progress of the fever. 3. In inflammatory diseases, rheumatism, bubo, swel- led testicle. 4. In exanthematous diseases, Avhen the eruption is disposed to recede. 5. In hsemorrhagies, Avhen given in nauseating doses. 6. In profluvia, especially in dysentery, so niuch so, that it Yvas formerly esteemed a specific against that dis- ease. But Cullen attributes its good effects in this in- stance, to its producing a steady determination of the peristaltic motion of the intestines downwards, vvhen given in repeated small doses. 7. In many spasmodic diseases; in epilepsy; asthma; dyspnsea; pertussis; chronic diarrhoea; hysteria; melan- cholia ; mania. 8. In cachectic diseases, as in some kinds of dropsy. 9. In impetiginous diseases; in jaundice. 10. In local diseases; in amaurosis, and several of the dysorexise. 11. In every instance Avhen Ave Avish to evacuate the stomach, as Avhen it is overloaded with food, or when poison, especially opium, has been swalloAved. The use of ipecacuan, as an emetic, is contra-indicated, 1. Where there is a disposition to haemorrhage. 2. Where there is an increased Aoav of blood toward the head. 3. In very irritable subjects. >. In pregnant women, and persons afflicted vyith hernia. Ipecacuan is exhibited, J. In sub.^ance; in powder. Full vomiting will ge- nerally be produced in an adult by a scruple or half a ii-1 -MATERIA MEDICA. drachm, and though less might answer the purpose, for- tunately an over dose is scarcely attended with any incon- venience, as the whole of it is vomited with the contents of tiie s(;niach as soon as it operates. The vomiting is promoted and facilitated by drinking copiously of warm waterv fluids. On the contrary, when vomiting is not intended, liquids must be rather drunk sparingly, and the dose must be diminished to a grain or less. In such small doses it is conveniently combined with any proper adjunct, in the form of powder, pill, or bolus. 2. In infusion. One drachm may be infused in four ounces of water, and taken in repeated doses till it operate. 3. Infused in wine. (See vinum ipecacuanha;.) Ipecacuan not only checks the narcotic effects of opium, and is therefore one of the best antidotes for its poison, but reciprocally the emetic powers of ipecacuan arc checked by the addition of opium, and the combination operates by increasing the cuticular discharge. (See pulvis ipecacuanha} et opii.) It has recently been announced by Thomas Clark, ~M. D. an English physician, that a decoction of the root of ipecacuanha has been administered as injections in dys- entery and internal piles Avith surprising success. The practice has been adopted by several physicians, all of whom testify their confidence in the superior efficacy of the remedy. Dr. Clark directs for an adult affected with dysentery three drachms of the bruised root to be boiled in a quart of water doAvn to a pint, strained, and given all at once as a lavement, and repeated if necessary. In cases of internal piles, half that quantity will be sufficient. Iris Pseudacorus. Water Flag. Flower de Luce. Blue Flag. The root. This plant is perennial, and grows in great abundance by the brinks of rivers, and in other watery places. It blossoms in July; its flowers are blue, variegated with white,yellow, and purple; its leaves sword shaped. The root has an acrid taste, and Avhen fresh is highly cathar- tic. The expressed juice of the root, recently gathered, given to the quantity of sixty or eighty drops, every hour or two, and occasionally increased, has been productive of very copious evacuations, after jalap, gamboge, and other strong purgatives had proved ineffectual. MATERIA MEDICA. 245 This genus of plants consists of numerous species, and of these Ave find many varieties in our swamps and mea- dows. The roots of some are much more acrid than others; and they do not in every instance lose their pur- gative quality by drying. Some roots in a dried state have acted as a powerful cathartic, and proved an effica- cious remedy in dysentery. It must be left to the trials of experience to determine whicii variety possesses the most medicinal properties. Juglans Cinerea. Butternut. JVldte Walnut. The unripe fruit, and the inner bark. This tree is generally known throughout the United States, and is hoav introduced into the Materia Medica of the Massachusetts Pharmacopoeia. During the American Avar, the extract, made from the inner bark of this tree, attracted the attention of Dr. Rush, and other medical men in our military hospital; and, being frequently admin- istered to patients under the operation of inoculated small pox, it ay as proved to be an excellent substitute for jalap or other cathartics. It is noAV esteemed as a valuable purgative, in doses from ten to thirty grains, not occa- sioning heat or irritation; and is greatly commended in cases of dysentery. Conjoined ay ith calomel it is rendered more active and efficacious, especially in bilious habits. As this extract is often very carelessly prepared by the country people, it ought to be prepared by the apotheca- ries, or practitioners themselves; and as a domestic medi- cine of considerable importance, it should be adopted by every physician. The bark of the root of this tree will excite a blister; and the bark and shells of the nuts dye a good brown colour. A decoction of the inner bark is advantageously employed as a cathartic in the disease of horses, called the yellotv water. The extract should be made from the bark in the month of May or June. Juniperus Communis. Juniper. The berries and leaves. This is an evergreen shrub growing on dry barren commons and hilly grounds in different parts of the Unit- ed States as in Europe. If planted in a good soil it will attain t«e height of fifteen or sixteen feet, and prodtie* 2ifl MATERIA MEMUM. numerous branches. It is remarkable that no grass Avill grpAv beneath this shrub. This tree has three "spreading pointed leaves coming out together, that are louger than the berry. The wood is of a reddish collar, very hard and durable. Gum sandaraeh, more eoinmonly called pounce, is the product of this tree. The flowers are borne upon a conical catkin, the scales of which serve the pur- pose of a calyx. The berries of the Juniper require tYVo years before they ripen, when they change from a green, or a blackish piu-ple, to a bluish black colour. Juniper berries possess a strong not disagreeable smell, and a Avarm pungent sweet taste, which if they be long chewed, or previously bruised, is folloAved by a bitterish one. Their predominant constituents are, an essential oil, and a sweet mucilaginous matter. To the oil, they are indebted for their stimulating, carminative, diaphoretic, and diuretic properties. They arc most commonly used in the form of infusion, to whicii a little gin is added, as a diuretic drink in dropsy. The essential oil may be separated by distillation. It possesses the same properties in a higher degree, and imparts them to ardent spirits. The peculiar flavour, and well-known diuretic effects of Holland gin, are owing to the oil of juniper. Juniperus Sabina. Savine. The leaves. The savine is also an evergreen shrub, spreading out much horizontally, rising but little in height. The leaves are small, opposite, running doAvn the stalk, and rather prickly. It produces blue berries, only after it has ar- rived at a considerable age. The wood is internally of a beautiful reddish shade, resembling that of mahogany. The leaves of savine possess a bitter, acrid taste; and their smell is so powerful and disagreeable, that it expels moths and similar vermin. When distilled with water, these leaves yield an uncommonly large proportion of essential oil. Savine is a warm, stimulating medicine, capable of pro- ducing diaphoresis, and increasing all the secretions, but apt to excite hsemorrhagc, especially from the uterus. It has long been considered as a powerful emmenagogue,and Dr. Home asserts, that in five cases of obstructions of the menses, four Avere cured by the savine, which he gave in powder, from a scruple to a drachm, tAvice in a day. MATERIA MEDICA. 247 But this acrid and heating substance, in the opinion of Dr. Cullen, is improper in plethoric habits, and should be employed with caution in those cases only Avhich proceed from a relaxed state of the solids. The oil distilled from this shrub is one of the most violent emmenagogues, and ought therefore to be used with the greatest caution in obstructions of the uterus or other viscera, proceeding from laxity or Aveakness. Savine is also recommended as an anthelmintic, and said to be very efficient in the cure of the gout. Externally, the leaves are applied in the form of powder or infusion, t■:> Avarts. carious bones, and old ulcers; and in cases of psora, gangrene, and tinea. Farriers apply this article with success to the ulcers of horses. Equal parts of poAvdercd savine and verdegris will effectually remove warts and other excrescences from the skin, and the same preparation, when applied to issues, will greatly promote their discharge. Juxiperus Virginian a. Common Red Cedar Tree. The leaves. The red cedar tree is a native of the United States, and groAvs to the height of fifteen or twenty feet. Its berries are smaller than those of the true juniper. In Virginia and Carolina the berries are distilled into brandy. The leaves of this tree are hoav brought into notice by the inAestigation of Dr. Aaron Dexter, Professor of Chemis- try, and Materia Medica, in the University at Cambridge. He has found this to be the only species of juniper in the United States, Avhose leaves agree in their properties with those of the savine, directed by Dr. Crowther, as the basis of the saAine ointment. Kalmia Latifolia. Broad leaved Laurel. Winter green. Callico tree. This is the largest of the several species of kalmia, groAving to the height of seven or eight feet, in swamps and moist rocky pastures. Blossoms arc Avhite, tinged with red, in June and July. The Avood is bard and com- pact, and the Indians are said to haA c made small dishes, spoons, and other utensils out of the roots; they are said also to have used a decoction of this plant to destroy themselves. The leaves are highly poisonous to horses, 248 MATERIA MEDICA. but deer and pheasants eat them with impunity; though the flesh of these birds ay as once rendered poisonous by eating the leaves or berries late in the winter, and occa- sioned the death of some persons who ate of their flesh. The other species, kalmia angustifolia, narroAV-leaved, or dwarf laurel; called also ivy. Lambkill is an evergreen common in cold wet land. Blossoms reddish variegated. June and July. The leaves prove fatal to sheep. From an experimental inaugural dissertation published in Phi- ladelphia in 1802, by Dr. Thomas, upon the above species of kalmia, it appears that the leaves of both abound with resin, but that the last is the most active of the two. From the same dissertation Ave find, that a decoction of the K. latifolia, prepared by putting one ounce of the leaves in eight ounces of Avater, and boiling it doAvn to four ounces, cured a diarrhoea of eight weeks continuance. The dose at first was thirty drops six times a day, but producing vertigo, it Avas diminished to four times a day. The itch was speedily cured by washing the parts with the decoc- tion. The scald head, tinea capitis, was also cured by anointing the head with an ointment made of the leaves and hogs lard. Dr. Barton bears testimony of the effi- cacy of this ointment in the tinea. A saturated tincture of the leaves of this plant in proof spirit is an active remedy. Some kinds of herjies and warty excrescences have been known to yield to the repeated application of an infusion of kalmia leaves. Kino: Kino. The substance distinguished by this name was intro- duced a number of years ago into the Materia Medica as a powerful astringent, little being known w ith regard to its origin, farther than it was said to be the produce of Africa, and obtained probably from the plant affording it by exudation. Subsequent to its introduction, it Avas met with in the shops very various in its qualities: it still is so, and is obviously of different origin, though there is considerable obscurity with regard to the natural history of these varieties. The London college have described it merely as the produce of an African plant unknown. The Edinburgh college have inserted it in their catalogue of simples, as the concrete juice of the eucalyptus rcsini- fera, a tree a native of New Holland; and there is reason to believe that at least part of Avhat is called kino in the MATERIA MEDICA. 249 shops is imported from that country, and is the produce of this vegetable. The Dublin college have considered kino, as the product of the butea frondosa, on the autho- rity of Roxburgh; but incorrectly, as Dr. Duncan has remarked. He has farther observed, what is perfectly just, that much of the kino of the shops bears all the appearance of an extract artificially prepared, and is known to be formed from different astringent vegetables. It is not very easy to discriminate exactly among these various substances, and to assign to each its real origin. One variety, and whicii bears the highest price in the shops, lias all the appearance of a natural production: slender twigs are intermixed in its substance; it is of a reddish brown colour, with a resinous lustre, is very brit- tle and has a bitterish astringent taste. This corresponds in its characters with th<* substance first introduced as kino, and is still said to be the produce of Africa, and to be imported from Senegal. The kind from New Holland has also the appearance of a natural production, frag- ments of bark being intermixed with it; it is in more solid masses than the other, is less brittle, and with its astringency has a disagreeable mawkish sAveetish taste. The third kind, and Avhich is most commonly met v/itb, has the appearance of an extract thoroughly dried; it is in small fragments, with a resinous fracture, is of a brown colour, more approaching to black than the others, and has a taste astringent and slightly bitter. This Dr. Duncan has stated, is said to be the produce of the coceo- loba uvifera. I have also been informed, says Murray, that it is the extract of the wood of the mahogany. The analysis of kino has been executed; but from the difficulty of ascertaining exactly to what substance the name is applied, there is a difficulty in appropriating the results to any of the varieties that are met with. AH of them. howeVer, appear to contain a large proportion of tannin; their solutions giving a deep colour, not purple however, but green, with salts of iron, a copious precipi- tate with gelatin. The active matter of all, or the greater number of them, is soluble in water, with the assistance of heat, and is still more easily soluble in alcohol. Kino has been employed as an astringent for the same purposes as catechu, and they are often given in combina- tion. The catechu being more uniform in its qualities, ought perhaps to be prefercd. 32 250 MATERIA MEDICA. Kino is exhibited internally, in doses of from ten te thirty grains, in substance, or dissolved in diluted alcohol. It has been considered a powerful remedy in obstinate chronic diarrhoeas and dysenteries; in all passive hannor- rhagics, especially from the uterus: in fluor albus; and in diseases arising from laxity of the solids. Lactuca Sativa. Common Garden Lettuce. The herb. This plant, so valuable as an article of diet, abounds Avith a milky juice, Avhich possesses all the characteristie properties of the opium of the shops, and may be procur- ed from it in sufficient quantity, to repay any labour be- stowed on it for this purpose. The laudanum made from the opium of the lettuce increases the pulse in force and frequency, and produces generally the same effects as re- sult from similar doses of common laudanum. It has been used with advantage in allaying the pain of chronic rheumatism, and colic; in cheeking the frequent stools accompanying diarrhoea; in allaying cough, &c. &c.; and doubtless the plant may be advantageously cultivated for medical purposes, especially as the opium is procured after the period in which the plant is useful for the table. Lactuca Virosa. Wild or Strong-scented Milk-weed. Lettuce. The leaves. This plant is perennial. groAving spontaneously on rub- bish and beside fences, and flowering in August and Sep- tember. The Stem rises to three or four feet, and is prickly on its lower end. All the leaves are horizontal and greatly indented; they are arrow shaped, and their mid-rib prickly on the back part. Flowering branches expanding, floral leaves similar to the stem leaves, but smaller. Blossoms numerous on short fruit stalks, yel- low, opening about seven and closing about ten in the forenoon. This plant affords a large quantity of milky juice which smells like opium, and is acrid and bitter. It resembles opium in some of its effects; its narcotic poAver like that of the poppy head resides in its milky juice. An extract prepared from the expressed juice of the leaves of this plant, gathered Avhen in floAver, is recommended in small doses in dropsy. In dropsies of long standing, proceeding from visceral obstructions, it has been given to the extent of half an ounce in a day. MATERIA MEDICA. '2bi It is said to agree Avith the stomach, to quench thirst, to be gently laxative, powerfully diuretic, and somewhat diaphoretic. Plentiful dilution is alloAved during its ope- ration. Dr. Collin, of Vienna, asserts, that out of twenty- four dropsical patients, all but one were cured by this medicine. Laurus Cinnamomum. The Cinnamon Tree. The bark and its volatile oil. This valuable tree is a native of Ceylon, in the East Indies, and is now cultivated in Jamaica and other West- India islands. It grows from four to ten feet high, and is very bushy. The leaves resemble those of the laurel, and have the hot taste and smell of cloves when chewed. Cinnamon is the interior bark of the tree; it is thin and convoluted, of a texture somewhat fibrous, of a slight brown colour, having an agreeable pungent taste, with a degree of SAveetness and an aromatic flavour. Its virtues chiefly depend on the small quantity of essential oil which it contains. This bark is a very useful and elegant aro- matic, more grateful both to the palate and stomach than most other substances of this class. Like other aroma- tics, the effects of cinnamon are stimulating, heating, stomachic, carminative, and tonic; but it is rather used as an adjunct to other remedies, than as a remedy itself. The essential oil of cinnamon has a whitish yellow colour, a pungent burning taste, and the peculiar fine fla- vour of cinnamon in a very great degree. It should sink in water, and be entirely soluble in alcohol. It is prin- cipally prepared in Ceylon. This oil is one of the most powerful stimulants Ave possess, and is sometimes used as a cordial in cramps of the stomach, and in syncope; or as a stimulant in paralysis of the tongue, or to deaden the nerve in toothach. But it is principally used as an aro- matic, to cover the less agreeable taste of other drugs. Laurus Cassia. The Cassia Tree. The bark and flower buds, gathered before they open. This tree is very similar to the former. The bark, which is imported from different parts of the East-Indies and from China, has a very exact resemblance to the cin- namon. It is distinguishable from the cinnamon, by lie-., 232 MATERTA MEDICA. ingof a thicker and coarse texture, and by its breaking short and smooth, while the cinnamon breaks fibrous and shivery. It resembles cinnamon still more exactly in its aroma- tic flavour and pungency than in its external appearance, and seems oidy to differ from it, in being considerably weaker, and in abounding more with a mucilaginous mat- ter. Cassia buds are the floAver buds which are gathered and dried before they expand. They are of a brown colour; their taste and flavour is similar to the bark, and they are used for the same purposes. Both the bark and buds of cassia possess the same pro- perties with cinnamon, though in an inferior degree. The bark is very frequently, and sometimes unintentionally, substituted for the more expensive cinnamon; and the products obtained from cassia bark and buds by distilla- tion, are in no respect inferior to those prepared from cinnamon. Laurus Camphora. Camphor Tree. The camphor. The camphor laurel grows in great abundance, and to a very considerable size, in the forests of Japan. It is not uncommon in green houses in England. Camphor is a proximate principle of vegetables, con- tained in many plants, especially those of the aromatic kind. For the purposes of commerce, it is obtained from < the laurus camphora. It exists in distinct grains in the wood of the root and branches of this tree. It is extract- ed by sublimation; in Europe it is purified by a second sublimation, Avith the addition of one twentieth of its weight of lime. Pure camphor is colourless, semitransparent, tenacious, and somewhat unctuous to the touch; its smell is strong and fragrant; its taste pungent and bitter. It is volatile at every natural temperature; is fusible in a heat inferior to 212°; is inflammable; scarcely soluble in Avater, but entirely soluble in alcohol, ether, and oils, essential or expressed. It consists of carbon and hydrogen, and dif- fers from the essential oils, in containing a larger pro- portion of carbon, with some oxygen. By combustion it affords carbonic and camphoric acids. In a moderate dose, camphor produces effects similar to those of other narcotics. Its stimulant operation, how- MATERIA MEDICA. 253 ever, is not considerable, even in a small dose; and in a large dose, it always diminishes the force of the circu- lation; induces sleep, and sometimes causes delirium, vertigo, and convulsions, ending in total insensibility. These violent effects of camphor are most effectually counteracted by opium. In a morbid state of the body, caninhor allays inordinate actions. When the pulse is hard and contracted, it renders it fuller and softer. It removes spasms and flitting pains arising from spasms; and in delirium, when opium fails of producing sleep, camphor will often succeed. The most general indication for the use of camphor, is the languor or oppression of the vis vitse. It may therefore be given with advantage, 1. In all febrile diseases of the typhoid type, especially Avhen attended with delirium. 2. In inflammations Avith typhoid fever, as in some cases of peripneumonia and rheumatism. 3. In eruptive diseases, to favour the eruption, or to bring it back to the skin, if from atiy cause it has reced- ed, as in small pox, measles, &c. 4. In many spasmodic diseases, especially mania, me- lancholy, epilepsy, hysteria* chorea, hiccough, &c. 5. In indolent local inflammations, not depending on an internal cause, to excite action in the part. As a stimulant, says Murray, camphor has been used in typhus, eynanehe maligna, confluent small pox, and other febrile affections accompanied with debility, in re- trocedent gout, and to check the progress of gangrene. As a sedative it is used in affections of "an opposite nature, as in pneumonia, rheumatism, and gonorrhoea, combined Avith nitre or antimonials, or by itself, where evacuations have been made. In mania, it has sometimes succeeded as an anodyne: as an antispasmodic, it has been em- ployed with advantage in asthma, chorea, and epilepsy. The dose of camphor is from five to twenty grains. It cannot be given with safety in a larger dose than half a drachm ; and Dr. Cullen has likewise remarked, that in too small a dose, as that of a feAV grains, it has very little effect. In divided doses, it may be given to the extent of a drachm or more in the day. Its poAver of checking the progress of gangrene is promoted by combination with musk, or carbonate of ammonia: combined with opium, it forms a powerful diaphoretic; and its efficacy in in- flammatory diseases is augmented by antimonials. 254 METERIA MEDICA. Camphor ought generally to be given in a state of mix- ture in some fluid form, as being then less apt to excite nausea. It may be diffused in water by trituration with sugar, mucilage, or almonds. To reduce it previously to powder, a few drops of alcohol must be added. Mag- nesia, by being triturated Avith it, has the effect of divid- ing and rendering it smooth, and may be used for its suspension; a number of the gum-resins also act on it in such a manner, that, from their mixture, a soft uniform mass is formed, and this affords another mode of diffusing it in ayater. Externally, camphor is applied chiefly as a means of exciting the action of the absorbents, and thus dispersing many kinds of swellings, extravasations, indurations, &c. Hence it is a very common ingredient in liniments. It has also the property of rousing the action of the nerves, and quickening the circulation, in parts on which it is rubbed. For this reason, in paralytic affections it is sometimes employed. As an anodyne in rheumatic and muscular pains, and as a discutient in bruises; and in- flammatory affections, it is dissolved in alcohol or expressed oil, and applied by friction to the part. Per- haps there is no composition, that has greater power in exciting the absorption of any tumor or hardness, than camphorated mercurial ointment. Added to col- lyria, or mixed with lard, it is of service in ophthal- mia. Suspended in oil, it is used as an injection in ardor urinse, and as an enema to relieve the uneasy sensations occasioned by ascarides. The combination of it with opium is useful as a local application in toothach. Camphor is recommended as singularly efficacious in cases of ardor urince, or scalding of the urine, and ner- vous headachs. One of the most eligible forms in which camphor can be given, is, to rub about eighty grains in a mortar, with six or eight grains of myrrh, having pre- viously dropped a few drops of spirits of wine in the cam- phor ; then add ten or fifteen grains of gum arabic, and gradually as much Avater as will suspend the Avhole. Laurus Sassafras. Sassafras. The Avood, root, and its bark. This tree is a native of North America, and is culti- vated in Jamaica. The wood, root, and its bark arc used; they have a moderately fragrant smell, and a sAVcetish aromatic taste. Sassafras is a warm aperient MATERIA MEDICA. 255 and strengthening medicine; it has often been successful- ly given in the form of infusion and decoction, for im- proving the tone of the stomach and bowels, in persons whose humors were in a vitiated state. The essential oil is highly stimulating and heating, and must be given only in very small doses, being a sudorific and diuretic remedy. The bark is useful in intermittents; and the oil is said to be efficacious, applied externally to wens. Lavenduea Spica. Lavender. The flowering spikes. Lavender is a well knoAvn small, shrubby, perennial plant, a native of the south of Europe, but frequently cultivated iu our gardens for the sake of its perfume. There are tw o varieties. The floAvers of both have a fragrant, agreeable smell, and a warm pungent, bitterish taste; the broad leaved sort is the strongest in both res- pects, and yields in distillation thrice as much essential oil as the other; it is also hotter and specifically heavier; hence in the southern parts of France, where both kinds grow wild, this only is used for the distillation of what is called oil of spike. The narrow leaved, is the sort com- monly met Avith in our gardens. Lavender is considered as a Avarm stimulating aromatic. It is principally used as a perfume. Leontodon Taraxacum. Dandelion. The root and leaves. An indigenous, perennial plant, growing in meadows and pastures, on road sides, ditch banks, &c. It pro- duces a yellow floAver, Avhich Woavs from April to Sep- tember, and has the remarkable quality of expanding early in the morning, and closing in the evening. The root, leaves, and stalk, contain a large proportion of bitter milky juice, which possesses considerable activity. Its more immediate operation is, to remove visceral obstruc- tions, and promote the urinary discharge : the dose pre- scribed by Boerhaave for this purpose, is four ounces, to be taken three or four times in a day; and later experi- ence has corroborated its great efficacy in dropsical and other complaints connected Avith a disordered state of the first passages. By modern writers dandelion is highly extolled in the treatment of chronic inflammation of the liver, or incipi- 256 MATERIA MEDICA. ent scirrhus of that organ, and also in several chronic derangements of the stomach, in a dose of half a drachm of the extract twice a day. Either a strong decoction or the fresh expressed juice, in doses from two ounces to four, two or three times within the twenty-four hours, will, however, be found more active preparations. Leonarus Cardiaca. Motherwort. The leaves. This is a very common indigenous plant, growing in waste places, and flowering in July and August. The stalk is square, the leaves are spear shaped and three lobed. The flowers are in thorny whorls, purplish Avith- in, and white on the outside. The leaves are opposite, two to each whorl. They have a strong, disagreeable odour, and bitter taste. Motherwort Avas formerly supposed to be useful in some nervous and hysterical complaints, and as a streng- thener of the stomach. Its medicinal virtues are not undeserving of notice. Though rejected from pharma- copoeias, it will not readily be abandoned by the female class, being peculiarly adapted to some constitutions when affected with nervous and hysterical agitations. An infusion of this plant is a common domestic medicine, taken at bed time, it composes and procures refreshing sleep in a manner similar to valerian, when, it could not be obtained by the operation of opium. Lichen Islandicus. Iceland Moss. The herb. This is a species of liverwort, or rock moss, of which there are many varieties. It is brought from Iceland, Avhere the inhabitants make considerable use of it as an article of diet, and esteem it an excellent remedy in con- sumption. Of late years it has attracted the attention of physicians in the United States, and acquired considerable repute for its remarkable mucilaginous and nutritive properties. It has a bitter and someAvhat astringent taste, wliich are in some measure destroyed by drying or infus- ing in water. As a medicine, Scopoli and Haller recom- mended it in coughs and consumptions, and it has proved efficacious in diarrhoeas and dysentery. Doctor Kerr found it so successful in dysentery, that, after repeated emetics and cathartics, he never used any other medicine, except that he occasionally added opium. Dr. Crichton materia medica. 237 has a high opinion of it only in two species of consump- tion : the phthisis hannoptoica and the phthisis pituitosu vel mucosa; for by the use of this, he has seen patients get so far the better, as to be dismissed from the hospitals cured. It is given in decoction, boiling one ounce and an half in two pounds of milk, over a slow fire, exactly one quarter of an hour. If milk disagree, water may be used, to Avhich, after straining, a sufficient quantity of sugar may be added to make a syrup. Three or four ounces of this are to be taken frequently in a day. When continued for several months, it has been found extremely serviceable as a restorative in consumptive cases, attend- ed by debility and an acrimonious state of the blood and juices. Linum Usitatissimum. Common Flax. The seeds and their fixed oil. Linseed contaips about one fifth of mucilage, and one sixth of fixed oil. It is therefore considered as emol- lient and demulcent. The entire seeds are only used in cataplasms.. The mucilage resides wholly in the skin, and is separated by infusion or decoction. The infusion is used as a pectoral drink, and in ardor urinse, nephritic pains, and during the exhibition of corrosive sublimate. Flaxseed syrup is made hy adding to tAvo pints of the mucilage one pint of honey; while simmering avvay by a gentle heat observe to take off the scum as it rises. This is highly useful in all kinds of coughs, and other diseases of the breast and lungs. The oil is separated by expres- sion. It is one of the cheapest fixed oils; but is generally rancid or nauseous, and unfit for internal use. These seeds, when reduced to powder and properly blended Avith hot Avater, form one of the most convenient and useful of cataplasms. The cake which remains after expression of the oil, contains the farinaceous and mucilaginous part of the seed, and is used in fattening cattle, under the name of oil cake. Lijiiodexdron Tulipifera. Tulip bearing Poplar. Tulip tree. The bark of the root. A native and Avell known tree in the United States, called also American poplar, Avhite wood, and in some .33 258 MATERIA MEDICA. parts of New-England improperly called cypress tree. It attains to a very large size, rising as high as any forest tree, and makes a noble and beautiful appearance when in flower, about the middle of May. This tree is remarka- ble for the shape of its leaves, having the middle lobe of the three truncate, or cut transversely at the end. The flowers are large and bell shaped; calyx of three leaves, six petals to the corolla, marked Avith green, yellow, and red spots; and many lance shaped seeds, lying one over another, and forming a sort of cone. The bark of the root has long been employed by medical men in the United States, as a tonic, and Avhen joined with various propor- tions of prinos virticillutus, and cornus fiorida, has afford* ed a remedy of equal efficacy with Peruvian bark. It is a strong bitter, and considerably aromatic and antiseptic, and has been found particularly beneficial in the last stage of dysentery. The powdered root combined with steel dust is an excellent remedy in relation of the stomach. According to Dr. Barton, the bark is used in some parts in gout and rheumatism. A decoction of it is said to be a common remedy in Virginia for botts in horses. Lobelia Inelata. Lobelia Emetica. Emetic Weed. Indian Tobacco. The leaves. The lobelia inflata is indigenous, and annual, rising to one or two feet, with branched stems. The leaves are oblong, alternate; slightly serrated and sessile. The blossoms are solitary, in a kind of spike, of a pale blue colour. It is found common in dry fields, among barley and rye stubble, and flower* in July and August; its cap- sules are inflated, and filled with numerous small seeds. The leaves chewed are at first insipid, says Dr. Cutler, but soon become pungent, occasioning a copious discharge of saliva. If they are held in the mouth for some time they produce giddiness and pain in the head, Avith a trem- bling agitation of the ay hole body; at length they bring extreme nausea and vomiting. The taste resembles that of tartar emetic. A plant possessed of such active pro- perties, notwithstanding the violent effects from chcAving the leaves, may possibly become a a aluable medicine. It Avas employed by the aborigines as an emetic, and also by those empirics Avho affect to deal in Indian remedies only. As a iicav article it has lately excited much speculation in the New-England States, and its MATERIA MEDICA. 259 properties have very frequently been subjected to the test of practical experiment. It is found to operate as a speedy and active emetic, and it often induces a most profuse perspiration immediately after being received into the stomach. It has proved serviceable in eases of colic, where emetics were indicated. In a variety of instances it has been administered as a remedy in asthmatic affec- tions, and 011 competent authority we are assured, that it has in general manifested considerable efficacy, and some- times proved more beneficial in this distressing disease than any other medicine. From some of its effects, says an eminent physician, lobelia seems to be related to the narcotic plants; to the mouth and first passages it proves acrid and highly stimulant; its stimulus appears to be of the diffusive kind, as Dr. Cutler, on taking it, experienced an irritation of the skin over the Avhole body. It is probably one of the most poAverful vegetable substances Avith which Ave are acquainted, and no rational practi- tioner will have recourse to it, but Avith the greatest precaution. The melancholy consequences resulting from the use of lobelia infiata, as lately administered by the adventurous bands of a noted empiric, have justly excited considerable interest, and furnished alarming examples of its deleterious properties and fatal effects. The dose in Avhich he is said usually to prescribe it, and frequently with impunity, is a common tea spoonful of the poAvdercd seeds or leaves, and often repeated. If the medicine does not puke or evacuate poAverfully, it frequently de- stroys the patient, and sometimes in five or six hours. Even horses and cattle have been supposed to be killed by eating it accidentally. The specific qualities of this highly active plant, promising to be of utility as a remedy, should be particularly investigated by ingenious and intel- ligent men, that its rank in the Materia Medica may be clearly ascertained. 4P The folloAving highly interesting observations have been recently received from the Rev. Dr. M. Cutler. When I Avas preparing my botanical paper, says the Dr. I had given it (the lobelia) only a cursory examina- tion, and having some doubt about its specific characters, I suspected it to be a new species. Accidentally ascer- taining its emetic property, I inserted it Avith the specific name, emetic xceed. By cheAving a small part of it, com- monly no more than one or two of the capsules, it proves a gentle emetic. If the quantity be a little increased, it 160 MATI-.RIA MEDICA. operates as an emetic, and then as a cathartic, if ; effect* being much the same as those of the common emetics and cathartics. It has been my misfortune, the author observes, to be an asthmatic for about ten years. 1 luive made trial of a great variety of the usual remedies with very little benefit. In several paroxysms I bad found immediate relief more frequently than from any thing else, from the sk-nk-cabbage. (Dracontium fwtidum. Lin. Arum America num. Cateshy. Sec that article in this volume.) The last summer I had the severest attack I ever experienced. It commenced early in August, and continued about eight weeks. Dr. Drury of Marblebcad, also an as'thtcv.tie, had made use of a tincture of the Indian tobacco, by the advice of a friend, in a severe paroxysm early in the spring. It gave him immediate relief, and he has been entirely free from the complaint from that time. I had a tincture made of the fresh plant, and took care to have the spirit fully saturated, which I think is important. In a paroxysm which perhaps was as severe as I ever experienced, the difficulty of breathing extreme, and after it had continued for a considerable time, I took a table spoonful. In three or four minutes my breathing Avas as free as it ever was, but felt no nausea at the sto- mach. In ten minutes I took another spoonful whicii occasioned sickness. After teu minutes I took the third, which produced sensible effects upon the coats of the stomach, and a very little moderate puking, and a kind of prickly sensation through the whole system, even to the extremities of the fingers and toes. The urinary passage was perceptibly affected by producing a smarting sensation in passing urine, Avhich ay as probably provoked by stimulus upon the hhalder. But all these sensations very soon subsided, and a vigour seemed to be restored to the con- stitution, Avhich I hjjjf not experienced for years. I have not since had a parrijpini, and only a few times some small symptoms of asthma, Besides the violent attacks, I had scarcely passed a night Avithout more or less of it, and often so as not to be able to lie in bed. Since that time I have enjoyed as good health as, perhaps, before the first attack. I !:rvc given yen this minute detail of my OAvn case, from an apprehension that this plant, judiciously employ- ed, mny approach nearer to a specific in this most dis- tressing eoin-daint, than any other that has been yet di covered. But I am aware much further experiment MATERIA MEDICA. 261 is necessary to ascertain its real value. Several medical gentlemen have since made use of the tincture in asth- matic cases with much success, but the effects have not been uniformly the same. In all instances of Avhich I have had information, it has produced immediate relief, but the effect has been different in different kinds of asth- ma. Some patients have been severely puked with only a tea spoonful, but in all cases some nausea seems to be necessary. The asthma with Avhich I have been afflicted, I conceive to be that kind which Dr. Bree, in his Practi- cal Inquiries on disordered respiration, &e. calls the first species—(i a convulsive asthma from pulmonic irritation of effused serum." My constitution has been free, I be- lieve, from any other disorder, than what has been occa- sioned by an affection of the lungs, anxiety of the prsecor- dia, and straitness of the breast, and other symptoms produced by that affection. In similar asthmas, the tincture has been as successful as in my case. It is ex- tremely desirable that careful experiments should be made by men of real medical knowledge. A particular case has been related to me of an effectual cure of the hydrophobia, in the last stage of the disease, by the use of this plant. I had the information from a man of undoubted veracity, that received it from the father of the young man who was cured; but facts relating to the case have not been sufficiently ascertained to assert it to be a remedy in this disease. In a short time I expect to obtain a more circumstantial and satisfactory at count of this case. With the vieAv of establishing a uniformity of strength in the preparation, the Essex district medical society have agreed, that the proportion for the tincture of lobelia shall be two ounces of the dried plant to one pint of diluted alcohol. The result of subsequent praflKal observation has amply confirmed the utility of lobelia inflata in various diseases. In numerous instances of asthma it has pro- cured the most essential relief, though in general its effects were only temporary and palliative. As a pectoral it has been found useful in consumptive and other coughs depending on mucus accumulated in the bronchial vessels by exciting nausea and expectoration. From its very speedy operation as an emetic, and its stimulating effects on the mouth and fauces, beneficial results might be ex- pected from its use in croup and hooping-cough; and on 2G2 MATERIA MEDICA. some trials our expectations have beon realized in thi* respect. It may perhaps be anticipated to super nlr seneka as a remedy in the former, and antimonials in the latter affection. More extensive practical knowledge of the properties of this plant, and the various forms and circumstanees of its administration is still. hoAVCYcr, a most desirable object. The leaves should be collected in August Avhile the plant is in blossom, and carefully dried and preserved for use. From ten to twenty grains of the powdered leaves ay ill in general be found a suitable dose as an emetic for an adult, or it may be repeated in smaller quantities. As a pecto- ral it may be given in poAvder or pills alone, or combined with other remedies, repeated in small doses fill an evident good result is observable. Of the saturated tincture, twenty, forty, or even sixty drops may be safely given children of one or two years old, increasing as occasion may require. Lobelia Syphilitica. Lobelia. The root. This plant groAvs in moist places in Virginia. It is perennial, has an erect stalk, three or four feet high, blue flowers, a milky juice, and a rank smell. The root, which is the part used, consists of Avhite fibres about two inches long, resembles tobacco in taste, Avhich remains on the tongue, and is apt to excite vomiting. Dr. Barton says, it is considerably diuretic; and Mr. Pearson found, that it generally disagreed with the stom- ach, and seldom failed of affecting the boAvels as a strong cathartic. It certainly possesses no poAver of curing syphi- lis ; even the Indians who have the disease, are glad of an opportunity of applying to the whites. It is said to have cured gonorrhea. Lytta Vittata. Potatoc Fly. There are four species of meloe that blister, found in the United States. The lytta vittata Avas first brought into notice by Dr. Isaac Chapman, of Buck's county. Pennsylvania. It feeds principally upon the potatoc vine, and, at the proper season of the year, may be collected in immense quantities. This insect has a xery near re semblance, in its outAvard form, to the mcioe vesieatorius. or Spanish fly; but is rather smaller, and of a xery differ- MATERIA MEDICA. 263 cut colour; the head is a very light red, with black an- tennae ; the elytra or Aving cases are black, margined with, pale yellow, and a stripe of the same colour extends along the middle of them ; the tarsi have five articula- tions ; the mouth is armed Avith jaAVs, and furnished Avith tarsi. In the abdomen of this fly, is a hard, Avhite substance, about the size of a grain of Avheat, which, Avhen poAvdered, apjiears like meal, and, Avhen rubbed Avith Avater, forms a milky euu ision. The experiments and investigation of Dr. Chapman have proved, that, when applied to the human system, the effects of the potatoe fly, are perfectly analogous to those of the Spanish cantharis; being equal, if not supe- rior to them in medicinal poAvers.* The lytta vittata is now introduced into the Materia Medica of the Massa- chusetts Pharmacopoeia, and its properties have been made the subject of a valuable communication to the Medical Society of Massachusetts, by Dr. John Gorham of Boston. From this interesting paper it appeal's, that for some years past, the potatoe fly has been employed as a vesicatory by Dr. Israel Allen, of Sterling. That the insect in its dried state, is from four to six lines in length, its head and elytra are uniformly black, and the latter Avant the margin and stripe of yellow, observable in that described by Dr. Chapman. Its belly is ash coloured, and in the cavity of the abdomen is found the hard white substance already described. The thickness of the potatoe fly, Avhich is nearly uniform throughout, is from one quarter, to one third its length. It generally appears on the vines, about the end of July, and the first week in August. They in- habit the soil at the foot of the plant; they ascend in the morning and afternoon, but generally avoid the heat of the sun at noon. As they fly with^reat difficulty, they are easily caught, and are prepared for medicinal purposes, by shaking them from the plant into hot water, and after- Avards drying them by the sun's rays. Dr. Gorham pro- ceeds to observe, that he has instituted an extensive series of experiments ay ith the lytta vittata; and that they have never failed, even in a single instance, of producing all the immediate effects which he anticipated, from their external application, or internal exhibition : as a vesica- tory, he has found them equal, if not superior to the can- tharis usually employed for that purpose in this country. * Med. Repos. vol. 2. «6i MATERIA MEDICA. The saturated tincture has been administered internally, in many cases of diminished sensibility of the urinary or- gans, in gleets, and as a diuretic in dropsy; and it has been found, in all, to increase the discharge of urine, and to produce a considerable irritation in the urethra, and in the neck of the bladder. It appears, therefore, from the combined testimony of Drs. Chapman, Gorham, and Allen, that physicians, in various parts of the country, may collect from their oavii fields, an annual visitor, pos- sessing all the properties of the genuine cantharis. This indigenous production cannot fail of being generally adopt- ed, as an excellent substitute for an expensive exotic, not ahvays to be obtained. We shall notice another kind of indigenous blistering fly, the meloe niger of Professor Woodhouse, or the Penn- sylvanicus of Linnseus. This is not more than half the size of Chapman's fly, and is uniformly black. It feeds upon the prunella vulgaris, or self heal, and ambi'osia trifida, or stick weed. During the month of August, the farmers of NeAV England find them in immense quanti- ties, extracting nourishment from the potatoe vine, which in some seasons they almost destroy. These flies, it is well ascertained, are not inferior in point of efficacy to any other species, whether of foreign or domestic pro- duction, and they seldom excite strangury when applied externally. Malva Stlvestris. Common Malloxv. The leaves and flowers. This is an annual plant, growing in hedges, foot paths, and among rubbish. The whole plant abounds with mu- cilage. The leaves Avere formerly often used in food, to prevent costiveness. At present, decoctions of the plant are sometimes prescribed in dysenteries and urinary com- plaints ; though it is chiefly employed in emollient cata- plasms, clysters, and fomentations. MarantaArundinacea. Indian Arrow Root. The root. This plant Avas originally the production of the East Indies, and is now cultivated in Jamaica and other West India islands, and in South America. Arrow root agrees with sago, salep, and tapioca in its general nutritious pro- perty, but is reckoned to excel them, so far as to afford a MATERIA MEDICA. 265 much larger proportion of mucilage than any vegetable hithert) discovered. 11 nee it is of superior utility as an article of diet for tl«£ sick and invalids, and particularly in cases of acrimony, either in the general habit, as in hectic fever or consumption; or in particular secretions, as in affections of the urinary passages, namely, inflam- mation, stone, or gravel; and also in affections of the bowels, as in looseness and dysentery. It furnishes also an excellent remedy for the bowel complaints, which so commonly prevail in the United States during the warm season, especially among children. The jelly is made by adding to a table spoonful of the powdered root as much cold water as will make it into a soft paste, then pour on boiling water, Stirling it at the same time briskly, until it become a clear jelly, which may be seasoned with sugar and nutmeg, or a little wine or lemon juice maybe added. For children it may be prepared with milk, and if it ferment on the stomach, the addition of a little ani- mal jelly will obviate that effect. Prepared in the form of pudding the arroAv root powder is far preferable to any of the farinaceous substances, and affords a delicate and very proper food for convalescent patients. Accord- ing to Dr. Wright, of Jamaica, a decoction of the fresh root makes an excellent ptisan in acute diseases. In a pamphlet published in 1796, by Mr. T. Rider, we find the culture of this Valuable article highly recommended to the West Indian planters, and the new African colo- nists, as an object of commerce, and the most eligible substitute for starch made of wheat. By the author's computation eight millions of pounds weight of starch are made annually in Great Britain alone from that valu- able grain. It appears also by the same authority that arrow root starch is of the finest quality, and that one pound of it is equal to two pounds and a half of that pre- pared from wheat. Fortunately the arrow root has of late years been introduced into the states of South Caro- lina and Georgia, and by practical experiment it is ascer- tained that the soil of the southern sea coast is Avell adapted to it. John Cooper, Esq. an opulent planter on St. Simon's, and Campbell Wylly, Esq. of Sapelo island, have, it is understood, so far succeeded in their attempts as to afford the most flattering encouragement, that this important article may be added to the numerous sources of wealth enjoyed by our southern planters. The latter gentleman asserts, that a spot of land on bis plantation 3* 266 MATERIA MEDICA. yielded arroAV root sago in the proportion of 1SiO pounds to the acre. No production it is presumed can promise a more ample remuneration, to stimulate the planter to attempt its cultivation; and when it is considered, that, in proportion to the produce, the demand will be extend- ed, its'claim as a rival staple with rice and cotton may, perhaps, be anticipated. Marrubium Vulgare. White Horehound. The leaves. This is a perennial plant, which groAvs wild on road sides, and among rubbish. The leaves have a very strong, not disagreeable smell, and a roughish, very bitter taste. It is reputed to be both attcnuant and resolvent; an infu- sion of the leaves in Avater, SAveetcned with honey, is recommended in asthmatic and phthisical complaints, as well as in most other diseases of the breast and lungs. They promote the fluid secretions in general, and liberal- ly taken, loosen the belly. Dr. Withering observes that it was a favourite medi- cine ay ith the ancients in obstructions of the viscera. He says, that it is the principal ingredient in the negro Ca'sar s remedy for vegetable poisons. That a young man Avho had occasion to take mercurial medicines, was thrown into a salivation which continued for more than a year. Every method that was tried to remove it, rather increased the complaint. At length Linnseus prescribed an infusion of this plant, aud the patient got well in a short time. Mel. Honey. A sweet fragrant vegetable juice, collected by bees from the floAvers of various plants, and deposited in the cells of the comb. The honey produced by young bees, and Avhich fioAVS spontaneously, is purer than that expres- sed from the comb; Aviienee it is calh'd virgin honey: the best sort is of a thick consistence, and of a whitish colour inclining to yelloAv; it possesses an agreeable smell and a pleasant taste. In some situations, where noxious plants abound, poisonous honey is met Avith, from the Ires feeding on such floAvers. As an article of food, when immoderately used, honey is pernicious to weak stomachs: it ought therefore to be avoided by persons liable to erup- \ lions of the skin, or in whom there is a redundancy of MATERIA medica. 267 bile. This vegetable substance contains an acid similar to that of sugar, but is more spiritous : hence it readily ferments, occasions flatulency, and in some habits produ- ces gripes and looseness. As a medicine, hoAvever, it is a very useful aperient and expectorant, especially when it has been previously boiled ; in whicii state, it may be used ay ith safety and advantage by asthmatic patients; for it tends to dissolve viscid humours, and to promote the expectoration of tough phlegm. Honey is also convertible into an agreeable liquor termed mead; and it may be advantageously employed in the folloAving manner: dissolve one pound of honey in three or four quarts of water, and being exposed to a temperature betAveen the 70th and 80th degree of Fah- renheit's thermometer, it Avill in a short time become a very agreeable acid liquor, Avhich possesses an aromatic flavour and strength, superior to that of the best vinegar made of Avhite wine. This cheap and agreeable substi- tute for Avhite Avine vinegar appears to deserve every at- tention in domestic economy. Melaleuca Leucadendron. The Cajeput Tree. The volatile oil. The tree whicii furnishes the cajeput oil is frequent in the East Indies. The essential oil, obtained by distilla- tion from the leaves and fruit, has a green or yelloAvish colour, a strong fragrant odour, and an extremely pun- gent taste. It is highly volatile. This oil has been used as a highly diffusible stimulant and antispasmodic, in tympanites, hysteria, palsy, chronic rheumatism, and va- rious other diseases of debility. Its dose is three or four drops. It is also applied externally to relieve rheumatic and gouty pains, and violent headachs. But its most re- markable effect is in that painful complaint the toothach. From Avhatever cause this affection may proceed, Avhether from a carious tooth, rheumatic acrimony, catarrh, &c. the cajeput oil has generally been found efficacious in re- moving it, if dropped on lint, and placed in the cavity of the tooth, or even around the gum. Melia Azedarach. Poison Ben*y Tree. Pride of India or China. The fruit and root. This is not a native of America, but is now completely naturalized to the states of Carolina and Georgia; where 2tiS MATERIA MEDICA. it is highly valued for the beauty of its foliage, anil agreeable shade, which it affords during the sultry season. In the city of Savannah the streets and public walks are ornamented by roAvs of this charming tree, and the com- piler has recently been gratified with the enchanting view which they exhibit. The azedarach has also obtained considerable repute for the medicinal virtues which it is found to possess. Professor Barton says, it is one of the most valuable anthelmintics that has hitherto been dis- covered, and many respectable physicians in Savannah repose the fullest confidence in its efficacy. To Dr. L. Kollock, vice-president of the Georgia Medical Society, Ave are indebted for the following information. " It is a vermifuge of efficacy. Its use is in some measure gene- ral among the planters; and with many supersedes the use of all others. I have given it with success Avhere all others in common use have failed of relieving. But when given in the months of March and April, while the sap is mounting into the tree, it has sometimes been followed by stupor, dilatation of pupil, stertorous breathing, sub- sultus, &e. But these symptoms, like those sometimes produced by spigelia, pass off without any perceptible injury to the system. This article, like the spigelia, is also a useful febrifuge medicine, in those affections usually denominated verminous fevers, but where no worms are voided. The common form is that of decoction. A large handful, say about four ounces of the bark of the fresh root is boiled in a quart of ayater, till it acquire the colour of strong coffee, i. e. to about a pint, of which from half an ounce to an ounce may be given every two or three hours till it operate. Given in this manner, its operation is powerful, sometimes both vomiting and purging. The strength of the decoction is hoAvever varied according to the intention." The dried berries of this tree have been advantageously employed as an anthelmintic, in Carolina; children being allowed to cat them at pleasure. The pulp of the fruit formed into an ointment Avith lard, it is said, has been successfully employed in tinea capitis. Melissa Oiticixalis. Balm. The leaAcs. Balm is much cultivated in our gardens on account of its pleasant aromatic smell, resembling that of the lemon, and its fragrant tliough roughish taste. It is principally employed in the form of a Avaterv infusion, Avhich is drunk MATERIA MEDICA. 269 in the manner of tea; and in acute fevers, Avhen acidulat- ed with the juice of lemon, it is au useful diluent. Meloe Vesicatorius. Cantharis. Spanish Flies. The cantharis is an insect, collected from the leaves of plants in Spain and Italy, and dried in the sun. It is of a lively green colour; has a faint unpleasant smell, and a taste slightly acrid. The active matter of this insect inflames and excoriates the skin, and is used as the basis of the common vesicatories. Taken internally they often occasion a discharge of blood by urine, with exquisite pain: if the dose be considerable, they.seem to inflame and exulcerate the whole intestinal canal; the stools become mucous and purulent; the breath fcetid and cada- verous; intense pains are felt in the lower be'ly. the patient faints, grows giddy, delirious, and dies. Applied to the skin, they first inflame, and afterwards excoriate the part, raising a more perfect blister than any of the vegetable acrids, and occasioning a more plentiful dis- charge of serum. But even the external application of cantharides is often followed by a strangury, accompani- ed with thirst and feverish beat. The inconveniences arising from the use of cantharides, whether token inter- nally, or applied externally, are best obviated by drinking plentifully of bland emollient liquids, such as milk, de- coctions of barley, linseed, solutions of gum arable, &c. or by pouring warm water from a bottle, upon the loAver part of the belly, as the person lies in bed. The specific property of counteracting cantharides ascribed to cam- phor, says Dr. Duncan, has no foundation. Internally administered, it acts with much violence on the urinary passages. In dropsy, it has been given as a diuretic, in a dose of one grain once or twice a-day, or a few drops of the tincture continued for some time: it has been pre- scribed in a similar manner in obstinate gleet and Ieucor- rhcea, and in retention of urine arising from debility of the body, of the bladder, or in the opposite affection of incontinence of urine from debility of the sphincter. It is principally in these two last affections, that the internal administration of cantharides is attempted. The tincture has been of late much recommended in tetanus, ke. and in some instances has proved useful. Applied externally, cantharides are one of our best and most powerful remedies. By proper management tliev 270 MATERIA MEDICA. may be regulated so as to act as a gentle stimulus, as a rubefacient, or as a blister. Blisters are applied, 1. To increase the activity of the system in general, by means of their irritation. 2. To increase the activity of a particular organ. 3. To diminish morbid action in particular organs, by means of the irritation they excite in the parts to which they are applied. They may be employed Avith advantage in almost all diseases accompanied Avith typhus fever, especially if any important viscus, as the brain, lungs, or liver, be at the same time particularly affected. In these cases the blis- ters are not applied to the diseased organs themselves, but as near them as may be convenient. When we wish to excite action in an organ, the blisters are, if possible, applied directly to the diseased organ. Cantharides are employed externally, either in sub- stance mixed up with wax and resin, so as to form a plaster, or ointment, or in the form of tincture. After a blister has been raised, it is often of advantage to convert the serous into* a purulent discharge, by excit- ing suppuration, which is done by applying to the blister- ing part any acrid stimulating ointment; one, for example, containing a small proportion of powdered cantharides; which answers the purpose by the irritation it keeps up, or which is preferable the savine cerate, the favourite application of Mr. Crowther. It is a practice often employed with advantage in asthma, paralysis, and a variety of chronic affections. Dr. Philip S. Physick, and Dr. Rush, have in several instances experienced the effi- ciency of blisters to arrest the progress of mortification Avhen applied to the diseased part. Mentha Viridis. Spearmint. The herb. Spearmint is perennial and groAvs on the banks of rivers, and in Avatery situations; and flowers in the months of July and August. The leaves have a Avarm, roughish, somewhat bitterish taste; and a strong, not unpleasant, aromatic smell. Their virtues are stomachic and car- minative. Mentha Piperita. Peppermint. The herb. Of the different mints, this is the one which has the greatest degree of pungency. The leaves have a strong, MATERIA MEDICA, 271 rather disagreeable smell, and an intensely pungent aro- matic taste, resembling that of pepper; and accompanied Avith a peculiar sensation of coldness. They afford an essential oil, rich in the aromatic quality of the herb. It also contains a small portion of camphor. Peppermint is used as a stimulant and carminative, to obviate nausea or griping, or to relieve the symptoms resulting from flatulence, and very frequently to cover the taste and odour of other medicines. It is also an ex- cellent stomachic, of great use in flatulent colics, languors, and hysteric cases, and in vomiting. It is used under the forms of the Avatery infusion, the distilled water, and the essential oil. This last being dissolved in a due propor- tion of rectified spirit of wine, and coloured vvith green grass, forms the essence of peppermint of the shops; a fashionable and pleasant carminative, which, Avhen taken on sugar, imparts a glowing taste, sinking into the tongue, and extending its effects through the whole system, in- stantly communicating a glowing Avarmth. Mentha Pulegium. Penny Royal. The herb and floAver. This herb is perennial, and possesses properties similar to those of the mint; but it is more acrid, and less agree- able to the palate. It has long been esteemed as an ape- rient and deobstruent, particularly in hysteric and other female complaints. Dr. Withering observes, that the expressed juice of penny royal, Avith a little sugar, is an useful medicine in the hooping-cough. Mimosa Catechu. Catechu. The extract of the ayooi! called extract of catechu. To this substance, formerly knoAvn by the absurd name of Japan earth, the appellation of Catechu is nowr appro- priated. It is an extract prepared by boiling the interior Avood of the tree with Avater, and the tenacious residual mass is dried by exposure to the air and sun. It is of a yellow or brown colour, has a bitter and astringent taste, leaving an impression of sAveetishness; but its qualities Aary considerably. Two kinds are at present met Avith in the shops ; one is of a light yelloAvish broAvn colour, is smooth and uniform in texture, breaks short, is soft and light; the other is of a dark broAvn colour, more hetero- geneous, heavier, and considerably harder. 272 MATERIA MEDICA. Catechu is almost entirely soluble in water, with the assistance of heat, the residuum consisting of accidental ' impurities. It is nearly equally soluble in alcohol. Its solution strikes a deep black colour with the salts of iron, and gives an abundant precipitate with animal gelatin, Fro;n Mr. Davy's experiments, it appears to be com- posed of tannin, extractive matter, and mucilage; the proportions in the best catechu being iVi.3 of the first, 3i of the secoud, 6.5 of the third, and 5 residual matter. Our knoAvledge with regard to the principal named ex- tract, is so imperfect, that it is difficult to establish any certain conclusion with regard to it; and the subsequent experiments of Dr. Bostock, as to the modes of separat- ing what is called extract from the tannin of catechu, do not exactly accord with those of Mr. Davy. Dr. Bos- tock has remarked, too, that catechu gives indications of the presence of gallic acid, and that its watery infusion even reddens the more delicate vegetable colours. Catechu is in common use as an astringent, and in the uniformity and certainty of its operation is probably equal, or even superior to any of the vegetable astrin- gents. It is used in diarrhoea generally under the form of the infusion, or the tincture: or the officinal prcpara- ' tion, the electuary of catechu, consisting of catechu and kino Avith some aromatics and a little opium, is diffused in water, forming what has been named the Japonic mix- ture. In substance it may be given in a dose from ten to forty grains, which may be frequently repeated. Und^r the form of troches, it is sometimes used in relax- ation* of the uvula, or sponginess of the gums, being alloAvcd to dissolve sloAvly in the mouth. It is also suc- cessfully employed in complaints peculiar to females, laxity and debility of the viscera in general, and in vari- ous other diseases, Avhich require strengthening reme- dies. As a mild but excellent astringent it is applied Avith much advantage to apthous eruptions, or the thrush, and similar affections. Mimosa Nilotica. Kgyplian Mimosa. Gummi Ara- bicum. The gum, called gum arable. This, the purest of the gums, is obtained by exudation from the mimosa, Avhich grows in the sandy deserts of Africa, Arabia Petrcea, anil Egypt. There are tAvo kinds of gum found in the shops, and sold promiscuously : distin- MATERIA MEDICA. 273 guished by the names of Gum Arabic, and East India Gum. Gum arabic consists of roundish transparent tears, colourless, or of a yelloAvish colour, shining frac- ture, Avithout smell or taste, and perfectly soluble in water. The pieces Avhich are most transparent, and have least colour, are reckoned the best. They are sometimes se- lected from the gum arabic in sorts, and sold for about double the price, under the title of picked gum. It has all the properties of gum ; is insoluble in alco- hol or oils, and soluble in Avater, forming a viscid solution termed mucilage. Gum arabic is used as a demulcent. In catarrh it is alloAvcd to dissolve slowly in the mouth, and its mucilage is the basis of the mixtures usually em- ployed to allay coughing. Its solution in water, more or less viscid, is frequently exhibited in diarrhoea, dysentery, tenesmus, strangury, and ardor urinje. In pharmacy, mucilage of gum arabic is employed for a variety of pur- poses. It serves to suspend heavy powders in waters; it gives tenacity to substances made into pills, and it effects a partial union of oils, balsams, and resins, with water. Gum, says Dr. Duncan, is highly nutritious. During the Avbole time of the harvest, of the journey, and of the fall, the Moors of the desert live almost entirely upon it; and experience has proved, that six ounces are sufficient for the support of a man during twenty-four hours. M. Golberry says, that he saw a young Englishman in Gambia recover from a very severe haemoptysis, bv tak- . ing three ounces of gum, daily, dissolved in milk. * Moschus Moschiferus. The Musk Deer. The sub- stance contained in a follicle situated near the navel, called musk. The musk animal is an inhabitant of China, India, and Tartary. It is a gentle and timid animal; its general form resembles the deer tribe, and is about three feet in length. In the male, behind the navel, and before the prepuce, there is situated an oval bag, fiat on one side, and convex on the other, about three inches long and iavo broad. In the adult animal this sac is filled Avith a secret- ed matter, known by the name of musk. Fine musk comes to us in round thin bladders; which are generally about the size of a pigeon's egg, covered Avith short brown hairs lined Avith a thin broAvn membrane, well filled, and Avithout any appearance of having been S3 274 MATERIA medica. opened. Th.i musk itself is dry, Avith a kind of unetu- osity, of a dark reddish broAvn, or rusty blackish colour, in small round grains, Avith very feAV hard black clots, and per- fectly free from sandy or other visible foreign matter. If chewed, and rubbed Avith a knife on paper, it looks smooth, bright, yellowish, and is free from grittiness. Its taste is someAvhat bitterish, and its sine I i extremely powerful and peculiar. Musk yields part of its active matter to water, by infusion ; by distillation the water is impregnat- ed with its flavour; alcohol dissolves it, the impurities excepted. Musk is a medicine of vei v great efficacy, and for which, in some cases, there is hardly any substitute. When properly administered, it sometimes succeeds in the most desperate circumstanees. It raises the pulse without heating much ; it allays spasms, and operates re- markably on the brain, increasing thepoAvers of thought, sensation, and voluntary motion. It is administered with advantage in the greater number of spasmodic diseases, especially in hysteria and singultus, and also in diseases of debility. In typhus it is employed to relieve subsultus tendinum, and other symptoms of a spasmodic nature. In cholera it frequently stops vomiting, and, combined Avith ammonia, it is given to arrest the progress of gan- grene. It is also used Avith the greatest benefit in cxan- thematous and phlegmonic diseases, accompanied Avith typhoid fever, and also in chin cough, epilepsy, trismus, &c. Its dose is from six to twenty grains, repeated, if necessary, every five or six hours. It is best exhibited in the form of bolus. To children, it is given in the form of enema, and is an efficacious remedy in the convulsions arising from dentition. Murias. Muriate is the generic term for those secondary com- pounds, Avhich contain muriatic acid. The muriates may be divided into three families. 1. Alkaline muriates,—soluble in Avater, fusible and vaporizable Avithout decomposition, forming no precipi- tate with alkaline carbonates. 2. Earthy muriates,—generally soluble in water, de- composable by heat, forming a Avhite precipitate with alkaline carbonates. 3. Metalline muriates,—The muriatic acid is capable MATERIA MEDICA. 275 of combining with many metals, in two states of oxidize- nit-nt. The muriates Avhich contain the metal in the stat; of protoxide, are in general very acrid, and soluble both in water and in alcohol. The muriates which con- tain the metal in the state of peroxide are often insoluble, have a Yvhite colour, and contain an excess of base, or are sub-muriates. The muriates are also the most volatile of the metallic salts, and often rise undecomposed in sub- limation or distillation. Murias Amaionle. Muriate of Ammonia. Sal Am- moniac. Muriate of ammonia is found native, especially in the neighbourhood of volcanos. It was first prepared in Egvpt. from the soot of camel-dung, by sublimation. But the greatest part of that now used, is manufactured in Europe, cither by combining directly ammonia with muriatic acid, or by decomposing the sulphate of ammo- nia by means of muriate of soda, or the muriates of lime and magnesia by means of ammonia. It is prepared in solid masses, semitransparent, and somewhat ductile. It is volatile in a small degree of heat; its alkali is extri- cated in pungent vapours on the admixture of quick-lime; its acid is extricated in white fumes, on pouring concen- trated sulphuric acid upon it. It dissolves in rather less than thriCe its weight of water. Sal ammoniac, Avhen pure, promotes perspiration, and, in some cases, increases the secretion of urine. A drachm of it dissolved in water, if the patient be kept warm after faking it, generally proves sudorific. By moderate exer- cise in the open air, it operates beneficially on the kid- neys; given in a large dose, it proves aperient; and in a still larger, it acts as an emetic. As a cooling and diaphoretie medicine, the sal ammo- niac, dissolved either in vinegar and water, or combined Avith small doses of the Peruvian bark, has often been attended Avith the best effects, when taken in fevers, and especially \u intermittents, after the intestinal canal has been properly evacuated. This salt has also been employed externally in lotions and embrocations, for scirrhous and other indolent tu- mours ; for removing warts and other excrescences, and in gargarisms for infla-'inflation of the tonsils. External- ly applied, sal ammoniac is a valuable remedy. It may 276 MATERIA MEDICA. act in two ay ays, 1. By the cold produced during its solu- tion. It is from this cause that fomentations of muriate of ammonia probably prove beneficial in mania, apoplexy from plethora, lesions of the head, and in violent head- achs. When used with this intention, the solution should be applied as soon as it is made. 2. By the stimulus of the salt. On this principle avc may explain its action as a discutient in indolent tumors of all kinds, contusion, gangrene, psora, ophthalmia, cynauchc, and in stimulating clysters. ' In some cases, as in chilblains, and other indo- lent inflammations, both modes of action may be service- able. When first applied, the coldness of the solution will diminish the sense of heat and uneasiness of the part, and the subsequent stimulus will excite a more healthy action in the vessels. Murias Sod-e. Muriate of Soda. Common Sea Salt. This is the most common of all the neutral salts. It is not only found in immense masses, on, and under the earth's surface, and contained in great quantities in many salt springs; but it is the cause of the saltness of the sea. Common salt differs from all other neutral substances of tliis nature, in its taste being purely saline, and occasion- ing thirst after it has been sAvallowed. The primitive figure of its crystals is that of a cube; but, on evaporat- ing a solution of salt, the small cubic particles assume the secondary form of IioIIoav squares. When the crystals are perfectly pure, they are not affected by moist air; and in this state, one hundred parts, according to Bergman, contain fifty-tAvo of muriatic aeid, or spirit of salt; forty- two of soda, or mineral alkali; and six of water of crys- talization. Nature furnishes us Avith this neutral salt, either in a solid state; in mines; or dissolved in the sea; or in saline springs. If it be obtained from the bowels of the earth, it is called rock-salt; and is generally very bard and transparent, though it is sometimes opaque, Avhite, and sometimes of red, green, blue, or other shades. The purest of this kind is colourless; the other species are purified by solution in water, and by recrystalization, before' they can be employed for culinary purposes. The principal mines of rock-salt are in the vicinity of Cracovy, in Poland, and at Northwich, in the county of Chester. The salt, however, Avhich is thus easily procured, and in MATERIA MEDICA. gJ7 very large masses, by no means affords a sufficient supply: hence numerous persons are employed in extracting it from sea-water, or from saline springs. The former yields only from one 50th to one 30th part of its weight; but the latter produce the* greatest quantities; and we are informed by Dr. Brownrigg, that the celebrated saline springs in Great Britain contain more than one 6th part of good salt. Common salt is obtained from these natural solutions by three different methods: first, the saline fluid is speed- ily evaporated, till the salt begin to concrete, and settle in the form of grains at tiie bottom of the pans; after which it is put into proper vessels for draining the brine: and AVhen the process is completed, it is called bay salt. By the second method the evaporation is sIoav and gradu- al; so that it is continued only till a saline crust is formed on the surface of the liquor, Avhich soon shoots into crys- taline cubes. The manufacture of salt in the United States is of more importance than is generally imagined. It appears, that from the 1st of October, 1800, to the 30th of Sep- tember, 1801, 3,282,063 bushels of salt Avere imported, and of this quantity more than one-third was imported from England. This salt, which chiefly comes from Liverpool, and the Mersey, according to Dr. Mitchell, is both weak and impure; as sea-Avater, brine springs, and rock-salt, generally abound with various other earthy and saline ingredients, such as lime, magnesia, epsom- salt, gypsum, glaubers salt, &c. all of which injure the quality of salt, and disqualify it for preserving animal flesh. On the shores of Cape Cod, and some other parts of Massachusetts, marine salt is manufactured to very con- siderable profit and extent, from sea-Avater, evaporated by the rays of the sun. The whole annual amount cannot be estimated; great improvements having been made in the construction of the works, and in abridging the perform- ance of labour, the manufacture is rapidly increasing. There is, however, every reason to conclude, that, with proper exertion and encouragement, this article might be furnished from our own shores, sufficiently abundant for the consumption of the Ncav England States. This domestic salt excels in purity, whiteness, and weight; and is not inferior to the first quality of Isle of May salt, A circumstance which adds to its excellency. 278 MATERIA MEDICA. is, that during the process of evaporation, the lime is entirely separated from it, by subsiding to the bottom of the vats. Basket salt, may be prepared from small fine crystals of common salt, which must be cleansed, or purified, hy dissolving, and again evaporating to dryness; in which state it may be reduced to fine powder, and pressed hard into wicker-baskets, and dried at the stove or oath for use. With respect to its medicinal properties, common salt, Avhen taken in small quantities, promotes the appetite and digestion ; but. if given in large doses, for instance half an ounce, it operates as a laxative. It is useful in some cases of dyspepsia; and in large doses, it is said to cheek vomiting of blood. According to Dr. Rush, a table spoonful of fine salt, taken dry, has frequently af- forded instant relief in luemoptysis and other hsemorrha- gies. It is a common ingredient in stimulating clysters, and is sometimes applied externally, as a fomentation to bruises, or in the form of bath, as a gentle stimulus to the whole surface of the body. [See the articles vinegar and lemon juice.] Mirica Cerifera Humilis. Dwarf Candleberry Myr- tle. Baybewy. The bark of the root. There are in the United States several species of this plant, from which myrtle Avax is obtained in abundance. The dwarf candleberry myrtle, commonly called in the Ncav England States, bayberry, is a plant which possesses considerable medicinal virtues. The bark of the root is much employed by common people in jaundice, from ob- structions to the floAV of bile. This medicine has been employed by the aborigines as a mild emetic. According to Dr. James Mann, of Wrentham, Avho has used the bark in powder, its strength is equal to ipecacuanha. A more particular acquaintance with its medicinal proper- ties ought to be attempted by practical experiments. Myristica Moschata. The Nutmeg Tree. The kernel of the fruit, called nutmeg; its involucre, called mace; its fixed oil, called oil of mace; and its volatile oil. Under the officinal name myristica, are comprehended mix moschata or nutmeg, and macis or mace ; the for- MATERIA MEDICA. %7% mer being the seed or kernel of the fruit, the latter the covering with which it is immediately surrounded. The tree Avhich furnishes this elegant spice is a native of the Molucca islands. Nutmegs are round, of a grayish colour, streaked Avith brown lines, slightly unctuous; they have a strong aromatic flavour, and a pungent taste. They yield their active matter entirely to alcohol: dis- tilled with water, they afford a fragrant essential oil; by expression, a sebacious oil is obtained from them, retain- ing their fragrant odour, and part of their pungency. Nutmeg is used in medicine as a grateful aromatic, stomacliic, and astringent: hence this drug has often been administered in diarrhoeas and dysenteries, in doses from ten to twenty grains in powder, or in larger quanti- ties, Avhen infused in port wine. In violent headaehs arising from a debilitated stomach, small doses of this medicine have frequently been found of real service; but, if injudiciously employed, it is apt to affect the head not unlike opium, and other powerful narcotics. Mace, the involucre of the nutmeg, is a thin unctuous membrane, of a yellowish colour, Avhich it acquires by being dried in the sun. It emits a very fragrant agreea- ble odour, and has a pleasant though acrid and oleaginous taste. It is reputed to be an excellent carminative, and sto- machic, possessing all the virtues of the nutmeg, Avith less astringency. Its oil, whether distilled or expressed, is equally efficacious; and Avhen taken internally, in doses from one to five drops, frequently affords relief in colics. Externally, it is of great utility, if rubbed on paralytic limbs; it also promotes digestion, and often prevents vomiting and hiccoughs on being applied to the region of the stomach. Mvroxylon Peruiferum. Sweet smelling Balsam Tree. The balsam, called Peruvian balsam. This tree grows in the Avarmest provinces of South America, and is remarkable for its elegant appearance. Every part of it abounds Avith resinous juice, even the leaves arc full of transparent resinous points like those of the orange tree. The balsam, as brought to us, is commonly of the con- sistence of thin honey, of a reddish broAvn colour, in- clining to black, an agreeable aromatic smell, and a very 280 MATERIA MEDICA. hot biting taste. It is said to be obtained by boiling the cuttings of the tAvigs in Avater, and skimming off with a spoon the balsam Avhich swims on the top. Peruvian bal- sam consists of a volatile oil, resin, and benzoic acid. It is accordingly entirely soluble in alcohol, and in essential oils. Balsam of Peru is a very Avarm aromatic medicine, considerably hotter and more acrid than copaiva. Its principal effects are, to warm the habit, to strengthen the nervous system, and to attenuate viscid humors. Hence its use in some kinds of asthmas, gonorrhoeas, dysenteries, suppressions of the uterine discharges, and other disorders proceeding from a debility of the solids. It is also employed externally for cleansing and healing wounds and ulcers. " In several cases of tetanus that have fallen under my notice arising from Avounds," says Dr. L. Kollock, of Savannah," I have attributed the cure to the external application, and internal use, of balsam of Peru, Aviiose influence has in several instances almost immediately controlled the spasms, and of itself restored the patient when rapidly sinking under the very liberal use of opium, bark, and Avine. Two drachms in twelve or tAventy four hours is the largest quantity I have ever found it necessary to give." Myrrha. Myrrh. A gum resin. A gummy resinous concrete juice, obtained from a shrub groAving in the East Indies, but of whicii Ave pos- sess no certain account. The best myrrh is someAvhat transparent, of a uniform broAvnish, or reddish yelloAV colour; of a slightly pun- gent, bitter taste ; Avith a strong aromatic, not disagree- able odour, though nauseous to the palate. In its medicinal effects, this aromatic bitter, when ta- ken internally, is supposed to Avarm and strengthen the stomach and other viscera; it frequently occasions mild % diaphoresis, and^in general, promotes the fluid secretions. Hence it has been used Avith advantage in cases of debili- ty; in diseases arising from suppression of the urine, or from immoderate discharges, in cachectic habits, and those persons Avhose lungs and throat are oppressed by viscid phlegm. It is farther believed to resist putrefac- tion in all parts of the body; on Avhich account it is highly recommended in malignant, putrid, and pestilential fevers: MATERIA MEDICA. 281 and in the small pox. For these purposes it should be ta- ken in doses of half a drachm or upwards; and it may also be usefully combined with nitre, cream of tartar, or some other cooling salt. Myrrh is an expectorant, which has been regarded as too stimulating to be employed in pneu- monic affections, or in phthisis, but which has been often employed in asthma and chronic catarrh. Its dose is from ten to twenty or thirty grains. The tincture of myrrh is in common use externally as a stimulating application to foul ulcers, and to spongy gums. Mtrtus Pimenta. Pimento Tree. The fruit, called Jamaica Pepper. This is a native of Jamaica, and grows in all the wood lands on the north side. The berries are pulled before they are ripe, and dried in the sun. The smell of this spice resembles a mixture of cinnamon, cloves, and nut- megs : its taste approaches to that of cloves, or a mixture of the three foregoing; whence it has received the name of allspice. Pimento is a Avarm aromatic stimulant, and is much used as a condiment in dressing food. As a medicine it is advantageously substituted for the more costly spices, especially in hospital practice. Nicotiana Tabacum. Tobacco. The leaves. The tobacco plant is a native of America, Avhere conr sidcrable quantities are annually raised for exportation. The leaves have a strong, disagreeable, narcotic smell, and a very acrid burning taste. The active constituent of tobacco is an essential oil; so active, that small amU mals are almost instantly killed, when Avounded by a needle dipped in it; and afeyv drops of this oil taken inter- nally have operated as a fatal poison. Hence the perni- cious effects, which may result from smoking the leaves of this noxious plant may be easily inferred.* * The reader who is anxious to see its injurious effects on both body and mind, detailed in an ample manner, is refered to an excellent paper of Dr. Rush, in his Essays, Literary, Moral and Philosophical. Philadelphia, 1798; and to Dr. Water- house's Lecture on the evil tendency of tobacco; &c. Canr- hridge, Nov. 20, 1801. 36 282 METERIA medica. The effects of tobacco are those of a powerful narcotic. Along with severe nausea and vomiting, it reduces the force of the circulation, and occasions extreme muscular debility, with insensibility and cold sweats. As a diffusible stimulant, the smoke of'tobacco, thrown into the intes- tines, Avas at one time employed in the recovery of drown- ed persons, a practice now exploded as pernicious. It is employed Avith more advantage in ileus and incarcerated hernia, though it requires to be managed with much cau- tion. The watery infusion, of the strength of tAvo drachms of the tobacco to one pound of Avater, is a more convenient mode of exhibiting it, as an enema. The smoke received into the mouth relieves the pain of toothach by its narco- tic poAver, or by exciting a profuse salivary discharge. Reduced to powder, it proves an excellent errhine and sternutatory, when snuffed up the nostrils. In infusion it is also applied externally for the cure of psora, tinea, and other cutaneous diseases. In an inaugural dissertation by Dr. Brailsford of South Carolina, (Philadelphia 1799) the author asserts, that the evident operation of tobacco on the system, is that of a sudorific and emetic, a cathartic, and a diuretic. Hence the propriety of its use, in a variety of diseases. In cases of ascites and other dropsical affections, it appears to be an invaluable remedy. As a diuretic it is excelled by feAv if any of our indigenous plants. Dr. Fowler, by extensive experiments, has proved it to be a powerful diuretic, in cases of dropsies and dysuries. He prescrib- ed it in the form of infusion; about eighty drops of which he considers as the average dose for an adult, or to begin with sixty drops, and increase the number by five, eight, or ten at a time, to one hundred; or till by their obvious effects on the system, the proper dose shall be ascertain- ed. The properest times for administering the medicine, are two hours before dinner, and at bed time ; it being observed to disagree the most with the stomach, in the morning fasting. In cases of nephritis calculosa, or gravel, the infusion was given with astonishing effect. In many cases of asthma Dr. FoAvier found the infusion to prove a good expectorant, and to afford great relief. The decoction of tobacco exhibited in cases of colic, procured relief almost instantaneously after other medicines bad proved ineffectual. One ounce of the infusion, in lialf a pint of milk or gruel, is a medium dose in the form of injection MATERIA MEDICA. 283 for an adult of an ordinary constitution: this is to be re- peated, or the strength of it increased, as occasion may require. In the iliac passion, and in hernia, both the infusion and smoke of tobacco have been employed in the form of injection with the happiest effects. In tympanites intes- tinalis strong clysters of tobacco infusion have greatly relieved the patients. As a vermifuge it is deserving of being held in high repute, either taken internally, or, ac- cording to professor Barton, the leaves are to be pounded with vinegar, and applied in the shape of a poultice to the region of the stomach, or other part of the abdomen. In consequence of this application, Avorms are often dis- charged, after poAverful anthelmintics have been exhibit- ed internally in vain. In cases of obstinate constipation of the abdominal viscera, the infusion of this medicine has been adminis- tered, and often with immediate relief, by occasioning a speedy expulsion of the obstructed indurated feces. In the tetanus, or lock jaAV, injections of this infusion have been usen Avith success; they not only produce evacua- tions from the bowels, Avhich are generally obstinately constipated, but from their antispasmodic poAvers, occa- sion a relaxation of the violent spasms so peculiar in this disease. Dr. James Currie, of Liverpool, has employed with remarkable success, a cataplasm formed chiefly of tobacco, applied to the scrobiculus cordis, about half an hour before the expected accession of the paroxysm, both in epilepsy, and in obstinate intermittents; and in tAvo cases of general convulsion, by means of the decoction in the form of enema, he performed cures altogether surprising and unexpected. Nigelxa. Golden-thread. Mouth Root. (Cutler.) The root. Golden-thread is a very small plant found in Avet sAvam- py situations. The stems are erect and naked. The leaves groAV by threes at the termination of the stems and are circular and scolloped. The white solitary blossoms appear in May. The roots appear singular, being thread shaped, running, and of a bright yelloAV , colour. They possess a considerable degree of astrin- gency and bitterness, and have long been employed by the people in the country as a remedy in apthas and can- 28 i MATERIA MEDICA. kerous sores in the mouths of children with considerable benefit. From the bitter property possessed by these roots they are supposed by some to be useful as a stoma- chic bitter. Nitras. Nitrate is the generic term for secondary compounds Avhich consist of nitric acid, combined with any base. There are three families of nitrates. 1. Alkaline nitrates;—soluble in water; solubility in- creased by increase of temperature; erystalizable; form- ing no precipitate Avith alkaline carbonates. 2. Earthy nitrates; soluble in water; forming a white precipitate with alkaline carbonates. 3. Metallic nitrates; generally soluble, both in water and in alcohol; decomposable by heat, furnishing nitric oxide gas, and leaving the metal oxidized to a maximum. Nitras Potass^. Nitrate of Potass. Nitre. Salt Petre. This salt, consisting of nitric acid and potass, is found ready formed on the surface of the soil in Avarm climates. In the south of Europe, its production is accelerated by ar- tificial arrangements. Animal and vegetable substances, in a state of decomposition, are mixed Avith a quantity of carbonate of lime, and exposed to the air, but protect- ed from the rain. After a certain period, the materials are found to contain nitrate of lime and nitrate of potass. These salts are extracted bylixiviation with water; potass is added by Avhich the nitrate of lime is decomposed, and the quantity of nitrate of potash increased; and this salt is purified by repeated solutions and crystalizations. It is also found in several parts of the United States. During the process by Avhich the nitrate of potass is formed, it appears that the azot of the animal matter combines partly Avith the oxygen of the atmospheric air. and partly with the oxygen of the animal substances. The resulting compound, the nitric acid, is attracted in part by the lime present, and in part by a quantity of potass, which seems to be likewise formed during the process. Nitre is of a sharp, bitterish, penetrating taste, fol- loAved by a sensation of coldness. When pure, it dis- solves in about six times its Aveight of Avater, and on MATERIA MEDICA. 285 evaporating the latter concretes into transparent crystals. It easily melts in the fire, where it deflagrates Avith a bright flame, accompanied with a crackling noise, and afterwards deposits a large portion of alkaline earth. Purified nitre is prescribed with advantage in numerous disorders. Its virtues are those of a refrigerant and diuretic. It is usually given in doses from two or three grains, to a scruple, being a very cooling and resolvent medicine, which, by relaxing the spasmodic rigidity of the vessels, promotes not only the secretion of urine, but at the same time insensible perspiration, in febrile disor- ders ; while it allays thirst and abates heat; though in malignant cases in Avhich the pulse is Ioav, and the patients strength exhausted, it produces contrary effects. When combined Avith the Peruvian bark, nitre affords a useful corrective to that drug, in the cure of spreading gangrenes; as it prevents the additional heat Avhich the bark frequently occasions: so that the efficacy of the latter is increased by the antiseptic quality of the former. But this cooling salt should never be administered in cases where the violence of the fever depends on bilious or putrid impurities in the abdomen, and Avhere the patient is subject to hsemorrhagies or fluxes of blood, arising from a vitiated state of the fluids. On the contrary, saltpetre Avill be most beneficially used in acute rheumatisms, in- flammatory fevers, and even in those hsemorrhagies aris- ing from congestions of the blood in general, or from a plethoric state. This poAverful salt, Avhen inadvertently taken in too large quantities, is one of the most fatal poisons. There are several attested cases on record, and some recent in- stances might be added, in Avhich from half to a whole ounce of salt petre has occasioned violent vomiting, con- vulsions, SAvelling, and other painful symptoms, in persons who, by mistake, had swallowed it in a dissolved state, instead of glauber, or similar salts. The most p-roper antidote in such distressing situations, will be a scruple or half a drachm of ipecacuanha, with a teacup full of sweet oil, and a large quantity of Avarm Avater to be drunk after it, to promote its operation, as an emetic. It will be necessary also to make use of copious and frequent draughts of mucilaginous decoctions, of marsh mallows. pearl barley, arroAv root, &c. after which a gentle opiate will afford the desired relief. For some interesting ob- servations relative to the deleterious properties of salt 286 MATERIA MEDICA. petre, the reader is refered to Dr. Mitchell's letter to Dr. Priestly.* Oiea Europjsa. The Olive Tree. The fixed oil of the fruit, called olive oil. The olive tree is a native of the southern parts of Eu- rope, especially Italy, Spain, France and Portugal, where it is cultivated to a very considerable extent, on account of its fruit, from which the sweet or salad oil is extract- ed ; and which also, when pickled, forms an article of food. Olives possess, in their natural state, an acrid, bitter, and extremely disagreeable taste ; which, however, is considerably improved when this fruit is pickled. On account of the great quantity of oil they contain, olives, if eaten by persons of delicate habits, are extremely hurt- ful, especially if taken by way of desert, after a solid or heavy dinner. As an article of food, olive oil is prefera- ble to animal fat; but it ought always to be mild, fresh, and of a sweet taste. It should not hoAvever be eaten by persons of Aveak stomachs; for even in its mildest state, it produces rancidity and acrimony, which are extremely injurious to digestion. Medicinally considered, olive oil has lately been found an excellent preventive of the plague, Avhen rubbed over the whole body, immediately after the contagion is sup- posed to have taken place. The oil, when properly appli- ed, and followed by a considerable degree of friction, occasioned a copious sweat over the wliole body, by Avhich, it is said, the patients were immediately cured. Olive oil has also been employed Avith success as an antidote against the poison occasioned hy the bite of ser- pents, especially that of the rattlesnake. In several cases apparently desperate, when a few spoonfuls of oil had been swallowed, the violent symptoms instantaneously subsided, and cures were soon effected. In gouty patients, sweet oil rubbed into the pained limb, proves a very soothing, safe, and useful application. It is also bene- ficially employed internally for recent colds, coughs, hoarseness, &e. and as a gentle laxative, it is sometimes given in cases of Avorms. It is also directed in large quantities to mitigate the action of acrid substances taken into the stomach. Externally it is used in frictions, in gargles, and in clysters; but its principal use is for the composition of ointments and plasters. * Med.Repos. vol. 3. p. 14. MATERIA MEDICA. 287 Orchis Mascula. Salop. The root of this plant, by maceration in Avater and beating, affords the feeula known by the name of salop. Its qualities and virtues are similar to those of sago. Both of the je when boiled in milk or Avater, Avith the addition of sugar and wine, form a nutritious jelly, pre- scribed in diarrhoea and dysentery as a demulcent, and in convalescence as a nutritious article of diet easy of digestion. Dr. Cutler describes one species of orchis, the produc- tion of our OAvn soil, thus, Lady's Plume. Female-handed Orchis. Blossoms in large spikes; Avhite or purplish, or flesh coloured. In wet meadoAvs. August. Ostrea Edulis. Oyster. The shells. These shell-fish cast their spaAvn in the month of May, Avhen they become subject to a periodical affection; the male fish, having a black substance in the fin, is black- sick; and the female oyster, from a milky juice in its fin, is said to be Avhite-sick: in June and July they begin to recover, and are in August perfectly sound. They are saltish in the pits, more saline in the beds or layers, and very salt in the sea. Oysters are esteemed as excellent food, and are eaten both raAv, and dressed, in various ways: in a fresh state. hoAvever, they are doubtless preferable ; for, by cooking. they are in a great measure deprived of their nourishing jelly, and of the salt water which promotes their digestion in the stomach. The shells of the oyster are composed like all the mother-of-pearl shells, of alternate layers of carbonate of lime, and a thin membranaceous substance. Avhich exactly resembles coagulated albumen, in all its proper- ties. By burning, the membrane is destroyed, and they are converted into lime, which, although very pure, pos- sesses no advantage over that of the mineral kingdom, Ovis Aries. The Sheep. The fat, called mutton suet. Mutton suet is officinal, for the purpose of giving con- sistency to oiuiments air.I plasters. 288 MATERIA MEDICA. Oxalis Acetosella. Wood Sorrel. The leaves. This is a small perennial plant, growing wild in woods, and shady hedges. The leaves contain a considerable quantity of stiper-oxalate of potass, and have an extreme- ly pleasant acid taste. They possess the same powers with the vegetable acids in general, and an infusion of them makes a very palatable diet drink in ardent fevers; and on being. boiled in milk, they form an agreeable ay hey. But the most easy and efficacious way of preserv- ing these leaves is that of converting them into a conserve with the addition of double their weight of sugar; in which form they are an excellent substitute for lemons, and may be given with advantage in all putrid and other fevers, Avhere antiseptics are indicated. The leaves of Avood sorrel simply bruised, have been applied to scrofulous ulcers with excellent effect, pro- moting suppuration and granulation in the most satisfac- tory manner. The super-oxalate of potass is extracted in large quan- tities from the leaves of this plant, and sold under the name of Essential salt of lemons. Oxidum Arsenici. Oxide of Arsenic. Arsenic is a heavy, opaque, crystaline substance, of a very singular nature, contained in greater or less quan- tity in the ore of most metalline bodies, particularly in those of tin and bismuth, and in the mineral, called cobalt, from Avhich last most of the arsenic brought to us, is extracted in Saxony, by a kind of sublimation. It is in a white crystaline, brilliant, transparent mass, but soon becoming opaque, yet without losing its whiteness. Its true nature is so little known, that chemists have hesitated whether it ought to be ranked among the salts or semi-metals; because it may, by various processes, be made to assume either a saline or metallic state. It is very volatile, and easily oxidated. By oxidation, it is converted into a Avhite poAvder, which has been consider- ed as an oxide, and lately, perhaps more justly, as an imperfect aeid. Oxide of arsenic is one of the most sudden and violent poisons Ave are acquainted Avith. In mines, it causes the destruction of numbers Avho explore them; and it is fre- MATERIA MEDICA-, 289 quently the instrument by Avhich victims are sacrificed, either by the hand of wickedness, or imprudence. The fumes of arsenic are so deleterious to the lungs, that the artist ought to be on his guard, to prevent their being inhaled by the mouth; for if they be mixed and swalloAvcdwith the saliva, effects will take place similar to those whicii follow its introduction into the stomach in a saline state ; namely, a sensation of a piercing, gnawing, and burning kind, accompanied with an acute pain in the stomach and intestines, which last are violently contort- ed ; convulsive vomiting; insatiable thirst, from the parched and rough state of the tongue and throat; hic- cough, palpitation of the heart, and a deadly-oppression of the whole breast, succeed next; the matters ejected by the mouth, as well as the stools, exhibit a black, fcetid, and putrid appearance; at length, Avith the mortification of the bowels, the pain subsides, and death terminates the sufferings of the patient. Soon after death, livid spots appear on the surface of the body, the nails become blue, and often fall eff along with the hair, and the Avhole body becomes very speedily putrid. AVlien the quantity is so very small as not to prove fatal, tremors, paralysis, and lingering hectics, succeed. On dissection, the stomach and bowels are found to be inflamed, gangrenous, and corroded, and the blood is fluid. The antidotes which have been recommended to the poison of arsenic, are various. Vomiting must be im- mediately excited by giving some brisk emetics, as half a drachm of white vitriol, and after it, plenty of sweet, linseed, or almond oil; large draughts of milk, barley gruel, or warmed beer with a third part of oil, or fresh butter, should be taken. Mr. Navier prescribes one drachm of sulphurate of potass (iiver of sulphur), to be dissolved in a pint of water, which the patient is to drink at several draughts. The sulphur unites with the arsenic and destroys it caus- ticity and effects. According to Hehneman, a solution of white soap is the best remedy. One pound of soap may be dissolved in four pounds of hot water, and a cup full of this solution may be drunk lukewarm every three or four minutes, that the patient may swalloAV several pounds in the course of tAvo hours. To promote the evacuation of the,poison by stool, clysters composed of the preceding liquids, and a third part of castor oil, ought te be speedi- :yo MATERIA MEDICA. Iy administered, and the whole abdomen fomented with soap water. Though the most violent of mineral poisons, arsenic, according to Murray, equals, when properly administer- ed, the first medicines in the class of tonics. This is well displayed in its efficacy in the treatment of intermittent fever, the disease in which it has been principally used. The employment of oxide of arsenic is iioav extended to remitting fever, periodical headach, dropsy, hydrophobia, lepra, elephantiasis, and certainly with safety and success, though its administration will ahvays require to be con- ducted Avith the utmost care. It is employed medicinally under various forms; the arsenical solution introduced by Dr. Fowler, being in general prefered, Avill be found in its place under the head of preparations. In the diseases mentioned above, particularly intermit- tents, it has been found to be a safe and efficacious reme- dy, by Drs. FoAvler, Withering, and other respectable practitioners. A preparation similar to that directed by Dr. FoAvler, and called the white tasteless ague drops, has lately been given with singular efficacy in the hooping cough. The celebrated professor Barton observes, that he has for several years employed the oxide of arsenic in sub- stance, in preference to Dr. Fowler's solution. He com- monly gives it in combination Avith opium. One grain of the arsenic is united to four or eight grains of the opium, and made into a mass with conserve of roses, or honey. This is divided into sixteen pills, of wliich an adult pa- tient is to take two or three at different periods in the course of the day and night, especially during the apyrexia, in intermittent fevers. Such are the powers of this medicine, that two grains of it are often sufficient to cure an intermittent, that has continued for weeks! For children, he directs that the arsenic be rubbed Avith honey, and molasses and Avater, and sometimes Avith a portion of gum arabic. In this form it is vcrv conveniently given to children by drops; and the quantity of mineral, in each dose, may be esti- mated with considerable accuracy. As an external remedy, arsenic has long been known as the basis of the most celebrated cancer powders; and it has frequently been resorted to in various forms, with the view of correcting the intolerable fsetor attending MATERIA MEDICA. 291 cancerous and other foul ulcers, Avith great success. Arneman recommends an ointment of one drachm of arsenious acid, (oxide of arsenic) the same quantity of sulphur, an ounce of distilled vinegar, and an ounce of white oxide of lead, in cancerous, obstinate, ill-condition- ed sores, and in suppurated scrofulous glands. Le Febure washed cancerous sores frequently in the course of the day, with a solution of four grains of oxide of arsenic in tAvo pounds of Avater. Arsenic has even been applied in substance, sprinkled upon the ulcer; but this mode of using it is excessively painful, and extremely dangerous. There have been fatal effects produced from its absorption. The principal thing to be attended to ir arsenical ap- plications, is to diminish their activity to a certain degree. They then cause little irritation or pain; but rather ex- cite a gentle degree of inflammation, which causes the diseased parts to slough off; and it has the peculiar ad- vantage of not extending its operation laterally. No other escharotic possesses equal powers in cancerous affections; it not unfrequently amends the discharge, causes the sore to contract in size, and cases have been related of its having effected a cure. Mr. Morvealt, it is said, has brought arsenic to the state of a true neutral salt, readily soluble in water, by mixing it with equal quantities of nitre, and then sub- mitting them to a chemical process. Mr. Milner, of Cambridge, England, has also produced an arsenical salt of the same nature, Avhich has been employed Avith the greatest success in that neighbourhood by several prac- titioners. The red and yellow arsenics, both native and factitious, have little taste, and are much less virulent in their ef- fects than the Avhite arsenic. Sulphur, which restrains the poAver of mercury and the antimonial metal, remark- ably abates the virulence of this poisonous mineral also. Such of these substances as participate more largely of sulphur, seem to be almost innocent: the factitious red arsenic, and the native orpiments, have been given to dogs in considerable quantity, Avithout being productive-of .any apparent ill consequences. 292 MATERIA MEDICA. Oxidum Peumbi Album. Wliite Oxide of Lead. Cerusse. The Avhite oxide of lead is manufactured in several countries; it is prepared by exposing had to the vapour of vinegar. To accelerate the oxidizement, the lead is cast into thin plates, Avhich are suspended over a vessel containing vinegar, in a moderately warm place, that the vapour arising from the acid may circulate freely round the plates: a Avhite poAvder settles in the course of tYvo or three Aveeks on the surface of the metal, Avhich is in due time removed; and the remains of the plates again ex- posed to the vapour of vinegar, until they be entirely corroded, and converted into a Avhite calx, when it is called cerusse, or Avhite lead. White oxide of lead is used in surgery; and on account of its cooling, drying, and astringent properties, is of con- siderable service Avhen sprinkled over running sores, and ulcers. In pharmacy it is used only in the composition of ointments and piasters. Oxidum Pjlumbi Rubrum. Red Oxide of Lead. Red Lead. The preparation of red lead is so troublesome and te- dious, as. scarcely ever to be attempted by the apothecary or che mist. The makers melt large quantities of lead at once, upon the bottom of a reverberatory furnace built for this purpose, and so contrived, that the flame acts upon a large surface of the metal, Avhich is continually changed by the means of iron rakes draAvn backwards and forwards, till the fluidity of the lead be destroyed; after Avhich the oxide is only noAv and then turned. The red oxide of lead is obtained in the form of a very heavy powder, consisting of minute shining scales, of a bright scarlet, verging towards yellow, especially if trit- urated. In medicine red lead is only employed externally • it ohtunds the acrimony of humors; mitigates iniian.ma- tions; and if judiciously applied, is of excellent service in cleansing and healing old ulcers. MATERIA MEDICA. 293 Oxidum Pxumbi Semivitreum. Semi-vitrified Oxide of Lead. Litharge. If oxidized lead be urged with a hasty fire, it melts into the appearance of oil, and on cooling concretes into litharge. Greatest part of the litharge met with in the shops, is produced in the purification of silver from lead, and the refining of gold and silver by means of this metal. According to the degree of fire and other circumstances, it proves of a pale or deep colour : the,first has been com- monly called litharge of silver, the other litharge of gold. The oxides of lead dissolve by heat, in expressed oils; these mixtures are the bases of several officinal plasters and ointments. Lead and its oxides, when undissolved, have no considerable effects as medicines. Dissolved in oils, they are supposed to be (when externally applied) anti-inflammatory and desiccative. Combined Avith vege- table acids they are remarkably so; and taken internally, prove powerful though dangerous styptics. Oxidum Zinci Impurum. Impure Oxide of Zinc. Tutty. It is moderately hard and ponderous; of a brownish colour, and full of small protuberances on the out side, smooth and yellowish within ; some pieces have a blueish east, from minute globules of zinc in its metallic form. Tutty is celebrated as an ophthalmic, and frequently employed as such in unguents and eollyria. Papaver Somniferum. White Poppy. The capsules and their inspissated juice, called opium. The white poppy is an annual plant, and is sometimes found Avild in Great Britain; but it is probably originally a native of the Avarmer parts of Asia. The leaves, stalks, and capsules, of the poppy, abound Avith milky juice, Avhich may be collected in considerable quantity, by slightly Avounding them vvhen almost ripe. This juice exposed for a few days to the sun and air, thickens into a stiff tenacious mass, Avhich in fact is opium. It is then Avorked up into masses, and covered with poppy or tobacco leaves. 29i MATERIA MEDICA. A strong decoction of the dried heads, mixed with as much sugar as is sufficient to reduce it to the consistence of a syrup, becomes fit for keeping in a liquid form. It is, hoAvever, a very unequal preparation, as the real quan- tity of opium it contains is very uncertain, and by no means equal to syrup, to which a certain quantity of solution of opium is added. The seeds of the poppy are simply emulsive, and contain none of the narcotic princi- ple. They yield a considerable quantity of oil by expres- sion. Two kinds of opium are found in commerce, distin- guished by the names of Turkey, and East India opium. Turkey opium is a solid compact substance, posse-sing a considerable degree of tenacity; Avhen broken, having a shining fracture and uniform appearance; of a dark brown colour, and becoming yellow Avhen reduced to pow- der ; scarcely colouring the saliva Avhen chewed, exciting at first a nauseous bitter taste, Avhich soon becomes acrid, with some degree of warmth; and having a peculiar, heavy disagreeable smell. The best is in flat pieces, and besides the large leaves in which it is enveloped, is cover- ed with the reddish capsules of a species of rumex, pro- bably used in packing it. The round masses wliich have none of these capsules adhering to them, are evidently inferior in quality. It is bad if it be soft, friable, mixed with any impurities, or have an intensely dark or blackish colour. East India opium has much less consistence, being sometimes not much thicker than tar, and ahvays ductile. Its colour is much darker; its taste more nauseous, and less bitter; and its smell rather empyreumatie. It is considerably cheaper than Turkish opium, and supposed to be of only half the strength. Opium is supposed to consist principally of gum and resin, in the proportions of about four and a half of each in twelve parts of the crude opium. The bitterness is said to reside in the gum; the astringency, flavour, and narcotic quality in the resin. It affords a volatile princi- ple; Avater distilled from it having its nauseous taste and smell, but none of its narcotic quality. It contains also some saline matter, and a substance insoluble cither in alcohol or Avater. From its analysis may be estimated the effects of dif- ferent solvents upon it. Alcohol and proof spirit, div solving its resin, afford tinctures posse sing all its virtues. MATERIA MEDICA., 295 Water dissolves its gummy part, which is much less active, but a part of the resin is at the same time taken up by the medium of the gum. Wines also afford solu- tions possessing the virtues of opium. Vinegar dissolves its active matter, but greatly impairs its power. The attempts made by some pharmaceutists, to obtain a preparation of opium, which should possess only its sedative, without its narcotic effects, only succeeded in so far as they dimin'shed its activity. The action of opium on the living system, has been the subject of the keenest controversy. Some have asserted that it is a direct sedative, while others have asserted as strongly, that it is a powerful stimulus, and that the seda- tive effects, which it certainly produces, depend entirely on the previous excitement. We cannot here pretend to give even an abstract of the arguments used by the sup- porters of each opinion. We regret still more, that the contradictory results of their experiments render it diffi- cult to ascertain even its primary and visible effects. Opium, when taken into the stomach to such an extent as to have any sensible effect, gives rise to a pleasant serenity of mind, in general proceeding to a certain de- gree of languor and drowsiness. The action of the sanguiferous system is diminished, the pulse becoming for the most part softer, fuller, and slower than it was before. By many, on the contrary, it is said, in the first in- stance at least, to increase the frequency of the pulse, and the heat of the body. It diminishes all the secre- tions and excretions, except the cuticular discharge, which it frequently augments in a very sensible degree. It excites thirst, and renders the mouth dry and parched. Opium taken into the stomach in a larger dose, gives rise to confusion of head and vertigo. The powers of all stimulating causes of making impressions on the body- are diminished; and even at times, and in situations, when a person would naturally be awake, sleep is irresistibly induced. In still larger doses, it acts in the same manner as the narcotic poisons, giving rise to vertigo, headach. tremors, delirium, and convulsions; and these terminating in a state of stupor, from which the person cannot be roused. This stupor is accompanied with slowness of the pulse, and with stertor in breathing, and the scene is terminated in death, attended with the same appearances as take place in an apoplexy. 296 MATERIA MEDICA. From these effects of opium in a state of health, it U not wonderful that recourse should have been had to it in disease, as mitigating pain, inducing sleep, allaying inordinate action, and diminishing morbid sensibility. That these effects result from it, is conlirmed by the daily experience of every observer; and as ansAvering one or other of these intentions, most, if not all, of the good consequences derived from it in actual practice are to be explained. If, therefore, by a sedative medicine, we mean an article capable of allaying, assuaging, mitigating, and composing, no substance can have a better title to the appellation of sedative than opium. Some practitioners are averse to its use in active in- flammation; but others have recourse to it in such cases, even at an early period, especially after bloodletting; and where such affections are attended not only Avith pain and spasm, but Avith watchfulness and cough, it is often pro- ductive of the greatest benefit. Opium combined Avith calomel has of late been extensively employed in every forni of active inflammation, and with the greatest suc- cess. It is found also to be of very great service in allaying the pain and preventing the symptomatic fever liable to be induced by wounds, fractures, burns, or similar accidents. In intermittents, it is said to have been used Avith good effect before the fit in the cold stage, in the hot stage, and during the interval. Given even in the hot stage, it has been observed to allay the heat, thirst, headach, and de- lirium, to induce sweat and sleep, to cure the disease with less bark, and Avithout leaving abdominal obstructions or dropsy. It is often of very great service in fevers of the typhoid type, Avhen patients are distressed Avith watchfulness or diarrhoea. But Avhere these or similar circumstances do not indicate its use, it is often distressing to patients by augmenting thirst and constipation. In small pox, AYhen the convulsions before eruption are frequent and considerable, opium is liberally used. It is likeAYise given from the fifth day onwards; and is found to allay the pain of suppuration, to promote the ptyalism, and to be otherAvisc useful. In dysentery, after the use of gentle laxatives, or along with them, opium, independent of any effect it may have on the fever, is of consequence in allayiug the tormina . and tenesmus, and in obviating that laxity of bowels which so frequently remains after that disease. MATERIA MEDICA. 297 In diarrhoea, the disease itself generally carries off any acrimony that may be a cause, and then opium is used Avith great effect. Even in the Avorst symptomatic cases, it seldom fails to alleviate. In cholera and pyrosis, ft is almost the only thing trusted to. In colic, it is employed ay ith laxatives; and no doubt often prevents ileus and inflammation, by relieviug the spasm. Even in ileus and incarcerated hernia, it is often found to allay the vomiting, the spasms, the pain, and sometimes to diminish the inflammation, and prevent the gangrene of the strangulated gut. It is giveu to allay tie pain and favour the descent of calculi, and to relieve in jaundice and dysuria proceeding from spasm. It is of acknowledged use in the different species of tetanus; affords relief to the various spasmodic symptoms of dyspepsia, hysteria, hypochondriasis, asthma, rabies canina, &c. and has been found useful in some kinds of epilepsy. In syphilis it is only useful in combating symptoms, and in counteracting the effects resulting from the im- proper use of mercury, for it possesses no power of over- coming the venereal virus. It is found useful in certain cases of threatened abor- tion and lingering delivery, in convulsions during partu- rition, and in the after pains and excessive flooding. The only form perhaps necessary for opium is that of pill; and as it is so soluble in every menstruum, there seems the less occasion for the addition of either gum or soap. It is more apt to sit on the stomach in this than any liquid form, but requires rather more time to produce its effects. The administration of opium to the unaccustomed, is sometimes very difficult. The requisite quantity of opium is Avonderfully different in different persons, and in different states of the same person. A quarter of a grain will in one adult produce effects ay liich ten times the quantity will not do in another; and a dose that might prove fatal in cholera or colic, would not be perceptible in many cases of tetanus or mania. The lowest fatal dose to the unaccustomed as mentioned by authors, seems to be four grains; but a dangerous dose is so apt to puke, that it has seldom time to occasion death. When given in too small a dose, it is apt to pro- duce disturbed sleep, and other duagreeable consequences: 58 298 MATERIA MEDICA. and Avith some constitutions it seems not to agree in any dose or form. Often, on the other hand, from a small dose, sound sleep, and alleviation of pain will be pro- duced, Avhile a larger one gives rise to vertigo and deli- rium. Some prefer the repetition of small doses, others the giving of a full dose at once. In some it seems not to have its proper effect till after a considerable time. The soporific operation of a moderate dose is supposed to last in general about eight hours from the time of taking it. It is often given to promote healthy suppuration, and is a principal remedy in arresting the progress of certain kinds of gangrene. Externally applied opium alleviates pain, and relieves spasmodic action. Hence the utility of it in colic, tetanus. toothach, &c. In the form of enema, it is of singular efficacy in tenesmus, and it is employed under the same form in other diseases, where its administration by the mouth is inconvenient or impracticable. In his medical reports on the effect of water, Dr. James Currie, relates a case of tetanus, and general convulsion, in Avhich the patient first took a grain of opium every other hour; afterwards a grain every hour, and at last two grains every hour. But being no longer able to swallow pills, the tincture (liquid laudanum) Avas direct- ed, of Avhich in tAventy-four hours he took tAvo and a half ounces without sleep or alleviation of pain. The dose being increased in the next twenty-six hours, he swallow- ed five and a half ounces of the laudanum, a quantity, Avhich at that time, says the doctor, was unexampled. He lay now in a state of torpor. The rigidity of the spasms was indeed much lessened; and the general con- vulsions nearly gone; but the debility Avas extreme; a complete hemiplegia had supervened; the patient's eyes Avere fixed, and his speech faultering and unintelligible. It seemed no longer safe to continue the laudanum, and the patient Avas afterwards cured by the cold bath and other remedies. Dr. Joshua Fisher, in his interesting discourse read before the Massachusetts Medical Society, asserts, that a young lady aged seventeen, being seized with excruci- ating spasms, the consequence of a rupture of the sarto- rius muscle, took twelve grains of opium every ten minutes till she had taken seventy-two grains. This quantity removed the spasms, produced a comatose insensibility. sIoav, stertorous breathing, and a slow full pulse. I" MATERIA MEDICA. 299 i-Hit hours the spasms returned, and the opium Avas given as before. In this manner the opium was repeated at intervals of eight hours, for three days, when the spasms ceased and she recovered. During this period of three days, she took nearly eleven diachms of excel- lent opium, and not a grain more than Avas absolutely necessary. In the colica pictonum, or Devonshire colic, Dr. Fisher administers opium in doses from fifteen to forty grains ; and has not for many years past, seen a single case of this distressing disease, Avhich has not yielded to its effi- cacy in about an hour. This experienced physician has prescribed opium in large doses in cases of cholera Avith equal success. A gentleman, of about sixty-five years, Avas seized Avith this disease in so violent a manner, that, in a few hours after the attack, every symptom indicated his speedy dissolu- tion. As soon as practicable sixty grains of opium Avere given, ten of Avhich were returned by vomiting. The quantity retained, soon removed every distressing symp- tom : gradually and Avith difficulty he recovered his strength. The soporific effects of opium may be checked, if a proper quantity of the vegetable acid be taken Avith, or immediately after it. Thus, if one ounee of pure lemon juice, or twice that quantify of good vinegar, be added to every grain of opium, or to twenty-five drops of lau- danum, such a compound will produce a very different effect. Instead of stupifying the head, and producing troublesome costiveness, it will not only relieve the boAV- cls, but also occasion a degree of cheerfulness, never attainable by the use of opium alone, and aftenvards in- duce a composed and refreshing sleep. It is a melancholy consideration, that this excellent, kind assuager of our bodily pains and mental distress., is frequently resorted to for the horrid purpose of self- destruction. The alarming symptoms induced by it, are, vomiting, delirium, stupor, deep and difficult breathing, convulsions, and death. The remedies are in the first instance, powerful emetics of sulphate of zinc; tAvcnty grains of which should be given immediately, in a glass of warm water, and repeated every ten minutes, until copious vomitings arc excited. Warm water is then to be freely given, together with a smart purgative of rhu- barb or jalap, joined with a few grains of potass. These .300 MATERIA MEDICA. should be succeeded Avith Avatcr-gruel or butter-mifL sour whey, and particularly th- vegetable acids, or strong eoffee, Avhich last appears to be the most effectual antidote. The principal object to be kept in vicAV, according to Dr. Seaman, of Ncvv-York, is, to produee such a degree of irritation, as may counteract the narcotic effects of this deleterious drug. Hence it is very useful to stimu- late the nostrils with spirits of hartshorn, and to apply friction with salt over the Avhole body. When the symp- toms of apoplexy have come on, the remedy is copious bleeding. This has been used in four cases by Dr. Rush, who remarks, that it should never be prescribed, until great morbid action, or the suffocation of action from the excess of stimulus, (manifested chiefly in the depressed state of the pulse,) have taken place. Phtseter Macrocephalus. Spermaceti Whale. The matter found within the cranium, called spermaceti. Spermaceti is a fatty matter obtained from the head of the particular species of whale above mentioned. It is purified by melting and boiling Avith an alkaline solution. It is then in Avhite flakes, is unctuous and friable, and has neither taste nor smell. Its chemical properties are the same as those of the expressed oils and fats, except that it does not easily unite with the alkalis. Its medicinal virtues are those of a mild demulcent, and as such is given in catarrh and gonorrhoea, mixed with sugar, or diffused in water by the medium of the yolk of an egg. Phytolacca Decandra. American Nightshade. Gar- get. The leaves, berries, and root. This is one of the most common North American p!a ts, Avell known in New-England by the name of cuni- cuni, skoke, or coakum. In the southern states it is call- ed poke-Aveed. It has a thick, fleshy, perennial root as large as parsnips. From this rise many pnrplisb herba- ceous stalks, about an inch thick, and six or seven feet long; which break into many branches irregularly set with large, oval, sharp pointed leaves, supported on short foot stalks. These are, at first, of a fresh green colour, but as they grow old they turn reddish. At the joints MATERIA MEDICA. 301 and divisions of the branches, come fortli long bunches of small bluish coloured floAvers, consisting of five con- cave petals each, surrounding ten stamina and ten stiles. These are succeeded by round depressed berries, having ten cells, each of Avhich contains a single smooth seed. The young stems Avhen boiled are as good as asparagus, but when old they are to be used with caution, being a plant of great activity, operating both as an emetic and cathartic. A tincture of the ripe berries in brandy or wine, is a popular remedy for rheumatism and similar affections; and it may be given Avith safety and advantage in all cases Avhere guaiacum is proper. The extract of the juice of the ripe berries has been employed in some cases of scrofula; and cancerous ulcers have been greatly benefited by its application. The juice of the leaves, however, is said to be more effectual. Dr. Shultz in his ingenious inaugural dissertation on this subject, observes, that " scabies and herpes have been often removed by it. In these cases, a solution of the extract in water is generally substituted Avhere the ex- pressed juice cannot be had. In rheumatisms, the Avhole substance of this plant has at different times been of es- sential service; although the berries have generally been prefered. In those rheumatic affections Avhich some- times occur to syphilitic patients, its virtue far exceeds that of opium; and it seems more valuable than guaiacum, especially when combined Avith mercury. •' For medicinal purposes, the leaves should be gather- ed about July, when the foot stalks begin to assume a reddish colour, dried in the shade, and powdered for use. An extract may easily be obtained from the leaves when gathered at this period, by gently evaporating their ex- pressed juice to a proper consistence." A tincture may be made by dissolving either the extract or the leaves, in their green or dry state, in common brandy, or in the spirit distilled from the berries. An ointment is also made by powdering the dried leaves, and mixing them well with hogs lard, or simple cerate: or by boiling some hogs lard and bees Avax Avith fresh leaves, and straining the mass. The proper time for gathering the berries in this climate is in October, when they become soft and ripe, and are of a blackish colour. The root is to be gathered ahout November or Decem- ber, Avhen the stalks of the plant are perfectly dead, and to facilitate drying, it should previously be divided into SQ2 MATERIA MED 1C A. small pieces. An extract may be made from the root in the same manner as from the leaves or berries. It is affirmed by a physician of reputation and expe- rience, that the leaves of phytolacca decandra have been found an admirable remedy in hsemorrhois. A strong infusion is given internally, and if it does not speedily relieve, the same infusion is to be injected into the rectum. This method will in general effect a perfect cure. According to the experience of Drs. Jones and Kollock. of Savannah, this plant may be relied on as an effectual remedy for syphilis in its various stages, even Avithout the aid of mercury; and they employ it Avith much confidence, both internally and externally in rheumatisms, and in cutaneous eruptions. One ounce of the dried root infused in a pint of Avine, and given to the quantity of two spoon- fuls, operates kindly as an emetic. The roots are some- times applied to the hands and feet of patients in ardent fevers. Many country people use the extract with great confidence in its efficacy in discussing indolent tumors, and in healing various-kinds of ulcers. It is found to operate as a mild vegetable caustic, cleansing and healing foul ulcers better than most other remedies of that class. In three cases of apparent fistula lachrymalis, it is re- puted to have performed cures, by being applied to the tumors twice a day for tAvo or three Avecks. This root has also been employed in compounds as an article of dying. Pimfinella Anisum. Anise. The seeds. Anise is an annual umbelliferous plant, growing natu- rally in Crete, Syria, and other places of the East. The seeds of anise have an aromatic odour, and a warm taste, Avith a share of sav eetness. They afford by distilla- tion with Avater, a considerable quantity of an essential oil, having a strong flavour, and a sweet taste Avithout pungency. Anise is used as a good carminative in dyspepsia, and in the flatulence to which children are subject. A drat hm or two of the seeds may be taken, or a few drops of the oil rubbed with sugar.—[See volatile oils.] MATERIA MEDICA. 30.3 Pinus Abies. Common Spruce Fir. The resin which concretes spontaneously, called Burgundy pitch. This substance is obtained by exudation, from incisions in the trunk of the tree. It is boiled with a small quan- tity of water; is strained; and when cold, forms a concrete resinous matter. This, spread upon leather, and applied to the skin, excites a slight degree of inflammation, and exudation of serous fluid. In obstinate coughs, affections of the lungs, and other internal complaints, plasters of this resin, by acting as a topical stimulus, are frequently found of considerable service. Pinus Baesamea. Balsam Fir. Hemlock Fir. The liquid resin, called balsam of Canada. This balsam exudes spontaneously from the trunk of the tree. It is of a light yellow colour, tenacious, and inflammable. By keeping, it becomes thicker; its smell is agreeable; its taste pungent. It is soluble in alcohol and oils, and affords an essential oil by distillation. The medicinal virtues of this balsam seem to be the same as those of copaiba, and it is used for the same purposes. Its dose is from thirty to fifty drops. Pinus Larix. The Larch tree. The liquid resin, called Venice turpentine; and volatile oil, called oil of tur- pentine. This balsam exudes spontaneously, and in greater abundance from incisions in the tree. It is thick and te- nacious, pellucid, of a yellowish colour, has a pleasant smell, and a bitterish, pungent taste. By distillation. with the addition of a small quautity of water, to prevent the temperature from rising too high, it affords a large quantity of essential oil (oleum terebinthinse, oil of tur- pentine); the residuum being a resin nearly insipid, (com- mon Avhite, or yellow resin.) Venice turpentine derives all its virtues from its essen- tial oil, and it is this oil that is generally used in medicine. It is a powerful stimulant, directed more particularly in its action to the urinary passages. It has been employed in gleet, and in chronic rhcuraatism. especially in that 301 materia medica. form of it termed sciatica and lumbago, in a dose of from five to tAvelve drops, gradually increased, generally mixed with a quantity of honey, by which its pungency is cover- ed. It is apt, hoAvever, to induce violent symptoms. Externally, it is applied as a stimulant to parts affected Avith cramp and rheumatism. Oil of turpentine has of late been successfully applied to scalds. When seasona- bly applied to the scalded part, the pain has frequently been removed in an hour, and blisters effectually pre- vented. The turpentine itself is sometimes used inter- nally for the same purposes as its oil. The white resin is somewhat stimulant and diuretic; but it is only em- ployed in the composition of ointments and plasters, which it renders more adhesive, and perhaps more stimulating. Oil of turpentine has also been found to possess styptic powers in restraining epistaxis when applied up the nos- trils. The rectified oil of turpentine has lately been admi- nistered by Dr. J. B. BroAvn Avith complete success in the case of a lad aged sixteen years afflicted for six years Avith taenia. This lad swalloAved the oil undiluted in a dose of one ounce, and once in a dose of one ounce and half, and took three doses in sixteen hours. It ope- rated powerfully as a cathartic and he discharged upAvards of tAventy feet of the teenia. Dr. B. is convinced that the oil of turpentine rectified, may be given to the extent of two or three ounces Avith perfect safety, but prefers half ounce doses at short intervals. N. Eng. Med. Journal, No. 3, Vol. 1. p. 269. Pinus Syxvestris. Scotch Fir. The empyreumatie resin, called tar; and the liquid resin, called common turpentine. Tar is a thick, black, unctuous matter, extracted from the Avood of the pinus syivestris, by combustion in a close smothering heat. By long boiling, tar is deprived of its volatile parts, and converted into pitch. Tar is a mix- ture of resin, empyreumatie oil, charcoal, and acetous acid. It Avas formeiiy in great repute as a medicine, both in its original state, and also in infusion with water. It has been greatly recommended by hishop Berkley, in the murrain of cattle; and likewise in cold and phleg- matic habits of mankind; as it not only raises the pulse, and accelerates the circulation, but, at the same time, materia medica. 30b exhilarates the animal spirits. At present, hoAvever, tar water is seldom employed, though its external application proves to be an excellent remedy for the stings of Avasps and bees. Tar is applied in the form of ointment, in tinea capitis, and some other cutaneous diseases. The common turpentine obtained from this tree, is rarely given internally; its principal use is in plasters and ointments among farriers, and for the distillation of essential oil. A fluid extract, prepared by decoction from the twigs or cones of the pinus syivestris, is the usual well known essence of spruce, which fermented Avith molasses, forms the fashionable beverage of spruce beer. Piber Nigrum. Black Pepper. The fruit. This tree is a native of the East Indies, Avhere the fruit or berries in their unripe state, arc gathered in the month of October,and dried, by being exposed to the sun for seven or eight days. Its smell is aromatic: its taste pungent. Both are extracted completely by water; par- tially by alcohol. Pepper, from its stimulating and aromatic qualities, is employed, to promote digestion, to relieve nausea, to check vomiting, or to remove singultus, and as a remedy in retroccdent gout and paralysis. Its dose is ten or fif- teen grains. Its infusion has been used as a gargle, in relaxation of the uvula. White pepper is the ripe berries of the same vegetable, freed from tiic outer covering, and dried in the sun. It is less pungent than the black. Piber Longum. Long Pepper. The fruit. This berry is obtained from another species of the same genus of trees. It is about half an inch in length, cylindrical, and indented on the surface. In flavour, taste, and other qualities, it is similar to the black pep- per, and may be used for the same purposes. Pjlantago. Plantain. The leaves. Great plantain is perennial, common in fields and by the road sides, flowering from June to August. The country peoplevapply the bruised leaves of this vegetable 39 306 MATERIA MEDICA. to slight wounds, and inflamed sores and swellings av ith a favourable effect. It has been recorded in a Virginia gazette, 1802, that a gentleman was bitten above the knee by a venomous spider. In a few minutes he ob- served a pain shooting upwards from the spot, whicii presently reached his heart. A quantity of plantain leaf was immediately procured, and the juice being bruised out was swallowed largely, by which the progress of the poison Avas stopt, and finally a cure Avas effected. Some oil was also SAvallowed, but the plantain leaf had the entire credit of his recovery, and but for this remedy, he said he could not have survived an hour longer. Plum hum. Lead. This is one of the imperfect metals, of a dull white, inclining to a blue colour: and, though the least ductile and sonorous, it is the heaviest of metallic bouses, except- ing mercury, gold, and plntina. Lead is found in various countries; but it abounds in England. It is obtained hy various processes, from the ores dug from the earth. In its metallic form, it is scarcely an omYhiai article, and its different oxides are purchased from the manufacturers, and never prepared by the apothecary. Its effects on the body are emaciation, violent, colics, paralysis, tremors, and contractions of the limbs; as they generally come on gradually, the cause is sometimes overlooked, until it be too late. Poisoning from lead is occasioned, cither from liquors becoming impregnated with it, by being improperly kept in vessels lined with that metal, or to Avhich lead has been criminally added to correct its acidity; or among manufacturers, who work much Avith had, as painters and plumbers, and who are not sufficiently attentive to avoid swallowing it. The only effectual antidotes to this insidious poison, areanti- monial emetics; and after them, the internal use of liver of sulphur, together with vegetable oils, both internally and extern.illy, should be libjeialiy continued. For the medicinal virtues of lead, see its several pre- parations. Podophyllum Pextatum. May Apple. Mandrake. The root. This plant is very common throughout North America. The fruit is esculent, and, by many, thought delicious. MATERIA MEDICA. 307 The leaves are poisonous. The root is an excellent pur- gative in doses of tAventy grains. It is most advantageous- ly used in combination with calomel, or crystals of tar- tar. The root, also, often operates as an athelmintic, and as such, it is used by the Cherokee and other Southern Indians. The best time of gathering the May apple, for medical purposes, is in autumn, when the leaves have turned yellow, and are about falling off. The Indians dry it in the shade, and powder it for use. Polygala Senega. Seneka. Rattle Snake Root. The root. Seneka is a perennial plant, Avhich abounds in nearly all the United States, particularly in Virginia and Penn- sylvania. This root is usually about the thickness of the little finger, variously bent, and contorted, and appears as if compost d of joints, whence it is supposed to resem- ble the tail of the animal Avhose name it bears; a kind of membranous margin runs on each side, the Avhole length of the root. This root Avas first introduced into use in 1739, by Dr. Tennent, of Virginia, Avho wrote a pamphlet on the sub- ject, and highly extolled it as a remedy for many com- plaints, and particularly, as a specific for the cure of the bite of the rattle-snake. It is an active stimulus, and increases the force of the circulation, especially of the pulmonary vessels. It has therefore been found useful in typhoid inflammation of the lungs, but it is apt to dis- order the stomach, and to induce diarrhcea. Some have likewise employed this root in hydropic cases, and not Avithout success. There are examples of its occasioning a plentiful dis- charge by stool, urine, and perspiration; and by this means removing the disease, after the common diuretics and hydragogues had failed. It sometimes induces salivation, and it possesses diu- retic, emetic, cathartic, expectorant, and diaphoretic powers. Dr. Archer, of Maryland, discovered the great utility of seneka snake-root, as a remedy for that fatal disease, the croup, and speaks Avith confidence as to the general good effects produced by it. The decoction of the root is the manner in which he generally gives it; the strength must be determined by tlie physician : it must be i 30 b MATCIll i MEDICA. so strong, as to act sensibly on his oAvn mouth and throatf in exciting coughing, cu'/for in this disease, the larynx (mouth of the Avind pipe) in a manner loses its natural sensibility. Half an ounce of the root of seneka, bruised, and simmered in a close vessel, in half a pint of water, until reduced to four ounces, will, probably, hi most ca^s be sufficiently strong. A tea spoonful of this to be given every hour or half hour, as the urgency of the symptoms shall demand; and during these intervals, a few drops occasionally, to keep up a sensible action of the medicine, in the mouth and throat, until it act as an emetic and cathartic; then repeated in small quantities, and so fre- quently as to keep up a constant stimulus in the same. By these means, in the course of two, four, six, or eight hours, a membrane is often times discharged by the mouth, one, two, and often three inches in length; some- times it is swallowed and voided by stool. Patients who use the medicine should not be permitted to drink anything Avhatever, for some minutes after each dose. The reason must be obvious to all. The powder has lately been used by Drs. Archer and Son, in doses of four or five grains, mixed Avith a little Avater, Avith effects equally as pleasing as the decoction, and more so, unless the latter have been carefully prepared. It should he remarked that this poAverful stimulant cannot with safety be exhibited during the inflammatory stage of croup. It is in the third or last stage only, it has been found ex- tremely useful in exciting the vessels of the trachea and lungs to a powerful excretion. Seneka has been usefully employed in the decline of pleurisies and catarrhs, to promote expectoration. In suppressed coughs of aged persons, and in asthma, it is doubtless useful; a gentle and constant stimulus on the throat should be kept up in these diseases. It has also been exhibited as a powerful remedy in cases of female obstructions. Dr. Chapman of Philadelphia has found it of great utility in obstinate amenorrhtea when given in decoction prepared by adding an ounce of the root to a pint of boiling Avater, Avhich is sloAvly reduced by sim- mering to the quantity of one third. Four ounces of the decoction is to be taken during the day, increasing it when the menstrual effort is expected, as far as the sto- mach Avill allow. If this excite nausea, he adds aroma- tics. To prevent disgust, it is omitted a Aveek or two in the intervals of the menstrual periods. The polygala MATERIA MEDICA. 309 sanguinea, a new species discovered at Savannah, has been used as a substitute for the polygala seneka. Polygonum Bistorta. Great Bistort. Snake Weed. The root. This plant is perennial, and groAvs Avild in moist mea- dows in several parts of Great Britain. The root is about the thickness of the little finger, of a blackish brown colour on the outside, and reddish Avithin: it is writhed or bent vermicularly (whence the name of the plant) with a joint at each bending, and full of bushy fibres; the root of the species here mentioned, has, for the most part, only one or two bendings; others, three or more. All the parts of bistort have a rough austere taste, particularly the root, which is one of the strongest of the vegetable astringents. The root of bistort is employed in all kinds of immo- derate hamiorrhagics, and other fluxes, both internally and externally, Avhere astringency is the only indication. It is certainly a very poAverful styptic, and is to be looked on simply as such. To the sudorific, anti-pestilential, and other virtues attributed to it, it has no other claim but in consequence of its astringency, and of the antisep- tic power which it has in common with other vegetable styptics. The largest dose of the root in powder, is one drachm. PoLvroDUM Filix Mas. Male Fern. The root. This fern is perennial, and grows in great abundance in almost every part of Britain, where the ground is not cultivated. The root Avhen chewed, is someAvhat muci- laginous and SAveet, and afterwards astringent and bitter. The vermifuge poAvers of fern, are Avell known. It appears to be particularly active in expelling the tape Avorm. Dr. O. Jones relates the case of a lady in New York, Avho after taking many Avorm medicines, with par- tial good effects, drank a decoction of fern in Avater, (a pint per day) until some gallons Ave re taken, Avhen a dose of castor oil brought away the remnant of the worm, measuring forty-five feet. The fern is the famous remedy of Madame Nuffcr of Switzerland, for the tape Avorm. She acquired the know- ledge of the remedy from her husband, who was a surgeon. . 310 MATERIA MEDICA. and obtained a great price for the secret from Louis I5tli of France, by whose order it was published. The powdered plant was generally preferred by Mad. N. and may be given in doses of from sixty grains to two drachms. Prixos Verticillatus. Winter Berry. Black Alder. The bark and berries. This is a very common shrub in many parts of the laited States, and grovvs in the greatest perfection in SAyamps and marshy places. The bark is manifestly as- tringent. It is likewise considerably bitter, and pungent. The berries, wliich are of a fine red colour, greatly partake of the bitter qualify; and, if infused in wine or brandy, might be advantageously employed in cases where bitter tinctures are exhibited. The bark has been used as a substitute for the Peruvian bark, in intermittents and other diseases, both in substance and decoction. It is supposed to be chiefly useful in cases of great debility unaccompanied with fever, as a corroborant in anasarcous and other dropsies, and as a tonic in cases of incipient sphacelus or gangrene. It is both given internally, and employed externally as a Avash. On many occasions, it appears to be more useful than the Peruvian bark. Pro- fessor Barton says, it ought to have a place in the shops, and in the pharmacopoeia of this country, ay hen such a desideratum shall be supplied. Dr. Mease observes, (Philadelphia Medical Museum, vol. 2.) it is useful in mortification, united with the root of sass.ifr:is,in decoc- tion, ke. Care must be taken to distinguish our prinos from the swamp alder or candle alder. Phunus Cesasus Virgimana. Wild Chei*ry Tree. The bark of both the tree and root. The common wild cherry tree is often found in woods and hedges and is associated Avith the trees of the forest, groAving to the height of forty or more feet and of a verv large size. It is probably produced from the stones of the garden varieties dropped by birds. The timber is capable of receiving a fine polish, resembling mahogany, and is used by turners and cabinet makers, for many purposes. The gum which exudes from the tree is said to be equal to gum arabic. This tree produces in Au- MATERIA MEDICA. 311 tumn a small bitter cherry, black when quite ripe, which serves for food for birds who frequently become intoxi- cated from eating them. They are also infused in bran- dy by the country people on account of the pleasant aromatic flavour which they impart to the liquor. The bark of the wild cherry tree is powerfully tonic, and has been frequently substituted for the Peruvian bark, with great success. It is slightly narcotic, and commonly produces droAvsiness in those who take it. From the experiments of Mr. C. Morris of Virginia, (Inaug. Diss. 1812, Phila.) it appeared that the bark of the root Avas more poay erful than the bark of the trunk. It has been very useful in dyspepsia and in consumption of the lungs. The Indians it is said, use the bark in the cure of syphi- lis. Very excellent effects have been produced by Avash- ina; ill conditioned ulcers with a decoction of the bark, and the same has proved anthelmintic The leaves of this tv<*e are poisonous to certain animals. While this valuable tree abounds in the United States, we act un- Aviselv, says Dr. Mease, in sending thousands of dollars out o'* the country for the Peruvian bark. Cherries that are sub-acid are, according to Dr. Wil- licb, an excellent article of domestic medicine in the true scurvy, in putrid fevers, and the dysentery; as likewise to those persons, who are liable to obstructions in the alimentary canal. Nor will they be found less salutary to constitutions Avhose bile is vitiated, Avhose stomach is trovbVd Avith foul eructations, and who are afflicted with an offensive breath: all such persons should eat them fre"iv. particularly on an emnty stomach. For similar reasons, dried cherries form an excellent article of diet, in acute and inflammatory disorders: where they should be used both in substance and in decoctions, Avhich are equally cooling and antiseptic. Prunus Domestica. The French Prune Tree. Plum Tree. The fruit, called French prunes. Numerous varieties of prunes or plum tree, are culti- vated by gardeners, the fruit of Avhich, Avhen dried, are called prunes. Great quantities of the dried fruit are imported from the continent of Europe, but the French prunes are thought the best. They contain much mucilaginous and saccharine mat- ter, and their medical effects are, to abate heat, and gen- ai2 materia medica. tly loosen the belly, Avhich they perform by lubricating the passages, and softening the excrement. They are of considerable service in costiveness, accompanied with heat or irritation, which the more stimulating cathartics Avould tfend to aggravate. Where prunes are not of them- selves sufficient, their action maybe promoted by joining with them a little rhubarb, or the like; to which may be added some carminative ingredient, to prevent their oc- casioning flatulency. Prunus Lauro Cerasus. Cherry Tree Laurel. The leaves. An exotic narcotie plant, not cultivated among us, but preserved in some hot houses and botanic gardens as a curiosity. The leaves have an odour slightly fragrant; their taste is extremely bitter. They possess a highly narcotic quality, whicii is extracted by infusion in alco- hol or water, and is even brought over by distillation iu the state of an essential oil, which the Avater partly dis- solves. And the very singular fact has been established, that the volatile principle in Avhich the narcotic quality of this plant resides is the prussic acid. It had often been observed, that the odour of this acid is similar to that'of the cherry-laurel, peach blossom, and bitter al- mond. Boltn found, that the distilled Avater of the bitter almond contained prussic acid. Scbroerier discovered it in the distilled water of the peach blossom and cheny- laurel, prussiate of potass being obtained by distilling them from the alkali; and Bucholz succeeded in separat- ing the prussic acid from the essential oil of the cherry laurel, by agitation with an alkaline solution. This acid in its pure state has been further found to be highly nar- cotic; and the narcotic power of all these plants no doubt depends on it. The distilled Avater of the cherry laurel has long been known as a poison to animals, and its effects are tiiose of a pure narcotic. It has not, says Mr. Murray, been em- ployed in medicine, but a cataplasm prepared from the leaves has been used as an anodyne application to painful tumors and ulcers. Cherry-laurel has ever been considered as a poison of the most deleterious energy, but if is now known, if may be administered internally with perfect safety, hi the few instances of its trial it has been found to give tone to materia medica. SIS the stomach, increase the appetite, and to exhilarate. Dr. Mayer, of Naples, gives the distilled water of laurel for the cure of virulent gonorrhoea, and by bis advice an American captain affirms, that he cured thirty sailors by this medicine alone. It appears to retard the pulse and produce some sedative effects. It has been found ser- viceable in phthisis pulmonalis on a few trials. Professor Wurzer, of Bonn, gave fifty drops of the laurel Avater three times in a day, Avhich Avas very efficacious in hypo- chondriac and nervous complaints. He finds the laurel Avater diminishes the too great irritability of the heart and muscular fibre, and augments, at the same time, the action of the absorbent vessels. It is recommended by some German authors in hydrophobia. It may be given in saturated tincture, a flew drops cautiously increased until some effect be observable. PTERocARrus Santolinus. Red Saunders. The wood. This is a wood brought from the East Indies in large billets. The best kind is externally of a dull red, or nearly blackish colour, internally brown red; being of a compact texture, and possessing neither a peculiar smell nor taste. Red saundcrs is chiefly employed as a colour- ing drug, in the compound tincture of lavender; there is scarcely any other oil to Avhich it communicates its tinge. It communicates a deep red to rectified spirit, but gives no tinge to aqueous liquors. Quassia Excelsa. Qjutssia. The Avood, bark, and root. The Quassia tree is a native of the West Indies, and of South America. Quassia derives its name from a negro named Quassi, who employed it Avith uncommon success as a secret remedy, in the malignant epidemic fevers whicii frequently prevail at Surrinam. The root, wood, and bark of this tree, are all employed in medicine ; but the latter, having a greater degree of bitterness, is more efficacious. Quassia possesses no peculiar odour, but is one of the most intense, durable, pure bitters knoAvn. Its infusion, decoction, and tincture, are almost equally bitter, and yelloAvish, and are not blackened by chalybeates. It is an excellent tonic, antiseptic, and febrifuge: being one of th,e least heating drugs, it is found very serviceable in 10 o Li MATERIA MEDICA. exciting appetite for food : expelling flatulency: assisting digestion; and particularly in removing costiveness, when produced by weakness of the intestines, such as is conse- quent to sedentary occupations. Dr. Lettsom prescribed it ay ith advantage, in cases of debility after febrile affections; in dyspepsia, arising from intoxication; and in diarrhoea; but he directed it with the greatest success, Avhen combined with some absorbent in the hysteric atony of females. It has been exhibited in intermittent, and bilious fevers, lienteria, cachexy, dropsies, leucorrhcca. and gout. It may be given, either in infusion, or in pills composed of the watery extract; the former preparation, how- ever, is generally prefered, in proportion of three or four drachms of the Avood, to tAvelve ounces of water; Avhich is to be taken in doses of one, or two table spoon- fuls, frequently repeated. Quassia Simarouba. Mountain Damson. The bark. This tree grows in Guiana, and in Jamaica. The bark of the root of this tree is brought to us, some feet long, and some inches in breadth, folded lengtliAYise. It is light, fibrous, very tough ; of a pale yellow on the inside; darker coloured, rough, scaly, and Avarted on the out- side ; has little smell, and a bitter, not disagreeable taste. It imparts its bitterness to alcohol and water. It has been much celebrated in obstinate diarrhcea, dysentery, anorexia, indigestion, lienteria, and intermit- tent fevers, but it is doubtful Avhether it is better than other bitters. It is given in powder, in doses of half, or a whole drachm; but its best form is in decoction. Quercus Rqbur. Oak. The bark. The bark of this valuable tree, is a strong astringent, and possesses tonic and antiseptic virtues. A chemical analysis of the Avhite oak bark, as made by Mr. Davy, affords from one hundred and eighty grains of the inner bark in substance, seventy two grains of pure tannin (that remarkable vegetable principle, the common and general source of the astringent and antiseptic properties). In every astringent bark, says Mr. Davy, the interior white hark contains tiie largest quantity of tannin. White oak bark exceeds in astringency the Peruvian MATERIA MEDICA. 31b hark, and falls but little, if any short of it, in its tonic powers. Hence, we have a valuable domestic substitute for Peruvian bark, wliich is successfully employed in hiemorrhagies, alvine fluxes, and other preternatural or immoderate secretions. On account of the great difficul- ty in reducing it to a sufficiently fine poAvder, it is most commonly given in decoction. Dr. Rousseau, in a communication published in the Philadelphia Medical Museum, vol. 2. has mentioned the efficacy of the black oak bark in intermittents, and it appears to be Avell worthy the attention of phy sieians. The powder, as prepared by Mr. Benger, is of the most extreme degree of fineness. The bark of the Spanish oak, quercus rubra montana, red oak of the mountain, Dr. Barton has used in a case of gangrene of the foot, with such success, that he thinks it equalled in power the best Peruvian bark. He gave it in decoction in very large quantities, and the affected part was constantly kept wet with the same decoction, or Avith a poultice made of bread and milk with the bark. The medicinal virtues of the bark of Spanish oak, are probably, in no respect materially different, from those of the bark of the common white oak of New England. Debilitated patients, Avhose stomachs cannot retain this medicine, may experience the happiest effects from bath- ing twice or thrice a day in a strong decoction of the oak barks, about luke Avarm. It is particularly serviceable in the last stage of fevers. Djjercus Cehris. Oriental Oak. The nest of the cynips quercifolii, called gall nut. This species of oak is a native of the Levant, and of the warm countries of Europe. ; An insect, the cynips quercifolii, deposits its eggs in the leaves, and other tender parts of the tree. Around each puncture an excrescence is presently formed, Avithin Avhich the egg is hatched, and the insect passes through all its stages of metamorphosis, until it become perfect, Avhen it eats its ay ay out of its prison. These excrescences are called galls, or gall nuts. They arc of different sizes, smooth or knotty on the surface, of a whitish, reddish, or blackish colour, and generally penetrated with a small hole. Galls have an austere styptic taste, without any smell; they are said to be the S.16 MATERIA MEDICA. most poAverful astringent avc possess, and have therefor* been often employed in medicine. It is asserted, (hat, by their internal use, in doses of half a drachm, or more, of the poAvder, intermittent fevers have been cured, even after Peruvian bark bad failed. An infusion, or decoction of galls, may be used with advantage as an astringent gargle; and an ointment of one part of finely poAvdered galls to eight of any simple ointment is applied Avith success in hscmorrhoidal affec- tions. Resina Pini. Resin of Pine. A resin, Avhich is pro- cured from pines of various species, deprived of its volatile oil. The proper turpentines contain a large proportion of volatile oil, which is often separated from them by distil- lation. The residuum of the distillation gets different names, according to some peculiarities in its treatment. When the distillation is performed Avithout addition, and continued until the whole essential oil be driven off, and there appear some traces of empyreuma, the residuum is fiddlers resin, or colophony: but if, while the mass is still fluid, a quantity of Avater be added, and thoroughly blended Avith the resin, by long and constant agitation, it is then called yelloAV resin. This article is employed as an ingredient in ointments and plasters. Rhamnus Catharticus. Purging Buckthorn. Spina Cervina. The juice of the berries. This tree, or shrub, grows in woods or hedges; it attains if cultivated, the height of sixteen feet; it flowers in June, and ripens its fruit in September and October. Buckthorn berries have a faint disagreeable smell, and a nauseous bitter taste. They have long been in considerable esteem as cathartics; and celebrated in drop- sies, rheumatism, and even in gout: though in these cases they have no advantage above other purgatives, but are more offensive, and operate more severely than many with Avhich the shops are furnished. They generally occasion gripes, sickness, dryness of the mouth and thi oat; and leave a thirst of long duration. A syrup, prepared from the berries, is still kept in the MATERIA MEDICA. 317 shops, though seldom prescribed. The dose is one ounce of syrup, or about twenty of the fresh berries, and twice or thrice this number in decoction. ' The bark of the buckthorn is said to be a mild tonic, astringent, and antiseptic medicine, and is recommended for the cure of intermittents; and in general debility, after chronic diseases. The decoction is of great service; reducing inveterate inflammations of the eye; and curing the itch, as it cleanses the skin, and abates the burning heat, without repelling the humors. Rheum Palmatum. Palmated Rhubarb. The root. Palmated, true, or officinal rhubarb, is a native of China, and the East Indies; whence its culture has been introduced into Europe. The rhubarb hitherto employed in medicine, is imported from Turkey, Russia, China, and the East Indies. The first sort is brought in round- ish pieces, perforated in the centre; and which are exter- nally of a yellow colour, but, on being cut, they appear variegated with reddish streaks. The Chinese rhubarb is imported in long pieces, which are harder, anil more compact than the Turkey rhubarb; the former possessing a Aveaker aromatic flavour, is less esteemed, though, being more astringent, it is, for some purposes at least, equal to the latter. The general cha- racters of good rhubarb are, its having a whitish or clear yellow colour; being dry, solid, compact, and moderately heavy; brittle, easy to be pulverized, forming a poAvder of a fine bright yellow, having a bitterish, someAvhat astringent taste, and Avhen chewed feeling gritty under the teeth, speedily colouring the saliva, and not appear- ing xery mucilaginous. The principal constituent of rhubarb is extractive matter, soluble both in alcohol and in water. By gentle decoction, it loses above one half its weight. The vir- tues of this root are destroyed by roasting, boiling, and in forming the extract. Rhubarb is justly prized as a mild cathartic, and mav fie safely administered to children, invalids, and delicate women, in doses of from ten to twenty grains, though, in irritable, hysterical, and phthisical habits it is apt to oc- casion gripes, and aggravate febrile symptoms: hence it ought never to be given in the first stage of dysentery. when this invaluable remedy, by premature usei may oc -H8 MATERIA MEDICA. casion the most violent pain, and inflammation of the bowels; but, after the fever is suppressed, and the disease becomes a chronic diarrhoea, small doses of rhubarb are attended Avith the best effects. Beside its purgative quality, it is celebrated as an as- tringent, by whicii it strengthens the tone of the stomach and intestines, and proves useful in diarrhoea, and disor- ders proceeding from laxity. Rhubarb exhibited in sub- stance in the form of powder, operates more powerfully than in any other Avay. The dose for an adult is from a seruple to a drachm. On account of its great bulk it is sometimes unpleasant to the taste, and its laxative effects are often increased by the addition of neutral salts, or other more active purgatives. Combined Avith calomel. it is much more efficacious as a cathartic. The infusion is considerably weaker than the powder, and requires double the dose to produce the same effect. It is well adapted for children, but must be ahvays fresh prepared. In the form of tincture, its principal use is as a tonic, and stomachic. Small doses of the poAvder are frequent- ly exhibited with the same intention. Attempts have been successfully made to introduce the culture of this valuable drug into Britai;,', and it appeals from authentic accounts, that sufficient quantities of it may be reared, and that the English root has proved to be fully equal to the best sort obtained from Turkey or China. The cultivation of rhubarb in the United States is lobe considered as an object of high importance. That our cli- mate is perfectly congenial to its growth, has been clearly ascertained by successful experiments, Avhich ought to encourage other attempts and more extensive plans. The palmated or officinal rhubarb may be raised from seed sown either in the spring or autumn. When the plant- appear they require to be kept clear from weeds, and during the winter their roots should be covered with litter. The ensuing season they may be transplanted, or thinned, to the distance of four or five feet. The soil must be a light fine mould, deeply ploughed, and the plants should be frequently watered, though too much wet Avill injure the roots. The young plants require to be sheltered from the sun till they have obtained a good degree of strength. The seed stalks ought to be cut off on the withering of the radical leaves, and their root* PQXC'T'.L MATERIA MEDICA. 319 The roots of rhubarb must not be taken up until six or seven years old, and it is supposed by some that they in- crease in medicinal properties if suffered to remain in the> earth for seven, eight, ten, or even tAvclve years. Much care is requisite in curing and preserving the roots for use. They loose about four-fifths of their Aveight in dry- ing, which process is accomplished in six months. The roots may be taken up early in the spring, or in au- tumn, when the leaves are decayed. They are to be washed clca i, and the small fibres and external rind being pared, or cut off, they should be divided into pieces about one ounce in ay eight. A hole should be perforated in the middle, and the roots suspended on pack thread, in a common kitchen, to dry; care being taken that none of the pieces come in contact with each other so as to occa- sion mouldiness. The foot stalks of the leaves of the young plants impart an agreeable acidity, similar to that of gooseberries, and are frequently used in pies and tarts. Rhododendron Crysanthum. Fellow flowered Rho- dodendron. The leaves. This small shrub grows in the coldest situations in Si- beria. The leaves are oblong, rigid, reflected at the edges, rough on the upper surface, smooth, and paler on the lower. Wfien dried, they have no smell, but a rough, astringent, and bitterish taste. They also contain a stimulant narcotic principle; for they increase the heat of the body, excite thirst, and produce diaphoresis, or an increased discharge of the other secretions or excretions; and, in a larger dose, inebriation and delirium. The Siberians use a decoction of it in rheumatism and gout. They put about two drachms of the (hied shrub in an earthern pot, with about ten ounces of boiling water, keeping it near a boiling heat for a night, and this they take in the morning. Besides its other effects, it is said to produce a sensa- tion of prickling, or creeping in the pained parts ; but in a few hours the pain and disagreeable symptoms are re- lieved, and two or three doses generally complete the cure. The use of liquids is not alloAvecl during its ope- ration, us they areapt to induce vomiting. 320 MATERIA MEDICA. Rhus Copallinum. Narrow leaved Sumach. The berries. Narrow leaved Sumach, grows naturally in most parts of the United States; rising to the height of six feet in a slaty gravelly soil. The berries are very acid, and are sprinkled Avith a grayish pounce, of an agreeable acid taste. Rhus Glabrum. Pennsylvanian Sumach. The berries. Rhus glabrum, smooth Pennsylvanian sumach, common or upland sumach, rising to the height of eight or ten feet. The leaA'es are feathered, saAved, lanced, naked on both sides, and change to a beautiful red in autumn: it floAvers in July. The seeds are arranged like the floAvers, are red, and covered Avith a white powder of an agreea- ble acid taste. The two species above described arc considerably astringent. An infusion of the berries sweetened with honey is sometimes used for a gargle in sore throats, and for cleansing the mouth in putrid fevers. They are also recommended as useful in several of the arts. The leaves or berries arc found a valuable substitute for nut galls in dyeing or making ink, they give a deep and per- manent black. The plants in all their parts may be used as a succcdancum for oak bark in tanning, especially the Avhite glove leather. Rhus Radicans. Poison Vine. Poison Creeper. Poison vine, has a slender ascending stem, and fre- quently climbs up to the top of our tallest trees. The flowers, whicii appear in June, are produced along the whole course of the smaller branches; they are small, are of a light yelloAV colour, and have a delightful odour. Rhus TrniiNUM. Virginian Sumach. Stags Horn. Vinegar Plant. The berries. This plant groAvs naturally in almost every part of the United States. In Virginia and Pennsylvania, it rises to the height of tAvelve or fifteen feet, with a trunk of six or eight inches in diameter. The young branches are MATERIA MEDICA. 821 •ofcred with a soft velvet-like doAvn, and from their re- semblance to the horn of a stag, the common people have given it the appellation of stag's horn. The flowers are produced in close tufts at the end of the branches, and are succeeded by seeds inclosed in purple, woolly, succu- lent covers; so that the branches are of a beautiful colour in autumn. This plant resembles in its properties the rhus copal- linum and glabrum. Rhus Toxicodendron. Poison Oak. Sicamp Sumach. The leaves. Poison oak, a low shrubby stalk: leaves trifoliate, with pretty large foot stalks, lobate, entire, smooth, and someAvhat heart shaped. The flowers come out from the sides of the stalks, in loose panicles, are small, and of an herbaceous colour. This plant, sometimes called poison Avood, is so acrimonious, that the touching of the leaves, or rubbing them on the skin, occasions itching, inflammation, and eruption. Dr. Alderson, of Hull, has given the leaves in four cases of paralysis, in doses of half a grain, or a grain, three times a day, with marked success; all his patients recovered to a certain degree, the use of their limbs. The first symptom of amendment was always an unplea.- sant feeling of prickling or twitching in the paralytic limbs. It has been given in large doses, without experi- encing the same success. It was not however inactive. In one case the patient discontinued its use on account of the disagreeable prickling it occasioned; and in general it operated as a gentle laxative, notwithstanding the toijr pid state of the bowels of such patients. Rhus Vernix. Varnish Tree. Poison Oak. Swamp Sumach. Wliite Sumach. Swamp sumach is the largest of our native species of rhus; grows in SAvamps, and makes a fine appearance. In New England this is commonly called dogwood. The rhus radicans, toxieodendruin and vernix, are highly poisonous, and are particularly active in Avarm weather, after a meal, and Avhen the part touching the plant is moist with sAveat. The rhus vernix is more vio- lent than the other species, the poison avMI be «ommuni- 41 322 MATEUIA MEDICA. cated by torching, and by smelling any part of the shrub, or even by the unoke Avhile burning, or the steams of a decoction of the plant. In about forty-eight hours an inflammatory eruption appears on the surface of the skin, attended by pain, swelling, itching, and fever. The emotions sometimes suppurate, after Avhich, the inflam- mation subsides, and the ulcers heal in a short time, but the patieut frequently remains blind for several days.' It operates, hoAvever, someAvhat differently in different constitutions; and Avhat is singular, some constitutions are incapable of being poisorted Avith it at all. The reme- dies are bloodletting; Avhen the symptoms arc violent, smart purging, especially by sea Avater; cold Avater, or ice, or a Avash of spirits of sal ammoniac diluted Avith water, or of lead Avater applied to the parts. Dr. Barton has ahvays found a solution of corrosive sublimate in Avater, to answer the purpose of effecting a speedy cure. One case of the remarkable effects of this poison has fallen under the observation of the compiler of this volume. The patient, having incautiously expressed a quantity of the juiee from the leaves of a species of rhus, was soon after attacked Avith violent inflammation, erup- tion, and swelling of the whole body, with fever and extreme pain. The wliole surface of the body, swelling of the head, and blindness, exhibited the appearance of the most malignant kind of small pox; and so obstinate were the dangerous symptoms, that with the loss of his hair and nails, it Avas several Aveeks before a cure Avas effected. Dr. T. Horsefield, in his excellent inaugural disserta- tion on the rhus vernix, rhus radicans, and rhus glabrum, declares his full conviction, after many judicious 'ex- periments, that the rhus vernix is the true varnish tree of Japan, described by Kempfer. He found that the greatest quantity of juice Avas obtained from incisions made in the tree about the middle of May. Thunbery, and others, are also of opinion, that the Japanese varnish so much celebrated, may be obtained from our native rhus. h is a subject undoubtedly worthy of attention. A singular instance is related in the Medical Reposi- tory, of the poisonous effects of the rhus vernix on a swarm of bees, the Avhole of which the day after they attached themselves to the branch, Avere found dead, and their bodies turned black, and swelled to nearly twior their natural size. MATERIA MEDICA. 323 Ribes. Currant tree. The fruit. The fruit of the red, and white currants of our gardens arc greatly esteemed for their pleasant and nutritive qualities. In fevers, the juice of currants, when mixed with an equal quantity of sugar, and made into a jelly, is cooling and grateful to the stomach; being in a slight degree astringent and antiseptic. Currant wine, with the addi- tion of water, is an excellent beverage during the heat of summer. Various receipts are given for making this liquor in the Dom. Encyclopedia. Black currant is found growing, naturally, near Ken- nebeck river, and they are also cultivated in gardens. This fruit is reputed to be very Avholesome, and their juice is frequently boiled doAvn into an extract or syrup with sugar, in ay hich state it is called rob, and much esteemed in sore throats of the inflammatory kind— The fruit is often put into rum or brandy instead of black cherries. An infusion of the young roots is useful in fevers of the eruptive kind; and in the dysenteric fevers of cattle. Ricinus Communis. Palma Christi. The seeds and their fixed oil, called castor oil. The palma christi is a native of the West Indies, and flourishes extremely well in almost every part of the United States. In Georgia and South Carolina, its growth is very luxuriant, rising to the height of fifteen or twenty feet, even without the assistance of the hand of culture, and exhibiting a beautiful appearance. In Mr. Drayton's history of South Carolina, it is asserted that its produce is from one hundred to one hundred and fifty gallons of oil per acre. Estimating this at four dollars per gallon, the ordinary price, it will be found to afford ample en- couragement for its extensive cultivation, especially since the plant is not liable to be greatly affected by the vicis- situdes of the season. It ansAvers best in a rich sandy soil, and the seed should be put in early in the spring. The seeds are about the size of small beans, which, in their brittle shells, contain white kernels, of a SAveet, oily, but somcAvhat nauseous taste. The skin is extremely acrid, and one or two of the seeds sAvalloAved entire, operate as a drastic purgative or emetic. 324 MATERIA MEDICA, The kernels yield almost a fourth part of their weight of a bland fixed oil. commonly called castor oil. It is obtained from them either by expression or decoc- tion Avith water. The former method is practised in Eu- rope ; the latter in Jamaica. To increase the product, it is common to parch the seeds over the fire, before the oil is extracted from them; but the oil thus obtained, is greatly inferior to that prepared by cold expression, or simple decoction, and is apt to become rancid. The most eligible method is, to shell the seeds and boil them in water; as the oil rises, skim it off. This oil is SAveet, without bad taste, or smell, and as clear as olive oil; and may be kept much longer than that obtained by expres- sion, because the water detains the mucilage, which abounds in the expressed oil, and disposes it the sooner to become rancid, and unfit for internal use. Genuine castor oil is thick and viscid, of a whitish colour, insipid or sweetish to the taste, and without smell. Castor oil is a gentle and useful purgative; it in gene- ral produces its effects without griping, and may be given with safety, Avhere acrid purgatives are improper, as in colic, calculus, gonorrhoea, &c. It is also one of the best vermifuges, and a most efficacious remedy for the dry bellyache and iliac passion, when administered in proper doses, to children and adults; viz. the dose for the for- mer, from one to two tea spoonfuls; and the latter, a table spoonful, repeated every two or three hours. Half a tea spoonful has been given with success to new-born infants, for lubricating the intestines, and expelling the meconium. As patients in general have a great aversion to this oil in its pure state, it may be taken sAvimming either in a glass of peppermint, or simple Avater, or in the form of an emulsion, Avith mucilage, or with the addition of a small quantity of rum. Rosa Gallica. Red Rose. The petals. The Gallica, French or common red rose, has large, spreading, half double, deep red flowers. It has not the fragrance of the damask rose, but the beautiful colour of its petals, and their pleasant astringency, have render- ed them officinal. It must however be remarked, that their odour is increased by drying, Avhile that of the damask and mess roses is almost destroyed. MATERIA medica. S.2£ Rosa Damascena. Damask Rose. The petals. This is justly termed the queen of flowers, and both its elegance and fragrance have rendered it the favourite ornament of every garden. It is sometimes called Dutch hundred leaved rose. The damask rose yields on distil- lation, a small portion of butyrous oil, together with a water, which possesses the odour and taste of the roses, and are generally esteemed for the agreeable flavour they impart to culinary preparations, and also to cordials. A valuable perfume is obtained from the floAvers by distil- lation, called ottar or essence of roses. The true ottar of roses is sold in the East Indies, at the exorbitant price of twenty guineas and upwards per ounce. It is doubt- less the most clegaut perfume in vegetable nature; as a single drop imparts its fragrance throughout the room or dAvelling, and suppresses other less agreeable odours. Rosa Canina. Dog Rose. The fruit, called hips. The common Avild briar, or hip tree, an indigenous plant, growing in woods and hedges. In the month of June it bears oval flowers, vvhieh are succeeded by red egg shaped berries. It is the fruit of this shrub, that is employed in Britain by the apothecary for making the conserve of hips. The pulp of the fruit, besides saccha- rine matter, contains citric acid, which gives it an acid taste. Rosmarinus Officinalis. Rosemary. The flowering tops. Rosemary is a shrubby perennial, which groAvs wild in the south of Europe, and is cultivated in'gardens. It has a fragrant smell, and a warm pungent bitterish taste, approaching to those of lavender : the leaves and tender tops are strongest; next to these the cup of the floAver; the floAvers themselves are considerably the weakest, but most pleasant. From the leaves, tops, and floAvers of this plant an essential oil is prepared; or, when distilled Avith spirit of wine, they afford the celebrated Hungary water. * These liquid medicines are esteemed excellent eepha- Hcs, in nervous and hysterical affections, and have been 326 MATERIA MEDICA. found eminently serviceable in apoplexies, palsies, and rertigoes, in which cases they are sparingly applied to the temples and forehead. Rubia Tinctorum. Madder. The root. Madder is perennial, and groAvs Avild in some parts of Britain, but the dyers are principally supplied with it from Zealand, where it is cultivated in large quantities. The roots consist of articulated fibres, about the thick- ness of a quill, which are red throughout; have a weak smell, and a bitterish astringent taste. For the use of dyers, they are first peeled and dried, then bruised and packed in barrels. The root of the common or Avild madder is an excel- lent detergent, and aperient; on Avhich account it has been highly recommended in visceral obstructions, parti- cularly of the uterus; in coagulations of the blood, in- duced either by falls or bruises; in the beginning of dropsical complaints, and especially in the rickets. It may be given pulverized in doses of from five to fifteen grains to children; and from half to a Avhole drachm, three or four times in a day, to adults. When taken in- ternally, it possesses the remarkable quality of tinging the urine of a deep red colour, and produces similar ef- fects on the bones of animals, if eaten with other food. Madder might be profitably cultivated in the United States. Rumex Aquaticus. Water Dock. The root and leaves. It groAvs in peat marshes, Avet ditches, pools, at the sides of rivers, and in shallow water. It flowers in July and August, and is succeeded by large seeds. This plant affords a medicine of considerable efficacy, when applied externally, as a wash for spongy, putrid gums; its roots when pulverized have been found excellent for cleaning the teeth. These roots are of a bitter, astringent taste, and have often been employed for the cure of scorbutic and cutaneous disorders, whether administered internally, or applied externally in ointments, cataplasms, lotions, or fomentations. Decoctions of the leaves are, likcAvise, an efficacious laxative, and have been taken with advan- tage in rheumatic pains, and chronical diseases occasion- ed by costiveness, or by visceral obstructions. The dose MATERIA MEBICA. 327 usually given, is a decoction of half an ounce of the fresh roots, or from one to tAvo drachms of them, in a dry state. The Indians, says Dr. Cutler, used the root of water dock with great success in cleansing foul ulcers. It is said, they endeavoured to keep it a secret from the Euro- peans. Dr. Withering says, he saw an ill conditioned ulcer in the mouth, which had destroyed the palate, cured by washing the mouth Avith a decoction of this root, and drinking a small quantity of the same decoction daily. Rumex Acutus. Narrow Dock, l ™ Ri mex Crispus. Curled Dock. J These grow about barn yards and in cultivated fields, flowering in July. The roots of both species are some- Avhat cathartic. The seeds are said to have been given with advantage in dysentery. The fresh roots bruised and made into an ointment or decoction cure the itch. Some instances have occurred among the country people, of ill conditioned ulcers, and hard tumors apparently of a cancerous nature, having been entirely removed by the application of the bruised roots of dock or a decoction of the same. Ruta Graveolens. Rue. The herb. This is a small shrubby plant met Avith in gardens, where it flowers in June and holds its green leaves through the winter. It has a strong ungrateful smell, and a bit- terish, penetrating taste; the leaves when in full vigour, are extremely acrid, insomuch as to inflame and blister the skin if much handled. Former writers on Materia Medica have entertained a very high opinion of the me- dicinal virtues of this plant, and it is still retained in the Massachusetts and other Pharmacopoeias. It has been considered as powerfully stimulating, attenuating, and detergent, and hence, in cold phlegmatic habits it quick- ens the circulations, dissolves tenacious juices, opens obstructions of the excretory glands, and promotes the fluid secretions. Boerhaave is extravagant in his praises of the essential oil and distilled water of rue, for their efficacy in promoting sAveat and perspiration, and for the cure of the hysteric passion and of epilepsies, and for expelling poison. In modern practice, rue is not regard- ed as possessing much power as a remedy. 528 MATERIA MEDICA. Saccharum Officinarum. Sugar Cane. Sugar. a. brown, or impure. b. double refined, or most pure. The sugar cane groAvs wild in both the Indies, and fOrms the principal object of cultivation in the West- Indies. It grows to the height of from three and a half to seven, and sometimes to tAvelve feet, in strong, deep lands. When ripe it assumes a fine straw colour, and is usually out at the age of tAvelve or fifteen months, according to the season, or the nature of the soil. Sugar is principally obtained from the plant by boiling down its expressed juice, with the addition of a certain proportion of lime or potass, until the greater part be disposed to concrete into brownish or yellowish crystalline grains. In this dry state, it is called raw or muscovado sugar, and is sent to Europe, where it is subsequently re- fined. This is performed by dissolving it in Avater, boiling the solution Avith lime water, clarifying it with blood or Avhite of eggs, and straining it through woollen bags. The solution, when in a proper state, is poured into corn- eal forms of unglazed earthen Avare, where it concretes into a mass of irregular crystals. The syrup, which has not been crystalized, is then permitted to run off through a hole in the apex of the cone. The upper or broad end of the cone is then covered with moist clay, the water of which gradually penetrates into the sugar, and displaces a quantity of syrup, Avhich Avould otherwise be retained in it, and discolour it. It is then carefully dried, and gets the name of loaf or lump sugar. When the solution, and other steps of the process are repeated, the sugar is then said to be double refined. Sugar is sometimes made to assume a more regular form of crystalization, by carrying the evaporation only to a certain length, and then permitting the syrup to cool sloAvly: In this form it is called brown or white sugar candy, according to the degree of its purity. Sugar is a very Avholesome and powerful article of nourishment; for during crop time, the negroes in the West Indies, notwithstanding their increased labours, always grow fat. It produces no particular effect as a medicine, except that the coarser and impure kinds are materia medica. 329 slightly purgative. In pharmacy, it is principally em- ployed to cover bad tastes, to give form, and to preserve more active substances. In using it for the last purpose, we must always remember, that if the proportion of sugar employed be too small, it will promote instead of retarding the fermentation of the articles it is intended to preserve. Molasses or treacle is a very impure syrup, which remains after refining the sugar. Treacle is ap- plied to many domestic economical purposes; and, in hospital practice, may supersede the use of sugar in many instances. Sugar candy is used by persons labouring under hoarseness and coughs; the violence of which it contributes to relieve, by lubricating the membranes, and promoting expectoration. Sa lix Alba. While Willow. The bark, and the bark of the root. The species or varieties of the avUIoav, whicii have been noticed by botanical writers, are very numerous ; and it is probable that the bark of all of them possesses proper- ties in many respects similar. In 1763, Mr. Stone, an English clergyman, presented a paper to the Royal Soci- ety, on the beneficial effects of the salix alba, or white willow, in intermittent fevers; and Dr. Cullen, on this authority, and from the sensible qualities it possesses, recommends it, in his Materia Medica, as a substitute for the cinchona. Mr. Stone gathered the bark in summer, Avhen it was full of sap; dried it by a gentle heat, and gave a drachm of it powdered every four hours, betwixt the fits. In a few obstinate cases he mixed it vyith one- fifth part of the cinchona. Some judicious physicians here, says Dr. Cutler, made trial of the bark of Avhite willow, and recommend it as a valuable substitute for the Peruvian bark. They have used principally the bark of the root. Salix Latifolia. Broad leaved Willow. The bark. This possesses greater medicinal properties than any of the other species of salix; and is now substituted by many British physicians for the Peruvian bark. Three British pamphlets upon this subject have been published within a few years ; the last, by Dr. Wilkinson (1803) is replete witii encomiums on the remedy in question. This 330 MATERIA MEDICA. species of salix may be distinguished by the shape of its leaves from all others, except the salix pentandra, or bay leaved willoAV. But the leaves of the latter are smooth and shining, and of a deeper green; nor have they the doAvny appearance on the under surface, Avhich is so re- markable in the salix caprea or laiifolia. It is found in woods and hedges on hilly situations, and delights in cold, clayey, moist ground. The most proper time to gather the bark, is in Mayor June; it should be cut in small pieces, and dried in the shade. This bark is very astrin- gent to the taste, and somewhat bitter, but it loses tho latter quality Avhen dry. Dr. Wilkinson directs one ounce and a half of the coarse poAvder of the bark to be infused in one quart of Avater for six hours; then to boil it over a gentle fire for a quarter of an hour, and strain for use: of this the ordinary dose is two or three large spoonfuls, three or four times a day; but in the ague and fever, one or tAvo ounces may be given every third hour, in the interval of the fit. The strong decoction of this bark resembles port wine in colour, for which, by several who have seen it in vials, it has been mistaken. Dr. Wilkinson relates sixteen cases of disease, in wliich this bark Avas employed with decided advantage, and from Avhich he does not hesitate to assign to it virtues greatly superior to those of the cinchona: in particular he relates a case of extreme emaciation from an ulcerated foot, Avhich was perfectly cured, after having resisted the continued use of Peruvian bark, and the exertion of the physicians of two public charities. It is doubtless a remedy of considerable efficacy, and is strongly recom- mended on account of its cheapness, and the facility of procuring it. It appears to be useful in most cases where the cinchona is usually resorted to. The attention of medical men should be directed to the inquiry, whether the salix laiifolia may be found in the United States, as it promises to afford a valuable substi- tute for the cinchona; the price of Avhich has become exorbitant, and its quality greatly impaired by base and fraudulent adulterations. Salvia Officinalis. Sage. The leaves. The leaves of the sage have a peculiar aromatic smell, and a Avarm aromatic taste, with some degree of bitter- ness and astringency. MATERIA MEDICA. 331 In its effects, sage agrees with other aromatics. It is stimulant, carminative, and tonic. In cold, phlegmatic habits, it excites appetite, and proves serviceable in de- bilities of the nervous system. The best preparation for these purposes, is an infusion of the dry leaves, drank as tea; or a tincture, or extract, made Avith rectified spirit, taken in proper doses; these contain the whole virtues of the sage; the distilled water and essential oil, only its warmth and aromatic quality, without any of its rough- ness or bitterness. Aqueous infusions of the leaves, with the addition of a little lemon juice, prove an useful diluting drink in febrile disorders, being sufficiently agreeable to the palate. Sambucus Nigra. Common Elder. The inner bark, flowers, and berries. This tree is frequent in hedges; it flowers in May, and ripens its fruit in September. The berries contain malic acid, and have a sweetish, not unpleasant taste; nevertheless, eaten in substance, they offend the stomach. The expressed juice inspissated to the consistence of a rob, proves an useful aperient medicine; it opens obstruc- tions of the viscera, promotes the natural evacuations, and, if continued a length of time, does considerable service in various chronical disorders. The inner green bark of its trunk is greatly cathartic. An infusion of it in Avine, or the expressed juice, in the dose of half an ounce or more, is said to purge moderate- ly; and, in smaller doses to prove an efficacious deobstru- ont, capable of promoting all the fluid secretions. The young leaf buds are strongly purgative, and act with so much violence, as to be deservedly accounted unsafe. The flowers are very different in quality; these have an agreeable aromatic flavour, which they yield in distillation with water, and impart by infusion''to vinous and spirituous liquors. Saxgitnaria Canadensis. Blood Root. Puccoon. The seeds and root. This is a common plant in the United States, and is calied also red root, Indian paint, turmeric. The leaves arc roundish, and deeply indented ; stems naked, support- ing single floAvers; blossoms Avhite. It grows in ricb 332 MATERIA MEDICA. woodland, and flowers in April. When the fresh root is broken, a juice issues in large drops resembling blood. The Indians used it for painting themselves, and highly esteemed it for its medicinal virtues. It is emetic and cathartic, but must be given with caution. An infusion of the root in rum or brandy, makes a good bitter. If ft be planted in rich shady borders, it flourishes well in gar- dens : and the large leaves and blossoms make an agree- able appearance soon after the frost is out of the ground. [Cutler's account of indigenous vegetables.] From an inaugural dissertation on Sanguinaria, by Dr. Downy (Philadelphia, 1803), the folloAving useful in- formation is obtained. " The root is from one fourth to half an inch in diameter, from three to four inches long, sending forth numerous stringy fibres, two or three inches long: a coloured liquor is throAvn out Avhen the root is broken. The stalk is six or eight inches long, and of the thickness of a quill. The leaves are cordate and lobate. *< There is but one leaf to a stalk; on each lobe, one large fibre, of a light yelloAV colour, may be seen running from the stalk, and uiauy smaller ones branching from it in all directions. The poAvdered root, in doses of fifteen or twenty grains, is powerfully emetic. Eight grains is a mild dose, and is but little inferior to ipecacuan. It con- tains a large proportion of gum, some resin, and extrac- tive matter. The first and last are the most active parts. " The leaves and seeds of the plant are powerful and dif- fusible stimuli; promote sAveat, and are given in Mary- land with that view to horses, to promote the shedding of their coats. A tincture of the root is used to prevent the intermittent fever; and a decoction of the roots to cure the dysentery. In one case, it operated powerfully upon the uterus, and produced abortion ; hence it might be useful in female obstructions." The seeds are said, by professor Barton (collection for Materia Medica) to possess nearly the same quality of those of stramonium, viz. they induce fever, delirium, dilated pupil, ke. A deleterious property resides also in the leaves. The root has been used in gonorrhoea, for the bites of serpents, and in bilious diseases; and the juice is employed to destroy ay arts. In some parts of New England, a spirituous tincture of the roots is used as a tonic bitter. It is expectorant, and is apparently allied in properties to rattle snake root. The medical properties of Sana, ainariahaxc been iavc- MATERIA medica. 333 t.igated by numerous trials in the hands of Aaron Dexter, \L D. professor of chemistry and Materia Medica, uni- vcrsiiy at Cambridge. The experimental tests of this gentleman, corroborated by those of other respectable physicians, afford the most satisfactory evidence, that it possesses very active powers, and that in doses of one grain of the powdered root, or ten drops of a saturated tincture, it. proves efficacious as a stimulant and diapho- retic. But in huge doses, it excites nausea and vomiting, and if incautiously administered, it is of dangerous ten- dency. It is said to be efficacious in removing jaundice, and is believed to be a chief ingredient in the quack medicine ki.oYMi by the name of RaAVson's bitters. Dr. Israel Allen, of Sterling, and others, have had re- course to this medicine as a substitute for digitalis, in coughs and pneumonic complaints; and on some occasions it is said to have proved equally efficacious, and less debi- litating than foxglove, Avhen exhibited with the same pre- cautions. The dose of the saturated tincture of the root is from thirty to eighty drops twice in the day, increasing or de- creasing the number as particular circumstances may require. SAro. Soaj). Prepared Avith oil of olives and soda, called castile soap. * Soap, is a composition of fixed alkaline salt, in a state of combination with animal or vegetable oil; it i some- times dry, and hard; at others, soft and liquid; being manufactured various ways, with and without heat. The only dLfeivr.ee in the various kinds of manufac- tured soap, is, in the oils employed in the composition. Thus, the common hard soap is prepared from the caustic Ivy. with the addition of talloAV. The Venice, Alicant or Spanish soap, with olive oil; green soap, Avith that of rape, hemp, or linseed ; black soap, Avith train oil; and, lastly, the ordinary soft soap, is forced by using potass as a substitute for soda, together with talloAV, or train oil. to Avhich is added a large quantity of common salt. The perfumed compounds, known under the names of palm, violet, almond, or other soaps, are prepared in a. similar manner; the oils of such vegetable substances being employed instead of those of the usual kind. 3 Si MATERIA MEDICA. The alkaline soaps have an unpleasant taste, and a peculiar smeil; form a milky solution with water, and a transparent one with alcohol, and are powerfully detergent. The only species Avhich is officinal in our pharmaco- poeia, is that composed of olive oil and soda. It is only prepared in the countries which produce the oil. For medicinal use, avc prefer the Spanish. It should be Avhite and hard, dissolved entirely in Avater and in alcohol, forming Avith the former a milky, and with the latter a transparent solution ; the solution should froth freely on agitation. It should not be variegated in its colour, feel greasy or moist, or be covered Avith a saline efflorescence ; and the solutions should not have a rancid smell or taste. Some of the foreign dispensatories are so very particular about the nature of the soap, used in medicine, as to direct it to be prepared by the apothecary, by simply triturating (Avithout the assistance of heat) Provence oil, with half its Aveight of a solution of soda, of the specific gravity of 1.375, until they unite. Soap is decomposed by all the acids, earths, and earthy and metalline salts. The acids combine with the alkali and separate the oil. The earths form an insoluble earthy soap with the oil, and separate the alkali; while Avith the salts there is a mutual decomposition, their acid combines Avith the alkali, and earthy, or metalline soaps are formed. The detergent property of soap, or the poAver it pos- sesses of rendering oily and resinous substances miscible Avith water, has given rise to very erroneous notions of its medical virtues. It Avas supposed to render such sub- stances more readily soluble in the juices of the stomach, and in the fluids of the body, and to be well fitted for dissolving such oily and unctuous matters as it may meet with in the body, attenuating viscid juices, opening ob- structions of the viscera, and deterging all the vessels it passes through. It has likeAvise been supposed a poAverful menstruum for the urinary calculus; and a solution of soap in lime Avater, has been considered as one of the strongest dis- solvents that can be taken with safety into the stomach; for the virtue of this composition has been thought con- siderably greater than the aggregate of the dissolving powers of the soap and lime water when unmixed. How.erroneous these ideas are, appears evidently, when we recollect the very easy decomposition of soap, AvhicU MATERIA MEDICA. 335 renders it perfectly impossible that it should enter the circulating system, or indeed come into contact with the fluids even of the mouth, without being decomposed. As to the solution of soap in lime water, Ave may observe, that it is only a clumsy Avay of exhibiting a solution of soda; for the soap is decomposed, an insoluble soap of lime is formed, and the soda remains in solution. The internal use of soap should therefore be confined, in our opinion, to the giving form to other substances Avhich arc not decomposed by it, and to decompose metallic poisons Avhen they have been taken into the stomach. For this last purpose^ a teacup full of a solution of soap, in four times its weight of Avater, may be drank every three or four minutes, until a sufficient quantity be taken. Applied externally, it is a very poAverful detergent, and combines the stimulating properties of the alkali with the lubricating nature of the oil. In this Avay it often proves a poAverful discutient, and an useful application to sprains and bruises. A weak solution of it in Avater forms an excellent injection in virulent gonorrhoea. Scilla Maritima. Squill. The root. The squill is a perennial bulbous rooted plant, Avhich grows wild on the sandy shores of Spain, Portugal, and the Levant. The best sea-onions ought to be sound, fresh, and to contain a viscous juice; they are nauseous, bitter, and, if much handled, arc so acrid as to ulcerate the skin. It is more commonly met Avith in the shops, in the form of dried scales, Avhich should be brittle, se- mipellucid, smooth, but marked with lines, and Avhen cheAved, should feel tenacious, and taste very bitter, Avith- out manifest acrimony. The active constituent of the squill is the acrid prin- ciple; and, therefore, it becomes almost inert by drying, or by being kept too long in the form of powder. The squill is a powerful stimulant, promoting the discharge of urine; and if the patient be kept warm, a profuse perspiration. It is chiefly employed in cases Avhere the organs of perspiration are clogged, or oppressed with mucus. When combined with nitre, in the proportion of from five to ten grains of the dried root, with a double quanti- ty of nitre, it has been greatly extolled for its efficacy in dropsical sAvcllings, and in inflammation of the kidneys. 336 MATERIA MEDIC V. If the squill be taken in a large dose, it operates as an emetic; and, in some persons, as a piirgativc. In some eases it produces even strangury, bloody urine, inflam- mation, and erosion of the stomach. In smaller doses, however, it proves an useful expectorant and diurrtir, and is peculiarly serviceable in phlegmatic habits, where the lungs are oppressed with viscid matter. The dose of squill is one or two grains, two or three times a-day; and the most commodious form, unless when designed as an emetic, is that of a bolus, or pill: though Avhen mixed with honey into an oxymel, it affords an use ful medicine in obstinate coughs. Scutellaria Laterifloea. Blue Scull-cap. Hooded Willow Herb. The plant. The Scutellaria is perennial, of Avhich there arc nume- rous species indigenous to the United States. The plant is found in great abundance on the banks of rivers and the borders of ponds; flowering in July or August. The stem is square, branched, and attains the height of from one to three feet. The leaves are opposite, narrow- pointed, on long foot stalks. The racemes are axillary and lateral, bearing small violet coloured blossoms, in- termixed Avith small leaves. The calyx is hooded, or helmet-formed, from Avhenee originated the generic name of Scull-cap or Scutellaria. It is iioav introduced here on account of its recently reputed efficacy as an antidote against the effects of canine madness. Should this plant ultimately prove a successful remedy for a disease so truly deplorable in its nature, and destructive in its con- sequences, no encomiums can surpass its merit even if re- corded in letters of gold. The remedy was for many years a secret, in the possession of a family by the name of LeAvis, in West Chester county, and in 1809 it Avas pro- mulgated by Mr. R. Bowne, of Ncav York, accompanied with strong evidence in favour of its antidotal powers. To the publication of Mr. B. [Med. Repos. Hexade 3. Vol. 2. No. 3.] Avas annexed an accurate engraving of this species of Scutellaria, yet in his description he erroneous- ly attached to it a specific name belonging to a different species, the Scutellaria Galericulata. This last species is to be distinguished by its axillary flowers in pairs, on pedicles from the ake of the leaves, and pendulous. With regard to the anti-rabid virtues of Scutellaria, it MATERIA MEDICA. 337 is to be observed, that subsequent to its promulgation, it has been investigated and tested by practical experiment, so far as opportunity and the nature of the subject per- mit. A mass of evidence in favour of its efficacy may be found in a production entitled, " Observations on Hydro- phobia," lately published by the compiler of this work. As, however, it is still doubtful, and yet desirable to have the fact clearly ascertained how far this plant is entitled to the character of a specific preventative of hydropho- bia, every humane person must consider himself war- ranted in resorting to the use of it on any occasion Avhich may offer, either of alleviating the misery and distress of mankind, or of arresting the devastation among the brute creation. This remedy is to be given in the form of strong infu- sion of the leaves every morning, fasting, and to be con- tinued for several Avecks. For cattle it may be mixed with their food or drink. Secale Cornutum. Ergot, or Spurred Rye. Rye is subject to a disease, particularly Avhen a hot summer succeeds a rainy spring : the spurious substance thus produced is in France called ergot, from its resem- olance to a cock's spur, but in England it is termed horn- ed rye, spur, or hornseed. In Cullen's Materia Medica it is termed secale cornutum. Bread made of this kind of rye has a nauseous acrid taste, and produces numerous fatal diseases, as spasm, extreme debility, and mortifica- tion of the extremities. At various periods subsequent to the year 1596, the most alarming and destructive con- sequences Avere occasioned among the poor in France and England, by the use of bread made of such damaged grain. Horned rye is said to have been equally fatal to brutes and foAvls, when fed with it by Avay of experiment. Rye is affected Avith the disease in this country similar to that in Europe, particulaiiy summer rye, in low, wet situations. 7 he singular production called ergot, is found projecting from among the leaves of the spike, .or ear; it is a long crooked excrescence, resembling the spur of a cock, pointed at its extremities, of a dark brown colour externally, and white Avithin. Some spikes are occupied wholly by spurs, while others have two or three only, interspersed with genuine seeds of rye. 43 338 materia medica. The medicinal properties of this extraordinary sub- stance Avere first announced to the public by Dr. John Stearns, of Saratoga county, in a letter to Dr. Akei ly, of NeAV York, in which the article is extolled for its powers, ad partum accelerandum. It is noAV satisfactorily ascer- tained, that ergot is capable of exerting a specific action on the uterus, and of augmenting the powers of this or- gan during the efforts of parturition. Hence, in lingering and laborious cases it is found to be an invaluable medi- cine, speedily inducing forcible pains, and greatly expedit- ingdelivery. For obvious reasons, hoAvever, it isproperto caution against employing this poAverful parturient in cases of preternatural presentation. In the form of poAvder,it is given from five to ten or fifteen grains; but it has sometimes been found more active in the form of decoc- tion, half a drachm of the powder being gently boiled in half a pint of Avater; one third may be given every twenty minutes, until proper pains shall have commenced. A large dose of decoction, or of pulvis ad partum accekran- dum will excite nausea and vomiting. No example of ergot having induced deleterious effects, has come to our knowledge; but there is much reason to suppose that it is capable of producing abortion at any stage of preg- nancy. We have iioav the satisfaction of deriving instruction on this subject from the experience of some practitioners of eminence in our own metropolis. A writer in the New England Medical Journal, No. I. Vol. I, asserts that it has not appeared to relax the rigidity of the mus- cular fibres, " but it has almost uniformly increased the efforts of the uterus to expel the foetus." And also, that occasions have occurred, authorizing a caution of the highest importance in practice. The powerful and con- tinued efforts of the Rterus, from the effects of ergot, prevent the retreat of the child's head after being ad- vanced, and that the unceasing pressure has in some instances occasioned the death of the child. Let this circumstance, therefore, have its due effect, and induce the utmost precaution in the administration of this pow- erful article. In one case of amenorrhea, Dr. Beck- man administered one drachm of ergot in decoction; bearing down pains immediately ensued, and the suppres- sion Avas the next day removed. It has been successfully employed, on similar occasions, by other practitioners. HoAvever extraordinary it may appear, the assertion is from the most creditable source, that ergot has often materia medica. 339 proved one of the most efficacious remedies in monorrha- gia in all its stages; and moreover, it restrains in a re- markable manner the profusio uterina following the sepa- ration of the placenta in parturition. In two instances ergot is stated to have been adminis- tered in considerable quantities during the early stage of pre •»■ nancy. In one case, about four drachms were taken witiiiii a few days; the consequence was regular pressing down pains, resembling the severest throes of parturi- tion ; and these recurred with every repetition of the medicine, yet on examination, the os uteri was not much dilated. In neither case was the natural term of gesta- tion interrupted by the operation of the medicine. The fact has long been known among our farmers, that rye itself possesses a quality of inducing abortion in females of the animal tribe, and they carefully withhold that grain from such, during their periods of gestation. Sesamum Ouientale. Oily Grain. Benne. The leaves aud seeds. This originally an African plant has become well known by the name of benne in South Carolina and Geor- gia, or the Vangloe of the West Indies. It is an annual plant, rising with an herbaceous four cornered stalk, two feet high, sending out a feAV short side branches ; the leaves are oblong, oval, a little hairy, and stand opposite. The flowers terminate the stalk in loose spikes ; they are small, of a dirty white colour, shaped somewhat like those of foxglove. After the flowers are past, germen turns to an oval acute pointed capsula, with four cells filled Avith oval compressed seeds, which ripen in autumn. Of late years the seeds have been introduced into the states of Georgia and South Carolina, by the African negroes, Avhere the plant succeeds extremely well; and they boil a handful of the seeds Avith their allowance of Indian corn, which forms a nourishing food. But the excellency of these seeds, consists in their yielding a larger propor- tion of oil than any other vegetable Avith which Ave are acquainted. One hundred weight of seed will produce ninety pounds of oil of an equal and even pref Table qua- lity to Florence oil. It will keen good many years with- out contracting any rancid smeil or taste, and when the warm taste of the seed, discovered in the oil when first drawn, is worn off, it becomes quite mild, and is found to 3A0 MATERIA MEDICA. be a pleasant and agreeable substitute for all the purpose* of salad oil. The benne oil in some parts of the southern states is esteemed as a gentle laxative, in those cases where the more nauseous castor oil is usually employed. It also burns Avell in lamps. The leaves of this plant by infusion or decoction are found to afford an excellent mu- cilage ; Avell adapted to all the intentions of that class of remedies, and in 1803, Avas used with the most marked good effect, in an epidemic dysentery in South Carolina. Considering, therefore, the great utility and importance of the benne plant, its cultivation by our patriotic plant- ers cannot be too strongly recommended. Sinapis Alua. While Mustard. ^ Sinapis Nigra. Black or common Mustard. J Tne seeds* These plants are both annual, both grow wild in Eng- land, and possess similar virtues. They produce small round compressed seeds, Avhich have an acrid bitterish. taste, and a pungent smell Avhen reduced to powder. The common mustard has blackish seeds, and is more pungent than the white. They impart their taste and smell in perfection to aqueous liquors, Avhile rectified spirit ex- tracts extremely little of either : The Avhole of the pun- gency arises Avith water in distillation. Committed to the press, they yield a considerable quantity of a soft insi- pid oil, perfectly void of acrimony; the cake left after the expression, is more pungent than the mustard itself. The imported mustard, so common at tables, and wliich is generally prefered to our own, is the pulverized seed of the black species; the difference consists only in the preparation of the powder. The seeds unbruised are frequently given in palsies and chronic rheumatisms, and are found beneficial. They may be taken in the quantity of a table spoonful or more, and will gently relax the bowels. Rheumatic pains in the stomaeh are often relieved by taking them in brandy. The powdered seeds, with crumbs of bread and vinegar, are made into cataplasms, and applied to the soles of the feet in fevers, when stimulants are necessary. They are also topically applied in fixed rheumatic and sciatic pains. Dr. Withering says, wherever we want a strong stimu- lus, that acts upon the nervous system without exciting much heat, we know none preferable to the mustard seed. An infusion of the seed, given in large quantities, vomits; MATERIA medica. 341 but, in smaller doses, operates as an aperient and diu- retic. Mustard whey, with wine, is used as a drink in fevers. Its acrimony is said to consist in an essential oil. Mustard whey is made by boiling one and half ounce of the bruised seeds in a pint of milk, and as much water, till the curd be perfectly separated. This is perhaps the most elegant form in Avhich mustard can be exhibit- ed. A little sugar may he added, and an ordinary tea- cup full given four or five times a day in eases of Ioav nervous fever, greatly Avarms and invigorates the habit, and promotes the different secretions. Smilax Sarsaparilla. Sarsaparilla. The root. This root is brought from the Spanish West Indies. It consists of a great number of long strings hanging from one head: the long roots, the only parts made use of, are of a blackish colour, on the outside, and Avhite within, about the thickness of a goose quill. They have a glutinous, bitterish, not ungrateful taste, and no smell. It was first brought into Europe by the Spaniards, about the year 1563, with the character of being a specific for the cure of the lues venerea, a disease which made its appearance a little before that time; and likewise of several obstinate chronic diseases. It has been combined Avith sassafras, guaiacum, liquorice, and other substances, in a decoction of the woods. It is, Iioav- ever, a very inert, mucilaginous substance; and the dia- phoresis, Avhich it is sometimes supposed to produce, is entirely OAving to the warm and diluent regimen employ- ed at the same time. Sarsaparilla is found in abundance in the vicinity of the Ohio river. Solanum Dulcamara. Bitter Sweet. Woody Night Shade. The twigs. This plant grows wild in moist hedges; has Avoody, brittle stalks, and climbs on the bushes. But if there be no shrubs in their vicinity, the shoots creep along the ground, and frequently strike new roots. It floAvers in the months of June and July. The taste of the tAvigs and roots, as the name of the plant expresses it, is both biiter and sweet; the bitterness being first perceived, and the SAveetness afterAvards. The dulcamaru Avas formeiiy much esteemed as a powerful medicine. It is generally said te occasion some 3i2 MATERIA MEDICA. considerable evacuation by say cat, urine, or stool, particu- larly the latter. It has been recommended as a discu- tient and resolvent medicine ; and it has been said to have been attended with good effects in obstinate cutaneous diseases of the herpetic kind. It has also been used, and sometimes Avith advantage, in cases of rheumatism, jaun- dice, and obstructed menstruation. The twigs are principally employed under the form of watery infusion, in doses of two teaeupfuls, morning and evening. Dr. Hill has found it very efficacious in the asthma, Sophora Tinctoria. I Ann. ~\ Wild Indigo. Indigo Podalyria Tinctoria. Mich.) Weed. The root and plant. This vegetable is indigenous, and supposed to be ex- clusively American. In Dr. Cutler's catalogue it is called Indigo fera, and it is sometimes known by the name of broom, but more commonly Indigo weed. It is perennial, growing in great abundance in almost every barren pasture and in woods. The stalk rises to two feet or more, sending off numerous branches. The leaves are small, ternate, inversely heart shaped, and ses- sile. In July and August all its branches display, but- terfly shaped, golden coloured blossoms, which render the plant xery conspicuous. The seed vessels are inflated, containing numerous seeds. The root is ligneous, rough, and irregular in shape, of a dark brown colour externally, and sending off many long slender branches. Its taste is unpleasant, subacrid, and nauseous, very similar to that of ipecacuan. The particular medical properties of indi- go weed are yet to be ascertained; that it possesses great activity is unquestionably true; those who in the spring season have made the young shoots a substitute for aspa- ragus experienced its drastic evacuating poAvers. In the hands of some physicians it is found to operate in a large dose, with much severity as an emetic and cathartic. But a weak decoction of the root has frequently been given Avith the effect only of a mild laxative. A decoc- tion of the bark of the root has, it is said, been made known by an empiric experienced in its use, as a remedy in scarlatina anginosa, and its employment has been ex- tended in a few jnstances to typhus or putrid fever with such good effect as to encourage farther trials. An MATERIA MEDICA. 3*3 experienced physician considers it as an excellent anti- septic and febrifuge, prefering it in some fevers to Peru- vian bark. As an external application, its antiseptic qualities ought to be more extensively known. In the form of fomentation or cataplasm, it has proved eminent- ly beneficial when applied to phagedenic and gangrenous ulcers, especially if the decoction be administered inter- nally at the same time. A liniment prepared by simmering the cortical part of the root in cream, has been found an efficacious applica- tion to sore nipples and ulcerated breasts. A violet or pale blue colour has been prepared from the leaves and small branches of this plant, and used as a substitute for indigo. The leaves turn black Avhen dried. Spigelia Marilandica. Carolina Pink. The root. This plant is perennial, and grows wild in most of our southern states. The roots are celebrated as an anthel- mintic, particularly for the expulsion of himbrici from the alimentary canal. Every part is possessed of the anthelmintic property, though the root is most active. It is commonly administered in the form of infusion; an emetic is generally premised, and its purgative effect as- sisted by some suitable addition, as senna or jalap. By some the poAvdered root is directed in doses often or fif- teen grains; Avhile others prescribe it in drachm doses. But it should be observed that according to the late Dr. Lining, of Charleston, when exhibited in large doses, and without proper precautions, it sometimes produces very singular and distressing effects upon the nervous system, such as vertigo, pains over the eyes, and dilated pupil. As a vermifuge, spigelia has acquired a superior confi- dence, and it often affords relief and effects a cure, in cases where no Avorms are discharged. It is supposed by Dr. Barton, that it will be found highly useful in some febrile diseases of children, unaccompanied by worms, especially in the insidious remittent Avhich so frequently lays the foundation of dropsy of the brain. SriRiEA Trifoliata. Indian Physic. Ipecacuan, &c. The root. This shrub groAvs plentifully in the United States, and is one of the few active plants of the 'elass icosaudria. 3ii MATERIA MEDICA. The root, the part employed, consists, like that of th* officinal Ipecacuan, of a bark, and woody part. The active povver seems to reside exclusively in the bark. It is a safe and efficacious emetic, in doses of about thirty grains. It also seems to possess a tonic power, and has accordingly been thought peculiarly beneficial in inter- mittent fevers. It is sometimes very injudiciously em- ployed by the country people, insomuch that they are obliged to apply for medical aid, to remove the debility induced by the large doses of the root which they employ. Another species, it is said, grows in Kentucky, which is still more valuable as an emetic, than the one under notice. Spongia Officinalis. Sponge. Sponge is principally found in the Mediterranean and Red Seas. It was long supposed to be a vegetable pro- duction, but is iioav universally allowed to belong to that remarkable class of animals called Zoophytes, Avhich are negatively characterized by Cuvier, as having no verte- brae, no sanguiferous vessels, no spinal marrow, and no articulated limbs. Sponge is a soft, light, very porous and compressible substance, which readily imbibes water. It is of exten- sive utility in domestic economy, medicine, and surgery. As it strongly adheres to the orifices of wounded vessels, it is advantageously employed as a styptic; often prevent- ing the effusion of blood more effectually than the puff ball or agaric. From its property of imbibing and distending by mois- ture, it is sometimes made use of as a tent for dilating wounds and ulcers. To fit it for these intentions, the sponge is immersed in melted wax, aud subjected to pres- sure till oool. In this state it may be easily formed into proper tents, so as to be introduced where necessary. And from the gradual melting of the wax in consequence of the heat of the part, a dilatation of course takes place. Spohgc, cut in pieces, and burnt in a close iron vessel, till it become black and friable, and afterwards reduced to a very fine powder, has been successfully administered internally, in scrofulous complaints and cutaneous disea- ses, in doses of one scruple and upAvards; it is also con- sidered as a specific, on account of its efficacy in removing the glandular sAvellings of the neck, knoAvn under the name of bronchocele. But the virtues of burnt sponge MATERIA MEDICA. 3A5 probalffy depend on the presence of a little alkali. It also contains charcoal; and its use may be entirely su- perseded by these substances, which may be obtained in other Avays, and at a much cheaper rate. If sponge be cut in small pieces, fried, or dipped in honey, or salt butter, and given to rats, it distends their bowels, and effectually destroys those animals. Stannum. Tin. The filings and powder. Tin is one of the imperfect metals, and is found most frequently mixed with other metallic ores. It is now only used as an anthelmintic, especially in cases of tamia, and probably acts mechanically. Tin is reduced to powder, consisting of small rounded particles, by heating it nearly to its melting point, and agitating it briskly. This poAvder is often employed as a remedy against Avorins, particularly the flat kind, which too often elude the force of other medicines. The gene- ral dose is from a scruple to a drachm ; but Dr. Alston assures us, in the Edinburgh Essays, that its success depends on its being given in much larger quantities. lie directs an ounce of the powder on an empty stomach, mixed with four ounces of molasses; next day, half an ounce; and the day folloAving, half an ounce more; after which, a cathartic is administered. He says the worms are usually voided during the operation of the purge, but that pains of the stomach occasioned by them, are re- moved almost immediately upon the first dose of the tin. This practice is sometimes successful in the expulsion of tsenia, but by no means so frequently as Dr. Alston's observations would lead us to hope. Statice Ltmonium. Marsh Rosemary. Lavender Thrift. Sea Lavender. The root. This is well known in the New England States. It is indigenous and perennial, growing on the sea shore, iu salt marshes ; and the fissures or clifts of rocks near the sea coaste it is in flower from July to September. The stem is naked, branched, and about a foot high. The radical leaves are long, pointed, and grow on foot stalks. The flowers are blue, and grow on long' spikes on the tops of the branches. The roots of this plant are powerful- ly astringent, A decoction of tkeui is given and used as a 3i€ MATERIA MEDICA. gargle with success in cankers and ulcerated sore throats. We learn from an authentic source, that the late Dr. Hews, of Providence, held the root of this plant in high estimation in cases of aphthous states of fever accompa- nying dysentery, ulcerous sore throats, or scarlatina an- ginosa. He valued it as the greatest antiseptic he was acquainted with, and said be could administer it in cases Avhere the bark Avas inadmissible. Dr. William Baylies, of Dighton, in a communication to the Massachusetts Medical Society, makes favourable mention of this root from his experience in the ulcerated sore throat, as it appealed in that toAvn in 1785 and 1786. This judicious physician observes, " Among the many medicines in high estimation with the common people, and used by them without the advice of the physician, I know of none worth the least consideration, excepting the marsh-rosemary, or, as it is commonly called, marsh root. This in a large dose operates as a vomit; in a smaller, proves a powerful expectorant; and from its sensible qualities, one would suppose it to possess considerable antiseptic powers. I am well assured it was the basis of a medicine used by a physician in Providence, with very great success in this complaint. It is undoubtedly of great efficacy, and deserves a more thorough investigation." Styrax Benzoin. Benjamin Tree. The balsam, called benzoin. This balsam, obtained by exudation, is in brittle mas- ses composed of brown and white fragments; its smell is fragrant; it has little taste. It consists almost wholly of resin, and is therefore nearly entirely soluble in alcohol. It likewise contains a portion of a peculiar acid, which, as it exists in greater quantity in it than in any other vegetable matter, is named acid of benzoin (flowers of benzoin). It is obtained from it by sublimation; is in white, brilliant scales ; retains the flavour of the benzoin; and, with acidity, has also a degree of pungency. Ben- zoin is rarely employed in medicine: its acid is used as an expectorant in asthma, in a dose of ten or fifteen grains, but it is probably a medicine of little poAver. It enters into the composition of the ammoniated and cam- phorated tinctures of opium. Storax resembles benzoin in its virtues. It Avas for- merly used as an expectorant, but is now little regarded. materia medica. 347 Sub Acetis Cupri. Sub Acetite of Copper. JErugo. Verdcgris. This substance is a kind of rust of copper, prepared by ©orroding the metal with vinegar. It is rarely employed internally, but being the basis of an empirical preventa- tive of hydrophobia, the author of it asserts, that he is in the practice of giving not less than one hundred and eighty grains conjoined with half an ounce of calomel for one dose. And according to Dr. Parr, four drachms of this very active substance have been swallowed without any other inconvenience than the present vomiting, yet in smaller doses it excites the most violent symptoms, and often proves fatal. Applied externally it proves a mild escharotic, aud is employed advantageously to callous edges, and fungous flesh in wounds, and to scorbutic ulcers of the mouth, and deserves to be tried in cancerous sores. Verdcgris has been successfully applied to incipient chan- cres ; by its acting as a caustic, and completely destroying the diseased surface. Equal parts of verdegris and pow- dered savine will effectually remove warts and other ex- crescences from the skin, and the same compound is the best application to promote the discharge from issues. Sub Boras Sodje. Sub Borate of Soda. Borax. This salt, consisting of boracic acid, united Avith soda, (the soda being slightly in excess) is brought from Thibet, where it is found in a native state. It is purified in Eu- rope by crystalization; its taste is cool; it is soluble in eighteen parts of cold and six of hot Avater. It is decom- posed by several of the acids. The medicinal virtues of borax have not been suffici- ently ascertained by experience; it is supposed to be, in doses of half a drachin or two scruples, diuretic, emme- nagogue, and a promoter of delivery. A solution of borax in water, is the best of all applications, for healing aph- thous crusts, or the thrush in the mouths and fauces of children; or it maybe applied for the same purpose in the form of poAvder mixed Avith sugar. There is not perhaps a more balsamic, or useful application to sore nipples, or chopped lips and hands in winter, than a few grains of borax dissolved in warm water, with the addi- tion of a little pure honey*. There are strong reasons to 3*8 MATERIA MEDICA. believe, that the virtues of borax are much greater than they are in general supposed to be : and that it may be more extensively used with advantage. As an astringent gargle in cases of salivation by mercury, and in other affections of the mouth and throat, a mixture of borax with water and honey is undoubtedly superior to every. other. Succinum. Amber. This is a 9olid, brittle, bituminous substance, dug out of the earth, or found upon the sea shores; particularly along the coast of Polish Russia and Pomerania. It is of a white yelloAV, or broAvn colour; sometimes opaque, sometimes very clear and transparent* By distillation it affords a little acetous acid, an essential oil, and a pecu- liar acid, named from it, succinic. Amber is regarded only for the empyreumatie oil and acid obtained from it. Super Sulphas Alvmtsm et Potassjb. Super Sul- phate of Alumina and Potass. Alum. This is a salt composed chiefly of argillaceous earth and sulphuric acid, the acid being in excess. It likewise contains a smaller portion of potass, and frequently of ammonia. It is found in a native state, or is prepared by exposing alum ores, Avhich are native compounds of argillaceous earth and sulphur, to atmospheric air; the sulphur absorbing oxygen, forms sulphuric acid, Avhich unites with the argillaceous earth, and the formation of the alum is completed by the addition of potass or ammo- nia. It is then obtained pure by crystalization. This salt is in large transparent masses; it has a styp- tic taste, Avith a degree of sweetness. From the excess of its acid, it reddens the vegetable eolours. It is soluble in eighteen parts of cold, and in less than two of boil- ing water. The variety termed roche or rock alum (alum rupeum) has a reddish colour, from the presence of a portion of iron, but its other properties are the same as those of common alliim. Alum, from its astringent power, is employed to check hcemorrhagies and serous evacuations; it is thus given in menorrhagia, kucorrhcea, and diabetes. It has like- wise been used, though less frequently, in intermittent MATERIA medica. 3*9 fever, malignant small pox, and colica pictonum. Its dose is fro.i five to fifteen grains. The addition of an aromatic i > generally necessary, to prevent it from ex- citing nausea, when it is given in the solid form. The best form of administering it, hoAvever, is that of the alum whey, prepared by adding two drachms of powdered alum to a pint of hot milk ; the dose of this is three or four ounces. In uterine haemorrhage, and in diabetes, this whey taken to the quantity of three or four ounces, three times a day, has been attended with very favoura- ble effects. It is also used externally, in astringent and repellent lotions and collyria. But burnt alum taken internally, has been highly extolled in cases of colic. In such in- stances, Avhen taken to the extent of a scruple for a dose, it has been said gently to move the belly, and give very great relief from the severe pain. Burnt alum is applied externally, as a gentle escharotic, to fungous ulcers. Sulphas Baryta. Sulphate of Barytes. Ponderous Spar. This salt has been omitted in the list of the Materia Medica of the Edinburgh college ; but they afterwards employ it for the preparation of the muriate of barytes. It is found in great abundance in many countries, either in a loose earthy form, or compact, or foliated, or striat- ed, or acicular. The foliated is in general the purest. Heated to red- ness Avith charcoal, it is converted into a sulphuret, and it may be decomposed either by boiling, or in a crucible, with the carbonates of potass and of soda. It contains about eighty four of barytes, and sixteen of sulphuric acid and water. Sulphas Cupri. Sulphate of Copper. Blue Vitriol. This article is made by stratifying plates of copper with the sulphur; and, on slow combustion, the sulphu- ric acid corrodes the copper : the metal is then boiled in Avater, till the saline particles be dissolved; Avhen, after repeated solution, and subsequent evaporation, the Avhole is reduced to the chrystaline point. The sulphate of copper has a strong, styptic, metallic taste, and is chiefly used externally as an escharotio for 550 materia medica. destroying warts, callous edges, and fungous cxercseeu. ces, as a stimulant application to ill-conditioned ulcers, and as a styptic to bleeding surfaces. Taken internally* it operates, in very small doses, as a xery powerful eme- tic. Dr. Marryalt, an English physician, employed greatly to his satisfaction tiie vitriolum cupri as an eme- tic in phthisical cases. Dr. Senter, late of Newport, considered blue vitriol as one of the most safe and effica- cious emetics in the same disease, joined with ipecacuan, that the materia medica affords; and advises from seven to ten grains of each, made up into pills, to be taken in the morning, fasting, without drinking any thing after- wards. The good effects of this prescription is amply attested by Dr. Thomas, author of Modern Practice, who has adopted it in many cases of incipient phthisis pulmonalis with infinite advantage. When given alone, the dose is from three grains to ten or fifteen, dissolved in tAvo or three ounces of water. A vomiting is excited soon after it is received into the stomach, on whicii the patient may drink a pint of water. In phthisis pulmona- lis the emetic is directed to be given every second or third day; and the same medicine is recommended in intermittent fever and epilepsy. Sulphas Magnesije. Sulphate of Magnesia. Sal Catharticus,Amarus. Epsom Salt. This salt is found in mineral waters, Avhence it has been extracted, but is at present principally prepared by art, from the liquor remaining after the crystalization of muriate of soda (sea salt) from sea water, which holds a quantity of muriate of magnesia dissolved. It is com- monly in needle-like crystals, and deliquescent; but when pure, it forms large, regular crystals, which are rather efflorescent. They are soluble in nearly an equal Aveight of Avater. Their taste is extremely bitter. This salt is used as a purgative, in a dose of an ounce or more, dissolved in a large quantity of Avater. Though its taste is bitter, it has been remarked, that it remains better on the stomach than many other cathartics, espe- cially when given in small repeated doses. Exhibited in this manner, it has been particularly recommended in ileus and colica pictonum. It is a mild and gentle pur- gative, operating Avith sufficient efficacy, and in general, Avith ease and safety, rarely occasioning any gripes, sick- MATERIA MEDICA. 351 ness, or the other inconveniences Avith which purgatives of the resinous kind are too often accompanied. Somo allege that this salt has a peculiar effect in allaying pain, as in colic, even independently of evacuation. Epsom salt may be manufactured from the bittern, or bitter water Avhich remains in the vats, after the crys- talization of common salts by evaporation. The Rev. Mr. E. Briggs, of Chatham, county of Barnstable, is probably the only person who has hitherto successfully attempted the manufacture of this domestic article. Ho deposits vessels containing the bitter water (leaden ves- sels are preferable) in a cellar, or other cool place, out of the influence of the sun; this salt will collect upon the bottoms and sides of them, in very considerable quanti- ties, baying the appearance of half melted snoAV: in this state it is to be laid aside until the weather becomes cold, and then crystalized afresh. The salt thus procured, is found to be genuine sulphas magnesice, and equal in qua- lity to any imported from Europe. Sulphur Suhlimatum. Sublimed Sulphur. Flowers of Sulphur. Sulphur is a simple, inflammable substance, found in nature nearly pure, and likewise in combination Avith several of the metals. The sulphur of commerce is the produce of volcanic countries. It is naturally mixed with earthy matter, from Avhich it is freed by sublimation. Pure sulphur is of a light yellow colour; is insipid; has a faint smell, Avhen rubbed or heated; is very fusible and volatile; and, when heated in atmospheric air, burns with a blue flame, and suffocating fumes. It is insoluble in water or alcohol, but is dissolved by oils, and combines with the alkalis, several of the earths, metals, and me- tallic oxides. Pure sulphur loosens the belly, and promotes insensi- ble perspiration : it seems to pass through the Avhole habit, and manifestly transpires through the pores of the skin, as appears from the sulphurous smell of persons who have taken it, and from silver in their pockets imbibing a blackish cast, whicii is the knoAvn effect of sulphurous fumes. It is a celebrated remedy against cutaneous diseases, both given internally, and externally applied. It has likewise been recommended in conghs, asthmas, and other disorders of the breast and lungs : and 352 MATERIA MEDICA. particularly in catarrhs of the chronic kind. But it ia probable, that the benefit derived from it in these cases, is principally, if not entirely, OAving to its operation as a gentle laxative. Aud with this intention it is frequently- used with great advantage in hemorrhoidal affections, and many other diseases in which it is proper to keep the belly gently open. The dose is two or three drachms, in honey or molasses. SfuLFHURETUM Antimonii. Sulphuret of Antimony. Antimony. Stibium. Antimony, in the modern nomenclature, is the name v given to a peculiar metal. This metal is found in nature, most abundantly combined with sulphur; and to this ore, the name of Antimony Avas once generally given. T© distinguish it from the pure metal, it is named Crude Antimony, or more properly, native sulphuret of antimo- ny, the simple name, antimonium stibium, being appro- priated to the metal itself. The native sulphuret is of a gray blue colour; has a shining surface, and striated texture. To free it from the earthy matters with whieh it is mixed, when dug from the earth, it is fused. Its lustre is greater, the more it is purified. The proportions of its principles are various; sometimes they are nearly equal; in other spe- cimens the quantity of metal is larger. The pure metal obtained from the ore, is of a silvery, white colour, and plated texture, moderately hard, and very brittle; easily fusible, and even volatilized by a heat not very intense; oxidized by exposure to the air at a temperature moderately increased; and when oxidized, capable of combining with the greater number of the acids. The antimonial metal is a medicine of the greatest power of any known substance; a quantity too minute to be sensible in the most delicate balance, is capable of producing violent effects, if taken dissolved, or in a solu- ble state. Sulphureted antimony was employed by the ancients in collyria, against inflammations of the eyes; and for staining the eyebrows black. Its internal uso does not seem to have been established till the end of the fifteenth century; and even at that time it was by many looked upon as poisonous. But experience has now fully evin- MATERIA MEDICA. 353 ced, that it has no noxious quality, being often used, par- ticularly in chronic eruptions; that some of its prepara- tions are medicines of great efficacy; and, that though many of them be most violently emetic and cathartic, yet even these by a slight alteration or addition, lose their virulence, and become mild in their operation. All the metallic preparations are uncertain, as it en- tirely depends on the state of the stomach, whether they have no action at all, or operate with dangerous violence. The sulphuret is exposed, though in a less degree, to the same objections. The preparations of antimony do not exert any gene- ral stimulant operation, but are ahvays directed in their action to particular parts, so as to occasion some sensible evacuation. The principal general medicinal application of antimo- ny has been for the cure of febrile affections. It is given so as to induce vomiting or purging, diaphoresis being also promoted; and, exhibited in this manner in the com- mencement of the disease, it has been considered capable of cutting short its progress. In the latter stage of fever, where debility prevails, its use is inadmissible. Its efficacy has been in general as- cribed to the evacuation it occasions: others have con- sidered it, apparently Avith little reason, as exerting an action specific or peculiar in itself, and not exphcable on the known effects it produces. Antimonials have been found to have the same good effects in intermittents as in continued fevers, as well as in several of the phlegmasia? and exanthemata; and even in several of the profluvia. The general effects of anti- monials are, in small doses, diaphoresis and nausea; in large doses, full vomiting and purging. Some allege that antimonials are of more use in fever Avhen they do not produce any sensible evacuation; as is said to be the case sometimes with James' powder. They therefore prefer this in typhus; and emetic tartar in synochus; in which there is the appearance at first of more activity in the system, and more apparent cause for evacuation. As an emetic, antimony is distinguished, for the certainty, ex- tent, and permanence of its operation. The action it excites in the stomach is both more forcible, and con- tinues for a longer time, than that from other emetics; an! hence, it produces more complete evacuation, and occasions in a greater degree all those effects which 35-i MATERIA MEDICA. result from the action of vomiting. Its action is also fc«,y local. It is very generally extended to the intestinal canal, so as to produce purging; and very frequently to the surface of the body, so as to occasion diaphoresis, or sAveat. The virtues of antimony in the diseases of animals, arc greatly extolled. Pigs, that have the measles, are at all times recovered by it, which proAcs it to be a great pu- rifier of the blood. Horses, Avhich have the running heels, and cannot be cured by the common methods, will generally be cured by this medicine, in a little time. A horse that is lean and scabby, and not to be fatted by any other means, will become fat on taking one drachm of erude antimony every morning for two months together. Super-Tartris Potassje. Super-Tartrite of Potass. Crystals of Tartar. Cream of Tartar. Super-Tartris Potassa Impurus. Impure Suycr- Tartrite of Potass. Tartar. Tartar is a concrete saline matter, which separates from Avines, after they have undergone complete fermen- tation : it adheres to the top and sides of the cask, in red, or whitish gray crystals, according to the colour of the liquor. In this state, it is called crude tartar; having a subacrid taste, and being with difficulty soluble in Avater. By repeated solution, filtration, and crystalization, crude tartar may be depurated, or divested of all gross and impure particles, Avhen it is called crystals of tartar; and, if these be reduced to powder, cream of tartar. This salt is a mild, cooling, aperient, and laxative medicine: if half, or a whole ounce of it be taken in substance, with treacle or any other vehicle, it proves an effectual purgative. Farther, when dissolved in water, it affords, Avith the addition of sugar, an agreeable acid- ulated drink. Avhich is of great service in ardent fevers; and likewise forms a pleasant beverage during the sum- mer. It is also to be regarded as a valuable diuretic. and, as one of those, most efficacious in the treatment of the dropsy. It is given under Iavo modes of exhibition, in Avhich its effects are someAvhat different. When given dissolved in a large quantity of water, to the extent ol four or six drachms in a day, it acts simply as a diuretic; Avhen given to the same extent, gradually increased, in materia medica. 355 ihe form of an electuary, without the free use of diluents, along with a more or less diuretic effect, it acts as a hy- dragogue cathartic. The latter is the more usual, and perhaps, more successful mode of exhibition. Swietenia Febrieuga. Swietenia. The bark. The bark of the wood of this tree is of a red colour internally; externally it is covered with a gray epidermis; it has an astringent bitter taste; it yields its active matter to water, by infusion or decoction, and by evaporation an extract is obtained, highly astringent. It Avas introduced as a substitute for Peruvian bark, and in India where the tree is a native, has been used as such with advantage. It has been ascertained by Dr. Roxburgh that it contains a much larger proportion of active, bitter, and astringent power, and to be more antiseptic than Peruvian bark. Its dose in substance is half a drachm. Swietenia Mahagony. Mahogany, The bark. This species of the same genus as the preceding, has similar qualities and Airtues, being equally bitter and as- tringent. It has therefore been received into the Edin- burgh Pharmacopoeia, and may be employed to answer similar indications. Tamarindus Ixdica. Tamarind Tree. The preserved fruit, called tamarinds. This tree grows both in the East and West Indies. The pod of the tree includes several large hard beans, Avith a brown viscid pulp, very acid. This pulp, mixed with the seeds and small fibres, and Avith a quantity of unrefined sugar, forms the tamarinds of the shops. Vau- quelin found it to contain, beside the sugar mixed witli it, citric and malic acids, acidulous tartrite of potass, free tartarous acid, gelatin, mucilage, and fibrous matter. The pulp of tamarinds, beside its virtues as an acid, proves laxative, when taken to the extent of an ounce and an half. It is generally added to other cathartics, which are given in the form of infusion, with the view of promoting their operation, and covering their taste. It increases the action of the purgative sweets, cassia, and manna, and weakens that of the resinous cathartics. 356 MATERIA MEDICA. By its acidity this fruit quenches thirst, and allaAs im- moderate beat. Tanacetum Vilgare. Common Tansy. The leaves and seeds. Tansy is an indigenous perennial growing by road sides and the borders of fields, and is also cultivated in gardens. Its yelloAV blossoms appear in August. This plant possesses a warm bitter taste ; it is deobstruent. not ungrateful to the palate, and some have bad a favourable opinion of it in hysteric disorders. The leaAcs and seeds have been of considerable esteem as anthelmintics, and are given in doses of from one scruple to one drachm. The leaves are frequently used to give colour and flavour to pudding. And if fresh meat be rubbed ay ith the plant, it will be effectually preserved from the attacks of the flesh fly. Toluifera Balsamum. Balsam of Tolu Tree. The balsam, called balsam of tolu. This tree grows in Spanish America, and the balsam fioAvs from incisions made in its bark, during the hot season; and is brought to us in gourd shells. It is of a yelloAvish broAvn colour, inclining to red: in consistence, thick and tenacious: by age it grows hard and brittle, without suffering any great loss from its more valuable parts. The smell of this balsam is extremely fragrant, SomeAvhat resembling that of lemons; its taste Avarm and sweetish. LeAvis says that he has sometimes procured benzoic acid from it; it yields very little volatile oil, although it impregnates the distilled Avater strongly with its flavour. By dissolving a proper quantity of sugar in this Avater, a syrup is obtained, greatly superior to that prepared in the common Avay, with a decoction of the balsam. This is the mildest of all the balsams. It has been esteemed as an expectorant, but its poAvers are very in- considerable, and it is employed principally on account of its flavour. It possesses, however, all the virtues of the other balsams, and is more fragrant than most of them. ✓*' MATERIA MEDICA. 357 Tormentilla Erecta. Septfoil. The root. Tornientil is perennial, and found wild in Avoods and on commons; it has long slender stalks, with usually scv ii long narrow leaves at a joint; the root is for the most p-irt crooked and knotty, of a blackish colour on the outside, and a reddish within. This root has an austere, styptic taste, accompanied with a slight kind of aromatic flavour; it is one of the most agreeable and efficacious of the vegetable astringents, and is employed Avith good effect in all cases where medicines of this kind are proper. It has been used in diarrhoea, under the form of decoc- . tion, and in intermittent fever in substance, in a dose from half a drachm to a drachm. Triticum jEstivum. Wheat. The flour and starch prepared from the seeds. Wheat flour consists principally of gluten, starch, al- bumen, and a sweet mucilage. It is the presence of glu- ten that characterises wheat flour; and on the due ad- mixture of it with the other constituents, depends the superiority of Avheat flour for baking bread. Bread is not only one of the most important articles of nourish- ment, but is also employed in pharmacy' for making cataplasms, and giving form to more active articles. An infusion of toasted bread has a deep colour aisd pleasant restringent taste ; and is an excellent drink in febrile diseases, and in nausea and debility of the stomac • ,* and also in cholera morbus: examples are related of several cases of this kind cured by it, without the aid of any other medicine. Starch, the fecula of wheat, forms a gelatinous solu- tion when boiled with Avater, Avhich is used as a demul- cent. It is thus given as an enema in dysentery and diar- rhoea, from irritation of the intestines, and is the com- mon vehicle for giving opium in that form. Tussilago Farfara. Coltsfoot, The leaves and flowers. This grows Avild in moist situations, producing yelloAV flowers in February and March : these soon fall off, and are succeeded by large, roundish leaves, hairy under- 358 MATERIA MEDICA. neath; their taste is herbaceous, somewhat glutinous and subacrid. It is recommended in coughs, phthisis, and other disorders of the breast and lungs, and some use if in scrofula. It is chiefly directed to be taken with milk. and upon this, probably, more than on the tussihigo itself, any benefit derived from it in practice is to be ex- plained. Ulmus Americana. American Elm. The inner bark. We have two species of ulmus or elm in the United States. The red or slippery elm, or American rough leaved elm of Marshal, (ulmus rubra of Mulenburgh) on account of its many valuable properties, deserves par- ticular mention. It rises to the height of thirty feet, with a pretty strong trunk, dividing into many branches, and covered Avith a light coloured rough bark. The leaves are oblong, oval, and sharp pointed, unequally saAved on their edges, unequal at the base, xery rough on their upper surface, and hairy underneath. The flowers are produced thick upon the branches, upon short, col- lected foot stalks, and are succeeded by oval, compressed membraneous seed vessels, with entire margins, contain- ing one oval compressed seed. The inner bark, by infu- sion or gentle boiling in Avater, affords a great quantity of insipid mucous substance, that is applicable to a vari- ety of important uses. Dr. Mitchell says it has been be- neficially administered in catarrhs, pleurisies, and quin- sies ; it has been applied as a poultice to tumors, and as a liniment to chops and festers. [Letter to Dr. North, Amer. Museum, vol. 7th.] The surgeons of our revolutionary army, and also those of general Wayne's army, who defeated the Indians in August 179-i, experienced the most happy effects from the application of poultices of the elm bark to gun shot wounds, which Avere soon brought to a good suppuration, and to a disposition to heal. It Avas applied as the first remedy. Vvhen tendency to mortification Avas evident, this bark bruised, and boiled in water, produced the most surprising good effects. After repeated comparative ex- periments Avith other emollient applications, as milk and bread, and linseed poultice, its superiority Avas firinlv established. In old ill-conditioned ulcers, and in fresh burns, equal benefit was derived from it. The infusion of the bark avus used Avith advantage as a diet drink, in MATERIA MEDICA. 35i> pleurisy, and catarrh, and also in diarrhoea and dysen- tery. Many of the above facts relative to the medicinal qualities of the red elm, were communicated, says the editor of the Domestic Encyclopaedia, by Dr. Joseph Strong, of Philadelphia, who served as surgeon in the Avestern army; and adds, as a proof of the nutriment Avfiich it affords, that a soldier ayIio lost his way support- ed himself for ten days upon this mucilage and sassafras. The editor of the above mentioned work, (vol. 2d, p. 448) proceeds to observe, that the red elm tree may be consi- dered as a highly valuable addition to our stock of medi- cines, exclusively American, and ought to be carefully searched for by the medical gentlemen in the country, and preserved from the indiscriminate axe. The inner bark of the slippery elm, or its mucilage, has been found by recent experience to be singularly be- neficial Avhen applied to chilblains, cutaneous eruptions, and various kinds of sores and ulcers ; and there is much reason to believe, that its internal use in dysentery, con- sumption, ke. may be attended with greater advantage than is generally imagined. This tree certainly may be recommended to the particular regard of medical practi- tioners as a neAV, and domestic article of our Materia Medica, whose medicinal virtues will probably be found to merit a large share of confidence. Urtica Dioica. Common Nettle. The plant. This is a well known perennial Aveed. The leaves of the fresh plant stimulate, inflame, and raise blisters on the part of the ski?i which they touch. Hence, when a powerful rubefacient is required, stinging with nettles has been recommended. It has been said, sometimes to have suc- ceeded in restoring sense and motion to paralytic limbs. M. Zannetini, in Italy, asserts, that the flowers and seeds of the co union nettle, may, with efficacy be substituted for the Peruvian bark, in all febrile affections, especially in tertian and quartern agues. It operates more speedily than the bark; and hi large doses, induces a lethargic sleep; the portion to be given should never exceed one drachm, and should be administered in wine, two or three times in twenty-four hours. The same cautions that are necessary in the use of Peruvian bark, arc like- wise to be observed in taking the seeds and .lowers of the nettle. 360 MATERIA MEDICA. Valeriana Officinalis. Wild Valerian. The root. This plant is perennial, and grows wild in England. The root, which is the part used in medicine, consists of a number of slender fibres matted together, and attached to one head, of a brown colour, having a strong and un- pleasant smell, and a warm bitter taste. Its active af- ter is extracted equally by water and by alcoliol. Its infusion changes colour, on the addition of sulphate of iron. By distillation, water is impregnated with its ila- vour, but not with its taste. No essential oil is obtained. Valerian is one of the principal modern antispasmo- dics, and is used with advantage in chorea, epilepsy, and hemicrania. Some recommend it as useful in procuring sleep, particularly in fever, even when opium fails; but it is principally useful in nervous and hysterical affec- tions. The common dose is from a scruple to a drachm in powder; and in infusion, from one, to tAvo drachms, three or four times in the day, Avhich is increased gra- dually, as far as the stomach can bear it. Its unpleasant flavour is most effectually covered by a suitable addition of maee. Valerian is lately found in abundance on the borders of the Ohio river, not inferior to that imported from Europe. Veratrum Album. White Hellebore. Poke Root. Indian Poke. The root. This perennial plant groAvs in wet meadows and swampy places, often locally associated with scunk cab- bage, which, early in the spring season it considerably resembles in appearance ; the latter plant, hoAvever, has no stalk, while the hellebore sends forth one Avhich at- tains to the height of two or three fec-t, terminating in .fund in a spike of flowers and seeds. The leaves are large and handsomely plaited. The root is bulbous, and when fresh has a nauseous, bitterish, acrid taste, burning (he mouth and fauces. Snuffed up the nostrils in very small quantities, it excites violent sneezing, with a sense of heat and a copious discharge of mucus. The fresh root, in form of ointment or decoction, cures the itch. Crows arc destroyed by boiling Indian corn in a strong decoction of the roofs, and strewing it on the ground where these birds resort. The root when dried has no MATERIA MEDICA. 361 particular smell, but a durable nauseous and bitter taste, and Avhen powdered and applied to issues or ulcers, is said to produce griping and purging. Taken internally, it acts with extreme violence as an emetic and cathartic, and even in a small dose, has occasioned spasms, convul- sions, and fatal consequences. The ancients sometimes employed this as a remedy in obstinate maniacal cases, and it is said, with success; but it has scarcely been re- garded in modern practice. The American species very probably possesses all the properties of the foreign offici- nal root. It is undoubtedly a plant of highly active pow- ers, meriting a particular investigation as an article of our Materia Medica. In fact, a neAV interest has lately been excited both in Europe and the United States, rela- tive to the properties of white hellebore. It is even supposed to be the basis of the French specific remedy, called Eau Medicinale d'Husson, so highly famed for its almost infallible poAvers in the cure of gout, as to command the enormous price of from one to tAvo croAvns a dose. This remedy was discovered about forty years ago, by M. Hus- son, a French officer, Avho affirms it to be prepared from a plant whose virtues Avere before unknown in medicine ; and it has long been celebrated in France and other parts of the European continent. Dr. Edwin G. Jones, member of the Royal College of Physicians, London, after a thorough investigation of the subject, has, in a late publication, adduced the most une- quivocal evidence of the superior powers of the Eau Me- dicinale, in curing the most distressing paroxysms of gout. His experience of its efficacy has been extensive, and among the numerous and remarkable instances to wliich he refers, are persons of distinguished rank and respectability, and whose cases were marked with symp- toms of extreme severity. We have therefore the autho- rity of Dr. Jones to assert, that this singular remedy exerts an extraordinary influence over the gout; and that it Avill safely, and almost immediately remove, often by a single dose, the severest paroxysms of that cruel disease, is sufficiently ascertained by a multitude of facts, col- lected from various sources of unquestionable authenti- city. Scarcely an instance of its failure has yet been knoAvn to occur in practice. It is not, hoAvever, asserted., that it perforins a radical cure of gout, eliminating the disease altogether from the system, but its operation is different from that of any remedy hitherto employed, it 46 362 MATERIA MEDICA. removes the paroxysms as often and almost as soon as they occur. It in fact relieves the patient from agonizing pain, from all the miseries of long confinement, and re- stores him to his usual state of health, and the exercise of his limbs. It appears to be a powerful sedative, dimi- nishing almost immediately the irritability of the system. Hence it allays pain, procures rest and sleep, reduces the pulse and abates fever. This remedy has been extended to other diseases, and in several cases it has removed very severe acute rheu- matisms in the same singular manner it does the gout.— The full dose of this medicine, according to Husson, and Dr. Jones, is about two drachms for an adult, mixed with au equal quantity of water, and taken on an empty sto- mach. Its operation may be promoted by some aromatic, or by peppermint, pennyroyal, or ginger tea. It in ge- neral occasions some nausea and vomiting, followed hy bilious stools. A single dose Avill often carry off an attack, but it sometimes requires to be repeated in under doses. Some instances are recorded of its violent effects when exhibited in a dose disproportionate to the constitution, and particular circumstances. On some occasions much advantage has been derived from small doses taken every day for a considerable time. The diseovery of the substance from which this reme- dy is prepared Avould be an invaluable acquisition to our materia medica. The importance and popularity of the subject Avere incitements to various attempts for that pur- pose, and to the ingenuity of Mr. J. Moor, member of the Royal college of surgeons, London, the public are indebted for a composition, Avhich if not identically the same, bears a strong resemblance to the Eau medicinak in smell, taste, and dose; and also in all its effects, so far as it has been tried in the cure of gout. The composi- tion of Mr. Moor consists of wine of opium Sydenham, one part, wine of white hellebore, three parts, made by infusing, for ten days, eight ounces of the sliced root of that plant, in two and half pints of Avhite Avine, and strained through paper. This compound, Avhen exhibited in doses of from one to two drachms, has in a variety of instances effected a speedy cure of gouty paroxysms. There are indeed well attested examples where the most painful gouty affection has yielded to a single dose of about one drachm, and the instances of its failure have hitherto, it is believ-ed, been more rare than can be said MATERIA MEDIGA. 363 of any other remedy. The employment of the composi- tion of Mr. Moor, has also, in the hands of respectable physicians, been extended to acute rheumatism, and to some comatose affections, with the most decided advan- tage, and a perseverance in similar trials is strongly re- commended. It has been observed, that beneficial effects may more certainly be expected when it excites some degree of nausea and vomiting, whicii an overdose like Eau medicinale seldom fails to induce. We have hitherto been furnished Avith the additional evidence of every day's experience of the efficacy of Mr. Moor's composition in the cure of both gout and rheu- matism, and no cirsumstance, it is believed, has yet oc- curred, tending to impair our faith in the analogy of its principles with the original preparation of M. Husson. Farther particulars respecting the character and proper- tics of this interesting article, and the most eligible mode of preparation, are anxiously anticipated. It has lately been discovered, that the root of Avhite hellebore is employed as a valuable article in a new pro- cess for tanning leather. Viola Odorata. March Violet. The recent flower. This plant is perennial, and found Avild under hedges, and in shady places; but shops are generally supplied from gardens. Its flowers are so remarkable for their delightful odour, and their peculiar richness of colour, that they have given a name to both. They impart their eolour and flavour to aqueous li- quors : a syrup made by this infusion has long maintained a place in the shops, and is said to be an agreeable and useful laxative for children; but is chiefly valued as a delicate test of the presence of uncombined acids or alka- lis, the former changing its blue to a red, and the latter to a green colour. Vitis Vinifera. The Vine. The dried fruit, called raisin, and the fermented juice of the fruit, called Spanish white wine. The vine grows in temperate situations in many parts of the world, and is cultivated very generally for the sake of its agreeable subacid fruit. Before they are ripe, 364 MATERIA MEDICA. grapes are extremely harsh and acid, and by expression furnish a liquor which is called verjuice. It contains malic acid, super tartrite of potass, and extractive, and may be made to furnish Avine by the addition of sugar. As the grape advances to maturity, the quantity of sugar increases, Avhile that of malic acid diminishes; it, hoAvever, never disappears entirely. AVhen thoroughly ripe, the grape is one of the most agreeable fruits. It is cooling, antiseptic, and nutritious ; and, Avhen eaten in considera- ble quantity, diuretic, and gently laxative. In inflamma- tory diseases, and all others Avhere acids are indicated, they form an excellent article of diet. Raisins, uvm passce, are grapes which have been care- fully dried. By this means, not only the water they contain is dissipated, but the quantity of acid seems to be diminished. They become more saccharine, mucilagi- nous, and laxative, than the recent grape, but are less cooling. * Wine is the juice of the grape altered by fermentation. The numerous varieties of Avine depend principally on the proportion of sugar contained in the must, and the manner of its fermentation. AVhen the proportion of sugar is sufficient, and the fermentation complete, the wine is perfect and generous: If the quantity of sugar be too large, part of it remains undecomposed, as the fermenta- tion is languid, and the wine is SAveet and luscious; if,on the contrary, it be too small, the wine is thin and Aveak, and if it be bottled before the fermentation be completed, it will proceed slowly in the bottle, and, on drawing the cork, the wine will froth and sparkle in the glass, as for example, Champaignc. When the must is separated from the husk of the grape before it is fermented, the wine has little or no colour: these are called white wines. If, on the contrary, the husks are allowed to remain in the must Avhile the fermentation is going on, the alcohol dissolves the colouring matter of the husks, and the wine is coloured : such are called red wines. Besides in these principal circumstances, wines Aary very much in flavour. The red Avines, are Port, wliich is strong and austere, and Claret, Avhich is thinner and higher flavoured. Our Avhite wines are called Madeira. Sherry, Lisbon, Malaga, and Hock. Of these the last is most acidulous, and Ma- laga the sAveetest. Wine, taken in moderate quantities, acts as a beneficial stimulus to the Avhole system. It promotes digestion, MATERIA MEDICA. 365 increases the action of the heart and arteries, raises the heat of the body, and exhilarates the spirits. Taken to excess, it produces inebriety and stupor, wliich are often succeeded by headach, nausea, and diarrhoea, which last for several days. Habitual excess in wine debilitates the stomach, produces inflammation of the liver, weakens the nervous system, and gives rise to dropsy, gout, apo- plexv, tremors, and/ cutaneous affections. To convalescents, and in all diseases of general debili- ty, and deficiency of the vital powers, wine is the remedy on which we must place our chief dependance ; and when properly administered, its effects are often scarcely cre- dible. In typhus fever, attended by low delirium arising from debility, wine administered to the extent of one bottle or more in tAventy-four hours, surprisingly miti- gates the symptoms, and finally proves a sovereign re* medy. Its administration is regulated by the effects it pro- duces ; advantage being always derived from it when it renders the pulse more slow and firm ; when the recur- rence of delirium is prevented; Avhen irritation is lessen- ed, and sleep induced. If the pulse is quickened, and the countenance becomes flushed, if it excite thirst, in- crease the heat of the body, and occasion restlessness or delirium, it is obviously injurious, and its use should be suspended. The wines prepared from other fruit than the grape are less spiritous and more acescent, and are hence infe- rior in tonic power. Fermented liquors, especially porter, are sometimes substituted for wine, where this is neces- sary from idiosyncracy, and their poAvers arc somewhat modified by their other qualities, particularly by their bitterness, and by the pungency arising from their excess of carbonic acid. Their narcotic power is often greater than is proportioned to their vinous strength, owing to the addition of narcotic substances which they often re- ceive in the preparation. In the hands of Dr. Rush, and other eminent physi- cians in the Uuited States, wine, aided by the use of bark, has frequently succeeded as a radical remedy in tetanus. Dr. Hosack, of New York, effected a cure in a case of lock-jaAV, by administering Avine alone to the extent of three gallons in four days. Dr. James Currie, of Liverpool, England, has also experienced the effi- ciency of Avine in the same disease. He asserts that a 366 MATERIA MEDICA. horse affected with lock-jaAv, having been made the sub- ject of experiment, Avas completely cured by the liberal use of wine alone. Wine has been emphatically termed " the milk of the aged," but parents are seriously advised to beware of giving wine to their children indiscriminately ; because to them it can be of service only Avhen taken as a medi- cine ; and those injudicious persons, avIio encourage young people to take wine habitually at their meals, are guilty of an abuse, which cannot be easily repaired by future abstinence. Wine is often adulterated with lead or other deleteri- ous drugs. In order to detect this fraud, take two drachms of cream tartar, and one drachm of liver of sul- phur ; put them into a two ounce phial of soft Avater. The phial must be kept well corked, and occasionally shaken for about ten minutes: Avhen the powder has sub- sided, decant the clear liquor, and preserve it in a Yviil stopped bottle. From sixteen to twenty drops of this liquid are to be dropped in a small glass filled with the suspected Avine; and if the wine turns blackish or muddy, and deposits a dark coloured sediment, Ave may be certain it is impregnated Avith sugar of lead, or some other pre- paration of that metal equally destructive. A Receipt to make an excellent American Wine, by Joseph Cooper, Esq. of Gloucester county, Neiv Jersey. " I put a quantity of the comb from Avhich the honey had been drained, into a tub, and added a barrel of cider, immediately from the press; this mixture Avas well stirred and left for one night. It was then strained be- fore a fermentation took plaec; and honey was added until the strength of the liquor was sufficient to bear an egg. It was then put into a barrel; and alter the fer- mentation commenced, the cask was nlk-il every day, for three or four days, that the filth might work out at the bunghole. When the fermentation moderated, 1 put the bung in loosely, lest stopping it tight might cause the cask to burst. At the end of five or six Aveeks, the liquor was draAvn off into a tub; and the whites of eight eggs, well beat up, with a pint of clean sand, were put into it: I then added a gallon of cider spirit; and after mixing the whole well together, I returned it into the cask, whicii Avas well cleansed, bunged it tight, and place;! it in a proper situation for racking off, when fine. In the month MATERIA MEDICA. 367 of April following, I drew it off into kegs, for use ; and found it equal, in my opinion, to almost any foreign wine: in the opinion of many judges, it was superior. " This success has induced me to repeat the experi- ment for three years; and I am persuaded, that by using clean honey instead of the comb, as above described, such an improvement might be made, as would enable the citizens of the United States to supply themselves Avith a truly federal and wholesome wine, which would not cost a quarter of a dollar per gallon, were all the ingre- dients procured at the market price; and would have this peculiar advantage over every other wine, hitherto attempted in this country, that it contains no foreign mixture, but is made from ingredients, produced on our own farms." Xanthorhiza Afiifolia. Shrub Fellow Root. The stem and root. Is a native plant of North Carolina, first brought by the late John Bartram, from that state, and planted in his garden at Kingsess, in the county of Philadelphia, Avhere it has continued to flourish in a most luxuriant manner. It is denominated Simplicissima by Marshal, Apiifolia by L'Herretier, and Marbosia, by Mr. William Bartram, in honour of Mr. De Marbois. Xanthorhiza tinctoria is a more expressive name than any it has yet received. Dr. Woodhouse has given an excellent account of this valuab! > plant, in the fifth volume of the Medical Repo- sitory of New York, from wliich the present extract is taken. " The stems are three feet high, and somewhat thick- er than a goose quill. The root is from three to tAvelve inches long, and about the diameter of a man's little fin- ger, sending off numerous scions. The leaves are placed alternately, having long petioles and pinnated, terminat- ing in an old one; the follicles sessile, and lacerated deeply on their edges. The peduncles are branchy, and placed immediately beneath the first leaves, from which cause the flowers appear before the leaves, very early in the spring." The stem and root are of a bright yellow colour, and possess a strong bitter taste. The xanthorhiaa tinctoria contains a gum and resin, both of which are intensely bitter: the resin is more abundant than the gum. 36S MATERIA MEDICA. It imparts a drab colour to cloth, and a handsome yel- low to silk; but the dye will not take on cotton or linen. The watery extract of the grated roots mixed with alum, and added to Prussian blue, was first used by Mr. James Bartram for colouring plants, and the plumage of birds of a green colour. The green is far more lively and elegant than that made with gamboge and Prussian blue, whicii is generally used for painting in water colours, and stands well in the shade, but soon contracts a dull colour when exposed to a bright light, and to a high temperature. Various subjects coloured by this green, and inclosed in a book, Avere as lively after one year, as when first painted. It is a strong and pleasant bitter, and preferable to all our native bitters. It sits easy on the stomach in the dose of two scruples. The colour of the leaves appears to reside in a resin which is altered by fixe combined action of light and oxy- gen, by either of which, separately, it cannot be affected. As the xanthorhiza is a strong and pleasant bitter, and very nearly allied to the columbo root, it promises to be- come a valuable addition to the American Materia Me- dica. It is preferable to all our native bitters. Dr. Wood- house has often used the powdered stem and root of the xanthorhiza with success, in the dose of two scruples to an adult, in many of thoSe diseases in Avhich bitters are recommended, but generally combined with other reme- dies. It is a medicine which sits easy on the stomach, and produces no disagreeable effects. Xanthoxylum Clava Herculis. Prickley Yellow Wood, Fellow Hercules. The Avood and root. Is a natwe of Jamaica, and other tropical countries, where it grows to the height of sixteen feet, and is about twelve inches in diameter. This straight tree somcAvhat resembles the common ash: the bark of the trunk is covered Avith numerous prickles; and the Avood is of a, bright yelloAV cast. The Avood of the xanthoxylum is chiefly employed for the heading of hogsheads, for bedsteads, and numerous other purposes: it also possesses remarkable medicinal virtues. The fresh juice expressed from the roots, affords certain relief in the painful disease, termed dry bellyache. This important fact Avas discovered in the West Indies, MATERIA medica. 369 by watching a female slave, Avho collected the root in the avoous, and gave two spoonfuls of its juice to a negro, suffering under that cholic, at an interval of two hours. Such medicine occasioned a profound, but composed sleep of twelve hours; when all sense of pain, and other dis- tressing symptoms, had vanished : the cure was completed, by giving an infusion of such expressed roots in water, by way of diet drink. Farther, the juice of the prickly yellow wood, when preserved in rum, and administered in doses not exceeding a wine-glassful, has effectually7 re- moved the most obstinate epileptic fits; but Dr. Henry has not mentioned the manner in which this preparation ought to be managed. To the above observations of Dr. Willick, the follow- ing by Dr. Mease are added : flfom. Ency.J Two species groYV in the United States. 1. Xanthoxylum fraxinifolium, or ash-leaved xan- thoxylum, growing in Pennsylvania, and Maryland: and xanthoxylum ealvis herculis, or prickly yellow wood, which grows in the more southern states. The bark and capsules are of a hot acrid taste, and when a small quantity is cheAved, powerfully promotes the floAV of saliva. It is used in this way to relieve the toothach. A tincture of the same parts of the tree is a common country remedy for the chronic rheumatism. In the West Indies a decoction of the bark is used with great success as an internal remedy, and also as a AVash for foul ulcers, which it powerfully cleanses, and disposes: to healthy granulations. The powdered bark is also mixed with the dressings. In the London Medical and Physical Journal, volume second, and following, there are several cases related of the efficacy of this medicine in the above disease. Zincum. Zinc. This is a semimctal, naturally obtained in a state of combination with different minerals, in England, Hun- gary, and other parts of the globe : it is of a whitish co- lour, neaiiy resembling that of lead, though it does not speedily tarnish. Zinc exerts no sensible action on the system in its me- tallic state; it is employed, therefore, under various" forms of preparation, Avhere the medicinal virtues of the article will be described. 47 370 MATERIA MEDICA. Alcornoque. The wood and bark. The alcornoque is a tree which groAvs on the Spanish main, South America. The Avood is of a solid texture, ponderous, of a yellow colour, and gratefully bitterish taste, and sensibly stimulant. It has lately arrested some attention, though the natural history of the tree is at pre- sent involved in obscurity. It is inserted here chiefly in anticipation of its utility, as no intelligence relative to its character and properties has been obtained other than the contents of a printed paper communicated by a re- sectable medical friend, as follows : THE ALCORNOQUE. A REMEDY FOR DISEASES OF THE LUNGS AND LIVER. From the Gazette de la Martinique. St. Pierres, June 25,1810. Our readers will learn with as much surprise as satis- faction from the subjoined letter, the true and wonderful effects of the Divine Alcornoque. If the extraordinary reputation this tree has acquired as an infallible specific in all diseases of the liver, and especially those of the lungs, reputed at the present mo- ment incurable, be maintained with all its renown, it must certainly then lie acknoAyledged, (Avithout any need to anticipate the other beneficial properties it may pos- sess,) as the first of plants, Avhen valued from its healing effects, and will ever merit the first epithet bestoAved on it of—Divine. TO THE EDITOR OF THE MARTINIQUE GAZETTE. SIR, Persuaded that you would wish to give every publicity to whatever may be useful to suffering humanity, I has- ten to make you acquainted with a Avonderful discovery, for the cure of disorders, in which medicine has, to the present time, been found only a palliative. Afflicted since eleven years with a pulmonary com- plaint, wliich the physicians said was tubercles in tl. Aeorus Calamus. Actea Spicata. Agrimonia. Aralia Spinosa. Arbutus Uva Ursi. Arum Americanum. Arum Triphyilum. Asclepias Deeumbens. Asculus Hippocastanum. Cassia Marilandica. Convolvulus Panduratus. Cornusflorida. Cornus Sericea. Datura Stramonium. Eupatorium Perfoliatum. Eupatorium Pilosum. Frasero Carolinensis. Geranium Maculatum. Geum Urbanum. Hamamtiis. Heracleum Sphondilium. Iris Pscudacorus. Juglans Cinerea. Juniperus Virginiana. Kalmia Latifolia. Kalmia Angustifolia. Leonurus Cardiaca. Liriodendron tulipifera. Lobelia Inflata. Lytta Vittata. Melia Azedarach. Myrica Cerifera Humilis. Nigella. Phytolacca Decandra. Prinos Verticillatus. Prunus Virginiana. Quercus Robur. Rhus Toxicodendron. Rumex Acutus. Rumex Aquaticus. Rumex Crispus. Sanguinaria Canadensis. Salix Alba. Salix Latifolia. Sentellaria Lateriflora. Secale Cornutum. Sophora tinctoria. Statice Limonium. Tanasetum Vulgare. Ulmus Americana. Vcratrum Album. Xanthorhira Apiifolia. Xanthoxylum Clava Her- ouiis. COLLECTION AM) FRESERYATION OF SIMPLES. Each of the kingdoms of nature furnishes article)! Avhich are employed in medicine, either in their natural state, or after they have been prepared by the art of pharmacy. In collecting these, attention must be paid to select such as are most sound and perfect, to separate from them whatever is injured or decayed, and to free them from all foreign matters adhering to them. Those precautions must be taken which arc best fitted for preserving them. They must in general be defended from the effects of moisture, too great heat, or cold, and confined air. | When their activity depends on volatile principles, they must be preserved from the contact of the air as much as possible. As the vegetable kingdom presents us Avith the great- est number of simples, and the substances belonging to it are the least constant in their properties, and most sub- ject to decay, it becomes necessary to give a feAV general rules for their collection and preservation. Vegetable matters should be collected in the countries Avhere they are indigenous; and those which grow wild, in dry soils, and high situations, fully exposed to the air and sun, are in general to be prefered to those which grow in moist, low, shady, or confined placfes. Roots which are annual, should be collected before they shoot out their stalks or flowers; biennial roots in the harvest of the first, or spring of the second year; perennial, either in the spring before the sap has begun to mount, or in harvest, after it has returned. Those which are worm eaten or decayed are to be re- jected. The others are immediately to be cleansed ay ith a brush and cold water, letting them lie in it as short time as possible ; and the fibres and little roots, when not essential, are to be cut aAvay. Roots which consist principally of fibres, and have hut a small tap, may be immediately dried. If they be juicy, MATERIA MEDICA. 377 and not aromatic, this may be done by heat, not exceed- ing 100° of Fahrenheit; but if aromatic, by simply ex- posing them, and frequently turning them in a current of cold, dry air: If very thick and strong, they are lobe split or cut into slices, and strung upon threads ; if cover- ed Avith a tough bark, they may be peeled fresh, and then dried. Such as lose their virtues by drying, or are directed to be preserved in a fresh state, are to be kept buried in dry sand. No very general rule can be given for the collection of herbs and leaves, some of them acquiring activity from age, and others, as the mucilaginous leaves, from the same cause, losing the property for Avhich they are offi- cinal. Aromatics are jo be collected after the flower buds are formed; annuals, not aromatic, Avhen they are about to flower, or Avhen in floAver ; biennials, before they shoot; and perennials, before they flower, especially if their fibres become Avoody. They are to be gathered in dry Aveather, after the dew is off them, or in the evening before it falls, and are to be freed from decayed, withered, or foreign leaves. They are usually tied in bundles, and hung up in a shady, warm, and airy place; or spread upon the floor, and fre- quently turned. If very juicy, they are laid upon a sieve, and dried by a gentle degree of artificial Avarmth. Sprouts arc collected before the buds open; and stalks arc gathered in autumn. Barks and Avoods are collected Avhen the most active part of the vegetables are concentrated in them, which happens in spring and in autumn. Spring is prefered for resinous barks; and autumn for the others, which are not resinous but rather gummy. Barks should be taken from young trees, and freed from decayed parts, and all impurities. The same rules direct the collection of Avoods; but they must be taken from very young trees. Among the resi- nous Avoods, the heaviest, which sink in Avater, are se- lected. The alburnum is to be rejected. Flowers are collected in clear, dry weather, before noon, but after the dew is off; either when they arc about to open, or immediately after they have opened. Of some the petals only arc preserve*!, and the colomhss claAvs are even cut away; of others, whose calyx is odor- ous, the Avhole flower is kept. Flowers which arc too small to be pulled singly, are dried Avith part of the stalk : These are called heads or tops. ■18 378 MATERIA MEDICA. FloAvers are to be dried nearly as leaves, but more quickly, and with more attention. As they must not be exposed to the sun, it is best done by a slight degree of artificial Avarmth. Seeds and fruits, unless when otherwise directed, are to be gathered when ripe, but before they fall spontane- ously. Some pulpy fruits are freed from their core and seeds, strung upon threads, and dried artificially. They are in general best preserved in their natural coverings, although some, as the colocynth, are peeled; and others, as the tamarind, preserved fresh. Many of these arc apt to spoil, or become rancid; and as they are then not fit for medical use, no very large quantity of them should be collected at a time. The proper drying of vegetable substances is of the greatest importance. It is often directed to be done in the shade and sloAvly, that the volatile and active parti- cles may not be dissipated by too great heat; but this is an error, for they always lose infinitely more by a slow, than by a quick drying. When, on account of the colour, they cannot be exposed to the sun, and the warmth of the atmosphere is insufficient, they should he dried by an artificial warmth, less than 100° Fahrenheit, and Avell exposed to a current of air. When perfectly dry and friable, they have little smell; but after keeping for some time, they attract moisture from the air, anil regain their proper odour. The boxes and draAvers in Avhich vegetable matters are kept, should not impart to them any smell or taste; and more certainly to avoid this, they should he lined with paper. Such as are volatile, or of delicate texture, or subject to suffer from insects, must be kept in well covered glasses. Fruits and oily seeds, Avhich are apt to become rancid, must be kept in a cool and dry, bnt by no means a warm or moist air. Oily seeds, odorous plants, and those containing vola- tile principles, must be collected fresh every year. Others, whose properties are more permanent, and not subject to decay, will keep for several years. Vegetables collected in a moist and rainy season, arc in general more Avatery, and apt to spoil. In a dry sea- son, on the contrary, they contain more oily and resinous particles, and keep much better. They ought to be col- lected annually, and if they have been kept for a longeif period, should be rejected. PART III. PREPARATIONS AND COMPOSITIONS. The practice of pharmacy is regulated by the different pharmacopoeias, and these vary in no inconsiderable de- gree in the mode of conducting the process, and even Avith respect to the proportion of the active ingredients Avhich constitute some of the compositions, as directed by the respective colleges. Having taken the Massachu- setts pharmacopoeia, as the basis of this part of the Avork, Avhich accords also with that of the Edinburgh college, it seems inexpedient to introduce the analogous prepara- tions of the London and Dublin pharmacopoeias. I have not, however, neglected altogether to notice in course, such essential differences as appear calculated to lead to practical error and embarrassment. I have also selected from Dr. Powel's late translation of the London pharma- copoeia, a few officinal preparations on account of their obvious utility. A system of pharmacy is thus presented amply ade- quate to all the purposes of American physicians, divested of that tedious repetition Avhich is unavoidable Avhen the processes of all the pharmacopoeias are regularly intro- duced. PART III. PREPARATIONS AND COMPOSITIONS. CHAPTER I. SULPHUR. Sulphur Sublimatum Lotum. Washed Sublimed Sulphur. #Washed Flowers of Sulphur. Take of Sublimed sulphur, one pound, Water, four pounds. Boil the sulphur for a little Avhile in the water, then pour off this water, and wash aAvay all the acid by affu- sions of cold Avater; lastly, dry the sulphur. A small portion of sulphur in its sublimation some- times suffers oxidation from the air of the chamber into which it is sublimed, and hence acquires a slight acidity, which the present process is designed to remove. This is so rarely the case, hoAvever, that it is one perhaps un- necessary. * The translation of the ancient names are added in Roman letters. Tables are annexed containing the ancient names, with their synonymies, and the systematic names with their synonymies. 582 PREPARATIONS AXD COMPOSITIONS. CHAPTER II. ACIDS, ALKALIS, EARTHS, AND THEIR COM- POUNDS. The term salt has long been employed in chemical language to denote an extensive order of substances; yet it is difficult to assign to it a precise definition, or to dis- tinguish these by characters at once sufficiently compre- hensive and appropriate. Those properties Avliich have been assigned as the cha- racters of the order are not possessed by every substance which in chemieal arrangement is regarded as saline, hut on the contrary the exceptions are very numerous. Thd characters of this order therefore are now drawn rather from the chemical composition of the substances arranged under it. It is thus understood as comprehending the acids, the alkalis, and the compounds resulting from the combination of acids with alkalis, earths, and metallic oxides. The acids and alkalis are named simple or pri- mitive salts; the others secondary, or more commonly neutral salts, as in general the properties of the acid, and of the alkali, earth, or metal of whicii they are formed, are neutralized or lost. Acidum Sulphuricum Dilutum. Diluted Sulphuric Acid, Diluted Vitriolic Acid. Take of Sulphuric acid, one ounce, Water, seven ounces. Mix them gradually. The most simple form, in whicii sulphuric acid can he employed internally, is that in which it is merely diluted With water; for whicii it has a great attraction: and their bulk, Avhen combined, is less than that of the Avater and acid separately. At the same time there is a very PREPARATIONS AND COMPOSITIONS. 583 considerable increase of temperature produced, which is apt to crack glass vessels, unless the combination be very cautiously made ; and for the same reason, the acid must be poured into the water, not the Avater into the acid. Distilled water is preferable to spring water. This preparation Avas formerly called weak spirit of vitriol, and has been considered as a useful astringent, taken to the extent of thirty drops; but its medicinal properties have aiready been mentioned under the article Acidum Sulphuricum, in the Materia Medica. Acidum Nitrosum. Nitrous Acid. Glauber's Spirit of Nitre. Take of Nitrate of potass in coarse powder, or bruised, two pounds, Sulphuric acid, sixteen ounces. Having put the nitrate of potass into a glass retort, pour upon it the sulphuric acid, and distill it in a sand bath, Avith a heat gradually increased, until the iron pot begin to be red hot. The specific gravity of this acid is to that of distilled water as 1550 to 1000. In this process, the sulphuric acid, by its superior affi- nity, combines with the potass of the nitre to form sul- phate of potass, while the nitric acid is separated, and is not only converted into vapour by the application of the heat to the retort, but is also partially decomposed. A portion of oxygen escapes in a gaseous form, and the nitric oxide gas combines with the nitric acid; so that the liquor condensed in the receiver is nitrous, and not nitric acid. Ajtdum Nitrosum Dilutum. Diluted Nitrous Acid. Aqua Fortis Tenuis. Take of Nitrous acid, Water, equal weights. VAx them, taking care to avoid the noxious vapours. In combining nitrous acid with water, the greater part of th-^ nitrons gas of the former is disengaged. The dilot.-!; uid is eo.-io/co in a number of the chemical processes of the Pharmacopoeia. J Si PREPARATIONS AND COMPOSITIONS. Acidum Nitricum. Nitric Acid. Aqua Fortis. Take of Nitrous acid, any quantity. Pour it into a retort, and having adapted a receive^ apply a very gentle he-it, until the reddest portion shall have passed over, and the acid Avhich remains in the retort shall have become nitric acid. By the heat applied, the nitrous gas contained in the nitrous acid, and which gives to it the yellow colour and highly fuming property, is expelled, and condenses in the receiver, combined still with a small portion of acid. The nitric acid remains colourless. It is applied to the same purposes as the nitrous. Little or no difference can exist between them in medicinal powers, but the ni- tric is perhaps more uniform in strength. These acids, the nitrous and nitric, have been long employed as powerful pharmaceutic agents. They are next in strength to the sulphuric, and dislodge all others from alkaline salts or earths. Under the name of aqua fortis, the nitrous acid of a certain strength has long been employed for various purposes in the arts and manu- factures. Great caution should be observed in the use of this poAverful liquid. In casualties where a person has, by mistake, sAvallowed a portion of aqua fortis, hike Avarm water ought to be drunk in the greatest possible quantity, even to the amount of several gallons, to weaken the causticity of the poison, and to avert the imminent danger of suffocation. Next, a solution of half an ounce of salt of tartar, or clear pearl ashes, in one pint of water, should be taken in about six or eight draughts ; and as the efferATseencc thus occasioned in the stomach, greatly tends to Aveaken that organ, it Avill be necessary to make use of more water, and other diluent, oily, or mucilagi- nous drinks. The use of the nitrous and nitric acids in medicine, has lately been considerably extended. In the state of vapour, they have been used to destroy contagion in jails, hospitals, ships, and other places avIk re the accumulation of animal effluvia is not easily avoided. The fumigating such places with the vapour of nitrous acid has certainly been attended Avith success; but we have heard that success ascribed entirely to the ventila- tion employed at the same time. Ventilation n;:y cer- PREPARATIONS and compositions. 38S tainly be carried so far, that the contagious miasmata may be diluted to such a degree, that they shall not act on the body; but to us it appears no less certain, that these miasmata cannot come in contact with nitric acid or oxy- muriatic acid vapour, without being entirely decomposed, and completely destroyed. It is, besides, applicable in situations Avhich do not admit of sufficient ventilation; and where it is, the previous diffusion of acid vapours is an excellent cheek upon the indolence and inattention of servants and nurses, as by the smell we are enabled to judge whether they have been sufficiently attentive to the succeeding ventilation. Nitric acid vapour, also, is not deleterious to life, and may be diffused in the apartments of the sick, Avithout occasioning to them any material inconvenience. The means of diffusing it are easy. Half an ounce of powdered nitre is put into a saucer, Avhich is placed in a pipkin of heated sand. On the nitre tAvo drachms of sulphuric acid are then poured. The fumes of nitric acid immediately begin to rise. This quantity Avill fill Avith vapour a cube often feet; and'by employing a sufficient number of pipkins, the fumes may be easily made to fill a ward of any extent. After the fumigation, ventilation is to be carefully employed. For introducing this practice, Dr. Carmichael Smyth has received from the British parliament a reAvard of five thousand pounds.* * It is remarkable, that, while Dr. C. Smyth insists upen the efficacy of the nitrous vapour, M. Guyton de Morveau is equally positive, that the sutfocating fumes of the muriatic acid are the most certain destroyers of contagion. The plans both of Morveau and Smyth, founded on the principle of the alkaline nature of contagion, are in direct opposition to the theory of septic acid, suggested by the ingenious Dr. Mitchill of New- York. The great efficacy of gaseous fumigations by the mineral acids in destroying contagion, has been clearly demonstrated and the practice firmly established. It may be of little impor- tance whether the nitrous, or the muriatic acid be employed, as the powers of both are extensive and certain. When the mu- riatic is prefered, one pound of muriate of soda, is put into an earthern vessel, and a small quantity of sulphuric acid is poured over it until the whole salt is moistened. If a gentle heat be applied, a larger quantity of vapour will be extricated. In every hospital, garrison, jail, ship, or any other crowded place, or even in private dwellings, on the appearance of any infectious disorder, we should not fail to advise the employment »f these arid fumigations. 386 PREPARATIONS AND COMTOS ITION >. The internal use of these acids has also been lately much extended. In febrile disease*, water acidulated with them forms one of the best antiphlogistic and anti- septic drinks avc are acquainted with. Hoffman and Eberhard long ago employed it with very great success in malignant and petechial fevers; and in the low typhus, wliich frequently rages among the poor in the suburbs of Edinburgh, it has been repeatedly given Avith unequivocal advantage. In the liver complaint of the East Indies, and in syphilis, nitric acid has also been extolled as a valuable remedy, by Dr. Scott, and the evident benefits resulting from its use in these complaints, has given rise to a theory, that mercury only acts by oxygenizing the system. It is certain, that both the primary and secon- dary symptoms of syphilis have been removed by the us« of these acids, and that the former symptoms have not returned, or been followed by any secondary symptoms. But in many instances they have failed, and it is doubtful if ever they effected a permanent cure, after the se- condary symptoms appeared. Upon the Avhole, the opinions of Mr. Pearson on this subject, lately agitated Avith so much keenness, appear to us so candid and judi- cious, that we shall insert them here. He docs not think it eligible to rely on the nitrous acid in the treatment of any one form of the lues venerea; at the same time, he by no'means Avisbes to see it exploded as a medicine alto- gether useless in that disease. When an impaired state of the constitution renders the introduction of mercury into the system inconvenient, or evidently improper, the nitrous acid will be found, he thinks, capable of restrain- ing the progress of the disease, while at the same time, it will improve the health and strength of the patient. On some occasions, this acid may be given in conjunction with a mercurial course, and it will be found to support the tone of the stomach, to determine powerfully to the kidneys, and to counteract in no inconsiderable degree the effects of mercury on the mouth and fauces. The common method of giving the nitric acid at first, is to mix one drachm with a pint of water, the mixture being sweetened with simple syrup. This quantity is to be taken at different times, in the course of twenty-four hours, through a glass tube or quill, which is used to prevent the teeth from being injured. If no inconven- ience is felt, the dose of the acid may be increased to two. and even in certain cases to three drachms. PREPARATIONS AXD COMPOSITIONS. 387 Acidum Muriatic cm. Muriatie Acid. Spirit of Sea Salt. Take of Muriate of soda, two pounds, Sulphuric acid, sixteen ounces, Water, one pound. Let the muriate of soda be kept at a red heat for some time in an iron vessel, and after it has cooled, put it into a retort; then pour upon the muriate of soda, the acid mixed with the water and allowed to cool. Lastly, distill in a sand bath, with a moderate fire, as long as any acid is produced. The specific gravity of this acid is to that of distilled water, as 1170 to 1000. This process is an example of single affinity, The sul- phuric acid combines with the soda of the muriate of soda, and the muriatic acid is disengaged. It combines Avith the Avatery vapour, and is thus easily condensed. It has generally a yellowish tinge, from the presence of a small quantity of iron, from which it can be freed by a second distillation. The spirit of sea salt is the weakest of the mineral acids, but stronger than any of the vegetable. In its effects on the animal economy, and the mode of its em- ployment, it coincides with the acids already mentioned, which almost proves that they do not act by oxygenizing the system, as the muriatic acid cannot be disoxygenized by any substance or process with Avhich avc are acquainted. This preparation is sometimes given, properly diluted, as an antiphlogistic, aperient, and diuretic, from ten to sixty or seventy drops. Dr. Reich of Erling in Franconia, has cured the ma- lignant putrid fevers, by the liberal use of mineral acids, and particularly the muriatic, or spirit of sea salt. Sir WilliamFordyce, also recommends it as the best remedy in all putrid diseases of the worst kind; in petechial, camp, and jail distempers, as well as the malignant sore throat, small pox, and plague. Dr. Reich directs a mixture of from one drachm to half an ounce of the acid, eight ounces of Avater and two of syrup; the patient to take a table spoonful or more every hour or two hours. But in time of great danger, 388 PREPARATION'S AND COMPOSITIONS. from forty to one hundred drops, properly diluted, may be given at once, ami such doses often repeated. The internal exhibition, however, of this powerful remedy, is liable to many serious objections, which must ever pre- vent its general adoption. But it may in all cases be safely applied in the form of liniments, fomentations, and baths: thus a very large and much larger proportion than by sAvallowing it, may be daily, nay, hourly intro- duced into the system, especially in the earlier stages of the disorder, before the patient's strength is too much exhausted. Dr. Robert Thomas, author of the Modern Practice of Physic, observes, that the effects of the mineral acids, more particularly the muriatic, in all febrile diseases of a malignant nature are truly great, and from employing them for several years, in all such cases, his piactice has been attended with the most decided success, and he cheerfully vouches for their efficacy. He prescribes to adult patients ten or twelve drops of the muriatic acid, guarded with five drops of tinctura opii, with an infusion of columbo, after proper evacuations have been made, and increases the dose to eighteen or tAventy drops every lour hours. Acidum Acetosum Destiilatim. Distilled Acetous Acid, Distilled Vinegar. Let eight pounds of acetous acid be distilled in glass vessels with a gentle heat. The two first pounds which come over, being too Avatery, are to be set aside; the next four pounds will be the distilled acetous acid. The remainder furnishes a still stronger acid, but too much burnt by the fire. Vinegar, as it is produced by fermentation, consists of acetous acid, largely diluted with water, and mixed with a number of other substances. From these it is purified by distillation, but it is still largely diluted with Avater, a« the pure acid is not even so volatile as Avater; and, in general, it receives from the distillation somewhat of an empyreumatie odour. The process should be conducted in glass vessels, as directed in the pharmacopoeia; as, from metallic ones, the acid would receive an impregna- tion that might prove noxious. Distilled acetous acid is chiefly employed as a solvent of some vegetable substances, and in making some of the - salts. PREPARATIONS AND COMPOSITIONS. 389 Acid l'm Acetosum Forte. Strong Acetous Acid. Take of Sulphate of iron dried, one pound, Acetite Of lead, ten ounces. Having rubbed them together, put them into a retort, and distill in a sand bath with a moderate heat, as long as any acid comes over. The London pharmacopoeia directs this acid to be pro- cured by the distillation of verdigris, and it is somewhat uncertain whether the two products differ essentially from each other, and Avhether these concentrated acids differ except in strength, from the diluted acetous acid. These strong acids are principally used as powerful stimulants, applied to the nostrils in languor and as- phyxia. Their odour is pungent and grateful. They are capable of acting as poAverful rubefacients. Acidum Benzoicum. Benzoic Acid. Flowers of Benzoin. Take of Benzoin, twenty-four ounces, Carbonate of soda, eight ounces, Water, sixteen pounds. Triturate the benzoin Avith the carbonate, then boil in the water for half an hour, with constant agitation, and strain. Repeat the decoction, Avith other six pounds of water, and strain. Mix these decoctions, and evaporate, until two pounds remain. Filter anew, and drop into the fluid, as long as it produces any precipitation, Diluted sulphuric acid. Dissolve the precipitated benzoic acid in boiling water; strain the boiling solution through linen, and set it aside to crystalize. Wash the crystals Avith cold water, dry and preserve them. The benzoic acid when properly prepared has an agree- able taste and fragrant smell. It totally dissolves in al- cohol, and likewise by the assistance of heat in water; but separates again from the latter upon the liquors growing cold, shooting into saline spicule, which unite together in irrcgnlar masses. By the mediation of sugar, 890 PREPARATIONS AND COMPOSITIONS. flowers of benzoin remain suspended in cold water, and thus form an elegant balsamic syrup. Some have held them in great esteem as pectoral and sudorific, in the dose of half a scruple or more ; but at present they are rarely used, except as an ingredient in the composition of the pa- ragoric elixir of the pharmacopoeia. Oleum Succini et Acidum Succinicum. Oil of Jinx- ber and Succinic Acid. Salt and Oil of Amber. Take of Amber reduced to powder, and of pure sand, equal weights. Mix them, and put them into a glass retort, of which the mixture may fill one half; then adapt a large receiver, and distill in a sand bath, Avith a fire gradually increased. At first a watery liquor will come over, Avith some yellow oil; then a yellow oil with an acid salt, and lastly, a red- dish and black coloured oil. Pour the liquor out of the receiver, and separate the oil from the water. Press the salt collected from the neck of the retort and sides of the receiver, between folds of blotting paper, to free it from the oil adhering to it; then purify it by solution in warm water and crystalization. We are not acquainted with any experiments which de- termine whether the succinic acid exists as such in the amber, or Avhethcr it be a product of the decomposition of the amber by the action of heat, for in the process em- ployed for obtaining succinic acid, the amber is com- pletely decomposed. Succinic acid, formerly salt of amber, has a penetra- ting subastringent acid taste. It dissolves both in water and in rectified spirit; though not readily in either, and scarcely at all in the latter Avithout the assistance of heat. It effervesces Avith alkalis, and forms with them neutral compounds much resembling those composed of the same alkalis and vegetable acids. It was formeiiy in repute as an aperient, diuretic, and antihysterie, but in modern practice it is little regarded. The oil of amber is sometimes employed externally as a stimulant, and internally as an antispasmodic, but is also falling into disuse. A process is ordered in the pharma- copoeia for its purification. PREPARATIONS AND COMPOSITIONS. 391 Aoi'A. Ac'idi Carbonici. Water of Carbonic Acid. Water impregnated with fixed Air. Take of Water, six pounds; place this in the middle part of a Nooth's apparatus, and expose it to a stream of carbonic acid gas arising from Carbonate of lime, in powder, Sulphuric acid, each three ounces, Water, three pounds, gradually and cautiously mixed. Ifa larger quantity of the liquor be required, the appa- ratus of Dr. Woulfe is preferable. In this and similar preparations, Avhere carbonic acid gas is combined with liquids, the liquor is better in pro- portion to the coldness of the air, and to the pressure to which it is subjected. It should be preserved in glass vessels well closed, and should not be exposed to any high temperature. In this process the carbonie acid is separated from the carbonate of lime by the superior affinity of sulphuric acid. As it is disengaged, it assumes a gaseous form, and would be dissipated in the atmosphere, if it were not made to pass through water, which, at a medium tempe- rature, is capable of absorbing about an equal bulk of this gas, and, by the assistance of pressure, a much greater proportion. Various contrivances have been made for this purpose. Of these the most easily managed, and most convenient for general use, is the apparatus of Nooth, and for larger quantities that of Woulfe, or some modification of it. By the proper application of pressure, Mr. Paul is able to impregnate water, Avith no less than six times its bulk of carbonic acid gas. Water, impregnated Avith carbonic acid, sparkles in the glass, has a pleasant acidulous taste, and forms an excellent beverage. It diminishes thirst, lessens the morbid heat of the body, and acts as a powerful diuretic. It is also an excellent remedy in increased irritability of the stomach, as iu advanced pregnancy ; and it is one of the best anti-emetics Ave possess. 392 PREPARATIONS AND COMPOSITIONS. Aqua Potasszb. Solution of Potass. Water of Potass. Caustic Ley. Take of Lime recently burnt, eight ounces, Carbonate of potass, six ounces. Throw the lime into an iron or earthern vessel, with twenty-eight ounces of warm Avater. After the ebulli- tion is finished, instantly add the salt; and having tho- roughly mixed them, cover the vessel till they cool. When the mixture has cooled, agitate it Avell, and pour it into a glass funnel, whose throat must be stopt up with a piece of clean rag. Let the upper mouth of the funnel be covered, while the tube of it is inserted into another glass vessel, so that the solution of potass may gradually drop through the rag into the lower vessel. When it first gives over dropping, pour into the funnel some ounces of water; but cautiously, so that the Avater may swim above the matter. The water of potass Avill again begin to drop, and the affusion of water is to be repeated in tiie same manner, until three pounds have dropped, which Avill happen in the space of two or three days; then by agitation mix the superior and inferior parts of the liquor together, and put it up in a well stopt phial. The principle of mildness in all alkaline salts, Avliether fixed or volatile, vegetable or fossil, is very evidently car- bonic acid. But quick lime has a stronger attraction for the acid than any of the salts. Of course, when lime comes in contact with carbonate of potass, as in the above process, the carbonic acid quits the potass to unite with the lime, and the results of the mixtures are potass and carbonate of lime. Now as the carbonate of lime is in- soluble in Avater, and the potass is very soluble, they may be separated by filtration. The method ofe filtrating through sand as employed by Dr. Black, is preferable to any other. The caustic ley is to be considered as a solution of pure alkali in water. It is colourless, and will neither effer- vesce Avith acids, nor form a precipitate Avith carbo- nate of potass. The solution of caustic potass, under various names, has at different times been celebrated as a lithontriptic, and as often fallen again into disuse. The very contradictory accounts of its effects as a solvent are PREPARATIONS AND COMPOSITIONS. 39S now in some degree explicable, since it has been discover- ed that urinary calculi are very different in their natures, so that some of them arc only soluble in acids, and others only in alkalis. Of the last description are the calculi of uric acid, Avhich are very frequent, and those of urate of ammonia. On these, therefore, alkalis may be supposed to make some impression, and that alkalis, or alkaline carbonates, taken by the mouth, have occasionally re- 11- ved calculous complaints, is certain. It is, hoAvever, said, that their continued use debilitates the stomach; and M. Fourcroy has proposed applying the remedy im- mediately to the disease, by injecting into the bladder a tepid solution of potass or soda, so dilute that it can be held in the mouth. Before the alkaline solution be in- jected, the bladder is to be completely evacuated of urine, and washed out with an injection of tepid water. After the alkaline injection has remained in the bladder half an hour or more, it is to be evacuated and allowed to settle. If, on the addition of a little muriatic acid, a precipitate be formed, Ave shall have reason to conclude that the calculus contains uric acid, and that the alkali has acted on it. Very dilute alkaline solutions may also be taken into the stomach as antacids, but we possess others which are preferable. Tiie dose is from ten to thirty drops. Ex- ternally, alkaline solutions have been more frequently used, either very dilute, simply as a stimulus, in rickets, gouty sAvellings, gonorrhoea, and spasmodic diseases, or concentrated as a caustic to destroy the poison of the viper and of rabid animals. Potassa. Potass. Strongest Common Caustic. Take of Solution of potass, any quantity. Evaporate it in a covered very clean iron vessel, till, on the ebullition ceasing, the saline matter flows gently like oil, which happens before the vessel becomes red. Then pour it out on a smooth iron plate; let it be divid- ed into small pieces before it hardens, and immediately placed in a Avell stopped phial. Potass in this form is used as a caustic. It quickly erodes animal matter, and, mixed with soap, has been used to open an ulcer. But its use as a caustic is inson- 50 39* PREPARATIONS AND COMPOSITIONS. venient, from its being so quickly affected by the air, and from its rapid deliquescence, wliich renders it apt to spread. Potassa Cum Calce. Potass with Lime. Milder Common Caustic. Take of Solution of potass, any quantity. Evaporate this in a covered iron vessel till one third remain; then mix with it as much neAV slack lime as will bring it to the consistence of a pretty solid pap, whicii is to be kept in a vessel closely stopped. The addition of the lime in this preparation renders it less apt to deliquesce, more easily managed, and milder in its operation than the former. Carbonas Potassje. Carbonate of Potass. Fixed vege- table Alkaline Salt purified. Let impure carbonate of potass, put into a crucible, he brought to a low red heat, that the oily impurities, if there be any, may be consumed; then triturate it with an equal weight of water, and mix them thoroughly by agi- tation. Filtrate the liquor through paper into a very clean iron pot, and boil to dryness, stirring the salt to- wards the end of the process, to prevent its sticking to the vessel. The Pearl ashes of commerce are obtained by the inci- neration of the wood of land vegetables. They contain a considerable proportion of foreign salts, from Avhich they are in a great degree purified by the present process. The salt thus obtained is a subcarbonate of potass, or potass imperfectly saturated Avith carbonic acid. It is in Avhite grains, is deliquescent, and possesses the alkaline properties. In like manner is purified impure kali from the ashes of any kind of vegetable. The same salt may be prepared from tartar which must be burnt until it become of an ash colour. PREPARATIONS AND COMPOSITIONS. 395 The following easy and cheap method of preparing carbo- nate of potass, (sal aeratusj by saturating the vegetable alkali with carbonic acid is recommended by that vene- rable and eminent physician E. A. Holyoke, M. D. of Salem. Take a cylindrical box of wood about nine or ten inches in diameter, bore eight or ten holes, half an inch in di- ameter in the side of it, just below the loAver edge of the cover, at neaiiy equal distances all round; bore also as many holes in the circular bottom of the box, close to the edge of it: then take another box of the same kind, but of a smaller diameter by half or three quarters of an inch; place this in the larger, and to keep it steady, thrust three or four wooden wedges between the two boxes. The two boxes being thus prepared, fill the inner one with the purest salt of tartar, or clean, Avell calcined pearl ashes, or any clean, pure fixed vegetable alkali: put its cover on the outer box, leaving the inner one un- covered ; sling this double box thus filled, with a cord, and suspend it in a distiller's vat or cistern, Avhile the wash is fermenting, a little above the liquor, or in an empty cistern, if it has been much used, and still retains the fixed air (carbonic acid); let it remain in this situation for six weeks or two months, or longer if it is not Avant- cd; let it then be taken out, and the salt noAv fully satu- rated Avith the acid, be exposed to the sun and air to dry. The salt thus prepared, does neither effloresce nor deli- quesce in the open air, and for all common purposes is, I believe, equal to that prepared by crystalization. Note, The pearl ashes had better be put into the box in moderate sized lumps than in poAvder, that the fixed air may have free access to if. The salt is mifch more tolerable to the palate, and may be taken in larger doses than the naked alkali; and as it is decomposed by vegetable acids, as Avell as the mineral, it may be exhibited instead of the alkali, in perhaps every case where the latter is proper, unless the fixed air is judged improper. It is ■much superior to common alkali in forming Rivc- rius' anti-emetie effervescing draught, as it contains a ■much larger proportion of carbonic acid (in which the principal virtue of that medicine is supposed to reside) 396 PREPARATIONS AND COMPOSITION*. than the mildest fixed alkali, and is at the same time much more palatable. The doctor commonly directs tAvo drachms or ratlin- more of this salt, to be dissolved in three ounces of Kir water; a large spoonful of this solution, added to the same quantity of good vinegar, or lemon juice, at the instant of swalloAving it, makes an agreeable dose. But the taste of this solution is so mild, that, if the prcseriber choose, a spoonful of it may be swalloAvcd alone at ih'st, and as much vegetable acid immediately upon it, in Avhich case, none of the gas will be lost. When acidity abounds in the first passages, a little of this salt added to any bitter infusion, or the dry salt ad- ded to powder of columbo, or any peptic powder, is an effectual antacid. In calculous cases, this salt is recommended bv Avritern, particulaiiy by the celebrated Dr. Cullen, in his Materia Medica, as being a happy expedient for conveying larger quantities of alkali into the stomach, than it can bear in its natural state. Hitherto, says the doctor, the common mode of preparing the salt for this purpose, I believe, has been by impregnating a solution of fixed alkali Avith fixed air, by means of Dr. Nooth's machine; but any one who has prepared the medicine in both ay ays, Avill readily give the" most decided preference to that above described, ow account both of ease and cheapness. Carbonas Potassa Purissimus. Pure Carbonate of Potass. Salt of Tartar. Take of Impure super-tartrite of potass, any quantity. Burn it to a black mass, by placing it among live coals, cither Avrapped up in moist bibulous paper, or contained in a crucible. Having reduced this mass to powder, ex- pose it in an open crucible to the action of a moderate fire, till it become white, or at least of an ash gray colour, taking care that it do not melt. Then dissolve it in warm water; strain the liquor through a linen cloth, and evaporate it in a clean iron vessel, diligently stirring it towards the end of the process Avith an iron spatula, to prevent it from sticking to the bottom of the vesti. A very Avhite salt will remain, which is to be left a little PREPARATIONS AND COMPOSITIONS. 397 longer on the fire, till the bottom of the vessel become almost red. Lastly, Avhen the salt is grown cold, keep it in glass vessels well stopped. By exposing the super-tartrite of potass to heat, the tartarous acid is decomposed. Parts of its carbon and oxygen unite, and form carbonic acid, Avhich is attracted by the potass ; and, by continuing the heat, the remaining carbonaceous matter is burnt out. By dissolving the sa- line matter, the portion oflime, and any other earthy or metallic matter Avhich the super-tartrite may have con- tained, are separated, and, by evaporation, a salt is obtain- ed, Avhich, like the former, is a sub-carbonate of potass, but more pure. Carbonate of potass, formerly called sal tartari, is fre- quently employed in medicine, in conjunction Avith other articles, particularly for the formation of saline neutral draughts and mixtures: but it is used also by itself in doses from three or four grains to fifteen or twenty; and it frequently operates as a poAverful diuretic, particularly ay hen aided by proper dilution. [See Carbonas Potassai impurus in the Materia Medica.] Aqua Super-carbonatis Potassje. Solution of Super- carbonate of Potass. Take of Water, ten pounds, Pure carbonate of potass, one ounce. Dissolve and expose the solution to a stream of carbo- nic acid gas, in the same manner as directed for the water of carbonic aeid. The colder the air is, and the greater pressure, the better is the liquor, Avhich should be kept in avcU closed vessels. As soon as the preparation is finished, the liquor should be draAvn off into pint bottles, which are to be well corked and kept in a cool situation, Avith the head (Ioavii, or laid on one side. It should be perfectly trans- parent, and have an acidulous, not at all alkaline taste; and Avhen poured out of the bottles, it should have a sparkling appearance. Potass, when used as a lithontripiic, irritates the sto- mach and bladder so much, that its use cannot be Avell long continued. But Avhen super-saturated with carbonic 398 PREPARATIONS AN» COMPOSITIONS. acid, as it is in this preparation, it is much more pleasant and less irritating; anil, though its lithontriptic or real solvent power is diminished, or perhaps entirely lost, it is capable of acting as a palliative, and of being continu- ed for any length of time. Indeed, it is the only form in which Ave can exhibit potass in sufficient doses, and for a sufficent length of time, to derive much benefit from its use in calculous complaints. It has certainly been fre- quently of advantage in these affections, but probably only in those instances in whicii the stone consists of uric acid, or urate of ammonia; for although super-saturated with carbonic acid, yet the affinity of that acid for potass is so weak, that it really operates in a degree as an alkali. Six or eight ounces of this liquor may be taken two or three times a day. It in general proves poAverfully diu- retic, and sometimes produces inebriation. This last effect is ascribed to the carbonic acid. Acetis Potassa. Acclite of Potass. Diuretic Salt. Take of Pure carbonate of potass, one pound. Boil it with a very gentle heat, in four or five times its weight of distilled acetous acid; add more acid at differ- ent times, till, on the watery part of the preceding quan- tity being neaiiy dissipated by evaporation, the new addition of acid cease to raise any effervescence; wliich will happen, when about twenty pounds of the distilled acetous acid have been consumed. It is then to be slow- ly dried. The impure salt remaining, is to be melted with a gentle heat, for a short time ; and afterwards dissolved in water, and filtered through paper. If the liquefaction have been properly performed, the filtered liquor will he limpid; but if otherwise, of a brown colo:.:'. Afterwards evaporate this liquor with a very gentle heat in a very shallow glass vessel, occasionally stirring the salt as it becomes C\i'y, that its moisture may be sooner dissipated. Lastly, the acetitc of potass ought, to be kept in a vessel very closely stopped, to prevent it from deliquescing. It is obvious, that, in this process, the acetous acid combines with the potass, disengaging the carbonic acid. The acetite of potass, obtained by the evaporation, is of a brownish colour, from the presence, cither of some PREPARATIONS AND COMPOSITIONS. 399 extractive m. ter contained in the vinegar, or of carbo- naceous matter, from a partial decomposition of the acid. It is freed from this by the fusion which is directed; and, by the second solution and evaporation, it is obtained in the form of a Avhite foliated mass, extremely deliquescent. Acetite of potass, formerly called sal diureticus, pro- vided it be properly made, is a medicine of great efficacy,. and may be so dosed and managed as to prove either -mildly cathartic, or powerfully diuretic : feAV of the saline deobstruents equal ii in virtue. The dose is from half a scruple to a drachm or two. A bare mixture, hoAvever, of alkaline salt and vinegar, Avithout exsiccation, is per- haps not inferior as a medicine to the more elaborate salt. Two drachms of the alkali, saturated with vine- gar, have been known to occasion, in hydropic cases, ten or twelve stools, and a plentiful discharge of urine, with- out any inconvenience. Sulphas Potassa. Sulphate of Potass. Vitriolated Tartar. Take of Sulphuric acid diluted, with six times its weight of Avater, any quantity. Put it into a capacious glass vessel, and gradually drop into it, of pure carbonate of potass, dissolved in six times its weight of water, as much as is sufficient thoroughly to saturate the acid. The effervescence being finished, strain the liquor through paper; and after due evapora- tion set it aside to crystalize. Sulphate of potass may be also conveniently prepared from the residuum of the distillation of nitrous acid, by dissolving it in warm Avater, and saturating it Avith car- bonate of potass. In the former of these processes, the sulphuric acid unites with the potass of the carbonate of potass, and ex- pels the carbonic acid with effervescence. In the latter, whicii is the one generally followed, the excess of sulphu- ric acid attached to the sulphate of potass, Avhich remains after the distillation of nitrous acid, is saturated by the addition of a sufficient quantity of potass. Sulphate of potass, formeiiy vitriolated tartar, forms small transparent very hard crystals, generally aggre- gated in crusts, and permanent in the air. It has a bitter # 400 PREPARATIONS AND COMPOSITIONS. taste, and is slowly soluble in Avater. In small doses, as a scruple, or half a drachm, it is a useful aperient; in larger ones, as four or five drachms, a mild cathartic, Avhich does not pass off so hastily as the sulphate of soda, and seems to extend its action further. Sulphas Potassje Cum Sulphure. Sulphate of Potass with Sulphur. Sal Polychrest. Take of Nitrate of potass in poAvder, Sublimed sulphur, of each equal parts. Mix them well together, and inject the mixture, by little and little at a time, into a red hot crucible; the deflagration being over, let the salt cool, after Avhich it is to be put up in a glass vessel well stopped. The nitrate of potass being decomposed by the red heat, affords oxygen to the sulphur, in such proportions as to convert it into sulphuric and sulphurous acids. Both acids are attracted by the potass. In its medicinal qualities, this saline compound, formeiiy called sal poly- chresius, does not appear to differ from the sulphate of potass; and it is soon converted into it by exposure to the air. Suiphuretum Potassje. Sulphuret of Potass. Liver of Sulphur. Take of Carbonate of potass, Sublimed sulphur, each eight ounces. Having ground them Avell together, put them into a large coated crucible ; and having fitted a cover to it, and applied live coals cautiously around it, bring them at length to a state of fusion. Having broken the crucible as soon as it has grown cold, take out the sulphuret, and keep it in a well closed phial. During the fusion of these tAvo substances, the sulphur and potass combine, and the carbonic acid is disengaged. The compound is easily fusible, and is of a brown colour, and inodorous. It is immediately partially decomposed • PREPARATIONS AND COMPOSITIONS. 401 by water, and portions of sulphate of potass and sulphu- rated hydrogen formed. This preparation, formeiiy called hepar sulphuris (liver of sulphur), has been proposed to be used as an an- tidote to some of the metallic poisons, from the supposi- tion that the sulphur would combine with the metallic preparation, and render it inert. From a similar theory it has been imagined that it might obviate the effects o*f mercury on the system when these are too violent; but is very seldo.n bad recourse to with either intention. The dose in wliich it has been proposed to be given, is from ten to twenty grains, three or four times a day. It is said in some cases of cancer, to have increased the effica- cy of cicuta as a palliative, in doses of five grains. Tartris Potassje. Tartrite of Potass. Soluble Tartar. Take of Carbonate of potass, one pound, Super-tartrite of potass, three pounds, or as much as may be sufficient, Boiling water, fifteen pounds. To the carbonate of potass dissolved in the Avater, gradually add the super-tartrite of potass in fine powder. as long as it raises any effervescence, which generally ceases before three times the weight of the carbonate of potass has been added ; then strain the cooled liquor through paper, and, after due evaporation, set it aside to crystalize. The excess of tartarous acid in the super-tartrite of potass, is saturated by the potass of the carbonate of potass, and the proper neutral salt formed. It is not easily crystalized. In its preparation, therefore, the so- lution is usually evaporated to dryness. It has an unpleas- ant bitter taste. It is soluble in four parts of cold water, and still more soluble in boiling water : and it is also so- luble m alcohol. This neutral salt, formerly called soluble tartar, is totally or partially decomposed by all acids. On this account it is improper to join it with tamarinds, or such like acid fruits, which is too often done in the extempo- raneous practice of those physicians who arc fond of mixing different cathartics together, and know little of chemistry. In .doses of a scruple, half a drachm, or a drachm, this sult is «l mild cooling aperient : two or three drachms # 5J lO~ PREPARATIONS ANI> COMPOSITIONS. commonly loosen the belly; and an ounce proves pretty strongly purgative. It has been particularly recom- mended as a purgative for maniacal and melancholic pa- tients. It is an useful addition to the purgatives of the resinous kind, as it promotes their operation, and at the same time tends to correct their griping qualify. Carbonas Sodje. Carbonate of Soda. Purified fixed fossil Alkaline Salt. Take of Impure carbonate of soda, any quantity. Bruise it; then boil in water till all the salt be dis- solved. Strain the solution through paper, and evaporate it in an iron vessel, so that after it has cooled, the salt may crystalize. Impure carbonate of soda, the Barilla of commerce, is obtained from the incineration of certain marine plants. It consists of carbonate of soda, Avith charcoal, oxide of iron, and various other impurities. From these it is in a great measure freed by solution and crystalization. It Avas formerly called purified fixed fossil alkaline salt, and has been used principally as a lithontriptic, under the form of the watery solution super-saturated with carbonic acid, or made into pills with soap; of Avhich half a drachm or a drachm, are taken in the course of the day. Mr. William Dunn of Boston has announced bis in- tention of manufacturing carbonate of soda to any amount whicii may be required. Aqua Super-Carbonatis Sod,e. Solution of Super- Carbonate of Soda, Take of Water, ten pounds. Carbonate of soda, tAvo ounces. Dissolve and expose the solution to a stream of car- bonic acid gas, in the same manner as directed for the water of carbonic acid. It is used as a lithontriptic, in the same dose as the water of super-carbonate of potass, and has generally been prefered to it, on the supposition of being more pleasant. P PREPARATIONS AND COMPOSITIONS. 403 PiiosrnAs SoDiB. Phosphate of Soda, Take of Bones burnt to whiteness, and powdered, ten pounds, Sulphuric acid, six pounds, Water, nine pounds. Mix the powder with the sulphuric acid in an earthern vessel; then add the Avater and mix again. Then place the vessel in a vapour bath, and digest for three days ; after Avhich dilute the mass with nine pounds more of boiling Avater, and strain the liquor through a strong linen cloth, pouring over it boiling Avater, in small quan- tities at a time, until the Avhole acid be Avashed out. Set by the strained liquor, that the impurities may subside, decant the clear solution, and evaporate it to nine pounds. To this liquor, poured from the impurities, and heated in an earthern vessel, add carbonate of soda, dissolved in Avarm water, until the effervescence cease. Filter the neutralized liquor, and set it aside to crysta- lize. To the liquor that remains, after the crystals are taken out, add a little carbonate of soda, if necessary, so as to saturate exactly the phosphoric acid, and dispose the liquor by evaporation to form crystals as long as these can be produced. Lastly, the crystals are to be kept in a Avell closed vessel. The white residuum of burnt bones consists chiefly of phosphate of lime. The sulphuric acid decomposes it, by combining with the lime; the phosphoric acid, Avhich is disengaged, dissolves, however, a portion of undecomposed phosphate of lime, forming a soluble compound. When carbonate of soda is added to the acidulous liquor, obtain- ed by washing the materials, the soda combines with the free phosphoric acid; the neutral phosphate of lime, which was combined Avith that acid, is precipitated, and the phosphate of soda crystalizes on evaporation of the strained liquor. Its crystals are rhomboidal, efflorescent, and require for solution only four parts of cold water. They consist, according to Thernard, of nineteen of soda, fifteen of acid, and sixty-six of water. Its taste is purely saline, Avithout any bitterness. Phosphate of soda Avas introduced into the practice of physic by the ingenious Dr. Pearson, of London. It pos- 40A PREPARATIONS AND COMPOSITIONS. sesses the same medical qualities as the sniphatc of soda* and the tartrite of potass and soda, being an excellent purge in the quantity of an ounce or ten drachms; and has the peculiar advantage over these two salts in being much less nauseous than they are. Its taste is extremely similar to that of common salt; and Avhen given in a bason of water gruel, or veal broth without salt, it is scarcely perceptible by the palate, and consequently is well adapted for patients whose stomachs are delicate, and who hav« an antipathy against the other salts. Sulphas Sodje. Sulphate of Soda. Glauber's Salt. Dissolve the acidulous salt which remains after the distillation of muriatic acid, in water; and having mixed chalk with it to remove the superfluous acid, set it aside until the sediment subside ; then decant the liquor, strain it through paper, and evaporate it so that it may crystalize. In the decomposition of muriate of soda by sulphuric acid, to prepare muriatic acid, more sulphuric acid is used than is barely sufficient; and hence the necessity of saturating this excess by the addition of chalk or carbo- nate of lime. The neutral sulphate of soda crystalizes in hexhsedral prisms; they are efflorescent and soluble in rather less than three parts of cold water. Their taste is at first salt, and afterwards disagreeably bitter. They consist, when dried, of fifty-six parts of sulphuric acid, and forty-four of soda. Taken from half an ounce to an ounce, or more, it proves a mild and useful purgative; and in smaller doses largely diluted, a serviceable aperient and diuretic. It is commonly given in solution; but it may also be given in powder, after it has effloresced. In this form the dose must be reduced to one half. The very disagreeable taste of cathartic salts may he in a great measure destroyed by dissolving them in hot lemonade, or by adding to the solution a little of the vegetable acid. At the salt Avorks in the county of Barnstable, Glauber's salt is prepared to great advantage from the bittern that remains after the crystalization of common salt. This bitter liquor is preserved in the vats; and during the cold in Avintcr the salt is found collected in fine crystal* PREPARATIONS AND COMPOSITIONS. 4Q& at the bottom. This is purified by moderately boiling in fresh water, and the salt is again crystalized in large shallow vessels. The sulphate of soda prepared at these Avorks is equal in quality to any that is imported, and may be made abundant enough for the whole home market, and the West India Islands. It has been sold at the low price of three dollars per hundred weight; and has been exported to the East and West Indies, Avhere it has come to a profitable market. Like European salts, it is apt to effloresce, but if se- cluded from the air and light, for tvyelve or eighteen months, it becomes hard and permanent. Tartris Potassje et SoD-E. Tartrite of Potass and Soda. Rochelle Salt. It is prepared from the carbonate of soda and super- tartrite of potass, in the same manner as the tartrite of potass. The excess of tartarous acid in the acidulous tartrite of potass, being saturated in this preparation with soda, a triple salt is formed. It erystalizes in rhomboidal prisms. Under the name of Rochelle salt, it has been employed as a cathartic, in a dose of one ounce; and is often prefered, as being less disagreeable than the great- er number of the saline cathartics. It consists of fifty- four parts of tartrite of potass, and forty-six of tartrite of soda. Aqua Ammonije. Water of Ammonia. Water of Caustic Ammonia. Take of Muriate of ammonia, one pound, Lime, fresh burnt, one pound and an half, Distilled Avater, one pound, Water, nine ounces. Pour the water on the powdered lime contained in an iron or earthen vessel, Avhich is then to be covered up till the lime fall to poAvder. Then mix the muriate pre- viously ground into very fine powder, thoroughly with the lime, by triturating them together in a mortar, and im- mediately put the mixture into a retort of bottle glass. Put the retort in a sand bath, and connect with it a 406 PREPARATIONS AMI COMPOSITIONS. Woulfe's apparatus. In the first and smallest botflr, furnished with a tube of safety, put two ounces of the distilled Avater, and in the second the rest of the distilled water. The fire is noAv to be kindled, and gradually increased, until the bottom of the sand pot become red. Mix the fluid contained in each of the bottles, and preserve it in small phials accurately closed. The theory of this process is precisely the same with that directed for the preparation of the lixivium causti- cum. The lime attracts the muriatic acid of the muriate of ammonia, and the ammonia, or volatile salt, is disen- gaged, and arises in a liquid form. By itself it is incon- densable, but it combines with the Avatery vapour, and forms an aqeous solution. To conduct the process to advantage, a series of receivers is necessary, in which Avater is disposed, to absorb entirely, the ammoniacal gas. When water is perfectly saturated with ammonia, one hundred grains are found to combine with thirty-four; but, in the usual mode of preparing this solution, this perfect saturation is never effected. The solution has a strong pungent smell, a very acrimonious taste, and in- flames the skin. It is used in medicine as a poAverful stimulant and diaphoretic internally, in a dose of twenty drops largely diluted. Externally, it is applied to the skin as a rubefacient, and in the form of gas to the nos- trils, and to the eyes as a stimulant, in cases of torpor, paralysis, rheumatism, syncope, hysteria, and chronic ophthalmia. Alcohol Ammoniatum. Ammoniated Alcohol; or Spirit of Ammonia. Take of Alcohol, thirty-two ounces, Lime, fresh burnt, twelve ounces, Muriate of ammonia, eight ounces, Water, eight ounces. From these ingredients, ammoniated alcohol is prepar- ed, in exactly the same manner, as the water of ammonia. Though in this process carbonate of ammonia be the principal product, from the decomposition of the muriate of ammonia, by the carbonate of potass, yet, from the potass not being fully saturated Avith carbonic acid, a PREPARATIONS AND COMPOSITIONS. 407 quantity of pure ammonia is disengaged, and combines with the alcohol. A part of the water also of the dilut- ed alcohol distilling over, dissolves a portion of the car- bonate of ammonia. The compound has the pungent ammoniacal smell. It is used principally as the menstruum of some vegetables, with whicii ammonia coincides in medicinal operations. Cabeonas Ammonije. Carbonate of Ammonia. Pre- pared Ammonia. Take of Muriate of ammonia, one poun'l, Pure soft carbonate of lime dried, two pounds. Having triturated them separately, mix them tho- roughly, and sublime from a retort into a refrigerated receiver. This process is an example of double elective attraction. The muriatic acid of the muriate of ammonia combines with the lime of the carbonate of lime, and the carbonic acid of the latter unites with the ammonia of the former. The carbonate of ammonia which is formed, is sublimed, and is obtained in a white crystaline cake. When the process is carried on in the large way, the sublimation is generally performed from an iron pot, to Avhich the heat is directly applied. Carbonate of ammonia has the smell and taste of am- monia, but weaker. It is soluble in twice its weight of cold water, and is more soluble as the temperature of the Avater increases; but Avhen it approaches to a boiling heat, the carbonate is volatilized. It is efflorescent when exposed to the air; and is decomposed by most of the acids. The A'olatile alkali and spirit obtained from sal ammo- niac are the purest of all the medicines of this kind. They are someAvhat more acrimonious than those pro- duced directly from animal substances, whicii ahvays con- tain a portion of the oil of the subject, and receive from thence some degree of saponaceous quality. The volatile salt and spirit prepared from hartshorn and animal bones, are now entirely siu eisedcd by those obtained from sal ammoniac, and the process for prepar- ing them is rejected by the Edinburgh college. 408 preparations and compositions. Volatile alkaline salts, and their solutions called spi- '"its, agree in many respects, Avith fixt alkalis and their solutions or leys: as in changing the colours of a blue flower to a green : effervescing, when in their mild state, with, and neutralizing acids; and corroding the fleshy parts so as to act as caustics. By their stimulating smelJ, they prove serviceable in languors and faintings. Taken inter- nally, they stimulate, greatly promote perspiration, and act particularly on the nervous system. They prove use- ful in lethargic cases; in hysterical and hypochondriacal disorders, and in the languors, headachs, flatulent colics, and other symptoms which attend them. In some fevers] particularly those of a low kind, in aged persons, and those of phlegmatic habits, and accompanied with a cough, hoarseness, ke. they are of great utility, raising the vis vitce, and exciting a salutary diaphoresis. The dose of the salt is from five to fifteen grains, and of the spirit thirty or forty drops in cold water. The use of the volatile ammonia has lately been attend- ed with uncommon success in cases of the bite of vene- mous serpents. Mr. John Williams speaks in the most positive manner of the good effects of the volatile alkali, (spirits of hartshorn or spirit of sal ammoniac) in curing the effects of the bite of veneinous snakes in the East Indies. Dr. Wright, Avho practised many years in Ja- maica, directs forty drops of the caustic volatile alkali, as soon as possible after the accident; the dose being re- peated every five minutes, while the parts affected arc continually washed Avith the same preparation. A re- markable instance is reported to have occurred at Savan- nah, in Avhich was experienced the most decided benefit from the use of alkalis in a negro Avho was bitten by a venemous snake in the foot. The patient was ordered one or two tea spoonfuls of an alkaline solution everv fifteen minutes, and the part affected to be kept moist Avith the solution. The first dose produced immediate good effects, in mitigating the excessive pain and swelling which Avere making rapid progress up the limb to the body; and a proper repetition of the remedy soon effected a complete cure. The efficacy of this remedy in similar alarming cases, has lately been confirmed, by a publication of Dr. Ramsey, of South Carolina. Ammonia is aycII known to possess a like antiseptic quality Avith other alkaline salts, and is employed for similar purposes. preparations and compositions. 409 \q,ua Carbonatis Ammonle. Solution of Carbonate of Ammonia. Water of Ammonia. Take of Muriate of ammonia, Carbonate of potass, each sixteen ounces, Water, two pounds. Having mixed the salts and put them into a glass retort, pour the water upon them, and distill to dryness in a sand bath, gradually increasing the heat. In this preparation of carbonate of ammonia by the humid way, carbonate of lime (chalk) could not be em- ployed to decompose the muriate of ammonia; because the addition of the water prevents the application of the necessary heat, whereas carbonate of potass acts at a moderate temperature. The potass attracts the muriatic acid, the ammonia the carbonic acid. The carbonate of ammonia is volatilized, and dissolved by the watery va- pour. The solution is applied to the same medicinal purposes as the concrete ammoniacal carbonate. A formula is given by the London College for a similar preparation, under the name of liquor carbonatis ammo- nia?, obtained by the solution of the solid carbonate in water. Eight ounces of the carbonate of ammonia are dissolved in a pint of distilled water, and the solution is strained through paper. Aojja Acetitis Ammonia. Water of Acetite of Ammonia. Spirit of Mindererus. Take of Carbonate of ammonia in powder any quantity. Pour upon it as much distilled acetous acid as may be sufficient to saturate the ammonia exactly. In this preparation, the acetous acid combines Avith the ammonia, and the carbonic acid is disengaged Avith effer- vescence. The acetite of ammonia remains dissolved in the water of the acetous acid. As the strength of distill- ed vinegar is not always the same, that of this solution • must be variable; an inconvenience not easily obviated. The following cheap and expeditious method of satu- rating the common solution obtained by dissolving sal *fO PREPARATIONS AND COMPOSITIONS. ammoniac (carbonate of ammonia) in vinegar, Avith fixed air, or carbonic acid gas, is too valuable to be omitted.* Take an ounce of pure sal ammoniac (carbonate of ammonia) and one pint and a half of distilled vinegar; put the latter in a decanter, provided with a close glass stopper; then introduce the salt, previously broken into lumps, but not too small, as by plunging it too suddenlv into the liquor, the extrication of the gas Avould be too quick, and a quantity of it dissipated. Next, the stopper of the bottle should be tied over with a bit of leather, and the whole be left undisturbed. It Avould be further useful, to add on the top of the bottle some weight or pressure, by which means the combination of the carbonic acid gas with the water will be greatly facilitated. After having stood a few hours, the ammonia Avill be dissolved, and the carbonic acid gas will be absorbed by the liquor. By this simple process, the water of acetite of ammonia becomes strongly impregnated with fixed air, while it is almost entirely deprived of that disagreeable taste, wliich is peculiar to this medicine, when prepared in the usual way. Dr. Lynam, an English practitioner, speaks from ex- perience of the superior qualities this preparation pos- sesses as a febrifuge; besides the very great advantage, that it tends to keep the boAvels open, even under the immediate influence of opiates. It likewise generally agrees with weak and irritable stomachs, which can retain scarcely any other medicine. Acetite of ammonia, when assisted by a warm regimen, proves an excellent and powerful sudorific; and as it ope- rates Avithout quickening the circulation or increasing the heat of the body, it is admissible in febrile and inflamma- tory diseases, in which the use of stimulating sudorifics is attended Avith danger. Its action may likewise be determined to the kidneys by walking about in a cool air. The common dose is half an ounce, either by itself, or along Avith other medicines adapted to the same intention. Pure vinegar is sometimes employed instead of the, distilled acetous acid in this preparation. * Vide Rees' Cycloped. Article Ammonia. PREPARATIONS and compositions. 411 Hydro-Sulphuretum Ammonle. Hydro Sulphuret of Ammonia. Take of Water of ammonia, four ounces, subject it in a chemical aparatus to a stream of the gas, which arises from Sulphuret of iron, four ounces, Muriatic acid, eight ounces, previously diluted with tAvo pounds and a half of Avater. Sulphuret of iron is conveniently prepared for this purpose, from Purified filings of iron, three parts. Sublimed sulphur, one part. Mixed and exposed to a moderate degree of heat in a covered crucible, until they unite into a mass. The sulphureted hydrogen is produced in this process by the muriatic acid disposing the iron to decompose part of the Avater. The hydrogen disengaged, immediately combines Avith a portion of the sulphur present, and this compound escaping in the state of gas, is passed through the Avater of ammonia, Avith Avhich it unites, and forms a liquor of a dark green colour, and very foetid odour. Hydro sulphuret of ammonia acts powerfully on the living system. It induces vertigo, drowsiness, nausea, and vomiting, and lessens the action of the heart and ar- teries. It therefore seems to be a direct sedative. The principal application of it is in diabetes, with the YieAV of reducing the morbid appetite and increased action of the stomach. It is given in a dose of from five to fifteen drops twice a day. Murias Baryta, Muriate of Barytes. Take of •* Carbonate of barytes, Muriatic acid, each one part, Water, three parts. Add the carbonate, broken into little bits, to the water and acid, previously mixed. After the effervescence has ceased, digest for an hour, strain the liquor, and set it aside to crystalize. Repeat the evaporation as long a* any crystals are formed. 412 preparations and compositions. If the carbonate of barytes cannot be procured, the mu- riate may be prepared in the following manner from the sulphate. Take of Sulphate of barytes, two pounds, Charcoal of wood in poAvder, four ounces. Roast the sulphate with fire, that it may be more easily retluced to a very fine poAvder, with Avhich the charcoal is to be intimately mixed. Put the mixture into a crucible, and having fitted it ay ith a cover, heat it Avith a strong fire for six hours. Then triturate the matter well, and throw it into six pounds of Avater, in an earthen or glass vessel, and mix them by agitation, preventing as much as possible the access of the air. Let the vessel stand in a vapour bath until the part not dissolved shall subside, then pour off the liquor; on the undissolved part pour four pounds more of boiling water, which, after agitation and deposition, are to be added to the former liquor. Into the liquor while still warm, or if it shall have cooled, again heated, drop muriatic acid as long as it excites any effervescence. Then strain it and evaporate it so as to crystalize. Sulphate of barytes may be decomposed by carbonate of potass by double affinity, and perhaps this is the least troublesome process; but, when done with the view to the medicinal application of the barytes, it has been sup- posed defective, as it does not separate the metallic sub- stances Avith wliich the native sulphate is so frequently intermixed. The process of decomposing it, therefore, by charcoal, has been deemed preferable. The carbona- ceous matter attracts the oxygen of the sulphuric acid; the sulphur remains united Avith the barytes. This sul- phuret of barytes, as avcU as a portion of hy dro-sulphu- ret formed during the solution, are soluble in water; on dropping in muriatic acid, it combines Avith the barytes, the sulphur is precipitated, and the sulphurated hydrogen disengaged. By straining and evaporating the liquor, the muriate of barytes is obtained crystalized. It is used under the form of solution, for whicii also the following formula is given. PREPARATIONS and compositions. ilS Solutio Muriatis Baryta. Solution of Muriate of Barytes. Take of Muriate of barytes, one part, Distilled water, three parts, Dissolve. The saturated solution of muriate of barytes was in- troduced by Dr. CraAvford, as a remedy in scrofula, and it has since been used in Aarious forms of hectic fever. Its effects are to improve the appetite and general strength; sometimes it occasions diaphoresis or diuresis. Its dose is live drops, gradually increased to twenty or more. In too large a dose it occasions sickness, vertigo, tremors, and insensibility. The solution is also used externally as a stimulating and gentle escharotic application in cutane- ous diseases, fungous ulcers, and specks upon the cornea AquA Calcis. Lime Water. Take of Lime recently burnt, half a pound. Put it into an earthen vessel, and sprinkle on it four ounces of water, keeping the vessel shut, Avhile the lime grows hot, and falls into powder. Then pour on it twelve pounds of water, and mix the lime thoroughly with the water, by agitation. After the lime has subsided, repeat the agitation; and let this be done about ten times, always keeping the vessel shut, that the free access of the air may be prevented. Lastly, let the water be filtered through paper, placed in a funnel, with glass rods inter- posed between them, that the water may pass as quickly as possible. It must be kept in very close bottles. The caution to exclude the air in this process, arises from the supposition that the lime would combine rapidly with the carbonic acid of the atmosphere. After the solution is strained, it is at least necessary, that it should be kept in vessels avcU stopped. Lime is not more solu- ble in hot Avater, than in cold; therefore it is unnecessary lo use boiling water. Only a very small quantity of time is dissolved; about two grains to the ounce. *i4 PREPARATION". \M) COMPOSITIONS, Lime Avater is transparent and colourless. It has an austere, acrid taste, and affects vegetable colours as the alkalis do. When applied to the living fibre, lime water corrugates, and shortens it; it therefore possesses astrin- gent poAvers. It is also a powerful antacid; or, at least, it combines with, and neutralizes acids when it comes in contact with them. It also dissolves mucus, and kills internal worms. From possessing these properties, it is used in medicine, in diseases supposed to arise from laxity or debility of the solids, as diarrhoea, diabetes, leu- corrhcea, scrofula, and scurvy; in affections of the sto- mach, accompanied with acidity and flatulence, Avhen the intestines are loaded Avith mucus; and in worms. Lime water is scarcely capable of dissolving, even out of the body, any of the substances of Avhich urinary calculi con- sist; it has therefore no pretensions to the character of a lithontriptic. It has been also recommended in crusta lactea, cancer, and chronic cutaneous diseases. Exter- nally it is applied to ill-conditioned ulcers, gangrenous sores, as a wash in tinea capitis and psora; and as an injection in gonorrhoea, fistulas, and ulcers of the bladder. When taken internally, its taste is said to be best covered hy hike Avarm milk. Its dose is commonly from two to four ounces, frequently repeated; but Avhen long con- tinued, it Aveakens the organs of digestion. Lime Avater is an excellent remedy for a broken Avinded horse. Carbonas Calcis Prjeparatus. Prepared Carbonate of Lime. Carbonate of lime, Avhether the variety, commonly called chalk, or that called crab's eyes and crab's stones, after having been triturated to powder in an iron mortar, and levigated on a porphyry stone, with a little water, is to be put into a large vessel, and Avater to be poured upon it; Avhich, after agitating the vessel repeatedly, is to be again poured off, Avhile loaded with fine powder. On allowing the water to settle, a subtile powder ay ill sub- side, which is to be dried. The coarse powder which the Avater could not sus- pend, may be levigated again, and treated in the same manner. Carbonate of lime, formerly prepared chalk, is com- mon Sy callct: an absoibeni earth, it certainly is an PREPARATIONS AND COMPOSITION*. *la antacid, that is, it combines with and neutralizes most acids, Avhile its carbonic acid is expelled in the form of gas. It is therefore exhibited in affections of the sto- mach, accompanied with acidity, especially when at the same time there is a tendency to diarrhoea. The fear of its forming concretions in the bowels, is probably imaginary; for it is not warranted either by theory or experience. Applied externally, carbonate of lime may be cor, -i- dered as an absorbent in another point of view; for its beneficial action on burns and ulcers, prohably arises entirely from its imbibing the moisture or ichor us mat- ter, as a sponge Avould do, and thus preventing it from acting on the abraded surfaces, and excoriating the neigh- bouring parts. R^d coral, (corallium rubrum) is ordered to be pre- pared in the same manner, in the London Pharmacopoeia; but, as it has no qualities but those of carbonate of lime, there is no necessity for retaining it in the lists of the Materia Medica. Solutio Muriatis Calcis. Solution of Muriate of Lime. Take of Hard carbonate of lime, that is, white marble, broken into pieces, nine ounces, Muriatic acid, sixteen ounces, Water, eight ounces. Mix the acid with the water, and gradually add the pieces of carbonate of lime. When the effervescence has ceased, digest them for an hour; pour off the liquor and evaporate it to dryness. Dissolve the residuum in its Aveight and a half of water; and, lastly, filter the so- lution. The muriatic acid obviously combines with the lime,. and disengages the carbonic acid. Its taste is pungent, bitter and disagreeable. It is one of the most deliques- cent salts that we know, and is soluble in water; that fluid seems capable of dissolving twice its weight, or at least forms Avith it a viscid liquid. It Avas first proposed as a medicine by Fourcroy, in scrofulous and glandular diseases, and has been lately extravagantly extolled by Dr. Beddocs, in the same affee- CS^ 416 PREPARATIONS AND COMPOSITIONS. tions. A drachm, diluted with an ounce of water, he considers as a medium dose. In an over dose, it has produced qualms and sickness; and three drachms and an half, killed a dog, whose stomach, upon dissection, had its villous coat blood-shot, and in many parts almost thick, and converted into a gelatinous slime. The solution of muriate of lime, lias been strongly re- commended as a tonic, similar and not inferior to the muriate of barytes. Phosphas Calcis Impurus. Impure Phosphate of Lime. Burn pieces of hartshorn till they become perfectly Avhite; then reduce them to a very fine powder. In the burning of hartshorn, a strong fire, and the free admission of air are necessary. The potter's furnace was formeiiy directed for the sake of convenience, but any common furnace or stove will do. If the pieces of horn be laid on some lighted charcoal, spread on the bottom of the grate, they will be burnt to a Avhiteness, still retaining their original form. Burnt hartshorn, from its white earthy appearance, was formeiiy considered as an absorbent earth. But since it has been accurately analyzed, that idea has been given up, and its use has been suggested as a remedy in the rickets, a disease, in which the deficiency of the natural deposition of phosphate of lime in the bones, seems to be the essential, or at least, most striking symptom. Mr. Bonhomme, therefore, gave it to the extent of half a scruple, mixed with phosphate of soda, in several cases, with apparent success. Whatever objections may be made to his theory, the practice certainly deserves a trial. Carbonas Magnesle. Carbonate of Magnesia. Mag- nesia Alba. Take of Sulphate of magnesia, Corbonate of potass, equal Aveights. Dissolve them separately in double their quantity of warm water, and let the liquors be strained or otherwise freed from the feces; then mix them and instantly add eight times their quantity of warm Avater. Let the liquor PREPARATIONS AND COMPOSITIONS. 417 boil for a little on the fire, stirring it at the same time • then let it rest till the heat be someAvhat diminished; after whicii strain it through linen ; the carbonate of magnesia Avill remain upon the cloth, and it is to be ay ashed with pure water till it become altogether void of saline taste. In this process there is a mutual decomposition of the two salts employed. The potass unites itself to the sul- phuric acid, Avhile the carbonic acid combines Avith the magnesia. The large quantity of water used, is necessary fbr the solution of the sulphate of potass formed ; and the boiling is indispensably necessary for the expulsion of a portion of the carbonic acid, Avhich retains a part of the magnesia in solution. Sulphate of potass may be obtained from the liquor which passes through the filter, by evaporation. This is not pure, however, but mixed with undecomposed carbo- nate of potass: for one hundred parts of crystalized car- bonate of potass, are sufficient for the decomposition of one hundred and twenty-five parts of sulphate of magne- sia ; and as the carbonate of potass of commerce con- tains a larger proportion of alkali than the crystalized carbonate, a still less proportion should be used. From these quantities, about forty-five parts of carbonate of magnesia arc obtained. Boiling the liquor gives the car- bonate of magnesia a smoothness, which it has not Avhen this precaution is not observed. The ablutions should be made with pure Avater; for nicer purposes, distilled Avater may be used; and soft water is in every case necessary. Hard water for this process, is peculiarly inadmissible, as the principle of water's giving the property called hardness, is generally owing to a salt of lime, which decomposes the carbonate of magnesia by compound affinity, giving rise to carbo- nate of lime, Avhile the magnesia unites itself to the acid of the calcareous salt, by which the quantity of the car- bonate is not only lessened, but is rendered impure by the admixture of the carbonate of lime. Another source of impurity, is the silica which the sub-carbonate of potass generally contains. It is most easily got rid of, by ex- posing the alkaline solution to the air for several days, before it is used. In proportion as it becomes saturated Avith the carbonic acid, the silica is precipitated and may be separated by filtration. ✓ JbJLS PREPARATIONS AND COMPOSITIONS". Carbonate of magnesia, however, is generally prepared on a large scale from the bittern, or liquor remaining after the crystalization of the muriate of soda, from sea Avater, Avhich is principally a solution of muriate of mag- nesia : and there are some niceties of manipulation re- quisite to give it the lightness and smoothness, which are marks of its goodness. The carbonate of magnesia is a very light, white, opaque substance, without smell or taste, effervescing with acids. It is not, hoAvever, saturated with carbonic acid. By de- composing sulphate of magnesia by an alkaline carbonate, without the application of heat, carbonate of magnesia is gradually deposited in transparent, brilliant crystals, and soluble in about four hundred and eighty times its weight of Avater. The crystalized carbonate of magne- sia consists of fifty acid, twenty-five magnesia, and twen- ty-five Avater; the sub-carbonate consists of forty-eight acid, forty magnesia, and twelve water; and the carbo- nate of commerce of thirty-four acid, forty-five magne- sia, and twenty-one water. Carbonate of magnesia is principally given to correct acidity of the stomach, and in these cases to act as a pur- gative ; for solutions of magnesia in all acids are bitter and purgative; Avhilst those of the other earths, are more or less austere and astringent. A large dose of magnesia, if the stomach contain no acid to dissolve it, neither purges, nor produces any sensible effect; a mo- derate otic, if an acid be lodged there, or if acid liquors be taken after it, procures several stools; Avhereas, the common absorbents, under the same circumstanees, in- stead of loosening, bind the belly. When the carbonate of magnesia meets with an acid in the stomach, there is extricated a considerable quantity of carbonic acid gas, Avhich sometimes causes uneasy distention of the stomach, and the symptoms of flatulence. In such cases, therefore, magnesia is preferable to its carbonate; but on other occasions, good effects arise from the action of the gas evolved, as in nausea and vomiting. It is given as an antacid, in a dose of from a scruple to a drachm. Some attempts have been made by the manufacturers of common salt, at Cape Cod, to prepare carbonate of magnesia from the bittern, which is well known to hold a quantity of the muriate of magnesia in solution, and could the artists acquire the necessary practical -kill* % PREPARATIONS AND COMPOSITIONS. 419 this article might be procured at those Avorks in a state of purity, and to an extent adequate to every demand. It affords great satisfaction to announce that the manu- facture of this article on an extensive scale has been com- menced in this state by Mr. William Dunn, apothecary and chemist of Boston. His apparatus is connected Avith an extensive salt-work. He calculates to make thirty thousand pounds a year, sufficient to supply the United States and any other demand w hich may be made. From each gallon of bittern about five or six ounces of magne- sia is obtained. When first formed it is very pure, but by exposure to the air it attracts carbonic acid, and has then all the appearance of the carbonate of magnesia of the shops. Some specimens of it have been examined, and pronounced equally as pure as that imported. Con- nected with the apparatus, kettles are prepared for burn- ing the carbonate to form the pure magnesian earth. Magnesia. Magnesia. Calcined Magnesia. Let carbonate of magnesia, put into a crucible, be kept in a red heat for tAvo hours; then put it up in close stop- ped glass vessels. By this process the carbonate of magnesia is freed from its acid and water; and, according to the late Dr. Black's experiment, loses about seven twelfths of its weight. A kind of opaque, foggy vapour is observed to escape during the calcination, Avhich is nothing else than a quantity of fine particles of magnesia, buoyed off Avith a stream of the disengaged gas. About the end of the operation, the magnesia exhibits a kind of luminous, or phosphorescent property, which may be considered as a pretty exact criterion of its being deprived of its acid. It is to be kept ia close vessels, because it attracts, tliough slowly, the carbonic acid of the atmosphere. In medicine, it is used for the same general purposes as the carbonate. In certain affections of the stomach, accompanied with much flatulence, magnesia is prefera- ble, both because it contains more magnesia in a given bulk, and, being deprived of its acid, it neutralizes the acid of the stomach, without any extrication of gas, which is often a troublesome consequence when carbonate of magnesia is employed in these complaints. / i20 preparations and compositions. Super-Sulphas Aluminje et Potass^e Exsiccatus. Dried Super-Sulphate of Alumina and Potass. Burnt Alum. Melt super-sulphate of alumina and potass in an earth- en or iron vessel, and keep it over the fire until it cease to boil. By this process the alum loses its water of crys- talization, and becomes more active as an escharotic, for wliich purpose this preparation is used. Unless for external use as a dry poAvder, the virtues of alum are not improved by exposure to fire. When burnt it is a mild caustic, and is a principal ingredient in most styptic pow- ders ; and as a gentle escharotic it is applied to fungius ulcers. PREPARATIONS AND COMPOSITIONS. 421 CHAPTER III. METALLINE PREPARATIONS. The following metals are employed in medical prac- tice : Silver, Quicksilver, Copper, Iron, Tin, Lead, Zinc, Antimony, Arsenic, and Bismuth. It has already been observed, that metals, in their pure state, do not appear to exert any action on the living sys- tem ; their combinations only possess medicinal virtues. The oxidation of metals, and the combination of their oxides with acids, are the chemical changes which com- municate to them activity. In general they are more active, in proportion as they are more highly oxidated, and are still more so Avhen combined with acids. Oxigen is not, however, to be regarded, according to a modern hypothesis, as the source of their activity: each metal possesses powers, which, though increased or diminished according to the degree of oxidation, are peculiar to itself, and remain in all its preparations. ANTIMONY. Sulphuretum Antimonii Pr^iparatum. Prepared Sulphuret of Antimony. Sulphuret of antimony is prepared in the same manner as carbonate of lime. [See page 414.] Oxidum Antimonii Cum sulphure, Per Nitratem Potassa. Oxide of antimony, with Sulphur, by Nitrate of Potass. Crocus of Antimony. Take of Sulphuret of antimony, Nitrate of potass, equal Aveights. After they are separately powdered and Avell mixed, let them be injected into a red hot crucible; Avhen the deflagration is over, separate the reddish metallic matter from the whitish crust; poAvder it, and edulcorate it bv 'i'i'Z PREPARATIONS A NO COMPOSITION!":. repeated washings with hot Avater, till the Avater come off insipid. During the deflagration, the nitric acid of the nitrate of potass is decomposed; its oxigen is attracted, partly by the sulphur, and partly by the antimony. The sulphu- rous acid whicii is the principal product of the oxigena- tion of the sulphur, is in part dissipated, and in part combined Avith the potass, and forms the Avhite crust Avhich is directed to be removed. By the union of another portion of the oxygen with the antimony, a blown or reddish oxide is formed. It appears also, that part of the sulphuret of antimony escapes decomposition or oxy- genation, and unites with the oxide. The preparation, therefore, is an imperfect oxide of antimony. As an antimonial, this preparation is so uncertain in its operation, that it is never prescribed; it is used in making some of the other preparations of this metal. Oxidum Antimonii, Cum Sulphure, Vitrificatcm. Vitrified Oxide of Antimony with Sulphur. Glass of Antimony. StreAV sulphuret of antimony beat into a coarse powder like sand, upon a shallow unglazed earthen vessel, and apply a gentle fire underneath, that the sulphuret may be heated slowly; keeping it at the same time continually stirring, to prevent it from running into lumps. White v apours of sulphurous smell will arise from it. When they cease with the degree of heat first applied, increase the fire a little, so that the vapours may again arise; go on in the same manner, till the poAvder, Avhen brought to a red heat, exhale no more vapours. Melt this powder in a crucible with an intense heat, till it assume the ap- pearance of melted glass; then pour it out on a heated brass plate. In the first stage of this process the greatest part of the sulphur of the sulphuret of antimony is dissipated, and the antimony is imperfectly oxidated. This oxide is then vitrified by the more extensive heat applied. According to Thenard, it contains sixteen of oxygen to the one hundred. This preparation is violent, and at the same time un- certain in its operation; and is not used, but in preparing some of the other antimonials. preparations and compositions. 423 Oxidum Antimonii Vitrificatum, Cum Cera. Vi- trified Oxide of Antimony with icaa?. Cerated glass of Antimony. Take of YelloAV Avax, one part, Vitrified oxide of antimony Avith sulphur, eight parts. Melt the Avax in an iron vessel, and throAV into it the poAvdered oxide ; roast the mixture over a gentle fire for a quarter of an hour, continually stirring it; then pour it out, and Avhen cold, grind it into poAvder. The glass melts in the Avax with a very gentle heat. After it has been about twenty minutes on the fire, it be- gins to change its colour, and in ten more, conies near to that of Scottish snuff, which is a mark of its being suffi- ciently prepared; the mixture loses about one ninth of its Aveight in the process. The eerated glass of antimony Avas for some time much esteemed in dysenteries. The dose is from two or three grains, to tAvelve, or more, according to the age and strength of the patient. In its operation, it is both emetic and cathartic; though it has sometimes effected a cure without occasioning any evacuation or sickness. It is noAV, however, much less used than formerly. Sulphuretum Antimonii Pr^ecipitatum. Precipi- tated Sulphuret of Antimony. Golden Sulphur of Antimony. Take of Solution of potass, four pounds, Water, three pounds, Prepared sulphuret of antimony, two pounds. Boil them in a covered iron pot, over a slow fire for three hours, adding more water if necessary, and fre- quently stirring the mixture Avithan iron spatula; strain the liquor while Avarm through a double cloth, and add to it Avhen filtered, as much diluted sulphuric acid as is ne- cessary to precipitate the sulphuret, Avhich must be avcII washed Avith Avarm Avater. When the liquor, obtained by boiling the solution of potass on the sulphuret of antimony, is strained, and a!- ^Zy preparations and compositions. loAved to cool, before the sulphuric acid is added, it de- posits a red coloured poAvder, Avhich has been known by the name of Kermes mineral, and has been much esteem- ed in Europe, as an active preparation. When the sul- phuric acid is added, it unites with the potass, and the antimonial oxide, combined Avith parts of the sulphurated hydrogen and sulphur, is precipitated in the form of a light or orange coloured poAvder, called sulphur auralum antimonii. In its action on the body, the sulphuret of antimony coincides with the kermes mineral: but on account of the larger proportion of sulphur, it must be given in somewhat larger doses; the former not exceeding a grain, or grain and an half; the latter to the extent of five or six grains. They have been employed principally as diaphoretics and sudorifics, but are always uncertain in their operation. A composition of equal parts of sulphur auratum anti- monii and tnercurius dulcis, has been found a powerful, yet safe alterative in cutaneous disorders; and has com- pleted a cure, after salivation had failed. In venereal cases, likewise, this medicine has produced excellent ef- fects. [See Pilulse Plummeri.] Oxidum Antimonii cum Phosphate Calcis. Oxide of Antimony xvilh Phosphate of IAmc. Antimonial Powder. Take of Sulphuret of antimony in coarse powder, Shavings of hartshorn, equal weights. Mix, and put them into a Avide red hot iron pot, and stir the mixture constantly, until it be burnt into a matter of a gray colour, Avhich is then to be removed from the fire, ground into poAvder, and put into a coated crucible. Lute to this crucible another inverted over it, and perforated in the bottom ay ith a small hole, and apply the fire, Avhich is to be raised gradually to a white heat, and kept in that increased state for two hours. Lastly, grind the matter, Avhen cold, into a very fine powder. This has been introduced into the Pharmacopoeias, as affording a preparation, similar to the celebrated empiri- cal remedy, James9 powder. For the process, we are indebted to Dr. Pearson, of London. By analysis, he preparations and compositions. 425 found the genuine powder of Dr. James, to consist of forty-three parts of phosphate of lime, and fifty-seven of an oxide of antimony, part of which Avas vitrified; and by the above formula he was enabled to prepare a powder, similar to it in qualities and chemical composition. The theory of the process is sufficiently obvious. During the first stage, the animal matter of the bone is decomposed and burnt out; the sulphur of the sulphuret of antimony is expelled, and the metal is imperfectly oxi- dated. In the second, the metal is more completely oxidated, partially vitrified, and perhaps brought in com- bination with the phosphate of lime, which is the resi- duum of the bones. From Mr. Chenevix's experiments, it appears, that, in this preparation, more of the oxide of antimony is vitrified, than in the genuine James' powder. The oxide of antimony with phosphate of lime, (James' poAvder,) is one of the best antimonials we possess. It has been long celebrated as a remedy in febrile affections. It acts as a very general evacuant, occasioning sweat, purging, and frequently vomiting; and, by this general action, appears to arrest the progress of the disease. Its dose is five or six grains, repeated every six hours, until its effects are obtained. It is better adapted to fevers of an inflammatory nature, than to those of the typhoid kind. It has been affirmed, that the preparation obtained by the above process, is neither so certain, nor so powerful in its operation, as the powder of James; eight grains of the former, being not more than equal to six of the latter. The difference, if it exist, may be owing to some peculi- arity in the process, by wliich, perhaps, a difference of oxidation, or of vitrification of the oxide may be occa- sioned; or according to the opinion of Dr. Fordyee, to the intermixture of a portion of tartarized antimony in the empirical preparation. Murias Antimonii. Muriate of Antimony. Butter of Antimony. Take of Oxide of antimony Avith sulphur, by nitrate of potass, Sulphuric acid, each one pound, Dried muriate of soda, two pounds. Pour the sulphuric acid into a retort, gradually adding 'he muriate of soda and oxide of antimony previously ■ 5i 426 PREPARATIONS AND COMPOSITIONS. mixed. Then perform the distillation in a sand bath. Expose the distilled matter for several days to the air, that it may deliquesce, and then pour the liquid part from the feces. In this mode of forming muriate of antimony, the mu- riate of soda is decomposed by the sulphuric acid com- bining with the soda; the muriatic acid disengaged, unites with the oxide of antimony, aud the compound is volati- lized. It is at first of a soft consistence, from Avhich it takes the name of butter of antimony, but soon attracts a sufficient quantity of humidity, to render it fluid. If water be poured upon it, it is decomposed, and a sub-muriate of antimony is precipitated. This preparation is unfit for internal use; externally, it has sometimes been used as a caustic. Decomposed by potass, it affords an oxide, which has been used in pre- paring the tartrite of antimony. Tartris Antimonii. Tartrite of Antimony. Emetic Tartar. Take of Oxide of antimony Avith sulphur, by nitrate of potass, three parts, Super-tartrite of potass, four parts, Distilled water, thirty-two parts. Boil in a glass vessel for a quarter of an hour, strain through paper, and set aside the strained liquor to crys- talize. The excess of tartarous acid in the super tartrife of potass, is capable of combining with a number of the metallic oxides, and forming ternary compounds. With oxide of antimony, Avhen not too highly oxidated, it unites Avith facility, forming a combination of this kind, which constitutes the present preparation. As the tartarous acid is saturated, partly by potass, and partly by oxide of antimony, it is not a pure tartrite of antimony, but a tar- trite of antimony and potass. According to the analysis of it by Thenard, it consists of thirty-eight parts of oxide of antimony, .thirty-four of tartarous acid, sixteen of potass, and eight of water. As this is the most important of the antimonial prepa- rations, the processes for obtaining it have been often varied, pri eipally, in the selection of the oxide of anti- mony employed. PREPARATIONS AND COMPOSITIONS. 427 The vitrified oxide is, perhaps, the most unexception- able ; it contains, indeed, a portion of siliceous earth, which accompanies the oxide of antimony in its combina- tion with the tartarous acid; and, Avhen the liquor is con- siderably evaporated, gives to it a gelatinous consistence: but, before this happens, the greater part of the tartrite of antimony and potass may be procured by crystaliza- tion; or, according to VauquehVs method,'the solution may be directly evaporated to dryness, and, on again dissolving the saline matter in Avater, the silex remains undissolved. The solubility of tartar emetic has been variously stated, and appears to vary, according to the quantity of antimonial oxide contained in it, from proper preparations. According to Dr. Saunders, one ounce of water at 60°, dissolves fifty-two grains of the fully saturated salt, Avhile of that generally met with, it dissolves from thirty-two to thirty-five. This affords, even a mode of judging of the strength of this preparation. It is very susceptible of decomposition, suffering it not only from alkalis, earths, acids, and a number of neutral salts, but even from vege- table infusions and decoctions; the vegetable matter, at- tracting apparently part of the oxygen of the oxide. If kept dissolved in water, it is also decomposed, from the spontaneous decomposition of the tartarous acid. Of all the preparations of antimony, this is the most certain in its operation; and, it is almost indispensable in the prac- ' tice of medicine. In doses from one to eight grains, it operates as an emetic, and sometimes as a cathartic. In smaller doses, it excites nausea, and proves a poAverful diaphoretic and expectorant. As an emetic, it is chiefly given in the beginning of fevers, and febrile diseases, in chin cough; and, in general, Avhenever Ave Avish to eva- luate the stomach quickly. When great debility is pre- sent, and in the advanced stages of typhoid fever, its use is improper, and even sometimes fatal. As a diaphoretic, it is given in small doses, of from an eighth to a quarter of a grain; as an expectorant, in doses still smaller. The only proper form for exhibiting it, is in solution; and as the intensity of its action on the body, is liable to variation, from difference in its own strength, and in the constitution of the patient, it should aimost always be JA'iven in divided doses, at short intervals, if Ave wish to excite vomiting ; and, at longer intervals, if we only wish h to act on the skin and lung-. *28 PREPARATIONS AND COMPOSITIONS. Tartrite of antimony in solution is much employed in Europe for increasing the gastric secretions, and main- taining for a length of time a lax state of the bowels. And it is not uiifrequently recommended as a stimulating application to the region of the stomach in angina pecto- ris, and in chin cough. Panacea Antimonii. Panacea Antimony. Take of Antimony, six ounces, Nitre, two ounces, Common salt, one ounce and an half, Charcoal, an ounce. Reduce them to a fine powder, and put the mixture intt a red hot crucible, by half a spoonful at a time, continu- ing the fire a quarter of an hour after the last injection: then, either pour the matter into a cone, or let it cool in the crucible; which, when cold, must be broken to get it out. In the bottom Avill be found a quantity of regulus; above this, a compact, liver coloured substance; and on the top, a more spongy mass: this last is to be reduced into poAvder, edulcorated with Avater, and dried; when it appears of a fine golden colour. This preparation is found in a former Edinburgh Pharmacopoeia, and is supposed to have been the basis of the long celebrated Lockyer's pills. Ten grains of the powder, mixed Avith an ounce of Avhite sugar candy, and made into a mass, Avith mucilage of gum tragacanth, may be divided into an hundred small pills; of wliich, one, two, or three, taken at a time, arc found to work gently by stool and vomit. The dose should be gradually in- creased, until the proper effect be produced. Under certain circumstances of the patient, they moderately evacuate the stomach, and in dropsical cases, they have frequently succeeded as one of the most efficacious ca- thartics. In many cutaneous affections, the use of these pills, Avhen duly persisted in. has been attended ay ith tlio happiest effects, PREPARATIONS AND COMPOSITIONS. 429 SBLVER. Nitras Argenti. Nitrate of Silver. Lunar Caustie. Take of Purest silver, flatted into plates, and cut in pie- ces, four ounces, Diluted nitrous acid, eight ounces, Distilled water, four ounces. Dissolve the silver in a phial with a gentle heat, and evaporate the solution to dryness. Then put the mass into a large crucible, and place it on the fire, which should at first be gentle, and afterward increased by de- grees, till the mass Aoav like oil; then pour it into iron pipes, previously heated and anointed with tallow. Lastly, let it be kept in a glass vessel well closed. The silver, in this process, is oxidated and dissolved by the nitrous acid. By the subsequent fusion, part of the acid is expelled; so that this is rather a sub-nitrate, than a nitrate of silver. It is a strong caustic, and pos- sesses the advantage of being easily applied. It is, there- fore, the one in most general use, for consuming fungous excrescences, callous edges, Avarts, strictures in urethra, and the like. It is also employed to destroy the venereal poison in chancres, before it has operated on the system. A weak solution of it may be applied as a stimulus to in- dolent ulcers, or injected into fistulous sores. Notwithstanding its causticity, it has been given in- ternally. Boerhaave, Boyle, and others, commend it highly in hydropic cases. The former assures us, that made into pills, with crumb of bread, and a little sugar, and taken on an empty stomach, (some warm water sweetened with honey, being drank immediately after) it purges gently, Avithout griping, and brings aAvay a large quantity of Avater, almost Avithout the patient's per- ceiving it: that it kills worms, and cures many ulcerous disorders. He nevertheless cautions against using it too freely, or in too large a dose, and observes, that it always proves corrosive, and Aveakcns the stomach. It has been more recently employed, and with success, in epilepsy and angina pectoris. The former disease, when not depending on organic derangement, is frequently 430 PREPARATIONS AND COMPOSITIONS. connected with morbid susceptibility, and Avhich tonics sometimes remove. The advantage derived from the administration of nitrate of silver has been established on the testimony of Dr. Sims, Dr. Cappe, Dr. Bostic, and others. The dose is a quarter of a grain of the crys- talized nitrate, Avhich may be given three or four times a day. Distilled water must be employed to dissolve it, as spring water would decompose it; and the solution may be made into pills with bread. It sometimes acts as a cathartic, and if it occasion much cathartic effect with griping, or excite nausea, the dose must be diminished. Dr. Cappe has related a case of angina pectoris, the symptoms of whicii were removed by a similar adminis- tration of nitrate of silver. COPPER. Ammoniaretum Cupri. Ammoniaret of Copper. Am- moniacal Copper. Take of Purest sulphate of copper, tAvo parts, Carbonate of ammonia, three parts. Rub them carefully together in a glass mortar, until after the effervescence have entirely ceased; they unite in a violet coloured mass, Avhich must be Avrapped up in blotting paper, and first dried on a chalk stone, and afterwards by a gentle heat. The product must be kept in a glass phial Avell closed. The sulphate of copper is decomposed by the carbonate of ammonia. One portion of ammonia combines with the sulphuric acid, another portion of it unites with the oxide of copper; and the violet coloured mass which is formed, is a mixture of the two resulting compounds: the carbonic acid is disengaged with effervescence. This preparation has sometimes been serviceable in epi- lepsies, but, from its frequent want of success, and the disagreeable consequences Avith which its use is some- times attended, it has not lately been much prescribed. It is employed by beginning with doses of half a grain twice a day ; and increasing them gradually to as much as the stomach will bear. Dr. Cullen sometimes increas- ed the dose to five grains*. PREPARATIONS AND COMPOSITIONS. 431 Solutio Sulphatis Cupri Composita. Compound Solution of Sulphate of Vopper. Styptic Water. Take of Sulphate of copper, Super-sulphate of alumina and potass, each three ounces, Water, two pounds, Diluted sulphuric acid, an ounce and a half. Boil the sulphates in the water to dissolve them, and then add the acid to the liquor filtered through paper. This is merely a combination of poAverful astringents. It has been applied topically to check hsemorrhagy, and, largely diluted with water, as a wash in purulent ophthal- mia. This preparation, or a similar one made extempo- raneously, in doses of fifteen or tAventy drops, often repeat- ed, Avill be found a remedy of superior efficacy and speedy relief in obstinate menorrhagia. IRON. Ferri Limatura Puripicata. Purified filings of Iron. Let a piece of pure iron be filed Avith a clean file, then place a sieve over the filings, and apply a magnet, so that the filings may be attracted upwards through the sieve. The iron is in this manner obtained nearly pure, the interposition of the sieve in a great measure preventing particles of other metals, or impurities which are gene- rally mixed Avith the iron filings, got from the work- shops, from being entangled in the cluster which adheres to the hiagne.t. The scales of the oxide of iron, which are to be found at the foot of the blacksmith's anvil, are also to be purified by the application of the magnet. For the magnet will only attract the smaller, and purer scales, and will leave those Avhich are larger, and less pure. Oxidum Ferri Nigrum Purifigatum. Purified Black Oxide of Iron. Purified Iron Scales. Let the scales of the oxide of iron, Avhich are to be found at the foot of the blacksmith's anvil, be purified by iS2 preparations and compositions. the application of a magnet. For the magnet Avill attract only the smaller and purer scales, and will leave those wliich are larger and less pure. Carbonas Ferri. Carbonate of Iron. Rust of Iron. Moisten purified filings of iron frequently with water, that they may be converted into rust, which is to lie ground into an impalpable powder. During exposure to air and moisture, iron is oxidated, and this oxide is found to be combined with carbonic acid, absorbed, probably from the atmosphere. As a chalybeate, it is more active than the pure metal, and more mild than the other saline combinations of irou. Its dose is from ten to twenty grains. Carbonas Ferri Pr^ecipitatus. Precipitated Carbo- nate of Iron. Take of Sulphate of iron, four ounces, Carbonate of soda, five ounces, Water, ten pounds. Dissolve the sulphate in the water, and add the carbo- nate of soda, previously dissolved, in a sufficient quantity of Avater, and mix them thoroughly. Wash the carbonate of iron, which is precipitated, with Avarm Avater, and afterAvards dry it. On mixing the solutions of these salts together, there is an immediate mutual decomposition. Sulphate of soda is formed, Avhich remains in solution, and carbonate of iron, which is precipitated of a green colour. The pre- cipitate, when first formed, is the carbonate of black oxide of iron, or contains the iron, in the state of black oxide, the state in which it exists in the green sulphate of iron; but in the process of drying, it absorbs more oxygen, becomes of a red colour, and is converted into the carbonate of red oxide of iron. The carbonate of iron is an excellent and safe chaly- beate. It may be given as a tonic, in doses of from five to thirty grains; but all chalybeates ansAver better in small doses, frequently repeated, than in*|Jarge doses. The formula of Dr. Griffiths, which has been highly celebrated as a chalybeate, is an extemporaneous pre- paration of thi; kind. PREPARATIONS AND COMPOSITIONS. 433 Aqjua Sufer-Carbonatis Ferri. Solution of the Super-Carbonate of Iron. It is prepared in the same manner as the water of car- bonic acid, by suspending in the Avater half an ounce of iron wire. This is a very elegant chalybeate. The iron is in a state of black oxide, and is dissolved by means of carbo- nic acid. It was first prepared by Bergman, in imita- tion of the natural chalybeate Avaters, and it forms an ex- cellent substitute for them. Sulphas Ferri. Sulphate of Iron. Salt of Steel. Take of Purified filings of iron, six ounces, Sulphuric acid, eight ounces, Water, tAvo pounds and a half. Mix them, and after the effervescence ceases', digest the mixture for some time upon Avarm sand; then strain the liquor through paper, and after due evaporation, set it at rest to crystalize. The sulphuric acid, by a disposing affinity, enables the iron to attract the oxygen of the Avater with rapidity, and unites Avith the oxide thus formed. This oxide is at the minimum of oxidation, and the salt which it forms is named the green sulphate of iron, to distinguish it from the red sulphate, in Avhich the metal is more highly oxi- dized. This green sulphate is prepared for the various purposes for Avhich it is used in the arts, on a large scale, by exposing the native sulphuret of iron to air and mois- ture ; but it is impure: By the present process, it is ob- tained in a state of greater purity. Sulphate of iron is one of the most active preparations of the metal, and is frequently7 employed in cachectic and eldorotic eases, for exciting the uterine discharges, strengthening the tone of the viscera, and destroying Avorms. Its medium dose is from three to five grains. The common green vitriol, or copperas, is sometimes substituted for this preparation: but the former, often containing zinc or copper, is too inquire for internal use. 434 PREPARATIONS AND COMPOSITION S. Sulphas Ferri Exsu catus. Dried Sulphate of Iron. Calcined Vitriol. Take of Sulphate of iron, any quantify. Expose it to the action of a moderate heat in an un- glazed earthen vessel, until it become Avhite and perfectly dry. The heat applied here must not be so great as to decompose the sulphate of iron, but only to deprive it of its water of crystalization. This is merely the sulphate of iron, freed from its water of crystalization. It Avas never medicinally em- ployed, and has a place in the Pharmacopoeia, only from being employed in one or two pharmaceutical prepa- rations. Oxidum Ferri Rubrum. Red Oxide of Iron. Col- cothar of Vitriol. Expose dried sulphate of iron to an intense heat, until it be converted into a very red matter. By an intense heat, sulphate of iron is decomposed; its acid is partly expelled, and in part suffers decompo- sition. The red oxide is the residuum. It is scarcely medicinally employed, but is used in some pharmaceutical preparations. Murias Ammonia et Ferri. Muriate of Ammonia and Iron. Martial FloAvers. Take of Red oxide of iron, ay ashed and again dried, Muriate of ammonia, equal weights. Mix them thoroughly and sublime. Oxide of iron decomposes muriate of ammonia, by at- tracting the muriatic acid, and, in the present process, this decomposition takes place. But, from the propor- tion of the substances employed, part of the muriate of ammonia escapes decomposition ; it is sublimed by the heat applied, and elevates along with it, part of the muriate of iron that had been formed. The process, therefore. is rather an unscientific mode of obtaining a muiiate of PREPARATIONS AND COMPOSITIONS. 435 iron: the preparation too, has been found uncertain in strength, more or less of the muriate of iron being sub- limed, according to the heat applied ; and, accordingly, it has now fallen into disuse. It has been found service- able in hysterical and hypochondriacal cases, and in dis- tempers proceeding from a laxity and vyeakness of the solids; as the rickets. From two or three, to ten grains, may be conveniently taken in the form of bolus. Mistura Ferri Composita. Compound mixture of Iron. (Lond. Phar.) Take of Myrrh poAvdered, a drachm, Sub-carbonate of potass, tAventy-five grains, Rose Avater, seven ounces and a half, Sulphate of iron powdered, a scruple, Spirit of nutmeg, an ounce, Refined sugar, a drachm. Rub together the myrrh, the sub-carbonate of potass and sugar, and during the trituration, add gradually; first, the rose Avater and spirit of nutmeg, and last the sulphate of iron. Pour the mixture immediately into a proper glass bottle, and stop it close. This, with a feAV trivial alterations, is the celebrated antihectic mixture of Dr. Griffith, and is now introduced from the London pharmacopoeia, for the purpose of giv- ing precise directions for its preparation. As first invent- ed, says Mr. Murray, it Avas undoubtedly an unehemical mixture, the prcseriber not being aware of the changes produced in the active ingredients by their mutual action, but which, in practice, Avas found possessed of peculiar advantages. The sulphate of iron, it is obvious, is de- composed by the sub-carbonate of potass, the sulphuric acid combining with the potass, while the carbonic acid unites Avith the oxide of iron. The carbonate of iron Avhich is formed is diffused in the mixture along with the myrrh, and both are probably kept more completely suspended by an excess of alkali. This chalybeate proves much less irritating than tlie sulphate of iron, producing no unpleasant effect on the stomach, and at the same time it is more active than the common carbonate or rust of iron, in Avhich the iron is at the maximum of oxidation, while, in the present preparation, it i &a Uhe minimum. %o& PREPARATIONS AND COMPOSITIONS. is in a different 'state of aggregation, and probably com- bined Avith a larger quantity of carbonic acid. To pre- serve it in this low state of oxidation, it is ordered to be kept in a bottle closely stopped : but as iron has a strong tendency to pass to a more highly oxidated state, and suf- fers this change very rapidly from the action of the air, it is preferable that the preparation should be always ex- temporaneously made. Griffith's mixture Avas employed as a remedy in hectic fever, in chlorosis, and other dis- eases, in Aviiich iron is given as a tonic. The mixture of the London pharmacopoeia, Avhich is nearly of the same strength, may be given in the same cases, in a dose of an ounce, once or tAvice a day. It is employed with the greatest success in those cases of hectic fever which are unattended by any great degree of heat or thirst, and Avhich do not show manifest signs of inflammation. It Avill in general be found to sit easy on the stomach; but should it disagree, or should hectic fever and flushings prevail to a high degree, the proportion of the ingredients may be changed, or the sulphate of iron altogether omit- ted. QUICKSILVER. Hydrargyrus Purificatus. Purified Quicksilver. Take of Quicksilver, four parts, Purified filings of iron, one part. Rub them together, and distill from an iron vessel. Quicksilver is sometimes adulterated with other metals. To obtain it perfectly pure, is the design of this process. The addition of the iron filings renders the distilled quicksilver more bright and mobile, an effect not per- fectly explained, but ascribed to the iron retaining com- bined with it any foreign metal, or any portion of carbon that might have been contained in the quicksilver. Acetis IIydrargyri. Acetite of Quicksilver. Take of Purified quicksilver, three ounces, Diluted nitrous acid, four ounces and a half, or a little more than may be required for dis- solving the quicksilver, PREPARATIONS AND COMPOSITIONS. 437 Acetite of potass, three ounces, Boiling ay ater, eight pounds. Mix the quicksilver Avith the diluted nitrous acid, and after the effervescence has ceased, digest if necessary, Avith a gentle heat, until the quicksilver be entirely dis- solved. Then dissolve the acetite of potass in the boiling Avater, and immediately to this solution, still hot. atld the former, and mix them by agitation. Then set the mixture aside to crystalize. Place the crystals in a funnel, and wash them with cold distilled water; and, lastly, dry them Avith as gentle a heat as possible. In preparing the acetite of quicksilver, it is important that all the vessels and funnels employed, be of glass. For making the acetite of mercury, the nitrate is pre- pared Avith a very gentle heat; and with excess of acid, that it may be retained in perfect solution, and that there may be no possibility of any admixture of subnitratc Avith the acetite formed. A larger proportion of acid is used by the Edinburgh College, than by the other Colleges; but we believe it to be unnecessary. In mixing the solu- tions, we must be careful to pour the mercurial solution into the acetite of potass, because by adopting the con- trary procedure, subnitrate of mercury will be precipitat- ed undeconiposed, if any of it be contained in mercurial solution. For dissolving the acetite of potass, the London and Dublin Colleges only use as much Avater as is capable of retaining the nitrate of potass in solution : the acetite of mercury is therefore precipitated, and is purified by again dissolving it in boiling Avater, and cry stalizing it. This part of the process is simplified by tiie Edinburgh College, Avho use as much water for dissolving the acetite of potass, as is capable of retaining, as long as it is hot, the acetite of mercury in solution, and of allowing it to crys- talize as it cools. In this way, therefore, it is procured at once sufficiently pure. The exsiccation of the acetite of mercury, is an opera- tion of great delicacy; for it is so spongy, that it retains the moisture with great obstinacy ; and it is decomposed so easily, that heat can scarcely be employed. It is best (hied, by compressing it between several folds of bibu- lous paper. Acetite of mercury is scarcely soluble in cold Avater, but dissolves very readily in boiling water. As an anti-syphilitic remedy, it is-very mild in its ope- ration; but its effects arc not considered us sufficient;; T ioS PREPARATIONS AND COMPOSITION s. permanent, to warrant its effecting a radical cure; al- though it Avas the active ingredient of the celebrated Keyser's pills. Its dose is a grain, night and morning. In solution, it has also been recommended externally, to remove freckles and cutaneous eruptions. Murias IIydbvrgvri. Muriate of Quicksilver. Cor- rosive Sublimate. Take of Purified quicksilver, two pounds, Sulphuric acid, two pounds and a half, Dried muiiate of soda, four pounds. Boil the quicksilver with the sulphuric acid in a gins* vessel, placed in a sand bath, until the matter be dried. Mix the matter Avhen cold, in a glass vessel, Avith the muriate of soda, then sublime in a glass cucurbit, with a heat gradually increased. Lastly, separate the sublimed matter from the scoria?. In the first stage of this process, the sulphuric acid oxidizes the mercury, and combines with the oxide; and, by the heat applied, the salt thus formed is that whicii contains the metal in a high state of oxidizement. This salt, in its dry state, is mixed with muriate of soda, and, by the application of heat, a double decomposition is ef- fected; the soda attracts the sulphuric acid, and the muriatic acid combines with the oxide of mercury. The muriate of mercury being easily volatilized, is separated from the sulphate of soda by sublimation. According to the analysis of muiiate of mercury by Mr. Cheacvix, the compound consists of mercury in a high state of oxidation united with muriatic acid; the oxide, Avhich is its basis, he concluded, consists of eighty- five of mercury and fifteen of oxide; and one hundred parts of the salt are composed of eighty-two of this oxide and eighteen of muriatic acid. Its ultimate principles, therefore, and their proportions are 18 of acid, 1^.3 of oxygen, and G9.7 of quicksilver. Zaboada, from a more recent analysis, has infered, that the oxide does not contain more than ten of oxygen in one hundred parts, and that eighty of this oxide are combined with twenty of acid. According to this, the ultimate principles and their proportions will be twenty of acid, eighty-five of oxygen, and 71.5 of quicksilver. The muiiate of mercury is so- PREPARATIONS AND COMPOSITIONS. 439 iuble in Avater and in alcohol, has a taste styptic and me- tallic, and exerts a degree of escharotic poAver. It turns several vegetable colours to a green; is decomposed by the alkalis and earths, and by a number of compound salts, and likewise by vegetable infusions. Mercury, says Mr. Murray, oxidated and combined Avith muriatic acid, forms two very aetive preparations, differing in the degree of oxidation, and in the proportion of acid with which the oxide is combined. The one has been long knoAvn by the name of Corrosive Sublimate of mercury, the other by that of Mild Sublimate or Calomel, The former is novy named Muriate of Quicksilver by the Edinburgh College, and Oxymuriate of Quicksilver by the London College; the latter, by both Colleges, sub- muriate of mercury; names not sufficiently distinctive, and chemically incorrect. The old distinguishing epi- thets are still the least ambiguous, and even as a chemi- cal nomenclature are properly used. Corrosive muriate of mercury is the most powerful of the mercurial preparations. According to Murray, its dose cannot safely exceed the fourth of a grain, nor can more than one grain be given in twenty-four hours. As an anti- syphilitic remedy it acts speedily, and its action is more general on the system, or less determined to particular organs: These advantages have led to its frequent use, especially under the form of various empirical remedies, wliich have been employed in the treatment of syphilis. They are more than counterbalanced, however, by the occasional violence of its operation, and by the uncer- tainty which attends it, so that it cannot be relied on in establishing a permanent cure. In other diseases besides lues venerea, it is occasionally exhibited, particularly in cutaneous affections. Exter- nally, its solution is employed as an escharotic in chancre and venereal ulcers of the mouth; and a very dilute so- lution of it has been used as an injection, to excite inflam- mation in obstinate gleet, and also as a collyiium in venereal ophthalmia, and a lotion in some cutaneous affections. But even externally its use requires some caution. Corrosive sublimate was highly praised for its anti- syphilitic virtues by the celebrated Van Swieten, but in modern medicine there is a diversity of opinion relative to the subject. Mr. Pearson says that it will sometimes cure the primary symptoms of syphilis, especially if h 140 PREPARATIONS AND COMPOSITIONS. produce considerable soreness of the gums, and the com- mon specific effects of mercury in the system ; but it will often fail, and will not secure the patient from a consti- tutional affection. It is on some occasions, however, a useful auxiliary to a mercurial course, in quickly bring- ing the system under the influence of mercury, and in supporting its action after the use of frictions, and is pe- culiarly efficacious in relieving venereal pains, in healing ulcers of the throat, and in promoting the desquamation of eruptions. On some occasions during the use of this medicine new symptoms will appear, and it will fail of affording the least advantage to the patient from first to last; and on no account does he think it safe to confide in this preparation singly and uncombined, for the cure of any truly venereal symptoms. In the discussion hoAvever, of this subject by Dr. Fran- ces, as mentioned Avhen speaking of mercury in the Ma- teria Medica, Ave find names of great celebrity, who, since the year 1754 have been the advocates for this form of mercury, and who have made the most favourable re- ports of its antivenereal poAvers. Among these, Dr. Lo- eher of the Vienna hospital is adduced, as having cured, from the year 1754 to 1762, no less than 4880 persons by this preparation alone, without inducing salivation, or the least painful or dangerous symptoms whatever. But the writer farther substantiates his favourable opinion of corrosive sublimate by the respectable testimony of Pro- fessor Hosack, Avho for the last 17 years has employed it for the removal of lues venerea in its various stages with uniform success. In the course of the extensive private and public practice of the Professor, no disappointment Avas experienced, not a case occurred in whicii the cure has not been permanent. By a cautious administration of the medicine, salivation Avas scarcely ever induced, and those injurious effects upon the stomach and bowels which are so greatly apprehended, Avere also avoided. In the spring of the year 1811, the antivenereal powers of cor- rosive sublimate were again put to the fairest experiment in the Ncav York hospital, by Mr. I. Chcesman, the house surgeon, and complete success was the result of the nu- merous instances of trial. Since that period the use of this medicine has been more generally adopted and ap- proved. It appears, therefore, from the authority adduc- ed, that of all mercurials, the corrosive sublimate soonest affects the system, and suspends the action of the vene- PREPARATIONS AND COMPOSITIONS. 441 real virus; that it is the most mild, safe, and certain remedy, and that it ought to be prefered in every instance of syphilis. As a proof of its comparative mildness, Dr. F. affirms, that when given to delicate children, or even infants, labouring under some hereditary taint, obstinate eruptive disease, or other symptoms indicating an altera- tive course, it has never in his practice, or that of Pro- fessor Hosack, induced pernicious effects, excepting that an over dose will excite some nausea. For these delicate subjects, two grains of the sublimate are dissolved in one ounce of common brandy, of which four drops to a child of one year, and six or eight to one of three years, are given three times a day in a little sweetened water. After its use two or three days the dose may be a little increas- ed. As an antivenereal remedy in the various stages of syphilis, it is administered either in the form of spiritu- ous solution or of pills; the latter is generally to be pre- fered. To fifteen grains of the corrosive sublimate add the same quantity of the muriate of ammonia; having well rubbed them together, pour on one drachm of pure water, combine with the mixture a sufficient quantity of the crumb of stale wheat bread to absorb all the fluid, and divide the mass into one hundred and twenty pills. One of these is to be taken every night and morning, though in some aggravated cases another pill may be taken in the middle of the day. Thus a quarter of a grain of this preparation will be taken in twenty-four hours Avithout any inconvenience, though the same quantity in the form of solution might induce nausea, and some serious derangement of the stomach and bowels. The employ- ment of the medicine ought in general to be continued two or three weeks after the disappearance of the disease, in order to effect with more certainty a radical cure. As auxiliary to the above course, the decoction of guaiacum and sarsaparilla Avas employed, and attended Avith advan- tage. On some occasions mucilaginous diluents and the use of opium may appear requisite to obviate any irrita- tion excited by an over dose of the medicine. Ganglions of the tendons may be effectually removed by injecting a solution of corrosive sublimate into an in- cision made for that purpose. This active medicine is too frequently resorted to by the most unqualified persons, and taken in a very unwarran- table manner. While writing on this article application Mas made by a sea captain for twenty grains of sublimate, 5C> i*2 PREPARATIONS AND COMPOSITIONS. and twelve grains of the oxide of arsenic, to be dissolved in one ounce of liquid laudanum ! Ten or twelve drops of such compound he had been taking, he said, twice a day for several weeks Avithout experiencing any particular effect. In the Contributions of Medical Knowledge by the late Dr. Beddoes, it appears that Mr. Addington has adopted a mode of effecting a rapid salivation for the cure of go- norrhoea virulenta Avith the corrosive sublimate dissolved in rectified spirit of wine. He asserts that be has cured hundreds in a very short time in this manner, Avithout the least disagreeable consequence. Three grains of the sub- limate are to be dissolved in one ounce of rectified spirit of wine. Half of this mixture is to be taken undiluted at going to bed ; it produces a copious salivation for an hour and a half or longer, and the patient spits a quart. Some .Glauber's salts are to be taken on the second day after this operation, and on the evening of that day he is to re- peat the draught, and the salts on the day but one folloYv- ing. Dr. Darwin has suggested the administration of corrosive sublimate in the same manner, with the design of exciting a rapid salivation as a remedy in hydrophobia. Sub-Murias Hydrargyri. Sub-Muriate of Quicksilver. Calomel. Take of Muriate of quicksilver, ground to powder in a glass mortar, four ounces, Purified quicksilver, three ounces. Rub them together in a glass mortar, with a little water, to prevent the acrid powder from rising, until the quicksilver be extinguished; and having put the powder, after being dried, into an oblong phial, of ay hich it tills one third, sublime from Avarm sand. After the sublima- tion is finished, having broken the phial, tbroAV away both the red matter found near the bottom of the phial, apd the white matter near its neck, and sublime the rest of the mass. Grind this into a very minute poAvder, which is, lastly, to be Avasbed Avith boiling distilled Avater. In this process, the directions for performing which arc sufficiently explicit, an additional quantity of quick- silver is brought into chemical union with the constitu- ent principle of muriate of mercury. In that compound, PREPARATIONS AND COMPOSITIONS. 4i3 the metal is highly oxidated, and the oxide is combined with a considerable quantity of muriatic acid. In con- verting it into the sub-muriate of mercury, as it is named, the portion of metal which is added attracts part of the oxygen of the oxide, and the Avhole becomes an oxide of mercury with a comparatively small portion of oxygen; and this oxide, requiring less muriatic acid for its saturation than the one more highly oxidated, finds a sufficient quantity in the pre-existing muriate. The one is merely imperfect oxide of mercury combined with muriatic acid; the other perfect oxide of mercury united to the same acid, the latter at the same time containing more acid in its composition than the former. Mr. Chene- vix's analysis, has fixed the proportions with accuracy'. Those of the muriate, as it has been named, have been already stated; those of the submuriate are, muriatic acid, 11.5, oxide of mercury, 88.5, [this oxide being com- posed of quicksilver, 89.3, and oxygen, 10.7 ;] so that the ultimate constituent parts of sub-muriate of mercury, are, quicksilver, 79, oxygen, 9.5, and muriatic acid, 11.5. The names Avhich have been chosen to distinguish these two muriates of mercury, are not, in the opinion of Mr. Murray, the best that might have been selected. In a chemical point of view, the prefixing the syllable sub, to denote the one, is incorrect, since the use of that syl- lable is restricted to those salts, in Avhich the case is the same, but when there is a deficiency of acid; and, in the muriate to Avhich it is here applied, the case is not the same, and there is no deficiency of acid, the metallic oxide being saturated, or combined Avith as much as it is disposed to unite with. As a medical nomenclature, the adoption of it is still more to be regretted, as the merely prefixing the syllable to the same name is insufficient to guard effectually against the dangerous mistake of con- founding preparations which differ so Avidely in their powers. The epithets corrosive and mild, have long been made use of, to discriminate them; they do so more clearly, and, as systematic names, they are preferable, as accord- ing with the established nomenclature of the metallic salts, Avhich draws the distinctions between the salts formed from the different oxides of the same metal, united with one acii?. from some qualify in which they differ. The one preparation ought to have been named murias hyd.rargyri corrosivus; the other, nzirias hydrnr- gyri mitis. iM PREPARATIONS AND COMPOSITION*. This preparation of mercury, differs from the former, in being perfectly insipid, and insoluble in water or in alcohol. By sublimation it may be obtained in small, short prisms, but it is usually in the form of a mass, someAvhat duatile, semi-transparent, and very heavy. It is decomposed by the alkalis, earths, and various com- pound salts. A method has lately been introduced by Mr. Howard, of conducting the sublimation in an apparatus, so con- structed, that the vapours are not condensed in the upper part of the vessel, forming a solid mass, but are con- densed on the surface of water. The aggregation, whence a certain degree of ductility and hardness arise, that renders difficult the levigation of the sublimate, is thus obviated; it is obtained at once, in the state of a fine powder, and any corrosive muriate that may rise with it is abstracted. The mild muriate of mercury, or calomel, as it is safer to prescribe it by the arbitrary name by Avhich it has been long known, is one of the most useful preparations of the metal. By proper management, it may be made to increase, in a remarkable manner, almost any of the secretions, or excretions. As an anti-venereal, it is given in the dose of a grain, night and morning; or in larger doses, its usual determination to the intestines being pre- vented, if necessary, by opium. Thus directed, this pre- paration is capable of curing syphilis in every form. It is the preparation, which is, perhaps, most usually given in the other diseases in which mercury is employed, as in affections of the liver, or neighbouring organs, in cuta- neous diseases, chronic rheumatism, tetanus, hydropho- bia, hydrocephalus, and febrile affections, especially those of warm climates. It is employed as a cathartic alone, or to promote the operation of other purgatives. With jalap it forms the favourite cathartic of Dr. Rush, in bilious and in yellow fevers; with rhubarb, it is highly extolled by sir John Pringle, in dysentery. Its anthel- mintic poAver is justly celebrated ; and it is perhaps supe- rior to the other mercurials, in assisting the operation of diuretics in dropsy. Combined with diuretics, it proves diuretic; and with sudorifics, sudorific. It also produces very salutary effects in obstructions, and chronic inflam- mations of the viscera, especially of the liver; and in general, eh he; with or without opium, it if, applicable to every case, in which mercurials are indicated. Combined PREPARATIONS AND COMPOSITIONS. 445 in the proportion of one part of opium to four of calomel it is administered Avith very great success in almost every form of active inflammation. As a vermifuge, says a late writer, " repeated experience has convinced me, that no remedy is so safe, so mild, or so certain, as calomel. Procure the medicine from an apothecary of character, give it in the dose suited to the age and con- stitution of the child, and keep him warm during the operation, avoiding cold and sour drinks, for two or three days, and no danger can ever attend the use of the reme- dy. Rhubarb or jalap may be mixed with the calomel to quicken the operation. A nausea, which sometimes comes on during the operation, may be relieved by mint water; and an unnecessary purging may be restrained by tYvo or three drops of laudanum. A child, between the ages of tAvo and four years, in general, may take from one to three grains at a dose in syrup." From its great specific gravity, it ought always to be given in the form of bolus or pill. In cholera infantum, its superior effieacy is confirmed by ample experience, as appears by an excellent disser- tation upon that disease, by Dr. James Mann, which gained the Boyistonian prize for the year 1803. As a cathartic, its dose for an adult may be from five to ten or twenty grains or more. It is worthy of remark that when taken in a dose of twenty-five or thirty grains, calomel operates with less disturbance to the system than when a dose of six or eight grains is given. The larger dose exciting an action adequate to its own expulsion, while the smaller quantity occasions a continual irrita- tion on the coats of the intestines. Calomel Avithin a feAr years, has been extensively used as a medicine. It should never be trifled with ; and, during its exhibition, confine- ment to an equable temperature in a room, is indispensa- ble. The best way to give it, is in small doses regularly, so that the effects maybe gradually exerted on the system ; and the impression once made, should be carefully kept up as long as is necessary, to prevent much loss of time. The patient who commences a course of mercury, be- sides beginning with small doses and proceeding gradually, should be eareful not to stimulate the salivary glands either by rubbing or keeping the parts too warm Avith flannel. He should likewise avoid as much as possible any exposure to cold Avhich Avill endanger inilanunation, and tumefaction of these glands and thereby give rise to a i*6 PREPARATIONS AND COMPOSITIONS. salivation. His diet should consist of plain animal food, thin broths, puddings, milk, vegetables, ripe fruit, ke. carefully avoiding all salted and high seasoned meats, spirituous liquors and acids ; and in fact abstaining from every substance of a heating or stimulating nature. Mer- cury has been used Avith success in consumption: and several cases of its happy exhibition are related by Dr. Rush, in the Medical Repository, vol. 5. One grain of calomel mixed with sugar, and snuffed up the nostrils, is recommended as a poAverful errhine in amaurosis. The same mixture is blown into the eye to remove specks from the cornea. The general use of that excellent medicine calomel, says the judicious Avriter above refered to, renders its perfect preparation a matter of great importance. The folloAving method to determine its purity is given by an able chemist, Mr. Frederick Accum. " Calomel ought to be perfectly saturated with mercu- ry. Complete saturation can only be known, by boiling for a few minutes, one part of calomel and one twelfth part muriate of ammonia in ten parts of distilled water. The fluid must then be filtrated and examined by means of carbonate of potass. If the calomel be Avell prepared, no change will take plaee on the addition of this re-agent; but, if the preparation be imperfect, a precipitate will ensue, forty-seven parts of which indicate forty-eight of muriatic acid. One hundred and fourteen parts of calomel perfectly saturated with mercury contain ninety-seven of metal, and nineteen of acid. It should be perfectly ino- dorous and tasteless, and wlien rubbed in a stone mortar with ammoniac, become intensely black." Sub-Murias Hydrargyri Pr.ecipitatus. Precipita- ted Sub-Muriate of Quicksilver. Calomel. Take of Diluted nitrous acid, Purified quicksilver, each eight ounces, Muiiate of soda, four ounces and a half, Boiling water, eight pounds. Mix the quicksilver Avith the diluted nitrous acid, and toAvards the end of the effervescence digest with a gentle heat, frequently shaking the vessel in the mean time. But it is necessary to add more quicksilver to the arid / PREPARATIONS AND COMPOSITIONS. 447 than it is capable of dissolving, that a perfectly saturated solution may be obtained. Dissolve at the same time, the muriate of soda in the boiling water, and into this solution pour the other, while still hot, and mix them quickly by agitation. Pour off the saline liquor after the precipitate has subsided, and wash the sub-muriate of quicksilver by repeated affusions of boiling water, whicii is to be poured off each time after the deposition of the sub-muriate, until the water come off tasteless. Mild muriate of mercury is in this process obtained by a double elective attraction. On mixing together the solutions of nitrate of mercury and muiiate of soda, the nitric acid is attracted by the soda, and the muriatic aeid by the oxide of mercury. In order that the mild, and not the corrosive muriate should be formed, it is evident, that the mercury in the nitrous acid should be in its least oxidated state. Mild muriate of mercury, prepar- ed in this mode, is precisely the same in its chemical composition, as Avhen formed by the former process of sublimation. It has been supposed, however, that it dif- fers somewhat in its operation, and that in particular it is more liable to purging. If such difference ever exist- ed, it is probably owing to the presence of the subnitrate of mercury, wliich, Avhen the usual directions are observ- ed, may be mixed with the mild muriate. If the latter be pure, its operation must be the same as that of the muriate prepared by sublimation, as it.differs from it only in being of a much finer powder than the other can be reduced to, and this has been supposed to give it some superiority. Si b-Murias Hydrargyri et Ammonite. Sub-Muri- ate of Quicksilver and Ammonia. White Precipitate of Mercury. Take of Muriate of quicksilver, Muriate of ammonia, Solution of carbonate of potass, each half a pound. Dissolve first the muriate of ammonia, afterAvards the muiiate of quicksilver, in distilled Avater, and add to these the solution of carbonate of potass. Filtrate and wash the powder until it become insipid. 448 PREPARATIONS AND COMPOSITIONS. The theory of this process is somewhat complicated. The potass decomposes the muriate of ammonia, by coin- • bining Avith the muriatic acid; and the disengaged am- monia decomposes the muriate of mercury. Hence, if ammonia be added to a solution of corrosive muiiate of mercury, the same preparation is obtained as by this pro- cess. The action of the ammonia in decomposing the corrosive muriate of mercury, is also somewhat peculiar. It does not merely attract the muriatic acid, and sepa- rate the pure mercurial oxide, but this oxide retains com- bined with it a portion both of the ammonia and acid. It is, therefore, a triple compound, consisting, (according to Fourcroy's analysis of it by decomposing it by heat,) of eighty-one parts of oxide of mercury, sixteen of muriatic acid, and three of ammonia. This preparation, sub-murias hydrargyri et ammonia1, formerly known by the name of white precipitate of mer- cury, is used, only externally in the form of ointment, as an application in some cutaneous affections. Oxidum Hydrargyri Cinereum. Ash-coloured Oxide . of Quicksilver. Ash-coloured powder of Mercury. Take of Purified quicksilver, four parts, Diluted nitrous acid, five parts, Distilled water, fifteen parts, Solution of carbonate of ammonia, a sufficient quantity. Dissolve the quicksilver in the nitrous acid ; then gra- dually add the distilled water, and pour into the mixture as much Avater of the carbonate of ammonia as shall be sufficient to precipitate the whole of the oxide of quick- silver ; which is then to be washed with pure Avater and dried. '*> In this process, the nitric acid oxidates the mercury, and combines Avith the oxide. The action of ammonia on the nitrate of mercury, is peculiar : it does not merely decompose it by combining with the acid, and separating the oxide, but it exerts a farther action on the oxide, par- tially deoxidating it, by part of its hydrogen attracting a part of the oxygen. The oxide precipitated, therefore, is that in which the metal is combined with the least pro- portion of oxygen. PREPARATIONS and COMPOSITIONS. 4i9 In order, however, that this may be the nature of the precipitate, it is necessary that the solution of the mer- cury in the nitric acid should have been made in the cold, and with a diluted acid. When, from these circumstan- ces not having been attended to, the mercury has been too highly oxidated, ammonia throws down from the so- lution a white precipitate ; aud the present preparation is often met with, of a light gray eolour, from the inter- mixture o,f this precipitate, with the dark coloured oxide. When properly prepared, it is of a dark blue colour. Ash-coloured oxide of mercury is very similar in its operation, to the preparations in Avhich quicksilver is oxi- dated by trituration. It is given as an antivenereal, in a dose of one grain night and morning, generally in the form of pill. Oxidum Hydrargyri Rubrum, per Acidum Nitri- cum. Red Oxide of Quicksilver, by Nitric Acid. Red precipitated Mercury. Take of Purified quicksilver, one pound, Diluted nitrous acid, sixteen ounces. Dissolve the quicksilver, and evaporate the solution,with a gentle heat, to a dry white mass; Avhich, after being ground into powder, is to be put into a glass cucurbit, and to have a thick glass plate laid upon its surface. Then, having adapted a capital, and placed the vessel in a sand bath, apply a gradually increased heat, until the matter be converted into very red scales. The quicksilver is in this preparation first oxidated by the nitrous acid, and then combined with a portion of it. By the increase of heat, this nitrate is decomposed, and the greater part of the acid expelled : it is doubtful, how- ever, if it be ever Avholly expelled, so as to leave a pure oxide, the preparation being different in appearance from the red oxide, obtained by the heat, and being always much more acrid. It is too much so for internal use. It is principally used externally, as an escharotic. 57 a50 preparations and compositions. Sub-Suxphas Hydrargyri Fxavus. Fellow Sub-Sul- phate of Quicksilver. Turpcth Mineral. Take of Purified quicksilver, four ounces, Sulphuric acid, six ounces. Put them into a glass cucurbit, and boil them in a sand bath to dryness. Throw into boiling Avater the white matter, Avhich is left in the bottom, after having reduced it to poAvder. A yellow powder will iniinediately be produced, which must be frequently Avashed with Avarm Avater. The quicksilver is first oxidized by the sulphuric acid, and afterAvards combined Avith it, forming super-sulphate of mercury, by the continuance of the heat, this is par- tially decomposed, and a sub-sulphate of mercury remains. On this, boiling Avater is poured ; a portion of sulphate of mercury still present in the saline matter is dissolved; and the yelloAV poAvder Avhich remains is an oxide of mer- cury, Avith a small quantity of sulphuric acid combined Avith it. It is a strong emetic, and Avith this intention, operates more poAverfuIly than any of the mercurials which can be safely given internally. Its action, hoAvever, is not confined to the primse vise; it will sometimes excite a salivation if a purgative be not taken soon after it. This medicine is chiefly used in virulent gonorrhoeas, and other venereal cases, Avhen there is a great flux of humors to the parts. Its chief use at present is in swellings of the testicle from a general affection; and it seems not only to act as a mercurial, but also, by the vomiting it occasions, to perform the office of a discutient, by accelerating the motion of the blood in the parts affected. It is said, likewise, to have been employed Avith success, in robust constitutions, against leprous disorders, and obstinate glandular obstructions; the dose is from Iyvo to six or eight grains. It may be given hi doses of a grain or tAvo, as an alterative and diaphoretic. It is a violent errhine, and has been employed as such, mixed Avitli any mild vegetable poAvder. On the Avhole, hoAvever, Dr. Duncan considers it as a superfluous preparation,whose place may be more securely supplied by other mercurials, or emetics. PREPARATIONS AND COMPOSITIONS. 451 Suiphuretcm Hydrargyri Nigrum. Black Sulphu- ret of Quicksilver. iEthiops Mineral. Take of Purified quicksilver, Sublimed sulphur, each equal weights. Grind them together in a glass mortar, with a glass pestle, till the globules of quicksilver totally disappear. It is also prepared with twice the quantity of quick- silver. By this trituration, a chemical combination appears to be effected betAveen the quicksilver and sulphur, and per- haps the metal is at the same time imperfectly oxidated. It is in the form of a very black powder. The combination is much facilitated by the application of heat, and it can at once be effected by adding the quicksilver to the melted sulphur. This is, perhaps, the most inactive of the mercurial preparations. It is principally used as an alterative in glandular affections, and in cutaneous diseases. As an anthelmintic, it is sometimes given in a dose of five or ten grains, according to the age. But even in doses of several drachms, continued for a considerable length of time, it has scarcely produced any sensible effect. Sulpiuretum Hydrargyri Rubrum. Red Sulphuret of Quicksilver. Factitious Cinnabar. Take of Purified quicksilver, forty ounces, Sublimed sulphur, eight ounces. Mix the quicksilver Avith the melted sulphur, and if the mixture take fire, extinguish it by covering the ves- sel ; afterwards reduce the mass to poAvder, and sublime it. In this preparation it Avas conceived, that, during the inflammation of the materials, the quicksilver Avas oxi- dated, and, that therefore the resulting compound vvas a combination of sulphur and oxide of mercury. The ex- trication of heat and light, Avhich arises from the mutual action of the ingredients, appears, however, not to be an example of oxygenation, but. to be rather of the same kind, as that which takes place from the combination of io2 PREPARATIONS AND COMPOSITIONS. different metals with sulphur : and, according to the analysis of Proust, cinnabar consists of sulphur with me- tallic mercury, in the proportion of fifteen of the former, to eighty-five of the latter. Red sulphuret of quicksilver is sometimes used in fumi- gations, against venereal ulcers in the nose, mouth, and throat. Half a drachm of it burnt, the fume being im- bibed Avith the breath, lias occasioned a violent saliva- tion. This effect is by no means owing to the medicine as a sulphuret; for, when set on fire, it is no longer such, but mercury dissolved into vapour, and blended with sul- phurous acid gas ; in Avhich circumstances, this mineral has a very powerful effect. Mr. Pearson, from his experiments on mercurial fumi- gation, concludes, that where checking the progress of the disease suddenly is an object of great moment, and where the body is covered with ulcers, or large and nu- merous eruptions, and in general, to ulcers, fungi, aud excrescences, the vapour of mercury is an application of great efficacy and utility; but, that it is apt to induce a ptyalism rapidly, and great consequent debility; and, that for the purpose of securing the constitution against a re- lapse, as great a quantity of mercury must be introduced into the system by inunction, as if no fumigation had been employed. LEAD. Acetis Plumbi. Acetite of Lead, Sugar of Lead. Take of White oxide of lead, any quantity; put it into a cucurbit, and pour upon it of Distilled acetous acid, ten times its weight. Let the mixture stand upon Avarm sand till the acid become SAveet; vvhen it is to be poured off, and fresh acid added until it cease to become SAveet. Then evaporate all the liquor, freed from impurities, in a glass vessel, to (he consistence of thin honey, and set it aside in a cold place, that the crystals may be formed, which are to be dried in the shade. The remaining liquor is again to be evaporated, that new crystals may be formed; and the evaporation is to be repeated until no more crystals con- crete. PREPARATIONS AND COMPOSITIONS. 453 The oxide of lead is in this preparation combined with acetous acid; the salt formed concretes in acicular crys- tals. The process is generally carried on on a large scale, to furnish it for various purposes in the arts. Like the other preparations of lead, this is a violent poison. It has been used internally hoAvever, as a styptic, in profuse monorrhagia, in a dose of half a grain repeated every half hour. But its employment requires much caution. The internal use of acetite of lead, says Dr. Duncan, notwithstanding the encomiums some have been rash enough to bestow upon it, is entirely to be rejected. It forms, however, a valuable external application, in superficial and pblegmouic inflammations, bruises, and diseases of the skin. It is always applied in solution, cither simply, as to the eyes, or by means of cloths soak- ed in it, or mixed Avith bread crumb. A drachm, with five ounces of any distilled water, forms a strong solution, and with ten ounces of Avater, a weak solution. If com- mon water be used, the addition of about a drachm of acetous acid will be necessary to keep the lead in solution. It is frequently employed as an injection in gonorrhoea, and a collyiium in ophthalmia. Lately, acetite of lead has been exhibited internally Avith satisfactory success, in obstinate cases of diarrhoea; Dr. John Archer, jun. of Maryland, and some others, speak of it in terms of great praise. Professor Rush has made some successful trials of this medicine in the epilepsy of children, and it has been exhibited with advantage in hysteria and chorea. The dose for adults is from one to three or four grains] and for children, from one quarter to one grain, according to the strength and exigency of the case. [See Med. Repos. vol. 3.] VquA Lithargyri Acetati. Water of Acetated Litharge. Extract of lead. Take of Litharge, one pound, Strong vinegar, Iavo pints. Put them together into a glazed earthen pipkin, and let them boil, or rather simmer, for an hour, or an hour and a quarter, taking care to stir them all the ay hile, Avith a wooden spatula. After the wir»le has stood to set- tle, pour off the liquor, AYhich is upon the top, in^o bottles for use. 45i PREPARATIONS AND COMPOSITIONS. This is the original preparation of Goulard, a French surgeon, Avho many years since introduced it into practice under the name of extract of saturn; one hundred drops of which, with four tea spoonfuls of brandy, mixed with a quart of water, form bis famous vegeto-mineral water. The proportion of the extract may be increased or dimi- nished according to the nature of the disorder, or the greater or less degree of sensibility of the part affected. In his treatise on the virtues of lead, the author has bc- stoAved on this preparation high commendation, as a remedy in various extcrr ! .""'seases, such as inflamma- tions, burns, bruises, strains, and ulcers. He likewise prepares Avith his extract, a number of other composi- tions, as cataplasms, plasters, ointments, cerates, kc. Avhich he affirms are happily adapted to the indications, in phlegmon, scirrhous and indolent tumors, and in anchy- losis, and other rigid states of the joints and tendons. Every purpose, however, to be answered by these, may probably be obtained from the employment of the other preparations of lead in common use. Goulard's extract may be considered as analogous to a solution of acetite of lead in Avater, Avith an excess of acid, and must be ahvays variable in strength. It is applied to the same external purposes as the acetite of lead, but from long experience Ave are disposed to admit its superior utility in many particulars. ZINC. Oxidum Zinci. Oxide of Zinc. FloAvers of Zinc. Let a large crucible be placed in a furnace filled with live coals, so as to be somewhat inclined towards its mouth; and Avhen the bottom of the crucible is mode- rately red, throw into it a small piece of zinc, about the weight of a drachm. The zinc soon inflames, and it is at the same time converted into Avhite flakes, which are from time to time to be removed from the surface of the metal with an iron spatula, that the combustion may be more complete; and at last, when the zinc ceases to flame, the oxide of zinc is to be taken out of the crucible. Having putvin another piece of zinc, the operation is to be repeated, and may be repeated as often as is neces- sary. Lastly, the oxide of zinc is to be prepared in the same Avay as the carbonate of lime. PREPARATIONS AND COMPOSITIONS. -kOO Zinc is the most inflammable of the metals. At the temperature of ignition, it attracts the oxygen of the at- mospheric air, and burns vividly. The product is a Avhite oxide, insipid, insoluble, and infusible. White oxide of zinc is applied externally, as a deter- gent, and exsiceant remedy. With tYvice its weight of axunge, it forms an excellent application to deep chops, or excoriated nipples. But, besides being applied exter- nally, it has also of late been used internally. In doses from one, to seven or eight grains, it has been much cele- brated in the cure of epilepsy, and several spasmodic affections ; and their are sufficient testimonies of their good effects, Avhere tonic remedies in those cases are proper. Carbonas Zinci Impurus Prjeparatus. Prepared Impure Carbonate of Zinc, Prepared Calamine. The impure carbonate of zinc, after being roasted by those Avho make brass, is prepared in the same Avay as carbonate of lime. Calamine is an ore of zinc, in Avhich, sometimes the metal is merely oxidated, and in other varieties combined Avith carbonic acid. It is used as an application to super- ficial inflammation, dusted on the part, and as the basis of the common healing cerate. For these purposes, it ought to be very finely levigated. Oxidum Zinci Impurum Prjsparatum. Prepared Impure Oxide of Zinc. Prepared Tutty. This is prepared in the same manner as carbonate of lime. Tutty is a substance of Avhich the origin is doubtful, but it appears to he artificial, and to consist chiefly of oxide of zinc with argillaceous earth. It is used exter- nally for the same purposes as calamine; and hence re- quires to be very finely levigated. Sulphas Zinci. Sulphate of Zinc. White Titriol. Take of Zinc, cut into small pieces, three ounces, Sulphuric acid, five ounces, Water, twenty ounces. *56 PREPARATIONS AND COMPOSITIONS. Mix them, and when the effervescence is finished, di- gest the mixture for a little while on hot sand ; then Mr:;in the decanted liquor through paper, and after proper evaporation, set it apart, that it may crystalize. The sulphuric acid, by a disposing affinity, enables the zinc to oxidate itself by decomposing the water, a?>d then combines with the oxide. The salt is obtained in aciuu- lar crystals. The process, however, is scarcely ever per- formed in the shops, the sulphate of zinc being prepared on a large scale, from certain varieties of the native sul- phuret of the metal. As the crystalization of it is diffi- cult, it is always in the form of hard white masses. The London Pharmacopoeia orders this salt to be purified, by dissolving it in water, adding a small portion of sulphuric acid, and crystalizing. Sulphate of zinc in doses of from ten grains to half a drachm, operates almost instantly as an emetic, and is at the same time perfectly safe. It is therefore given, Avhen immediate vomiting is required, as in cases when poison has been swallowed. By administering it internally, in small doses, it acts as a good toHic, and some physicians in the southern states employ it to cure intermittent fevers, wliich it frequently docs even after the bark has been given Avithout success. Dose for adults from two to five grains, for children in proportion. Dr. Mosely, of Jamaica, states that, in chronic dysentery unattended with fever, there is not a more efficacious remedy than the following solution, taken every morning, and an opiate at bed time. Take sulphate of zinc three drachms, alu- men two drachms, spirit lavender half an ounce, boiling water one pint. Dose for adult from four to six drachms, on an empty stomach Avithout diluting it, in some cases to be repeated every six hones. When evacuations are required, the quantity of alum may be diminished, or entirely omitted ; and Avhen astringency is required, the alum increased, and the sulphate of zinc diminished. Externally this medicine is used as a styptic application to stop haemorrhages, diminish increased discharges, as gonorrhoea; and to cure the external inflammations aris- ing from debility and relaxation of the blood vessels, as in some cases of ophthalmia. Externally, this medicine is used as a styptic applica- tion to stop hemorrhages and diminish increased dis- charges; two grains being dissolved in an ounce of water is in common use as an injection in gonorrhoea, when the PEPRARATIONS AND COMPOSITIONS. 457 inflammatory state has subsided, and in gleet. A solu- tion of nearly the same strength is likewise used as a collyiium in ophthalmia, the astringent power of this be- ing increased by the addition of a few drops of sulphuric aeid. Dissolved with alum it forms a very styptic liquor, wliich has long been in use for stopping haemorrhage and checking increased discharges by external appli- cation. Solutio Acetitis Zinci. Solution of Acetite of Zinc. Take of Sulphate of zinc, a drachm, Distilled water, ten ounces. Dissolve. Take of Acetite of lead, four scruples, Distilled water, ten ounces. Dissolve. Mix the solutions; let them stand at rest a little, and then filter the liquor. The sulphuric aeid of the sulphate of zinc, is attracted by the oxide of lead; the acetous acid of the acetite of lead, by the oxide of zinc; the sulphate of lead, being insoluble, is precipitated; the acetite of zinc remains in solution. This solution is used as an injection in gonorrhoea; it is considered as more astringent than the acetite of lead, and less irritating than the sulphate of zinc. Liojjor Arsenicalis. Arsenical Solution. (Lond. Pharm.) Take of Prepared oxide of arsenic, in very fine powder, Subcarbonate of potass from tartar, of each sixty-four grains. Distilled water, a pint. Boil them together in a glass vessel until the arsenic be entirely dissolved. When the solution is cold, add compound spirit of lavender four fluidraehms: then add as much distilled water as may be necessary to make up the measure of a pint. 58 458 PREPARATIONS AND COMPOSITIONS. By combination Avith potass arsenic is rendered solu- ble in Avater ; and to render the solution of it more per- fect, and obtain it in a form in which its dose can be easily regulated, is the object of the present process— The formula was introduced by Dr. Fowler, as giving a substitute for the arsenical preparation known under the name of Tasteless Ague Drop. Each ounce of the solu- tion contains four grains of the oxide. The dose of this solution should be accurately regulated as follows : From two years old to four, two drops, or three to five; from five to seven, five to seven drops; from eight to twelve seven to ten drops ; from thirteen to eighteen, ten to twelve drops, and the same to adults. These doses may be repeated once in eight or twelve hours, diluted with gruel or barley water. The spirit of lavender is added merely to communicate colour .and flavour. The particular diseases in which arsenic has been found useful £s a remedy, have been enumerated under its medical history, in the Materia Medica. PREPARATIONS AND COMPOSITIONS. 459 CHAPTER IV. ETHER, AND ETHERIAL SPIRITS. ..Ether Sulphuricus. Sulphuric Ether. Vitriolie Ether. Take of Sulphuric acid, Alcohol, each thirty-two ounces. Pour the alcoliol into a glass retort fit for sustaining a sudden heat, and add to it the acid in an uninterrupted stream. Mix them by degrees, shaking them moderately and frequently: this done, instantly distill from sand pre- viously heated for the purpose, into a receiver kept cool Avith Avater or snow. But the heat is to be so managed, that the liquor shall boil as soon as possible, and continue to boil till sixteen ounces be drawn off: then let the re- tort be removed from the sand. To the distilled liquor add two drachms of potass; then distill froni a very high retort, with a very gentle heat, into a cool receiver, until ten ounces have been draAvn off. If sixteen ounces of alcohol be poured upon the acid remaining in the retort after the first distilla- tion, and the distillation be repeated, more ether Avill be obtained, and this may be repeated several times. In the formation of sulphuric ether, it is found by ex- periment, that the alcohol suffers decomposition ; a por- tion of its carbon is separated in a sensible form, and renders the residual liquor thick and dark coloured; a quantity of water is formed, and the remaining elements of the alcohol unite to form the ether. Ether differs from alcohol in containing less carbon, or rather more hydrogen; and this difference is established, not only by the facts with regard to its formation, but likewise by the comparative products of their combination. With regard to the agency of the sulphuric acid, by which these changes are effected in the composition of the alco- hol, two opinions arc at present maintained by chemists. According to the older doctrine, part of the sulphuric acid is decomposed: its oxygen combines with a portion 460 PREPARATIONS AND COMPOSITIONS. of the hydrogen of the alcohol, and forms water; the balance of attractions among the elements of the alcohol being broken, carbon is deposited, and ether formed from a new combination of these remaining elements. The ether obtained by the first distillation is impure. It is diluted Avith Avater and alcohol, and impregnated generally with sulphurous acid. It is rectified, according to the directions in the Pharmacopoeia, by distilling it a second time with a very gentle heat, with the addition of potass, Avhich attracts the sulphurous acid ; or, what succeeds better, with the addition of black oxide of man- ganese, which converts that acid into sulphuric. Ether properly prepared, has a penetrating diffusive odour, and a very pungent taste. It is highly volatile, evaporating rapidly at the common temperature of the atmosphere. It is soluble in ten parts of Avater, and combines with alcoliol in every proportion. The diffe- rent ethers, as produced by the different acids, vary in their composition and proportions. They are the lightest and most volatile of all known fluids, and are highly in- flammable ; their smell is fragrant, and taste hot and pungent. In their medicinal poAvers, the ethers resemble alco- hol ; but they are rather less permanent in their action. Sulphuric ether, or that obtained from the action of sulphuric acid on alcohol, is principally used. As a medicine taken internally, it is an excellent antispasmo- dic, cordial, and stimulant. It has been used in cases of rheumatism, gout, and hooping-cough, with great success. In a paroxysm of suffocating asthma, and all those dis- eases where the organs of respiration are affected, half a tea spoonful of ether in a table spoonful of Avater, quickly swallowed and occasionally repeated, has often produced instant relief. Even the simple evaporation of this volatile fluid, a spoonful of which may be placed at a time in a shallow vessel contiguous to the patient, has fre- quently been found of service, and alleviated the most distressing shortness of breath. Or in catarrhal and asthmatic complaints, its vapour may be inhaled with advantage, by holding in the mouth a piece of sugar, on which ether has been dropped. It is given as a cordial in nausea, and in febrile diseases of the typhoid type; as an antispasmodic in hysteria, and in other spasmodic and painful diseases; as a stimulus in soporose and apoplec- tic affections ; and to mitigate the unpleasant sensation PREPARATIONS AND COMPOSITIONS. 461 of sea sickness: regular practitioners seldom give so much as half an ounce, much more frequently only a few drops for a dose ; but empirics have sometimes ventured upon much larger quantities, and Avith incredible benefit. When applied externally, it is capable of producing two very opposite effects, according to its management; for, if it be prevented from evaporating, by covering the place to whicii it is applied closely with the hand, it proves a pow- erful stimulant and rubefacient, and excites a sensation of burning heat. In this Avay it is frequently used for remov- ing pains in the head, and Dr. Conyers declares, that a tea spoonful applied to the affected jaAV, and repeated till the pain cease, is a never failing remedy for the toothach. But, if it be dropped on any part of the body, exposed freely to the contact of the air, its rapid evaporation pro- duces an intense degree of cold; and as this is attended Avith a proportional diminution of bulk in the part, appli- ed in this Avay it has frequently facilitated the reduction of strangulated hernia. The great utility of ether in ef- fecting this last purpose, has been confirmed by recent experience. To mitigate sea sickness, put a tea spoonful of sulphuric ether to a wine glass full of Avater Avith some refined sugar previously dissolved in a phial, let the ether be put in quickly and shake them Avell together. Take this for a dose, and repeat it as occasion may require, but not oftener than every four hours. jEther Suephuricus cum Alcohoie. Sulphuric Ether ivith Alcohol. Dulcified Spirit of Vitriol. Take of Sulphuric ether, one part, Alcohol, two parts. Mix them. By this dilution of ether with alcohol, little is gained, except that it is more soluble in Avater. It Avas formerly known by the name of spirit of vitriolic ether. The London College apply that name to ether obtained by the first distillation, and unrectified. But this, and some other similar preparations directed by that College, may be regarded as superfluous. 462 PREPARATIONS AND COMPOSITIONS. Spiritus ^Etheris Nitrosi. Spirit of Nitrous Ether. Dulcified Spirit of Nitre. Take of Alcohol, three pounds, Nitrous aeid, one pound. Pour the alcohol into a capacious phial, placed in a vessel full of cold water, and add the acid by degrees, constantly agitating them. Let the phial be slightly covered, and placed for seven days in a cool place ; then distill the liquor with the heat of boiling water into a receiver kept cool Avith Avater or snow, as long as any spirit comes over. This is a solution of nitrous ether in alcohol. To pre- pare pure nitrous ether is difficult, and not Avithout dan- ger, from the violent chemical action which takes place when so much nitrous acid is added as is necessary to convert the whole alcoliol into ether. This pharmaceutic preparation, therefore, has been prefered, and, as a medicine, answers perhaps all the purposes which could be derived from the ether. Even it requires caution in its preparation. The theory of the action of acids on alcohol, and of the formation of ethers, is, notwithstanding modern re- searches, obscure; and that of nitrous ether is veiy im- perfectly elucidated. It is ascertained, however, that dur- ing its production, portions of oxalic and acetous acids arc formed; and the experiments of Bayen have clearly proved, that a very considerable portion of the nitric acid is decomposed or combined in such a manner with the principles of the alcohol, that it is no longer capable of saturating an alkali. Perhaps it may be infered, that the acid, by parting with oxygen to the elements of the alcohol, causes the formation of the oxalic and acetous acids, and that the remaining elements of the alcohol unite to form the ether. It appears to contain more carbon than sulphuric ether. The spirit of nitrous ether always contains a very sensible portion of acid, from which it may be freed by a second distillation, with the addition of magnesia or potass. But on this acid, perhaps, some of its virtues tlepend. PREPARATIONS AND COMPOSITIONS. 463 Its odour is extremely fragrant, its taste pungent and acidulous; it is very volatile and inflammable; soluble in alcoliol and water. Dulcified spirit of nitre has been long deservedly held in great esteem. It quenches thirst, promotes the natural secretions, expels flatulences, and moderately strengthens the stomach. It may be given in doses of from twenty drops to a drachm, in any convenient vehicle. Mixed Avitii a small quantity of spiritus ammonise aromaticus, it proves a mild, yet efficacious diaphoretic, and often re- markably diuretic; especially in some febrile cases, Avhere such a salutary evacuation is wanted. It is employed as a refrigerant and diuretic, sometimes as an antispasmo- dic. Dulcified spirit of nitre given to the extent of half an ounce, combined with one drachm of liquid laudanum, and repeated every half hour has been found remarkably efficacious in the removal of strangury from ay hat ever cause it may arise. A small proportion of this spirit added to malt spirits, gives them a flavour approaching to that of French brandy. 464 PREPARATIONS AND COMPOSITIONS. CHAPTER V. EXPRESSED AND INSPISSATED JUICES. Vegetable juices are obtained by expression. They consist of various proximate principles of the plant, par- ticularly of mucilage, extractive matter, tannin, fecula, and some saline substances dissolved or suspended in water, and Avhen recent, may possess the medicinal vir- tues which belong to any of these principles. It is impossible, however, to preserve vegetable matter in solution in water for any length of time without suffer- ing decomposition, and hence juices are unfit for officinal preparations. Where the virtues of any vegetable reside in a principle whicii is contained in the juice obtained from it by expression, and Avhere this principle is at the same time not volatile, inspissation by a moderate heat Avill contribute to its preservation, as the soft mass ob- tained by this process is much less liable to chemical changes than Avhen the re-action of its constituent parts is favoured by dilution with Avater. ' The preparation, however, is still liable to disadvantages. By the heat employed in the inspissation, part of its active matter is generally dissipated; and another source of injury is de- rived from the oxygenation Avhich the extract is liable to suffer when thus heated in contact with the atmospheric air; and the preparation itself being still soft and humid, must gradually undergo chemical alterations. Hence, inspissated juices are generally variable in their medici- nal qualities. Succus Spissatus Aconiti Napelli. Inspissated juice of Aconite, or Wolfsbane. The fresh leaves of the aconite are to be bruised, and being enclosed in an hempen bag are to be pressed strong- ly, that they may give out their juice, which is to be re- duced by evaporation in open vessels heated by boiling PREPARATIONS AND COMPOSITIONS. 465 water saturated Avith muriate of soda to the consistence of thick honey. The mass, after it has cooled, is to be kept in glazed earthen vessels, and moistened Avith alcohol. This iispissated juice is the form under which wolfsbane was introduced into practice by Storck. He recommended it in glandular swellings, scrofulous and venereal affections, gout, and in obstinate chronic rheu- matism, in a dose of half a grain night and morning, and gradually increased to five or six grains. In modern practice it is very seldom prescribed. In the same manner are prepared the folloAving inspis- sated juices from the leaves of their respective plants. Succus Spissatas Atropje Beuladonnjb. Inspissated Juice of Deadly Nightshade. The inspissated juice of Belladonna has been recom- mended by the German physicians in schirrus, cancer, epilepsy, mania, and hydrophobia, in a dose of one grain, and gradually increased. It retains the peculiar property of the plant, that of occasioning dilatation of the pupil, whence it has also been prescribed in amaurosis. Succus Spissatus Conii Macuiati. Inspissated Juice of Hemlock. Under this form, hemlock Avas employed by Storck in schirrus aud cancer. The dose is at first two grains, but it requires to be quickly increased, and it has at length been taken to the extent of several drachms in the day. It has already been observed of this plant in the Mate- ria Medica, that in various spasmodic affections, and in phthisis pulmonalis, its great utility has often been de- monstrated. In this preparation of it, the narcotic poAver of the plant seems always to be more or less impaired; it is also injured by keeping, and we have no other test of its activity than the strength of its narcotic odour. It is therefore inferior to the dried leaves of the plant, which are likewise, however, liable to a considerable degree of uncertainty, according to the manner in which they have been dried and preserved. A common form of exhibition is that of the inspissated juice made into pills by the a;!ni- tion of a sufficient quantity of the powder of the leaves; but on the whole, the powder alone is to be prefercd, 59 466 PREPARATIONS and compositions. both as being in general more active and uniform, and as we have a test of its proper preparation more certain in the richness of its green colour. Cicuta combined Avith mercury as in the following form is reported as having proved remarkably successful in the cure of croup. Take of Extract cicuta, two drachms, Quicksilver, half a drachm, Honey, one ounce, Mint water, six ounces. First rub the extract and quicksilver together till the globules disappear, then mix the honey and water. Add to it a spoonful of spirit to preserve it from moulding. Shake the phial, and give a desert spoonful every four, six, or eight hours, according to the urgency of the case and age of the patient. Succus Spissatus Hyoscyamus Nigri. Inspissated Juice of black Henbane. This inspissated juice retains a considerable degree of narcotic power, and the plant resembling opium in its operation, it is occasionally employed as a substitute for it. The dose has been usually one grain, Avhich requires to be increased; two grains are perhaps not more than equivalent to one grain of opium. The tincture has been introduced as a more certain preparation. Succus Spissatus Daturje Stramonii. Inspissated Juice of Thorn Apple. The inspissated juice of the leaves is the form in which Storck, and other German physicians usually employed the stramonium in maniacal, and in epileptic affections, but of late the saturated tincture is prefercd, though an extract made by evaporating a decoction of the leaves, or the leaves themselves in powder, will be found equally convenient and useful. Stramonium is known to be of great importance, and its use is extended to various indi- cations in medicine, as will be seen under that head in the Materia Medica part of this volume. The dose of the extract or inspissated juice is from one to ten grains. preparations and compositions. 467 Pulparum Extractio. The Extraction of Pulps. Boil unripe pulpy fruits, and ripe ones, if they be dry, in a small quantity of water, until they become soft; then press out the pulp through a hair sieve, and afterwards boil it down to the consistence of honey in an earthen vessel, in a Avater bath, stirring the matter continually, that it may not burn. The pulp of cassia fistularis is in like manner to be boiled out from the bruised pod, and reduced afterwards to a proper consistence, by evaporating the water. The pulps of fruits that are both ripe and fresh, are to be pressed out through the sieve, without any previous boiling. 468 PREPARATIONS AND COMPOSITIONS, CHAPTER VI. FIXED OILS, AND OILY PREPARATIONS. The chemical properties of these oils have already been described. They exist unmixed in the fruit and seeds of vegetables, and are obtained by expression, or decoction Avith water. The former is in general to be prefered ; and to afford the oil pure it must be perform- ed without heat, Avhich, though it favours the separation of the oil, communicates to it an unpleasant flavour. To preserve them from becoming rancid, they ought to he kept secluded from the air. A process in Pharmacy somewhat difficult is to mix these oils with any Avatery fluid, so that they may be con- veniently exhibited. It is usually done by the medium of mucilage, or of an alkali. If triturated Avith mucilage, and a small quantity of sugar, the oil is diffused through the water, and a milky liquor formed. A combination still more permanent is effected, by adding a few drops of water of ammonia, or tAvo or three grains of carbonate of t potass. Oleum Amygdali Communis* Oil of Almonds. Take of Fresh SAveet almonds, any quantity. After having bruised them in a stone mortar, put them into a hempen bag, and express the oil Avithout heat. The oil thus obtained is the purest of the expressed oils, being entirely free from odour or taste, and is used for the general purposes of expressed oils. In the same manner is to be expressed from its seeds. Oleum Lini Usitatissimi. Oil of Linseed. From the seeds of the plant* Being rather less pure, it is used only as an external application. For the preparation of oleum ricini, and oleum oliva- vum. [See those articles in the Materia Medica.] PREPARATIONS AND COMPOSITIONS. 469 Oleum Ammoniatum. Ammoniated Oil. Volatile Liniment. Take of Olive oil, tAvo ounces, Water of ammonia, two drachms. Mix them together. The above preparation may be made with three or four times the quantity of water of ammonia. This preparation is very frequently used externally as a stimulant and rubefacient. Dr. Pringle observes, that in inflammatory sore throats, a piece of flannel moistened Avith this liniment, applied to the throat, and renewed every four or five hours, is one of the most efficacious remedies. By means of this warm stimulating application, the neck, and sometimes the Avhole body, is put into a sweat, which after bleeding either carries off, or lessens the inflamma- tion. When too strong, or too liberally applied, it some- times occasions inflammations, and even blisters. Where the skin cannot bear the acrimony, a larger proportion of the oil may be used. Oleum Lini cum Calce. Linseed Oil with IAme. Take of Linseed oil, Lime Avater, of each equal parts. Mix them. This liniment is extremely useful in cases of scalds or burns, being singularly efficacious in preventing, if appli- ed in time, the inflammation subsequent to burns or scalds ; or even in removing it, after it has come on. Oleum Sulphuratum. Sulphurated Oil. Balsam of Sulphur. Take of Olive oil, eight ounces, Sublimed sulphur, one ounce. Boil them together in a large iron pot, stirring them continually, till they unite. Sulphurated oil, formerly balsam of sulphur, has been strongly recommended in coughs, consumptions, and other 470 PREPARATIONS AND COMPOSITIONS. disorders of the breast and lungs. But the reputation which it had in these cases, does not appear to have been derived from any fair trial or experience. It is mani- festly hot, acrimonious, and irritating ; and should there- fore be used Avith the utmost caution. It has frequently been found to injure the appetite, offend the stomach and viscera, parch the body, and occasion thirst and febrile heats. The dose of it is from ten to forty drops. Oleum Camphoratum. Camphorated Oil. Take of Olive oil, two ounces, Camphor, half an ounce. Mix them so that the camphor may be dissolved. This is a simple solution of camphor in fixed oil, and is an excellent application to local pains from Avhatever cause, and to glandular swellings, which are to be rubbed Avith the application once, twice, or thrice a day, accord- ing to circumstances. PREPARATIONS AND COMPOSITIONS. 471 CHAPTER VII. DISTILLED WATERS, AND SPIRITS. By distillation of water from vegetable substances, it is frequently impregnated with their flavour and taste. This is owing to their essential oil being volatilized at the temperature at Avhich Avater boils, and being dissolved in small proportion by the Avater condensed. It is very seldom that any important virtue of vegetables resides in that principle, and hence the different distilled waters are more used as vehicles of other remedies, than as being themselves active medicines. It is evident that it is only those vegetables wliich contain a sensible quantity of essential oil, that can be subjected with advantage to this process ; and that any quality in the other principles of the vegetable will not be obtained in the distilled water. To preserve the distilled Avaters from decomposition, to Avhich they are liable, from the small quantity of vege- table matter they contain, a proportion of alcohol, about one fiftieth of their weight, may be added to them; and they require to be secluded from the air. Distilled Spirits are prepared by distilling pure alcohol, or diluted alcohol, from vegetable substances. Alcohol in its pure state, seldom receives any sensible impregnation; because, although it is capable of dissolving the essential oils of plants, there are very few of them which it can bring over in distillation: a higher temperature being necessary to volatilize them than the alcohol. But, by employing diluted alcohol, a liquor is obtained more odorous and pungent. When heated with the vegetable, the alcohol first distills over, and afterAvards the Avater with the essential oil, and the whole, Avhen condensed, forms a transparent fluid. These distilled spirits, like the distilled waters, are in general merely agreeable vehicles for the exhibition of other medicines, or grateful stimulants, sometimes used to relieve nausea and flatu- lence. The directions for preparing them arc given in the Pharmacopoeia, under the spirit of Caraway. 472 PREPARATIONS AND COMPOSITION*.. Aqua Destillata. Distilled Water. Let water be distilled in very clean vessels, until about tAvo thirds of it have come 0Arer. In nature no Avater is found perfectly pure. Spring or river Avater ahvays contains a portion of saline matter, principally sulphate of lime; and, from this impregna- tion, is unfit for a number of Pharmaceutic preparations. By distillation a perfectly pure Avater is obtained. Aqua Citri Aurantii. Orange Peel Water. Take of Fresh orange peel, two pounds. Pour upon it as much Avater as shall be sufficient to prevent any empyreuma, after ten pounds have been draAvn off by distillation. After due maceration, distill ten pounds. The same quantity of Avater is to be distilled in the same manner, from Six pounds of the recent petals of the Damask rose, to prepare Aqua rosce damascene. Damask rose Avater. Three pounds of Peppermint in flower......Aqua menthw piperita;. Peppermint Avater. Three pounds of Pennyroyal in floAver......Aqua menthas pulegii. Pennyroyal water. One pound and a half of Spearmint in floAver......Aqua mentlue viridis. Spearmint water. One pound of The bark of cinnamon......Aqua, lauri cinnamomi. Cinnamon Avater. One pound of The bark of cassia.......iqua lauri cassirr. Cassia Avater. Haifa pound of The fruit of pimento......Aqua myrii pimenlw. Pimento water. PREPARATIONS AND COMPOSITIONS. 473 To each pound of these waters add half an ounce of diluted alcohol. The virtues of all these waters are nearly alike; and the peculiarities of each will be easily understood by con- sulting the account given in the Materia Medica of the substances from which they are prepared. Spiritus Cari Carui. Spirit of Caraway. Spirituous CaraAvay Water. Take of CaraAvay seeds bruised, half a pound, Diluted alcohol, nine pounds. Macerate two days in a close vessel; then pour on as much water as will prevent empyreuma, and draAV off by distillation nine pounds. In the same manner is prepared the same quantity of spirit from One pound of Spiritus Bark of cinnamon, bruised......Lauri Cinnamomi. Spirit of cinnamon. One pound and a half of Peppermint in flower......Mentha? piperita?. Spirit of peppermint. One pound and a half of Spearmint in flower......Menthce viridis. Spirit of spearmint. Tavo ounces of Nutmeg, Avell bruised......Myristicw moschata;. Spirit of nutmeg. Half a pound of The fruit of pimento bruised......Myrti pimenice. Spirit of pimento, or allspice. Spiritus Lavandula Spicje. Spi7*it of Lavender. Simple Spirit of Lavender. Take of Flowering spikes of lavender, fresh gathered, two pounds, Alcohol, eight pounds. Draw off by the heat of boiling Avater, seven pounds. 60 474 PREPARATIONS AND COMPOSITIONS. By these directions, and in the same quantify is pre- pared, Spiritus Rorismarini Officinalis. Spirit of Rose- mary. Spiritus Juniperi Compositus. Compound Sjririt of Juniper. Take of Juniper berries, Avell bruised, one pound, CaraAvay seeds, SAveet fennel seeds, each bruised, one ounce and a half, Diluted alcohol, nine pounds, Water, sufficient to prevent empyreuma. Macerate two days, and draw off nine pounds by distil- lation. It is unnecessary to make particular observations on each of these simple spirits, as their virtues arc the same with those of the substances from which they are ex- tracted, united to the stimulus of the alcoliol. Alcohol Ammoniatum Foetidum. Fetid Ammoniated Alcohol. Fetid Spirit of Ammonia. Take of Ammoniated alcohol, eight ounces, The gum resin of assa foetida, half an ounce. Digest in a close vessel twelve hours ; then distill off With the heat of boiling Avater eight ounces. This spirit is designed as an anti-hysteric, and is un- doubtedly a very elegant one. Volatile spirits, impreg- nated for these purposes Avith different fetids, have been usually kept in the shops. The ingredient here chosen, is the best calculated of any for general use, and equiva- lent in virtue to them all. The spirit is pale when newly distilled, but acquires a considerable tinge by keeping. Its dose is thirty drops. preparations and compositions. 475 CHAPTER VHI. VOLATILE OILS. DISTILLED, OR ESSENTIAL OILS. Volatile oils are prepared nearly in the same man- ner as the distilled waters, except that less water is to be added. Seeds and Avoody substances are to be previously bruised or rasped. The oil conies over with the water, and is afterwards to be separated from it, according as it may be lighter than the water, and swim upon its surface, or heavier, and sink to the bottom. Besides, in preparing both dis- tilled Avaters and oils, it is to be observed, that the good- ness of the subject, its texture, the season of the year, and similar causes, must give rise to so many differences, that no certain or general rule can be given to suit accu- rately each example. Therefore, many things are omitted, to be varied by the operator according to his judgment, and only the most general precepts are given. Volatile oils, medicinally considered, agree in the gene- ral qualities of pungency and heat; in particular virtues, they differ as much as the subjects from which they are obtained, the oil being the direct principle in Avhich the virtues, or at least a considerable part of the virtues of the several subjects reside. Thus the carminative vir- tue of the warm seeds, the diuretic of juniper berries, the emmenagogue of savin, the nervine of rosemary, the stomachic of mint, the antiscorbutic of scurvy grass, the cordial of aromatics, &c. arc supposed to be concen- trated in their oils. The more grateful oils are fre- quently made us0 of for reconciling to the stomach medi- cines of themselves disgustful. Volatile oils are never given alone, on account of their extreme heat and pun- gency ; whicii in some is so great, that a single drop let fall upon the tongue, produces a gangrenous e-.ehar. They are readily imbibed by pure dry sugar, and in this form may be conveniently exhibited. Ground with eight 476 PREPARATIONS AND COMPOSITIONS. or ten times their Aveight of sugar, they become soluble in aqueous liquors, and thus may be diluted to any assigned degree. Mucilages also render them miscible with water into a uniform milky liquor. They dissolve likewise in spirit of Avine ; the more fragrant in an equal Aveight, and almost all of them in less than four times their own quantity. These solutions may be cither taken on sugar, or mixed with syrup, or the like. On mixing them with water, the liquor grows milky, and the oil separates. The more pungent oils are employed externally against paralytic complaints, numbness, pains, aches, cold tumors, and in other cases where particular parts require to be heated or stimulated. The toothach is sometimes relieved by a drop of these almost caustic oils, received on cotton, and cautiously introduced into the holloAV tooth. Volatile oils should be kept in small bottles, closely stopped, in a cool place. Oleum Juniperi Communis. Oil of Juniper. When genuine, this oil has the flavour of the juniper berries, and is soluble in alcohol. It is stimulating, eainii- naiive, diaphoretic, and diuretic in doses often or fifteen drops. There is generally substituted for it in the shops an oil distilled from some species of turpentine much less grateful, Avhich alcohol does not dissolve. Oleum Juniperi Sabine. Oil of Savin. This plant yields more essential oil than any other does, two pounds affording not less than five ounces. The virtues of the savin seem also to depend on it, as the essential oil is said to be a powerful emmenagogue, in a dose from three to ten drops. In cold phlegmatic habits, it is undoubtedly a medicine of great service. Oleum Mentha Piperita. Oil of Peppei'inint. This is one of the most pungent of the essential oils, diffusing almost as soon as taken a glowing Avarmth through the whole system, and at the same time exciting a peculiar sensation of coolness. In colics, accompanied Avith great coldness, and in some hysteric complaints, it is of excellent service. And as a remedy in flatulence, PREPARATIONS AND COMPOSITIONS. 477 anorexia, and cramps of the stomach, it has often afforded much relief. Two or three drops are in general a suffi- cient dose. The preparation named essence of peppermint is a solution of one part of the oil in seven parts of alcohol, and coloured by the addition of grass or garden parsley. This is an agreeable and convenient preparation, and is in common use as a carminative in doses of twenty or thirty drops on sugar or in Avater. Oleum PiMPiNELLiE Anisi. Oil of Anise. This oil is of a light colour, and has rather an unplea- sant smell. It congeals even at a very moderately cold temperature. It has less pungency than any of the other essential oils, and is therefore Avell adapted to the purpose to which it is usually applied, that of relieving flatulence and the symptoms arising from it in children. To one ounce of Avhite sugar candy, or refined sugar, add one hundred drops of the best oil of aniseed; having rubbed them together in a marble mortar, let them be Avell mix- ed with one ounce of spermaceti in powder. About twenty grains of this compound given in a little milk every three or four hours Avill be found extremely beneficial in such cases of convulsions in children, prior to the age of denti- tion, as proceed from acrid irritating humors'in the first passages, and having been preceded by gripings, green stools, flatulence, and pain. Oleum Lavendul^e Spice. Oil of Lavender. This is used principally on account of its fine flavour. Oleum Carui. Oil of Caraway. This is one of the most grateful of the essential oils, and well adapted to act as a carminative, or to communi- cate an agreeable pungency, and cover the flavour of unpleasant remedies. Oleum Rorismarini Officinalis. Oil of Rosemary. It is sometimes used in ointments as a perfume, and it enters as a stimulant into the composition of the soap liniment. 478 PREPARATIONS AND COMPOSITION"!. Oleum Myrti Pimento. Oil of Pimento. It is sometimes used on account of the flavour of pimento, Avhich it possesses. Oleum Menthje Viridis. Oil of Spearmint. The flavour of this oil is similar to that of peppermint, rather less grateful, and not so much esteemed. It is sometimes useful in relieving nausea and vomiting. Oleum Pulegii. Oil of Pennyroyal. This oil may be regarded as superfluous. Oleum Fobniculi Dulcis. Oil of Sweet Fennel. The flavour of this oil is similar to that of anise. Oleum Volatile Pini Purissimum. Purified Volatite Oil of Pine. Rectified Oil of Turpentine. Take of Oil of turpentine, one pound, Water, four pounds, Distill as long as any oil comes over. The oil of turpentine of commerce is obtained by dis- tillation from Avhat is named common turpentine, the juice of the pinus larix, or sometimes from the Avood of the tree. It appears to contain a small portion of resinous matter, as when distilled it leaves a little of a thick resi- duum, and the distilled oil has been said to be more vola- tile. The spirit of turpentine, as this essential oil has been styled, is frequently taken internally as a diuretic and sudorific, and it has sometimes a considerable effect when taken to the extent of a few drops only. It has, however, been given in much larger doses, especially when mixed with honey. Recourse has principally been had to such doses in cases of chronic rheumatism, particularly in those modifications of it which are termed sciatica, and lumbago, but sometimes they induce bloody urine. Ex- PREPARATIONS AND COMPOSITIONS. 47g tcrnally it is applied by friction as a stimulant to parts affected w th cramp and rheumatism; sometimes too it is used as an application to burns, or as a styptic to bleed- ing wounds. Mixed with the Basilicon ointment it forms the celebrated application for burns recommended by Mr. Kentish. This oil has lately been administered by Dr. I. Brown Avith complete success in the case of a lad aged sixteen years afflicted for six years with taenia. He swal- lowed it undiluted in a close of one ounce, and once in a dose of one and half ounce, and took three doses in sixteen hours. It operated powerfully as a cathartic, and he discharged upwards of twenty feet of the taenia. Dr. Brown is convinced that the rectified oil of turpentine may be taken to the extent of two or three ounces with perfect safety, though he prefers half ounce doses at short intervals. Oleum Succini Purissimum. Purified Oil of Amber. Distill oil of amber in a glass retort, with six times its quantity of Avater, till two thirds of the Avater have passed into the receiver; then separate this very pure volatile oil from the water, and keep it for use in Avell closed vessels. The rectified oil has a strong bituminous smell, and a pungent acrid taste. Given in a dose of ten or twelve drops, it heats, stimulates, and promotes the fluid secre- tions. It is chiefly celebrated in hysterical disorders, and in deficiencies of the uterine purgations. Sometimes it is used externally, in liniments for weak or paralytic limbs and rheumatic pains. 480 PREPARATIONS AND COMPOSITIONS. CHAPTER IX. INFUSIONS AND DECOCTIONS. Infusion is a term employed in pharmacy, to denote that operation in whicii water, on remaining for sometime on vegetable matter, dissolves part of it; and also to ex- press the preparation which results from that operation. It is obvious, that infusion, understood in this sense, can be applied with propriety only to those plants whose vir- tues depend on principles soluble in water. The strength of the infusion is considerably influenced by the tempera- ture of the fluid, hot water dissolving more of the soluble matter than cold; Avhile cold Avater, from this circum- stance, frequently affords a prepaiation which, if weaker, is more grateful. From dried vegetables, the soluble matter is in general more easily obtained than from those which are recent. Infusions are always extemporane- ous preparations, and cannot be preserved in a sound state for more than a fevv days. By boiling vegetable substances in wafer, their active matter is more abundantly dissolved than by simple in- fusion. The preparation thus obtained is termed a decoction. In a number of cases, part of the matter dissolved by the assistance of the high temperature sepa- rates as the liquor cools, especially where it is of a resi- nous matter; in others, however, it is retained. Though a large portion of matter is dissolved by the water in this mode of preparation, yet it cannot be always advantageously employed. Wherever the virtues of the substance subjected to it depend, in whole or in part, on any volatile principle, they are necessarily injured by this being dissipated. At the temperature of 212°. hu- mid extractive matter combines too with oxygen from the atmospheric air; and perhaps at the same tempera- ture, some vegetable principles suffer decomposition from the reaction of their constituent parts: hence many vege- tables suffer injury from boiling, even where this cannot be ascribed to the dissipation of their volatile parts. These circumstances limit considerably the application of this form of preparation. PREPARATIONS AND COMPOSITIONS. 481 Decoctions are ahvays extemporaneous preparations. In general, during the boiling, the air should be excluded, and the liquor ought to be strained Avhile hot. InfusUxM Cinchonjs Officinalis. Infusion of Cin- chona. Take of Bark of cinchona, in coarse powder, one ounce, Mucilage of gum arabic, two ounces, Water, one pound. Triturate the cinchona with the mucilage, and add the water during the trituration. Macerate for tAventy-four hours, and decant the pure liquor. This is a very elegant form of exhibiting the active principles of the Peruvian bark, and that in which it will sit lightest on weak and delicate stomachs. The trituration will promote the solution, and the addition of the mucilage will suspend the finest particles of the sub- stance of the bark itself. This preparation is used principally in dyspepsia, in a dose of two ounces occasionally. Infusum Digitalis Purpurea. Infusion of Com- mon Foxglove. Take of Dried leaves of common foxglove, one drachm, Boiling Avater, eight ounces, Spirit of cinnamon, one ounce. Macerate for four hours, and filtrate. Infusion is the form under which Dr. Withering, avIio introduced the use of digitalis in dropsy, recommended it to be given. The dose is half an ounce, taken twice a day, and gradually increased till the effects of the remedy appear. The spirit of cinnamon is added to improve its flavour, and to counteract its sedative effects. 61 j)b82 PREPARATIONS AND COMPOSITIONS. Infusum Gentianje Compositum. Compound Infusion of Gentian. Bitter Infusion. Take of Root of gentian sliced, half an ounce, Rind of Seville oranges dried and bruised, one drachm, Coriander seeds bruised, half a drachm, Diluted alcohol, four ounces, Water, one pound. First pour on the alcohol, and three hours after add the Avater; then macerate Avithout heat for twelve hours and strain. This infusion is an extremely good bitter, and is of great service in dyspepsia, and in all cases Avhere bitters in general are necessary. It strengthens the stomach, and increases the appetite; besides acting as a tonic on the other parts of the body, and on the vascular system. The alcohol is a useful addition, both in promoting the extraction of the virtues of all the ingredients, and in preserving the infusion longer from spoiling. Its dose is two ounces occasionally. Infusum Mimosa; Catechu. Infusion of Catechu. Japonic Infusion. Take of Extract of catechu in poAvder, tAvo drachms and a half, Bark of cinnamon bruised, half a drachm, Boiling water, seven ounces, Simple syrup, one ounce. Macerate the extract and cinnamon in the hot water. in a covered vessel, for two hours; then strain it and add the syrup. The extract of catechu is completely soluble in Avater. This preparation, therefore, formerly called Japonic in- fusion, possesses all its virtues uninjured, and rendered more grateful by the addition of the cinnamon. It is a powerful astringent solution. Its principal use is in diarrhoea. Dose one ounce every third or fourth hour. PREPARATIONS AND COMPOSITIONS. 483 Infusum Rhei Palmati. Infusion of Rhubarb. Take of Root of rhubarb, bruised, half an ounce, Boiling water, eight ounces, Spirit of cinnamon, one ounce. Macerate the rhubarb in a close vessel with the water for twelve hours; then having added the spirit, strain the liquor. This appears to be one of the best preparations of rhu- barb, when designed as a purgative; water extracting its virtue more effectually than either vinous or spirituous menstrua. The infusion of rhubarb is supposed to have more of the purgative than of the astringent power. It is accordingly used as a mild cathartic. Dose two ounces. Infusum Rosa; Gailice. Infusion of Roses. For- merly Tincture of Roses. Take of Petals of red roses, dried, two ounces, Boiling water, five pounds, Sulphuric acid, one drachm, Double refined sugar, two ounces. Macerate the petals with the boiling Avater in an earthen vessel, whicii is not glazed with lead, for four hours; then having poured on the acid, strain the liquor and add the sugar. The rose leaves have very little effect, except in giving the mixture an elegant red colour. Its sub-acid and astringent virtues depend entirely on the sulphuric acid. Altogether, however, it is an elegant medicine, and forms a very grateful addition to juleps in hemorrhages, and in all cases Avhich require mild coolers and sub-astrin- gents. It is sometimes taken with boluses or electuaries of the bark, and likeAvise makes a good gargle in cases of cynanche. Infusum Tamarindi et Sennje. Infusion of Tama- rinds and Senna. Take of Preserved tamarinds, one ounce, Leaves of senna, one drachm. 484 PREPARATIONS AND COMPOSITIONS. Coriander seeds bruised, half a drachm, Brown sugar, half an ounce, Boiling Avater, eight ounces. Macerate them for four hours, occasionally agitating them in a close earthen vessel, not glazed with lead, and strain the liquor. It may also be made with double, triple, &c. the quan- tity of senna. This combination affords a very pleasant purgative, mild in its operation. The whole quantity may be taken at intervals as a dose. The taste of the senna is well covered by the aromatic, sugar, and by the acidity of the tamarinds. It is excellently suited for delicate stomachs, and inflammatory diseases. Ginger may be used instead of coriander seeds. Decoctum Althjeje Officinalis. Decoction of Marsh-Malloiv. Take of Root of marsh-mallow, dried and bruised, four ounces, Raisins stoned, two ounces, Water, seven pounds. Boil to five pounds ; place apart the strained liquor till the feces have subsided, then pour off the clear liquor. Marsh-mallow roots contain nothing soluble in water, except mucilage, which is very abundant in them. This decoction is therefore to be considered merely as an em- mollient, rendered more pleasant by the acidulous sweet- ness of the raisins. Decoctum Cinchona; Officinalis. Decoction of Cinchona. Take of Bark of cinchona in powder, one ounce, Water, a pound and a half. Boil for ten minutes in a covered vessel, and strain the liquor while hot. Peruvian bark readily yields its active principles to the action of boiling water, and in greater quantity than eold water is capable of retaining dissolved ; therefore, ay hen a saturated decoction cools, it becomes turbid, and PREPARATIONS AND COMPOSITIONS. 485 there is always a deposition of a yellowish or reddish powder, while the supernatant liquor is reduced to the strength of a saturated cold infusion* Decoction, there- fore, presents us with an easy means of obtaining imme- diately an active preparation of cinchona bark, and one of greater strength than a cold or even a warm infusion, provided it be drunk while tepid, and before it forms any deposition, or if the precipitate be diffused by agitation, after it is formed. Formeiiy it was supposed that the strength of a decoc- tion of cinchona bark, and similar substances, was in- creased by continuing the boiling for a great length of time, but this is iioav knoAvn to be a mistake; and, in- deed, after a certain time, the decoction becomes Aveaker instead of stronger, because water at different tempera- tures is capable of dissolving only a determinate propor- tion of their active principles ; and, therefore, as soon as it is saturated, any further decoction is unnecessary. But moreover, these principles, Avhen dissolved in water, are liable to be decomposed and become inert, by the absorp- tion of atmospheric oxygen, and their decomposition is increased by increase of temperature ; and as boiling con- stantly presents neAV surfaces to the action of the air, it is evidently hurtful when protracted longer than what is just necessary to saturate the water. Ten minutes is sup- posed by the colleges to be sufficient for that purpose. This decoction is given in general when bark in conside- rable doses is requisite, and where the poAvder does not remain on the stomach. The dose is two ounces repeat- ed occasionally. Decoctum Daphnes Mezerei. Decoction of Mezereon. Take of Bark of the root of mezereon, tvyo drachms, Root of liquorice bruised, half an ounce, Water, three pounds. Boil with a gentle heat to tvyo pounds, and strain. The use of the liquoriee is to cover the pungency of the mezereon. The decoction is given in a dose of six or tight ounces, three or four times a day, in the cases in whicii mezereon i > employed, principally in the secon- dary symptoms of syphilis, and in rheumatic affections. It operates chiefly by perspiration. 486 PREPARATIONS AND COMPOSITIONS. DecoctUxM Guaiaci Compositum. Compound Decoc- tion of Guaiacum. Decoction of the Woods. Take of Raspings of the wood of guaiacum, three ounces, Raisins, two ounces, Root of sassafras sliced, Root of Liquorice bruised, each one ounce, Water, ten pounds. Boil the guaiacum and raisins Avith the water, over a gentle fire, to the consumption of one half; adding towards the end the sassafras and liquorice. Strain the liquor Avithout expression. This decoction is of use in some rheumatic and cuta- neous affections. It may be taken by itself, to the quan- tity of a quarter of a pint, two or three times a day, or used as an assistant in a course of mercurial or antimo- nial alteratives ; the patient, in either case, keeping warm, in order to promote the operation of the medicine. Decoctum Hordei Distichi. Decoction of Barley. Take of Pearl barley, two ounces, Water, five pounds. First Avash the barley from the mealy matter that ad- heres to it.Avith some cold Avater ; then boil it a little with about half a pound of Avater, to extract the colouring matter. Throw this away, and put the barley thus pu- rified into five pounds of boiling Avater; which is to be boiled down to one half, and strained. This decoction is to be used freely, as a diluting drink in febrile and other acute disorders. However trivial medicines of this class may appear to be, they arc of greater importance in the cure of acute diseases than many more elaborate preparations. Decoctum Polygal.e Senega;. Decoction of Seneka. Take of Root of seneka, one ounce, Water, two pounds. Boil to sixteen ounces and strain. PREPARATIONS AND COMPOSITIONS. 487 The virtues of this decoction will be easily understood from those of the root from which it is prepared. The dose in hydropic cases, and rheumatic or arthritic com- plaints, is two ounces, three or four times a day, accord- ing to its effect. It is given also as an expectorant in pneumonia, and as a stimulant in croup. Decoctum Smilacis Sarsaparilla;. Decoction of Sarsaparilla. Take of Root of sarsaparilla sliced, six ounces, Water, eight pounds. Macerate for two hours with a heat of about 195° ; then take out the root and bruise it; return the bruised root to the liquor, and again macerate it for tvyo hours. Then the liquor, being boiled to the measure of four pints, press it out and strain. Under this form sarsaparilla has been given in the secondary symptoms of syphilis. It is indeed a very doubtful remedy, and its diaphoretic effects are probably owing to its being drunk warm. It is totally incapable of curing syphilis; but by some it is thought useful in the sequelse of that disease. 488 PREPARATIONS AND COMPOSITIONS. CHAPTER X. EMULSIONS AND MUCILAGES. Emulsions are preparations in which the expressed oil of seeds or kernels is suspended in water by the me- dium of the mucilage, and perhaps also of the fecula which the seeds contain. They are always opaque and milky : as the oil is merely diffused through the water, it gradually collects and rises to the surface ; and owing to the vegetable matter dissolved in the liquor, they are also liable to become sour. They likewise suffer decom- position from vinous spirits or acids. Emulsio Amygdali Communis. Emulsion of Almonds. Almond Milk. Take of Sweet almonds blanched, one ounce, Water, two pounds and a half. Beat the almonds very thoroughly in a stone mortar, gradually pouring oh them the Avater; then strain off the liquor. This is used merely as a demulcent in catarrh and go norrhcea, or to obviate strangury during the application of a blister, being drunk ad libitum. Emulsio Camphorata. Emulsion of Camphor. Take of Camphor, one scruple, Sweet almonds blanched, two drachms, Double refined sugar, one drachm, Water, six ounces. This is to be made in the same manner as the almond emulsion. Camphor is less apt to induce nausea when given in liquid than when in a solid form ; and this is one of th« best forms of preparation. Its dose is two ounces. preparations and compositions. 489 Emulsio Ammoniaci. Emulsion of Ammoniacum. Ammoniacum Milk. Take of Ammoniacum, tAvo drachms, Water, eight ounces. Rub the gum resin with the Avater, gradually poured on, until it become an emulsion. In this mixture the resin and oily matter are suspended in the water by the medium of the gum, and a milky like fluid formed, from which the resin gradually subsides. It is given as an expectorant, in a dose from half an ounce to an ounce at a time. Mistura Carbonatis Calcis. Mixture of Carbonate of Lime. Chalk Mixture. Take of Prepared carbonate of lime, one ounce, Double refined sugar, half an ounce, Mucilage of gum arabic, two ounces. Triturate together, and then gradually add of Water, two pounds and a half, Spirit of cinnamon, tAvo ounces. Mix them. This is a very elegant form of exhibiting chalk, and is an useful remedy in diseases arising from, or accompanied with acidity in the primie vise. It is frequently employed in diarrhoea proceeding from that cause. The mucilage not only serves to keep the chalk uniformly diffused, but also improves its virtues. The dose of this medicine requires no nicety. It may be taken to the extent of a pound or tAvo in the course of a day'. Mucilago Amyli. Mucilage of Starch. Take of Starch, half an ounce, Water, one pound. Triturate the starch, gradually adding the water: then boil them a little. 62 490 PREPARATIONS AND COMPOSITIONS. The mucilage thus formed is very useful in those cases Avhere a glutinous substance is required. It is often suc- cessfully employed Avith opium, as a clyster, in diarrhoea depending on acrimony in the intestines. Mucllago Astragali Tragacantha. Mucilage of Gum Tragacanth. Take of Gum tragacanth in powder, one ounce, Boiling water, eight ounces. Macerate twenty-four Lours ; then triturate them careiully, that the gum may be dissolved, and press the mucilage through linen cloth. Gum tragacanth is difficultly soluble in Avater. When macerated in it, it swells, but does not dissolve. To effect the solution it must be beaten into a paste with some of the water; and the rest of the water must be added gradually, and incorporated Avith the paste by beating them together. It is used principally in making troches. Mucilago Mimosa Nilotica. Mucilage of Gum Arabic. Take of Gum arable in powder, one part, Boiling water, two parts. Digest with frequent agitation, until the gum be dis- solved ; then press the mucilage through linen. This is the mucilage that is usually employe:) for pharmaceutic purposes; such as suspending substances insoluble in water, rendering oils miseible with watery liquors, &e. It is also much used for rre>r>c rties peculiar to those substances of its own class, and of all the gums this seems to be the purest. PREPARATIONS AND COMPOSITIONS. 491 CHAPTER XL SYRUPS. Syrups are solutions of sugar in Avater, either pure, or containing other substances dissolved. They are seldom active medicines, but are principally designed to render others pleasant. The proportion of sugar with which they are generally made, is about two parts to one of fluid. Syrupus Simplex. Simple Syrup. Take of Double refined sugar, fifteen parts, , Water, eight parts. Let the sugar be dissolved in the Avater by a gentle heat, and boiled a little, so as to form a syrup. This solution of sugar is used merely to communicate SAveetness of taste. It is more convenient in extempora- neous prescription than sugar undissolved. Syrupus Altileje Officinalis. Syrup of Marsh- Mallow. Take of Fresh roots of marsh-mallow sliced, one pound, Water, ten pounds, Double refined sugar, four pounds. Boil the Avater Avith the roots to the consumption of one half, and strain the liquor, strongly expressing it. Suffer the strained liquor to rest till the feces have sub- sided ; and to the depurated liquor add the sugar; then boil so as to make a syrup. This is merely a mucilaginous syrup, and is chiefly used in nephritic cases for sweetening emollient decoc- tions, and in coughs produced by irritation. 492 PREPARATIONS AND COMPOSITIONS. Syrupus Amomi Zingiberis. Syrup of Ginger. Take of Roots of ginger bruised, three ounces, Boiling Avater, four pounds, Double refined sugar, seven pounds and a half. Macerate the ginger in the water in a close vessel, for tAventy-four hours ; then to the liquor strained, add the sugar in powder, so as to make a syrup. This is an agreeable and moderately aromatic syrup, impregnated Avith the flavour and virtues of the ginger. Syrupus Citri Aurantii., Syrup of Orange Peel Take of The fresh outer rind of Seville oranges, six ounces, Boiling Avater, three pounds, Double refined sugar, four pounds. Macerate the rind in the Avater for twelve hours ; then add to the filtrated liquor the sugar in powder, and apply a gentle heat, so as to form a syrup. This syrup is a very elegant and agreeable one, pos- sessing a great share of the fine flavour of the orange peel. Syrupus Citri Medica. Syrup of Lemons. Syrup of Lemon Juice. Take of Juice of lemons, suffered to stand till the feces have subsided, and afterwards strained, three parts, Double refined sugar, five parts, Dissolve the sugar in the juice, so as to make a syrup. This pleasant syrup is used to SAveeten and acidulate mixtures, especially those of the mucilaginous kind. Syrupus Papaveris Somniferi. Syrup of While Poppies. Diacodium. Take of Capsules of white poppy dried, and freed from the seeds, two pounds, PREPARATIONS AND COMPOSITIONS. 493 Boiling water, thirty pounds, Double refined sugar, four pounds. Macerate the sliced capsules in the Avater for twelve hours ; next boil till only one third part of the liquor re- main; then strain it by expressing if strongly. Boil the strained liquor to the consumption of one hah", and strain again. Lastly, add the sugar, and boil a little, so as to form a syrup. This syrup, impregnated with the opiate matter of the poppy heads, is given to children in doses of two or three drachms, to adults, from half an ounce to an ounce, for casing pain, procuring rest, and answering the other intentions of mild opiates. It is uncertain in its strength. Syrupus Rhamni CathAtici. Syrup of Buckthorn. Take of Juice of ripe buckthorn berries depurated, iavo parts, Double refi ned sugar, one part. Boil them so as to form a syrup. This preparation, in doses of three or four spoonfuls, operates as a brisk cathartic. The principal inconve- niences attending it are, being very unpleasant, and occa- sioning a thirst and dryness of the mouth and fauces, and sometimes violent gripes : these effects may be prevented by drinking liberally of Avater gruel, or other Avar in liquors, during the operation. Syrupus Rosa Damascena. Sijrup of Damask Roses. Take of Fresh petals of the damask rose, one pound, Boiling Avater, four pounds, Double refined sugar, three pounds. Macerate the roses in the water for a night; then to the liquor strained and freed from the dregs, add the so- gar ; boil them into a syrup. This syrup is a very mild purgative, and as such, is given to children in a dose of two or three tea spoonfuls. 494 PREPARATIONS AND COMPOSITIONS. Syrupus Rosa Gallica. Syrup of Red Roses. Take of Dried petals of red roses, seven ounces, Double refined sugar, six pounds, Boiling Avater, five pounds. Macerate the roses in the ay ater for twelve hours, then boil them a little and strain the liquor; add to it the sugar, and boil them again for a little, so as to form a syrup. * In this preparation the slight astringency of the red rose is supposed to be preserved; and Avhere a syrup hav- ing this quality is indicated, this is generally prefercd. Syrupus Scilla Maritima. Syrup of Squills. Take of Acetous acid with squills, two pounds, Double refined sugar in poAvder, three pounds and a half. Dissolve the sugar Avith a gentle heat, so as to form a syrup. This is an active remedy, and is the form under whicii squill is generally given as an expectorant. Its dose is one or two drachms. It is also given to children as an emetic, especially in pertussis. Syrupus Tolltfera Balsami. Syrup of Balsam of Tolu. Balsamic Syrup. Take of Simple syrup, two pounds, Tincture of balsam of tolu, one ounce. With the syrup recently prepared, and when it has almost grown cold, after it has been removed from the lire, gradually mix the tincture, with constant agitation. This syrup can he valued only on account of the agree- able flavour of the balsam with which it is moderately impregnated. PREPARATIONS AND COMPOSITIONS. 495 Syrupus Viola Odorata. Syrup of Violets. Take of FloAvers of fresh violets, one pound, Boiling Avater, four pounds, Double refined sugar, seven pounds and a half. Macerate the violets in the Avater for tvyenty-four hours in a glass or a glazed earthen vessel, close covered; then strain without expression, and to the strained liquor add the sugar, poAvdered, and make into a syrup. This syrup is a very gentle laxative, and as such is given to infants in a dose of one or two tea spoonfuls. It is apt to lose in keeping the elegant blue colour, for Avhich it is chiefly valued. When pure it forms an excellent test of the presence of acids and alkalis; the former changing it to a red, the latter to a green colour. It is obvious that a pre- scriber would be deceived if he should expect to give any blue tinge to acidulated or alkalized juleps or mixtures, by the addition of the blue syrup. 496 PREPARATIONS AND COMPOSITIONS. CHAPTER XII. MEDICATED VINEGARS. Vinegar is capable of dissolving several of the princi- ples of vegetables. It frequently, hoAvever, alters their poAvers, or does not coincide with them in virtue. There are, therefore, few medicated vinegars in use. Acetum Aromaticum. Aromatic Acetous Acid. Aromatic Vinegar. Take of Tops of rosemary dried, Leaves of sage dried, each four ounces, Flowers of lavender dried, two ounces, Cloves in coarse powder, two drachms, Distilled acetous acid, eight pounds. Macerate for seven days, express the liquor and filtrate through paper. From the impregnation of the vinegar with the flavour of these aromatic vegetables, it becomes a grateful per- fume, to wliich purpose chiefly this preparation is applied. Acetum Scilla Maritima. Acetous Acid with Squills. Squill Vinegar. Take of Dried root of squills, two ounces, Distilled acetous acid, two pounds and a half, Alcohol, three ounces. Macerate the squills with the acetous acid for seven days; then press out the liquor, to Avhich add the alcohol; and Avhen the feces have subsided, pour off the clear liquor. A preparation similar to that formerly kept under the name of oxymel of squills, may be made by mixing ex- temporaneously any quantity of honey with the above preparation. PREPARATIONS and compositions. 497 Vinegar is the proper menstruum-of squill; and this preparation possesses all its powers unimpaired. It is a very powerful stimulant; and hence it is frequently used, with great success, as a diuretic and expectorant. The dose is from a drachm to half an ounce ; where crudities abound in the first passages, it may be given at first in a larger dose, to evacuate them by vomiting. It is most conveniently exhibited along Avith cinnamon, or other agreeable aromatic waters which prevent the nausea it would otherwise, even in small doses, be apt to occasion. Vcidum Acetosum Camphoratcm. Camphorated Acetous Acid. Take of Strong acetous acid, six ounces, Camplior, half an ounce. Reduce the camphor to poAvder, by triturating it with a little alcohol; then add it to the acid, hi Avhich it should be dissolved. This solution is a powerful analeptic remedy. Its va- pour snuffed up the nostrils, whicii is the only method of using it, is one of the most pungent stimuli AYe possess. It is so extremely volatile, that it cannot be preserved without excluding it from the contact of the air; and it is so poAverful a menstruum, that it corrodes cork, and almost all common metals except gold. It should there- fore be kept in glass phials, with ground glass stoppers. 63 498 PREPARATIONS AND COMPOSITIONS. CHAPTER XIII. TINCTURES. Tinctures are solutions of vegetable, animal, and sometimes of mineral substances, in spirituous liquors. The solvent may be either pure alcohol, diluted alcohol, or alcohol impregnated with ammonia or ether. They generally contain the virtues of the substances dissolved, in a concentrated state, though sometimes altered, or lost in those of the menstruum. They are little liable to decomposition, and this gives them a superiority over those preparations in which the solvent power of water is employed. Alcohol is the solvent of a number of the immediate principles of vegetables; of resin, camphor, essential oil, and extract; and hence is capable of extract- ing the virtues of many important remedies. Tinctures made with it are in general decomposed on the addition of Avatery liquors. Diluted alcohol, or proof spirit, is a still more general solvent; as the water it contains dissolves several princi- ples which are not soluble in pure alcohol. It is therefore more generally employed. Alcohol, impregnated with ammonia, or ether, is employed in forming tinctures only of a few substances, whose operations are supposed to he promoted by these agents. Tinctcra Aloes Socotorina. Tincture of Soctotorim Aloes. Take of Socotorine aloes in poAvder, half an ounce, Extract of liquorice, an ounce and a half, Alcohol, four ounces, Water, one pound. Digest for seven days in a closed vessel, with a gentle heat and frequent agitation, and Avhen the feces have subsided, decant the tincture. preparations and compositions. 499 These directions are to be observed in preparing all tinctures. In this simple tincture, all the active parts of the aloes are suspended in the menstruum. The extract of liquo- rice serves both to promote the suspension and to cover the taste of the aloes; and in those cases Avhere we Avish for the operation of the aloes alone, this is perhaps one of the best formulae under Avhich it can be exhibited in a fluid state. About an ounce may be taken for a dose. / Tinctura Aloes et Myrrha. Tincture of Aloes and Myrrh. Elixir Proprietatis. Take of Myrrh in powder, two ounces, Alcohol, one pound and a half, Water, half a pound. Mix the alcohol with the water, then add the myrrh; digest for four days; and lastly add of Socotorine aloes in powder, Saffron sliced, each two ounces. Digest again for three days, and pour off the tincture from the sediment. This may be considered as being the Elixir Proprieta- tis of Paracelsus, improved with regard to the manner of preparation. It has long been in repute as a warm stimulant and aperient. It strengthens the stomach and other viscera, cleanses the first passages from tenacious phlegm, and promotes the natural secretions in general. Its continued use has frequently done much service in cachectic and icteric cases, uterine obstructions, and other similar disorders ; particularly in cold, pale, phlegmatic habits. The dose may be from one drachm to two, tAvice in a day. This preparation is rendered more pleasant and efficacious by age. Tinctura Amomi Repentis. Tincture of Cardamom. Take of Lesser cardamom seeds bruised, four ounces, Diluted alcohol, tvyo pounds and a half. Digest for seven days, and filtrate through paper. 500 PREPARATIONS AND COMPOSITION'S. Tincture of cardamom has been in use for a considera- ble time. It is a pleasant Avarm cordial, and may be taken, alongSvith a proper vehicle, in doses of from a drachm to a spoonful or two. Tinctura Aristolochi.e Serpent ari.e. Tincture of Virginian Snakeroot. Take of Root of Virginian snakeroot bruised, three ounces, Cochineal in powder, one drachm, Diluted alcohol, tAvo pounds and a half. Digest for seven days, and filtrate through paper. This tincture, which contains the Avhole virtues of the root, may be taken to the quantity of a spoonful or more every five or six hours; and to this extent it often ope- rates as an useful diaphoretic. Tinctura Ferula Assa Foetida. Tincture of AssOf Foetida. Fetid Tincture. Take of Gum resin of assa foetida, four ounces, Alcohol, two pounds and a half. Digest for seven days, and filtrate through paper. This tincture possesses the virtues of the assa foetida itself; assd may be given in doses of from ten drops to fifty or sixty as a remedy in hysteria. Tinctura Benzoin Composita. Compound Tincture of Benzoin. Traumatic Balsam. Take of Benzoin in powder, three ounces, Peruvian balsam, two ounces. Hepatic aloes in powder, half an ounce, Alcohol, tAvo pounds. Digest with a gentle heat for seven days, and filtrate through paper. This preparation may be considered as an elegant sim- plification of some very complicated compositions, Avhich PREPARATIONS AND COMPOSITIONS. 501 Avere celebrated under different names; such as Wade's balsam, Friar's balsam, Jesuit's drops, &c. These, in general consisted of a confused farrago of discordant sub- stances. They, however, derived considerable activity from the benzoin and aloes; and every thing to be ex- pected from them, may readily be obtained from the present formula. The compound tincture of benzoin, has been highly recommended, externally, for cleansing and healing wounds and ulcers, for discussing cold tumors, allaying gouty, rheumatic, and other old pains and aches; and likewise internally for warming and strengthening the stomach and intestines, expelling flatulences, and reliev- ing colic complaints. Its dose is from thirty to sixty drops. In modern practice it is much less used than formeiiy. • Tinctura Camphora. Tincture of Camphor. Elixir of Camphor. Take of Camphor, one ounee, Alcohol, one pound. Mix them together, that the camphor may be dissolved. It may also be made with a double or triple proportion of camphor. This solution of camphor is only employed externally, against rheumatic pains, paralytic numbnesses, for dis- cussing tumors, preventing gangrenes, or restraining their progress. Bruises and strains are also relieved by this application by way of friction to the part. Tinctura Eleutheria. Tincture of Cascarilla. Take of Bark of cascarilla in powder, four ounces, Diluted alcohol, two pounds. Digest Avith a gentle heat for eight days and filtrate. This tincture maybe employed to ansAver most of those purposes for Avhich the bark • ;elf is recommended;- but in the cure of intermittents, it in general requires to be exhibited in substance. 502 preparations and compositions. Tinctura Angustura. Tincture of Angustura, Take of Bark of angustura in powder, four ounces, Diluted alcohol, two pounds. Digest with a gentle heat for eight days and filtrate. In cases of dyspepsia this tincture has been found ser- viceable in doses of one or two drachms. Tinctura Senna Composita. Compound Tincture of Senna. Elixir of Health. Take of Leaves of senna, three ounces, Root of jalap bruised, one ounce, Coriander seeds, CaraAvay seeds, each bruised, half an ounce, ■ Lesser cardamom seeds bruised, tAvo drachms, Diluted alcohol, three pounds and a half. Digest for seven days, and to the liquor filtrated through paper add of Double refined sugar, four ounces. This tincture is in very common use as a carminative and cathartic, by those especially who have accustomed themselves to the use of spirituous liquors; it oftentimes relieves flatulent complaints and colics, where the com- mon cordials have little effect. Dose from one to two ounces. Tinctura Castorei. Tincture of Castor. Take of Russian castor in poAvder, an ounce and a half, Alcohol, one pound. Digest for seven days, and filtrate through paper. This is a fjseble remedy, given sometimes as an anti- spasmodic, in a dose of from half a drachm to a drachm. Tinctura Cinchona Officinalis. Tincture of Cin- chona. Tincture of Bark. Take of Red bark of cinchona in powder, six ounces, Diluted alcohol, Iavo pounds and a half. preparations and compositions. 505 Digest for seven days, and filtrate through paper. The active matter of bark is entirely extracted by diluted alcohol, but the poAvers of the menstruum itself do not allow of the use of bark under this form, Avhere large doses of the remedy are necessary. It is used in dyspepsia, occasionally, in a dose of two drachms. Tinctura Cinchona Composita. Compound Tincture of Cinchona. Huxham's Tincture. Take of Red bark of cinchona in poAvder, two ounces, External rind of Seville oranges dried, one ounce and a half, Root of Virginian snakeroot bruised, three drachms, Saffron, one drachm, Cochineal in poAvder, two scruples, Diluted alcohol, tAventy ounces. Digest for fourteen days and filtrate. This has been for a considerable time celebrated under the title of Huxham's Tincture of Bark. As a corroborant and stomachic, it is given in doses of two or three drachms ; but when employed for the cure of intermittents, it must be taken to a greater extent. It is more grateful than the simple tincture, and in dyspeptic affections, it proves a pleasant and efficacious remedy. Tinctura Colomba. Tincture of Colomba. Take of Colomba root in pow der, two ounces and a half. Diluted alcohol, tAvo pounds and a half. Digest for seven days and filtrate through paper. Tliis is used merely as a bitter tincture in dyspepsia, in a dose of three or four drachms. It may be advanta- geously employed against bilious vomitings, and those different stomach ailments, in Avhich the colomba has been found usefr.l: but where there does not occur some objection to its use in substance, that form is iu general preferable to the tincture. 501- PREPARATIOnS AND COMPOSITIONS. Tinctura Convolvuli Jalapa. Tincture of Jalap. Take of Root of jalap in powder, four ounces, Diluted alcohol, fifteen ounces. Digest for seven days and filtrate through'paper. The activity of jalap resides in its resin, which in this preparation is extracted along Avith a portion of mucilage. The tincture may be given as a cathartic, in a dose of four or six drachms. Tinctura Croci Sativa. Tincture of Saffron. Take of English saffron sliced, one ounce, Diluted alcohol, fifteen ounces. Digest for seven days and filtrate through paper. This tincture is to be valued only for its colour. Tinctura Digitalis Purpurea. Tincture of Com- mon Fox-Glove. fake of Dried leaves of common fox-glove, one ounce, Diluted alcohol, eight ounces. Digest for seven days and filtrate through paper. This is a very active preparation ; it is the one in Aviiich the virtues of digitalis are longest preserved unin- jured, and appears to be the best form under Avhich that remedy can be exhibited, to obtain its narcotic effects. Its dose is ten drops, Avhich, according to the general rules observed in the administration of digitalis, is to be gradually increased. It has been chiefly used to diminish the force of the circulation of the blood in haemoptysis, and often with remarkable success. It is in this form that digitalis is generally exhibited for the cure of phthisis pulmonalis. The chief advocates for this reme- dy in England are undoubtedly men of eminence in their profession, some of whom were on its first introduction so extremely sanguine as to imagine that it approximates to a specific; although such expectations cannot be fully realized, it is evidently a remedy of great efficacy, some- preparations and compositions. 505 times effecting a radical cure, and seldom failing to alle- viate the most distressing symptoms attending that fatal disease. The attestations and facts adduced in its favor are sufficient to encourage the most persevering trials in every case of incipient phthisis pulmonalis. Tinctura Gentiana Composita. Compound Tinc- ture of Gentian. Stomachic Elixir. Take of Root of gentian sliced and bruised, two ounces, Rind of Seville oranges dried and bruised, one ounce, Bark of canella alba bruised, half an ounce, PoAvder of cochineal, half a drachm, Diluted alcohol, two pounds and a half. Digest for seven days and filtrate through paper. This is a very elegant spirituous bitter, formerly called stomachic elixir. The aromatics are here very commo- dious ingredients, as in this spirituous menstruum they are free from the inconvenience Avith Avhich they are attended in other liquors, of diminishing their transpa- rency. This tincture is employed in dyspepsia, in a dose of two or three drachms given occasionally. Tinctura Guajaci Officinalis. Tincture of Guai- acum. Take of Gum resin of officinal guaiacum in povvder, one pound, Alcohol, tAvo pounds and a half. Digest for seven days and filtrate through paper. What is called gum guaiac is in fact a resin, and perfectly soluble in alcohol. This solution is a powerful stimulating sudorific, and may be given in doses of about half an ounce in rheumatic and arthritic cases. 64 506 PREPARATIONS AND COMPOSITIONS. Tinctura Hellebori Nigri. Tincture of Black Hellebore. Take of Root of black hellebore bruised, four ounces, Cochineal in poAvder, half a drachm, Diluted alcohol, two pounds and a half. Digest seven days and filtrate through paper. This is perhaps the best preparation of hellebore, Avhen designed for an alterative, the menstruum here employed extracting the whole of its virtues. It has been found by experience particularly serviceable in uterine obstruc- tions. In sanguine constitutions, where chalybeates are hurtful, it has been said that it seldom fails of exciting the menstrual evacuations, and removing the ill conse- quences of their suppression. A tea spoonful of the tincture may be taken twice a day in warm water, or some other convenient vehicle. Tinctura Hyosciami Nigri. Tincture of Black Henbane. Take of Leaves of black henbane dried, one ounce, Diluted alcohol, eight ounces. Digest for seven days and filtrate through paper. This tincture, although not yet come into general use, is a valuable anodyne, aud in many cases may be substi- tuted Avith advantage for the tincture of opium, especially where the latter produces obstinate constipation; or, instead of its usual soporific and sedative effects, it causes uneasiness, restlessness, and universal irritation. Its dose is from a scruple to a drachm. Tinctura Kino. Tincture of Kino. Take of Kino in poAvder, tAvo ounces, Diluted alcohol, a pound and a half. Digest seven days and filtrate through paper. This is certainly a very astringent tincture, and Avill be found an excellent medicine in obstinate diarrhoea and in lienteria. The dose is from half a drachm to a drachm. preparations and compositions. 507 Tinctura Lauri Cinnamomi. Tincture of Cinnamon. Take of Bark of cinnamon bruised, three ounces, Diluted alcohol, two pounds and a half. Digest for sevren days and filtrate through paper. This is used merely as an aromatic and cordial, in doses from one drachm to three. Tinctura Cinnamomi Composita. Compound Tinc- ture of Cinnamon. Aromatic Tincture. Take of Bark of cinnamon, Lesser cardamom seeds, each bruised, one ounce, Long pepper in powder, two drachms, Diluted alcohol, two pounds and a half. Digest for seven days and filtrate through paper. In this formula, the Dublin and London colleges di- minish the quantity of cardamom seeds, and substitute ginger. This Makes no alteration on the virtues of the preparation, whicii is a warm aromatic, too hot to be given without dilution. It was formerly called aromatic tincture. A tea spoonful or two may be taken in wine, or any other convenient vehicle, in languors, weakness of the stomach, flatulences, and other similar complaints; and in these cases it is often employed with advantage. Tinctura Lavandula Composita. Compound Tinc-< ture of Lavender. Compound Spirit of Lavender. Take of Spirit of lavender, three pounds, ............ rosemary, one pound, Bark of cinnamon bruised, one ounce, Flower-buds of the clove tree bruised, tAVO drachms, Nutmeg bruised, half an ounce, Wood of red saunders rasped, three drachms. Macerate for seven days and filtrate. This is a grateful cordial in common use, as relieving languor and faintness. From ten t <»;$* hundred drops 508 PREPARATIONS AND COMPOSITIONS. may be conveniently taken, dropped upon sugar. It docs not appear very clearly whether it should be considered as a spirit or tincture; for although the spirit of laven- der be the predominant ingredient, yet the mode of pre- paration is that of a tincture, and the spirit as a men- struum dissolves astringent colouring, and other substan- ces, which would not rise with it in distillation. Tinctura Meloes Vesicatorii. Tincture of Can- tharides. Take of Cantharides bruised, one drachm, Diluted alcohol, one pound. Digest for seven days and filtrate through paper. This tincture contains the active principle of the can- tharides, Avhatever it may be. It is applied externally as a stimulant and rubefacient, and is sometimes given in- ternally, in doses of from ten to twenty drops as a diuretic. Tinctura Meloes Vesicatorii Fortior. Strong Tincture of Cantharides. Take of Cantharides bruised, ten drachms, Diluted alcohol, one pound. Digest for fourteen days and filtrate through paper. This is intended merely for external application. Tinctura Mimosa Catechu. Tincture of Catechu. Japonic Tincture. Take of Extract of catechu in powder, three ounces, Bark of cinnamon bruised, two ounces, Diluted alcohol, tAvo pounds and a half. Digest for eight days and filtrate through paper. The cinnamon is a very useful addition to the catechu, not only as it Avarms the stomach, ke. but likewise as it improves the roughness and astringency of the other. This tincture is of service in all kinds of defluxions, catarrhs, loosenesses, uterine fluors, and other disor- ders, Avhere mild astringent medicines are indicated. preparations and compositions. 509 Two or three tea spoonfuls may be taken frequently in red wine, or any other proper vehicle. Tinctura Moschi. Tincture of Musk. Take of Musk, two drachms, Alcohol, one pound. Macerate for seven days and filtrate. In this form it is almost impossible to give such a quan- tity of niusk as is necessary for our purpose ; and hence this article is more frequently employed under the form of julep or bolus. Tinctura Muriatis Ammonia et Ferri. Tincture of Muriate of Ammonia and Iron. Ammoniac Tinc- ture of Iron. Take of Muriate of ammonia and iron, four ounces, Diluted alcohol, sixteen ounces. Digest and filtrate. This is seldom prepared, being much less elegant than the folloAving. Tinctura Muriatis Ferri. Tincture of Muriate of Iron. Tincture of Iron. Take of Carbonate of iron, half a pound, Muriatic acid, three pounds, Alcoliol, three pounds and four ounces. Pour the muriatic acid on the carbonate of iron in a glass vessel; and shake the mixture noAv and then, during three days. Set it by, that the feces may subside; then pour off the liquor; evaporate this to sixteen ounces, and when cold, add to it the alcohol. The black oxide of iron combines Avith the muriatic acid, and, during the solution, acquires more oxygen, partly by absorption from the atmosphere, and partly by decomposition of the water, which is promoted by the 510 PREPARATIONS AND COMPOSITIONS. heat applied. The muriate of iron, in Avhich this mora perfect oxide is contained, is soluble in alcohol. The present preparation is such a tincture diluted with the water of the muriatic acid. When first prepared, it contains a portion of muriate of iron, in which the metal is imperfectly oxidated; but this soon attracts more oxy- gen ; and hence, the colour of the tincture deepens on keeping. It is a very active and excellent chalybeate, and may be given in doses often or twenty drops, twic« or thrice a day, in airy proper vehicle. The mminted tincture of iron is a remedy which often proves extremely efficacious in suppressions of urine aris- ing from spasm, if given in doses of ten drops, and re- peated every ten minutes until some sensible effect is produced, it Avill seldom fail of removing the spasm, and after six doses the urine usually Aoavs freely. Tinctura Myrrh a. Tincture of Myrrh. Take of Myrrh in powder, three ounces, Alcohol, twenty ounces, Water, ten ounces. Digest for seven days and filtrate through paper. Tincture of Myrrh is recommended internally for Avarnling the habit, attenuating viscid juices, strength- ening the solids, opening obstructions, particularly those of the uterine vessels, and resisting putrefaction. The dose is from fifteen to forty drops, or more. It may perhaps be given in these cases to advantage ; though it is more commonly used externally as a stimulant and antiseptic application for cleansing foul ulcers, and pro- moting the exfoliation of carious bones. -,Tinctura Opii. Tincture of Opium. Thebaic j^ Tincture. Liquid Laudanum. * z& 'Take of Opium, tAvo ounces, Diluted alcohol, two pounds. Digest seven days and filtrate through paper. This tincture is the most usual form under which opium is administered, having, long been known under the name of liquid laudanum. PREPARATIONS AND COMPOSITIONS. 511 The proportion of opium to the solvent is five grains to the drachm ; but by evaporation it is found that one drachm of the tincture holds three grains and a half dissolved. The usual dose is twenty-five drops. It is to be regretted that this tincture is not so well adapted for keeping as could be wished ; in long standing a part of the opium is gradually deposited, and consequently the tin* Jure becomes weaker ; the part which thus separates amounts sometimes, as it is said, to near one fourth of the quantity of opium at first dissolved. The occasions for the use of laudanum in families are so numerous, that the utmost certainty with regard to the uniformity of the strength, anil the dose, ought to prevail. According to the London College, ten drachms of Oiium go to one pint of proof spirit. Dr. Donald Monroe observes, one drachm (sixty drops,) of such tinctuF-e. contains, by experiment, three and two thirds grains of opium; so that three drachms of it contains eleven grains: hence if we mix eight draebms of proof spirit, with three drachms of the above tincture, we form a tincture, each drachm of which contains one grain* of opium; if Ave want a still Aveaker preparation, Ave may add eleven drachms more of spirit, when we shall have a tincture, each drachm of which contains half a grain of opium. In most cases, however, it is adviseable to ad- minister laudanum in small quantities, (say fifteen drops to a grown person,) at a time; until the desired effect be produced. A single full dose of twenty, thirty, or thirty- five drops, will frequently disappoint our wishes, by proving either too great, or too small a quantity for the necessities of the system. Laudanum should ahvays be given in a perfectly pure state: that Avhich has by long keeping deposited a portion of the opium previously held in solu- tion, and thereby become thick, and strong, should be marked, and rese ved for external application. Tinctura Opii Camphorata. Camphorated Tincture of Opium. Paregoric Elixir. Take of Opium, Benzoic acid, of each one drachm, Camphor, two scruples, Volatile oil of aniseed, one drachm. Diluted alcohol, two pounds. bi*Z PREPARATIONS AND COMPOSITIONS. Digest for ten days and filtrate through paper. In this formula the virtues of the opium and camphor arc combined. It gets an agreeable flavour from the acid of benzoin, and the essential oil. The latter will also render it more stimulating ; but whether it derives any salutary virtues from the former, Ave do not know. It Avas originally prescribed under the title of elixir asth- maticum, whicii it does not ill deserve. It tends to allay the tickling which provokes frequent coughing, and, at the same time, it is supposed to open the breast, and give greater liberty of breathing. It is given to children against the chin cough, &c. from five to twenty drops; to adults, from twenty to an hundred. Half an ounce, by measure, contains about a grain of opium. Tinctura Rhei Palmati. Tincture of Rhubarb. Take of Root of rhubarb in coarse powder, three ounces, Lesser cardamom seeds bruised, half an ounce, Diluted alcohol, iavo pounds and a half. Digest for seven days and filtrate through paper. This tincture contains all the virtues of rhubarb. Its dose is from half an ounce to an ounce. Tinctura Rhei et Aloes. Tincture of Rhubarb and Aloes. Sacred Elixir. Take of Root of rhubarb in coarse powder, ten drachms, Socotorine aloes in powder, six drachms, Lesser cardamom seeds bruised, half an ounce, Diluted alcoliol, two pounds and a half. Digest for seven days and filtrate through paper. Tinctura Rhei et Gentiana. Tincture of Rhubarb and Gentian. Bitter Tincture of Rhubarb. Take of Root of rhubarb in coarse powder, two ounces, Root of gentian sliced and bruised, half an ounce, Diluted alcohol, two pounds and a half. Digest for seven days and filtrate through paper. preparations and compositions. 513 Tinctura Rhei Dulcis. Sweet Tincture of Rhubarb. Take of Root of rhubarb in coarse powder, two ounces, Root of liquorice bruised, Anise seeds bruised, each one ounce, Double refined sugar in powder, two ounces, Diluted alcohol, two pounds and a half. Digest for seven days and filtrate through paper. All the foregoing tinctures of rhubarb, are designed as stomachics and corroborants, as well as purgatives; spi- rituous liquors excellently extract those parts of the rhu- barb in which the tAvo first qualities reside, and the addi- tional ingredients considerably promote their efficacy. In weakness of the stomach, Indigestion, laxity of the intestines, diarrhoeas, colic, and other similar complaints, these medicines are frequently of great service. The sacred elixir has been mueh employed as a warming cor- dial purge, and for the general purposes of aloetics, with which, however, it combines the medical properties of rhubarb. A spoonful or tAvo may be taken for a dose, and occa- sionally repeated. Tinctura Saponis. Tincture of Soap. Saponaceous Liniment. Take of Soap in shavings, four ounces, Camphor, two ounces, Volatile oil of rosemary, half an ounce, Alcohol, tAvo pounds. Digest the soap in the alcohol for three days ; then add to the filtrated liquor, the camphor and oil, agitating them diligently. Tinctura Saponis et Opii. Tincture of Soap and Opium. Anodyne Balsam. This is prepared in the same way and from the same substances as the tincture of soap, but with the addition from the beginning of one ounce of opium. 65 51* PREPARATIONS ANB COMPOSITIONS. These tinctures are used externally as powerful stimu- lant applications in strains and rheumatic pains. The latter long knoAvn under the title of anodyne balsam, possesses great efficacy in removing local pains, especially if a tea spoonful be at the same time taken internally. Tinctura Scilxa Maritima. Tincture of Squill. Take of Root of squills fresh dried and bruised, four ounces, Diluted alcohol, two pounds. Digest for eight days and pour off the liquor. As vinegar best covers the nauseous taste of squill, it is generally used as its menstruum. This tincture con- tains, hoAvever, the active matter of this, and may be given in a dose of from twenty to sixty drops. Tinctura Toluifera Balsami. Tincture of Balsam of Tolu. Take of Balsam of tolu, an ounce and a half, Alcohol, one pound. Digest until the balsam be dissolved, and then filtrate the tincture through paper. This solution of balsam of tolu possesses all the virtues of the balsam itself. It may be taken internally, with the several intentions for Avhich that valuable balsam is proper, to the quantity of a tea spoomul or two, in any convenient vehicle. Mixed Avith the plain syrup of sugar, it forms an elegant balsamic syrup. Tinctura Veratri Albi. Tincture of Wliite Hellebore. Take of Root of white hellebore bruised, eight ounces, Diluted alcohol, tAvo pounds and a half. Digest for seven days and filtrate through paper. This tincture has seldom been employed, and is now altogether superseded by the vinous tincture of the same root mentioned under Ad'atrum Album in the Materia Medica. preparations and compositions. 515 Tinctura Humuli. Tincture of Hop. Take of Hops, five ounces, Proof spirit, tAvo pints. Macerate for fourteen days, and strain. Hop haviug been introduced as a narcotic, the tincture affords a convenient form for its administration. It has been supposed to be nearly of the same strength as tinc- ture of opium, but it requires in general to be given in a dose of from half a drachm to a drachm, to produce much sensible effect. TINCTURES MADE WITH ETHERIAL SPIRITS. We have classed these tinctures by themselves, because they are more strongly characterized by the nature of the menstruum, than of the substances dissolved in it. Indeed, the etherial spirits are used in these instances, not to dissolve bodies which would resist the action of the alcohol and water, but for the sake of their oavii direct action on the body. Tinctura Aloes JEtherea. Etherial Tincture of Aloes. Vitriolic Elixir Proprietatis. Take of Gum resin of socotorine aloes, Myrrh, of each in powder an ounce and a half, English saffron sliced, one ounce, Sulphuric ether with alcohol, one pound. Digest the myrrh Avith the liquor for four days in a close vessel, then add the saffron and aloes. Digest again for four days, and when the feces haAre subsided, pour off the tincture. By first digesting the myrrh Avith the spirit, a sufficient quantity of it is dissolved, which Avould not be, were the aloes added to it; and, by the second digestion, a sufficient quantity of the latter is" taken up. The formula is the improvement of one Avhich has long kept its place in the different pharmacopoeias. It agrees generally in its 516 PREPARATIONS AND COMPOSITIONS. effects, Avith the other tinctures of aloes, the only diffe- rence arising from the more penetrating and stimulating nature of the menstruum itself. As a purgative, it is given in doses of one or two drachms. JEther Sulphuricis cum Alcohole Aromaticus. Aromatic Sulphuric Etlier with Alcohol. This is made of the same aromatics, and in the same manner as the compound tincture of cinnamon ; except that in place of the alcohol, sulphuric ether with alcohol is employed. The additions to the sulphuric ether in this formula, are of so little importance, that the preparation is scarcely ever used. Acidum Sulphuricum Aromaticum. Aromatic Sul- phuric Acid. Acid Elixir of Aitriol. Take of Alcohol, two pounds, Sulphuric acid, six ounces. Drop the acid gradually into the alcohol. Digest the mixture Avith a very gentle heat in a close vessel for three days, and then add of Bark of cinnamon bruised, an ounce and a half, Root of ginger bruised, one ounce. Digest again in a close vessel for six days, and then fil- trate the tincture through paper placed in a glass funnel. This is a valuable medicine in Aveakness and relaxation of the stomach, and decays of the constitution, particu- larly in those Avhich proceed from irregularities, Avhich are accompanied with sIoav febrile symptoms, or which follow the suppression of intermittents. It frequently succeeds, after bitters and aromatics. by themselves, had availed nothing; and, indeed, great part of its virtues depend on the sulphuric acid, which, barely diluted with Avater, has, in eases where the stomach could bear aci- dity, produced happy effects. It is very usefully con- joined with cinchona, and other tonic barks, both as covering their disagreeable taste, and as coinciding with them in Airtue. It may be given in doses of from ten to thirty drops, or more, several times a day. PREPARATIONS AND COMPOSITIONS. 517 AMMONIATED OR VOLATILE TINCTURES. Alcohol Ammoniatum vVromaticum. Aromati* Ammoniated Alcohol. Take of Ammoniated alcohol, eight ounces, Volatile oil of rosemary, one drachm and a half, Volatile oil of lemon peel, one drachm. Mix them, that the oils may be dissolved. By this combination of the ammonia Avith the alcohol, and the addition of the aromatic oils, it is rendered more grateful than the water of ammonia. This preparation is therefore sometimes used in preference to the other, as a stimulating perfume, and even for internal exhibition. Dose from fifteen to thirty drops. Tinctura Castorei Composita. Compound Tincture of Castor. Take of Russian castor in poAvder, one ounce. Gum resin of assa foetida, half an ounce, Ammoniated alcoliol, one pound. Digest for seven days in a close stopped phial, and fil- trate through paper. This composition is a medicine of real efficacy, parti- cularly in hysterical disorders, and the several symptoms which accompany them. The spirit here used is an ex- cellent menstruum, both for the castor and the assa foetida, and greatly adds to their virtues. The dose is from half a drachm, to one drachm. Tinctura Guajaci Ammoniata. Ammoniated Tinc- ture of Guaiacum. Aolatile Elixir of Guaiacum. Take of Gum resin of officinal guaiacum, four ounces, Ammoniated alcohol, one pound and a half. Digest for seven days and filtrate through paper. This is a v cry elegant and efficacious tincture; the ammoniated spirit readily dissolving the resin, and at the same time promoting its medicinal virtue. In rheumatit 518 preparations and compositions. cases, a tea or even table spoonful, taken every morning and evening, in any convenient vehicle, particularly iu milk, has proved of singular service. Or it may be prepared as follows : Take of Gum guaiacum, eight ounces, Pimento in powder, two ounces, Subcarbonate of potass, tAvo drachms, Alcohol diluted, two pounds. Digest for seven days and filtrate through paper. To four ounces of this tincture add ammoniated alco- hol one ounce, more or less, as the case may require. Tinctura Opii Ammoniata. Ammoniated Tincture of Opium. Take of Benzoic acid, English saffron sliced, each three drachms, Opium two drachms, Volatile oil of anise seeds, half a drachm, Ammoniated alcohol, sixteen ounces. Digest for seven days in a close vessel, and filtrate through paper. This is a preparation of considerable efficacy in many spasmodic diseases, as chincough, ke. the ammonia re- moving the spasm immediately, while the opium tends to prevent its return. Each drachm contains about a grain of opium under the name of paragoric elixir. This pre- paration has been highly esteemed in catarrhal affections, and other complaints of the breast. Itsdose is from half a drachm to a draehm. preparations and compositions. 519. CHAPTER XIV. MEDICATED WINES. Wine, from its composition, and especially from th» alcohol and water it contains, is capable of dissolving the active matter of many vegetables. Solutions of this kind are named medicated wines. They are more liable to decomposition from keeping than tinctures. To obviate this, it is usual to add to them, when prepared, a portion of alcohol. Vinum Aloes Socotorina. Wine of Socotorine Aloes. Sacred Tincture. Take of Gum resin of socotorine aloes in powder, one ounce, Lesser cardamom seeds bruised, Root of ginger bruised, each one drachm, Spanish white wine, two pounds. Digest for seven days, stirring now and then, and after- wards filtrate. This medicine has long been in great esteem, not only as a cathartic, but likewise as a stimulus. It appears, from long experience, to be a medicine of great utility. The dose, as a purgative, is from one to two ounces. It may be introduced into the habit, so as to be productive of excellent effects as an alterant, by giving it in small doses, at proper intervals; thus managed, it does not for a considerable time operate remarkably by stool; but at length proves purgative, and occasions a lax habit of much longer continuance, than that produced by other cathartics. Vinum Ferri. Wine of Iron. Chalybeate Wine. Take of Purified filings of iron, one ounce, Spanish Avhite wine, sixteen ounces. 520 PREPARATIONS AND COMPOSITIONS. Digest for a month, often shaking the vessel, and then filtrate. This is merely a solution of tartarized iron in wine; for the iron is only dissolved in the vvine by means of the super-tartrite of potass it contains. But a solution of a known proportion of tartarized iron in wine, will give a medicine of more equal powers, and may be made ex- temporaneously. The dose is from a drachm to half an ounce, twice or thrice a day in chlorotic cases. Vinum Gentiana Compositum. Compound Wine of Gentian. Bitter AVine. Take of Root of gentian sliced and bruised, half an ounce, Red bark of cinchona in powder, one ounce, External rind of Seville oranges, dried and bruised, two drachms, Bark of canella alba in poAvder, one drachm, Diluted alcohol, four ounces, Spanish Avhite wine, two pounds and a half. First, pour on the diluted alcoliol, and after tAventy- four hoursj add the wine; then macerate for seven days and filtrate. This wine is intended to supply the place of the Vinum Amarum, as it Avas formerly called. Wine is fully capable of extracting the active powers of the different ingredients; and it supplies us with a very useful and elegant stomachic medicine. Its dose is six drachms. Vinum Ipecacuanha. Wine of Ipecacuan. Take of Root of ipecacuan in poAvder, one ounce, Spanish Avhite wine, fifteen ounces. Macerate for seven days and filtrate through paper. This medicated wine is preferable to a tincture of ipe- cacuan, as being less pungent, Avhile it holds the active matter of the root fully dissolved. Its dose, as an emetic, is one ounce to an adult. PREPARATIONS AND COMPOSITIONS. 521 Vinum Nicotiana Tabaci. Wine of Tobacco. Take of Dried leaves of tobacco sliced, one ounce, Spanish white wine, one pound. Macerate for seven days and filtrate through paper. AVe have already, under the article Nicotiana in the Materia Medica, offered some observations upon its intro- duction into practice by Dr. Fowler, as a very useful remedy in the cure of dropsies and dysuries. From his treatise on that subject, the present formula is taken; and we may observe, that while in practice, Ave have frequently experienced from tobacco those good effects, for which Dr. Fowler recommends it, we are inclined to give the present formula the preference to every other AYiiich he has proposed. Dose, thirty drops, gradually increased to sixty or eighty, twice a day. Vinum Opii Compositum. Compound Wine of Opium. Thebaic Tincture. Take of Opium, two ounces, Flower buds of the clove tree bruised, Cinnamon bruised, each one drachm, Spanish white wine, sixteen ounces. Macerate for seven days and filtrate through paper. This is the liquid laudanum of Sydenham, with the exchange of Canary Avine for Mountain, and the omission of an ounce of saffron ; and Avas the tinctura thebaica, or liquid laudanum, of the London pharmacopoeia. The aromatics here directed are in so small quantity, that no considerable effect can be expected from them, the pro- portion of each that goes to a grain of opium amounting to no more than the sixteenth part of a grain. Even the minute proportions, hoAvever, are in a good measure sufficient to take off the ill odour of the opium, which seems to be all that is intended by them. The principal advantages of exhibiting opium in this form are, that by being already dissolved, it exerts itself sooner in the body, and that by some persons, liquids are more coinmodiously taken, than a bolus or pill. The 66 522 PREPARATIONS AND COMPOSITIONS. common dosesof the tincture are from ten drops to forty, fifty, or more, according to the exi^en ies of the case. "it is to be vvished that the dose could be more exactly ascertained, by weight or measure ; as the drops may, according to different circumstances, vary in quantity, though in number the same; and as an error therein may, in some cases, be of mischievous consequences. Twenty drops contain, at a medium, about one grain of opium, or rather so much as that quantity of wine will extract from one grain ; for the liquor docs not dissolve the whole substance of the opium, nor is the solution equivalent, in its effect, to the full quantity of opium employed in it. A liquid opiate, free from the inconveniences here com- plained of, may be found under the head of tinctures, page 510. Vinum Rhei Palmati. Wine of Rhubarb* Take of Root of rhubarb sliced, two ounces, Bark of canella alba bruised, one drachm, Diluted alcohol, two ounces, Spanish Avhite wine, fifteen ounces. Macerate for seven days and filtrate through paper. This is a warm, cordial, laxative medicine. It is used chiefly in w eakness of the stomach and bowels, and some kinds of loosenesses, for evacuating the offending matter, and strengthening the tone of the viscera. Its dose as a purgative is from half an ounce to an ounce. Vinum Tartitris Antimonii. Wine of Tartrite of Antimony. Antimonial Avine. Take of Tartrite of antimony, twenty-four grains, Spanish white wine, one pound. Mix them so that the tartrite of antimony may be dissolved. Tartrite of antimony dissohed in Avine, can be pre- served longer without decomposition than when dissolved in water; but, even on long keeping, part of the antimo- nial oxide is deposited. In its employment and effects, PREPARATIONS AND COMPOSITIONS. the vinous solution of tartar emetic does not differ from one made with water. It is given as an emetic in the dose of one ounce ; as a diaphoretic, in a much smaller dose. It contains two grains of tartrite of antimony in the ounce, but it is not of sufficient strength. The for- mula directed by the London and Dublin Colleges, con- taining four grains in the ounce, will be found more convenient in practice. In the old formula for the preparation of antimonial wine, vitrified (glass) of antimony Avas directed to be used; but as the tartarous acid contained in the wine acts on the oxide of antimony, and renders part of it soluble, the quantity must be uncertain, and the wine cannot be uniform in strength. The preparation, therefore, ought to be entirely rejected, since its strength cannot be known. 52 i PREPARATIONS AND COMPOSITIONS. CHAPTER XV. EXTRACTS. EXTRACTS MADE WITH WATER. AVhen vegetable matter is dissolved in Avater or alcohol, by evaporation of the solvent, a concrete tenacious mass is obtained, termed an extract. When prepared from an aqueous solution, it is named a watery, when from one in alcohol, pure or diluted, a spirituous extract. The for- mer must consist chiefly of those proximate principles Avhich Avater can easily dissolve; mucilage, tannin, ex- tractive, and saline matter: the latter, of a portion of these Avith resin. In either preparation, the volatile principles must ne- cessarily be dissipated; and in many cases, especially in the preparation of the watery extracts, decomposition or oxygenation of the more fixed parts take place. Hence there are feAV vegetables Avhose virtues are obtained un- injured in their extracts. Water is the menstruum most economically employed in making extracts, as it is capa- ble of dissolving all the active principles except resin, and can have its solvent povyers assisted by a considerable degree of heat. It is indifferent, Avith regard to the medicine, whether the subject be used fresh or dry, since nothing that can be preserved in this process, will be lost by drying. The evaporation is most conveniently performed in large, shalloAV vessels; the larger the surface of the liquor, the sooner will the^aqueous parts exhale. It is necessary to keep a constant stirring toward the end of the process, in order to prevent an empyreuma, and that the extracts may be of an uniform consistence, and free of clots. Extractum Gentiana Lutea. Extract of Gentian. Take of Root of gentian, any quantity. Having cut and bruised it, pour upon it eight times its quantity of water. Boil to the consumption of one half PREPARATIONS AND COMPOSITIONS. 55,5 of the liquor, and strain it by strong expression. Evapo- rate the decoction immediately to the consistence of thick honey, in a bath of Avater saturated with muriate of soda.* This extract is intensely bitter. It is generally used to form other medicines into pills, particularly those with which it coincides in medicinal virtues, as tonics and enimenagogues. In the same manner are prepared From the roots of Liquorice, Extractum glycyrrhizee glabra;. Extract of liquorice. Black hellebore, Extractum hellebori nigri. Extract of black hellebore. From the inner bark of Butternut, Extractum juglandis cinerece. Extract of butternut. From the leaves of Rue, Extractum rutcr graveolentis. Extract of rue. Senna, Extractum cassia; senna;. Extract of senna. From the floAvers of Chamomile, Extractum anthemidis nobilis. Extract of chamomile. From the capsules of White poppy, Extractum papaveris somniferi. Extract of Avhite poppy. From the wood of LogAvood, Extractum hcematoxyli campcchcnsis. Extract of logwood. All these extracts are supposed to contain the virtues of the substances from wliich they are prepared, in a very pure and concentrated form.- But this supposition is, Ave believe, in several instances erroneous. Extract of liquorice root consists chiefly of mucilage and saccharine matter, and is used as a demulcent in catarrh. It is sometimes purified by solution in water, straining, and a new evaporation. This is named refined liquorice. AVhcn made with care, it is exceedingly sweet, not at all bitterish or nauseous, more agreeable in taste than the root itself, of a pleasant smell, and reddish brown colour. This preparation Avould be very convenient for many purposes in the shops, if kept in a somewhat softer con- sistence than that of an extrart. 526 PREPARATIONS AND COMPOSITIONS. EXTRACTS MADE WITH ALCOHOL AND WATER. Extractum Cinchona Officinalis. Extract of Cinchona. Extract of the bark. Take of Bark of cinchona in powder, one pound, Alcohol, four pounds. Digest for four days, and pour off the tincture. Boil the residuum in five pounds of distilled water for fifteen minutes, and filtrate the decoction boiling hot through linen. Repeat this decoction and filtration with an equal quantity of distilled water, and reduce the liquor by evaporation to the consistence of thin honey. DraYV off the alcohol from the tiucture by distillation, until it also become thick; then mix the liquors thus inspissated, and evaporate in a bath of boiling water, saturated with muriate of soda, to a proper consistency. This preparation is undoubtedly preferable to the wate- ry extract of bark. By the joint action of the alcohol and water, every principle adhering to the mere ligneous fibre of the bark, is dissolved; and in the subsequent evaporation, the dissolved matter suffers less injury, partly from less heat being required to bring it to the due consistence, and partly, perhaps, from the alcohol resisting the oxygenation of the extract. It is, however, much more expensive; and the extract of bark to be found in the shops, is generally that prepared by the pre- ceding formula. The dose of this extract is ten grains. Extractum Cona olvuli Jalapa. Extract of Jalap. This is prepared in the same Avay. This extract as a cathartic is capable of operating fully in a dose of ten or twelve grains. PREPARATIONS AND COMPOSITIONS. 527 CHAPTER XVI. OF POWDERS. This form is proper for such materials only, as are canable of being sufficiently dried for pulverizing, without the loss of their virtue. There are many substances, however, of this kind which cannot be conveniently taken in powder; bitter, acrid, and fetid drugs are too disa- greeable ; emollient and mucilaginous herbs and roots are too bulky; pure gums cohere, and become tenacious in the mouth; fix'd alkaline salts deliquesce when exposed to the air; and volatile alkalis exhale. Many of the aro- matics, too, suffer great loss of their odorous principle when kept in powder, as in that form they expose a much larger surface to the air. The dose of poAvders, in extemporaneous prescription, is generally about half a drachm; it rarely exceeds a Avhole drachm, and is not often less than a scruple. Sub- stances which produce poAverful effects in smaller doses are not trusted to this form, unless their bulk be in- creased by additions of less efficacy; those wliich require to be given in larger ones are better fitted for other forms. The usual vehicle for taking the lighter poAvders, is any agreeable thin liquid. The ponderous povYders, par- ticularly those prepared from metallic substances, require a more consistent vehicle, as syrups; for from thin ones, they soon subside. Pulvis Cinnamomi Compositus. Compound Poicdcr of Cinnamon. Aromatic Species. Take of Bark of cinnamon, Lesser cardamom seeds, Root of ginger, each equal parts. Reduce them to a very fine powder, which is to be kept in a glass vessel well closed. 52S PREPARATIONS AND COMPOSITIONS. This formula is a very eligible one, and may be admin- istered in all cases Avhere powerful aromatic mcdiciues arc required. Its dose is from ten to twenty grains. Under the title of aromatic powder it has been employed in cold phlegmatic habits, and decayed constitutions, for warming the stomach, promoting digestion, and streng- thening the tone of the viscera. Pulvis Asari Compositus. Compound Powder of Asarabacca. Sternutatory. Take of Leaves of asarabacca, three parts, ...............sweet marjorum, Flowers of lavender, each one part. Rub them together to a powder. This is an efficacious errhine, and superior to herb snuff. It is often employed with great advantage in cases of obstinate headach, and of ophthalmias resisting other modes of cure. Five or six grains snuffed up the nostrils at bed time will operate the succeeding day as a powerful errhine, inducing frequent sneezing, and a copious discharge from the nose. Pulvis Carronatis Calcis Compositus. Compound Powder of Carbonate of Lime. Chalk powder. Take of Prepared carbonate of lime, four ounces, Nutmeg, half a drachm, Bark of cinnamon, one drachm and a half. Reduce them together to poAvder. The addition of the aromatics in the above formula, coincides with the general intention of the remedy, wliich is indicated for Aveakness and acidity in the stomach, and in diarrhoea proceeding from acidity. Dose from a scru- ple to a drachm. PREPARATIONS AND COMPOSITIONS. 529 Pulvis Ipecacuanha et Opii. Powder of Ipecacuan and Opium. Dover's Powder. Take of Root of ipecacuan in powder, Opium, of each one part, Sulphate of potass, eight parts. Triturate them together into a fine poAvder. The sulphate of potass, from the grittiness of its crystals, is perhaps better fitted for tearing and dividing the tenacious opium, than any other salt. The operator should be careful that the opium and ipecacuan be equally diffused through the Avhole mass of poAvder, otherwise different portions of the powder must be different in de- gree of strength. In this composition Ave have an example of the power whicii one medicine has of modifying the action of ano- ther, the ipecacuan rendering the operation of the opium as a sudorific, much more certain than it Avould otherAvise be, and appearing also to diminish its narcotic effect. This poAvder is the most certain sudorific we possess, and as such was recommended by Dr. Dover as an effectual re- medy in rheumatism. Modern practice confirms its repu- tation, not only in rheumatism, but also in dropsy, and several other diseases, Avhere it is often difficult by other means to produce a copious sweat. The medium dose is fifteen grains; the operation of Avhich is to be assisted by the sweating regimen; and frequently it is necessary to give additional smaller dos^s at intervals, to produce sYveat. Pulvis Jalapa Compositus. Compound Powder of Jalap. Take of Root of jalap, one part, Super-tartrite of potass, tAvo parts. Grind them together to a very fine powder. By this addition of super-tartrite of potass to jalap, the operation of the latter is supposed to be rendered less irritating, and more refrigerant. It is an excellent ca- thartic, operating freely in a dose of a drachm and an half. 030 PREPARATIONS AND COMPOSITIONS. Pulvis Opiatus. Opiate Powder. Take of Opium, one part, Prepared carbonate of lime, nine parts. Rub them together to a very fine powder. In this poAvder, the opium is the only active ingredient; it is merely divided by the substance mixed with it. Ten grains contain one grain of opium. Pulvis Scammonii Compositus. Compound Powder of Scammony. Take of Gum resin of scammony, Super-tartrite of potass, equal parts. Rub them together to a very fine powder. In this poAvder, the operation of the scammony is sup- posed to be rendered milder as a purgative, by the super- tartrite of potass. It is also prefercd to the seanmony alone, as a hydragogue cathartic. Its dose is from ten to tAventy grains. Pulvis Super-Sulphatis Alumina et Potassa Com- positus. Compound Powder of Super-Sulphate of Alumina and Potass. Styptic Powder. Take of Super sulphate of alumina and potass, four parts, Kino, one part. Rub them together to a fine powder. This powder is composed of two very powerful astrin- gents, and is sometimes used internally in monorrhagia, in repeated doses of ten or fifteen grains, and externally as a styptic application to bleeding Avounds. PREPARATIONS AND COMPOSITIONS. 531 Pulvis Aloes cum Canella. Powder of Aloes with Canella, Take of Socotorine aloes, one pound, White canella, three ounces. PoAvder separately, and then mix them. This composition has long been known in the shops under the title of hiera picra. It is still retained in the London Pharmacopoea. It furnishes us with a useful aloetic purgative, the canella operating as a good corri- gent for the aloes. It is generally made into a tincture, by infusing in spirits. Pulvis Astragali Tragacantha Compositus. Com- pound Powder of Tragacanth. Take of Gum tragacanth, ........arabic, Starch, of each one ounce and a half, Double refined sugar, three ounces. To be conjointly pulverized. This preparation is one of the mildest emollient reme- dies in hectic cases, coughs, strangury, and similar disor- ders, occasioned by a thin, vitiated state of the fluids; the dose being two or three drachms often repeated. 532 PREPARATIONS and compositions. CHAPTER XVII. CONSERVES AND ELECTUARIES. In these preparations, vegetable matter bruised is mixed with about three times its weight of sugar, and beat into a uniform pulpy mass. It Avas supposed that the sugar, by its antiseptic quality would prevent the decomposition of the vegetable matter. This, hoAvever, is not the case. This form of preparation therefore, is not applied to any active medicine. The shops were formerly encumbered with many conserves altogether insignificant; the few now retained, have, in general, either an agreeable fla- vour to recommend them, or are capable of answering some useful purposes as medicines. The sugar should be pounded by itself, and passed through a sieve, before it be mixed with the vegetable mass, for Avithout this it cannot be properly incorporated. The common dose is the bulk of a nutmeg, or as much as can be taken at once or twice on the point of a knife. Electuaries are compositions of the consistence, nearly of honey, and are generally made by adding to any powder, a sufficient proportion of syrup or mucilage. It is a form adapted to the exhibition of such medicines as are not ungrateful in taste or flavour. The ingredients are so proportioned, that the dose shall not be less than a tea- spoonful, and not more than twice or thrice that quantity at a time. Conserve of the outer rind of oranges, and conserve of red rose buds, require no particular remarks, except that their taste and virtues are compounded of those of sugar and the substance combined with it. The former is a pleasant stomachic, and the latter, a mild astringent. Electuarium Aromaticum. Aromatic Electuary. Cardiac Confection. Take of Compound powder of cinnamon, one part, Syrup of orange peel, two parts. Mix and beat them well together, so as to form an electuary. PREPARATIONS AND COMPOSITIONS. 533 This composition is sufficiently grateful, and moderate- ly warm. It is given in the form of a bolus, in doses of from five grains to a scruple, or upwards, as a cordial, or as a vehicle for more active substances. Electuarium Cassia Fistula. Electuary of Cassia. Take of Pulp of the fruit of the cassia tree, six ounces, Pulp of tamarinds, Manna, each an ounce and a half, Syrup of damask roses, six ounces. Having beat the manna in a mortar, dissolve it in a gentle heat in the syrup; then add the pulps and evapo- rate them with a regular continued heat to the consis- tence of an electuary. This composition is a very convenient officinal, to serve as a basis to purgative electuaries and other similar pur- poses. It is likewise taken by itself to the quantity of two or three drachms occasionally, for gently loosening the belly in costive habits. Electuarium Cassia Senna. Electuary of Senna. Lenitive Electuary. Take of Leaves of senna, eight ounces, Coriander seeds, four ounces, Root of liquorice, three ounces, Figs, Pulp of prunes, each one pound, .......of tamarinds, half a pound, Double refined sugar, two pounds and a half. Powder the senna with the coriander seeds, and sift out ten ounces of the mixed powder. Boil the remain- der' Avith the figs and liquorice in four pounds of water, to one half; then press out and strain the liquor. Evapo- rate this strained liquor to the Aveight of about a pound and a half; then add the sugar, and make a syrup; add this syrup by degrees to the pulps, and, lastly, mix in the powder. This electuary is a very convenient laxative, and has long been in common use among practitioners. -Taken to the size of a nutmeg or more, as occasion may require, it is an excellent laxative for loosening the belly in costive habits. PREPARATIONS AND COMPOSITIONS. Electuarium Catechu. Electuary of Catechu. Japonic Confection. Take of Extract of catechu, four ounces, Kino, three ounces, Bark of cinnamon, Nutmeg, each one ounce, Opium diffused in a sufficient quantity of Spa- nish white wine, one drachm and a half, Syrup of red roses boiled to the consistence of honey, two pounds and a quarter. Reduce the solids to powder ; and having mixed them with the opium and syrup, make thein into an electuary. This electuary affords a combination of the more pow- erful astringents, rendered grateful by aromatics, and having its efficacy, as a remedy in diarrhoea, increased by the opium. It is the basis of the common extempora- neous astringent mixture. One grain of opium is con- tained in rather more than three drachms. Electuarium Opiatum. Opiate Electuary. Thebaic Electuary. Take of Compound powder of cinnamon, six ounces, Virginian snakeroot in fine powder, three ounces, Opium diffused in a sufficient quantity of Spa- nish white wine, half an ounce, Syrup of ginger, one pound. Mix them and form an electuary. This has kept its place in the Pharmacopoeias as a substitute for the inithridate and theriaca andromachi; officinal preparations once highly celebrated, but now discarded. Each drachm prepared according to the above formula, contains a grain and a half of opium. The action which this electuary will produce on the living system, is abundantly apparent from the nature of its ingredients. PREPARATIONS AND COMPOSITIONS. 535 CHAPTER XVIII. TROCHES. Troches or Lozenges, consist of powders brought to a solid form by the addition of mucilage. When moist, they form a soft paste, in which state they are cut into square or round pieces ; and these are hardened by dry- ing. It is a form adapted principally to such medicines as are designed to dissolve slowly in the mouth, and hence, they are always rendered pleasant by the addition of a large proportion of sugar. They are seldom active remedies. Trochisci Carbonatis Calcis. Troches of Carbonate of Lime. Troches of Chalk. Take of Prepared carbonate of lime, four ounces, Gum arabic, one ounce, Nutmeg, one drachm, Double refined sugar, six ounces. PoAvder them together and form them with Avater into a mass, Avhich is to be made into troches. This is a pleasant form under which carbonate of lime may be given as an antacid ; and it is useful in diarrhoea. Trochisci Glycyrrhiza cum Opio. Throches of Liquorice with Opium. Take of Opium, tAvo drachms, Tincture of balsam of tolu, half an ounce, Simple syrup, eight ounces, Extract of liquorice, softened in warm water, Gum arabic in poAvder, each five ounces. Grind the opium Avell with the tincture, then add by degrees the syrup and extract ; aftenvards gradually b36 PREPARATIONS AND COMPOSITIONS. sprinkle upon the mixture the poAvdered gum arabic. liastlv, dry them so as to form a mass to be made into troches, each Aveighing ten grains. These troches are Aery effectual in relieving the tick- ling cough frequently attending catarrh. The opium is the active ingredient; the others cover its taste and fla- vour, and render the composition pleasant, adding at the same time a demulcent quality. One drachm or six grains contain one grain of opium, and from six to twelve may be taken in tAvcnty-four hours. Trochisci Magnesia. Troches of Magnesia. Take of Magnesia, four ounces, Double refined sugar, two ounces, Root of ginger poAvdered, one scruple. Triturate them together, and with the addition of the mucilage of gum arabic, make troches. Magnesia may be conveniently administered, under this form, as an antacid, and at the same time it tends to keep the boAvels open. PREPARATIONS AND COMPOSITIONS. 537 CHAPTER XIX. PILLS. To this form, those drugs are particularly adapted, wliich in a small dose, and whose nauseous and offensive taste or smell, require them to be concealed from the palate. Pills dissolve the most difficultly in the stomach, and produce the most gradual and lasting effects, of all the internal forms. This is, in some cases, of great ad- vantage ; in others, it is a quality not at all desirable; and sometimes, may even be of dangerous consequence, particularly Avith regard to emetics, which, if they pass the stomach undissolved, and afterAvards exert themselves in the intestines, operate there as violent cathartics. Hence emetics are scarce ever given iii pills; and hence, to the resinous and difficultly soluble substances, sapona- ceous ones ought to be added, in order to promote their solution. Gummy resins, and inspissated juices, are sometimes soft enough to be made into pills, without addition. Where any moisture is requisite, spirit of Avine is more proper than syrups and conserves, as it unites more readily Avith them, and does not sensibly increase their bulk. Light, dry poAvders require syrups or mucilages, and the more ponderous, as the mercurial and other metallic prepara- tions, thick honey conserve or extracts. Light poAvders require about half their weight of syrup; or of honey, about three fourths their Aveight, to reduce them into a due consistence for forming pills. Half a drachm of the mass will make five or six pills of a moderate size. Gums and inspissated juices, are to be first softened Avith the liquid prescribed; the powders are then to be added, and the Avhole beat thoroughly together, until they be perfectly mixed. The masses for pills are best kept in b'adders, wliich should be moistened Avith some of the same kind of liquid that the mass Avas made up Avith, or Avitli some proper aromatic oil. 68 538 PREPARATIONS AND COMPOSITIONS. Pilula Aloetica. Aloetic Pills. Take of Gum resin of socotorine aloes in powder, Soap, equal parts. Beat them with simple syrup into a mass fit for mak- ing pills. Under this simple form aloes is very commonly exhi- bited as a cathartic. Two pills are a medium dose. Pidula Aloes et Assa Foetida. Pills of Aloes and Assa Foetida. Take of Gum resin of socotorine aloes in poAvder, Gum resin of assa foetida, Soap, equal parts. Form them into a mass with mucilage of gum arabic. These pills, in doses of about ten grains twice a day, produce the most salutary effects in cases of dyspepsia, attended with flatulence and costiveness. Pilula Aloes et Colocynthidis. Pills of Aloes and Coloquintida. Pilulse Coccise. Take of Gum resin of socotorine aloes, •.....;.............scammony, each eight parts, Fruit of coloquintida, four parts, Volatile oil of cloves, Sulphate of potass with sulphur, each one part. Reduce the aloes and scammony into a powder with the salt; then let the fruit of coloquintida, beat into a very fine powder and the oil be added; lastly, make it into a proper mass Avith the mucilage of gum arabic. In these pills we have a very useful and active purga- tive ; and Avhere the simple aloetic pill is not sufficient to obviate costiveness, this will often effectually ansAver the purpose. These pills often produce a copious discharge in cases of obstinate costiveness, when taken to the extent of only five or ten grains; but they may be employed in much larger doses. They are, however, seldom used *v PREPARATIONS and compositions. 539 with a view of producing proper cathartics. Half a drachm of the mass, contains about five grains of the colocynth, ten of aloes, and ten of scammony. Pilula Aloes et Myrrha. Pills of Aloes and Myrrh. Rufus's Pills. Take of Gum resin of socotorine aloes, two ounces, Myrrh, one ounce, Saffron, half an ounce. Beat them into a mass with a proper quantity of simple syrup. These pills have long continued in practice, as a stimu- lating aperient. Given to the quantity of half a drachm or tvvo scruples, they prove considerably cathartic, but they ansAver much better purposes in smaller doses as laxatives or alteratives. Two or three for a dose. Pilula Assa Foetida Composita. Compound pills of Assa Foetida. Gum Pills. Take of Gum resin of assa foetida, Galbanum, Myrrh, each eight parts, Purified oil of amber, one part. Beat them into a mass Avith simple syrup. These pills are designed for anti-hysterics, and emme- nagogues, and are very well calculated for answering those intensions. Half a scruple, a scruple, or more, may be taken every night or oftener. Pilula Acetitis Plumbi et Ipecacuanha. Pills of Acetite of Lead and Ipecacuan. Take of Acetite of lead, Root of Ipecacuan in powder, of each one drachm, Opium, ten grains. Beat them with simple syrup into a mass to be divided into forty equal pills. 540 PREPARATIONS AND COMPOSITIONS. In most cases of internal haemorrhage, but more one- cially in uterine profluvia attended by debility, these phis, taken one every three or four hours, seldom fail to pro- duce the desired astringent effect; and if their use be duly persisted in, will in general induce that salutary change in the system upon wliich a radical cure depends. Pilula Ammoniareti Cupri. Pills of Ammoniarct of Copper. Copper Pills. Take of Ammoniaret of copper in fine poAvder, sixteen grains, Bread crumb, four scruples, Solution of carbonate of ammonia, as much as may be sufficient. Beat them into a mass, to be divided into thirty-two equal pills. It is under this form that ammoniaret of copper is given in epilepsy and the other spasmodic diseases in which it has been employed. Half a grain of it is con- tained in eaeh pill. One pill is given at first, night and morning, and the dose is gradually increased. Pilula Hydrargyri. Pills of Quicksilver. Mercurial Pills. Take of Purified quicksilver, Conserve of red roses, each one ounce, Starch, two ounces, Triturate the quicksilver Avith the conserve, in a glass mortar, till the globules completely disappear, adding occasionally a little mucilage of gum arabic ; then add the starch, and beat the Avhole with water into a mass, which is immediately to be divided into four hundred and eighty7 equal pills. The common mercurial pill is one of the best prepa- rations of mercury, and may in general supersede most other forms of this medicine. In its preparation the mercury is minutely divided, and probably converted into the black oxide. To effect its mechanical division, it must be triturated Avith some viscid substance. Soap, preparations and compositions. 5±i resin of guaiac, honey, extract of liquorice, manna, and conserve of roses, have all been at different times recom- mended, and either of them may be employed. We learn Avhen the mercury is completely extinguished, most easily, by rubbing a very little of the mass Aviththe point of the finger on a piece of paper, if no globules ap- pear. As soon as this is the case, it is necessary to mix Avith the mass a proportion of poAvder of liquorice or starch, to give it a proper degree of consistency. It is necessary to form the mass into pills immediately, as it soon becomes hard. AVhile this preparation of mercury is much milder in its operation than some others, it is per- haps capable of answering every purpose which the reme- dy can serve. The common dose, given with the vieAV of inducing the common mercurial action, is two pills at bed time, and one in the morning, Avhich in particular cases and habits, require to be increased. Four, or six pills given at once, generally excite purging. Each pill con- tains one grain of quicksilver. Pilula Opiata. Pills of Opium. Thebaic Pills. Take of Opium, one part, Extract of liquorice, seven parts, Jamaica pepper, two parts. Soften the opium and extract separately, with diluted alcohol, and having beat them into a pulp, mix them; then add the pepper reduced to powder; and lastly, having beat them Avell together, form the whole into a mass. This affords a form under Avhich the exhibition of opium may be concealed from the patient. Two pills or ten grains of the mass contain one grain of opium. In the formula of the London College, the aromatic is omit- ted, and the proportion of opium increased; so that each pill contains one grain. Some complain that the extract of liquorice occasions the mass to become too hard and difficult to manage. The following formula, therefore, may be substituted, or a stronger preparation : viz. Take of Castile soap, eight parts, Camphor, six parts, Opium, four parts. 542 PREPARATIONS AND COMPOSITIONS. The several articles being separately powdered, mix and beat them into a mass. Piluia; Rhei Composita. Compound Pills of Rhu- barb. Stomachic Pills. Take of Root of rhubarb in powder, one ounce, Gum resin of socotorine aloes, six drachms, Myrrh, half an ounce, Volatile oil of peppermint, half a drachm. Make them into a mass with a sufficient quantity of syrup of orange peel. This is a moderate laxative much employed, especially in dyspeptic affections, to obAiate costiveness, and gently stimulate the stomach and intestines. Two pills are taken at bed time. Pilula Scillitica. Squill Pills. Take of Dried root of squills in fine powder, one scruple, Ammoniacum, Lesser cardamom seeds in poAvder, Extract of liquorice, each one drachm. Mix and form them into a mass with simple syrup. This is an elegant and commodious form for the exhi- bition of squills, whether for promoting expectoration, or with the other intentions to which that medicine is applied. As the virtues of the compound is derived chief- ly from the squills, the other ingredients are often varied in extemporaneous prescriptions. If, however, the above form should be found to be too hard and difficult to manage, the following formula may be prefered: viz. Take of Dried root of squills in fine powder, Gum ammoniacum, each one drachm, Castile soap, one ounce. Mix them into a mass with a sufficient quantity of balsam copaiva. PREPARATIONS AND COMPOSITIONS. 513 Pilula Plummeri. Plummets Pills. Take of Precipitated sulphur of antimony, Mild muriate of mercury, each three drachms, Extract of gentian, Hard Spanish soap, each one drachm. Let the mercury be triturated with the sulphur ; then add the extract, and form a mass Avith jelly of soap. These pills Avere recommended to the attention of the public, about forty years since, by Dr. Pltimmer, whose name they long bore. He represented them in a paper, Avhich he published in the Edinburgh Medical Essays, as a very useful alterative; and on his authority they were at one time much employed. In some cutaneous and even venereal affections, they are yet in repute, as being an efficacious remedy in doses of from four to eight or ten grains, morning and night. Pilula Gambogia Composita. Compound Gamboge Pills. (Lond, Pharm.) Take of Gamboge in poAvder, Socotorine aloes in powder, Compound powder of cinnamon, of each, one drachm, Soap, two drachms. Mix the powders together, then, adding the soap, beat the whole into one mass. By the addition of the gamboge to the aloes, its cathar- tic poAver is increased, and a composition afforded, more active than the aloetic pill. Tavo or three pills are a proper dose. Pilula Ferri cum Myrrha. Pills of Iron with Myrrh. (Lond. Pliarm.) Take of Myrrh, beat to powder, two drachms, Sub-carbonate of soda, Sulphate of iron, Sugar, of each a drachm. 54i PREPARATIONS AND COMPOSITIONS. Triturate the myrrh Avith the subcarbonate of soda; then, having added the sulphate of iron, triturate thcni again; lastly, beat the Avhole together, until they form an uniform mass. This is the same composition, Avith regard to the active ingredients, as forms the basis of the compound mixture of iron, the substitute for Griffith's mixture, and it may be occasionally convenient to prescribe it under the form of pill, or to form the mixture from it extemporaneously bj diffusion in water. PREPARATIONS AND COMPOSITIONS. 545 CHAPTER XX. CATAPLASMS. By cataplasms, are in general understood, those exter- nal applications, which are brought to a due consistence or form for being properly applied, not by means of oily and fatty matters, but by water or watery fluids. Of these, not a few are had recourse to in actual practice; but they are seldom prepared in the shop of the apothe- cary, and, in some of the best modern Pharmacopoeias, no formula of this kind are introduced. The London and Dublin Colleges, hoAvever, although they have abridged the number of cataplasms, still retain a few; and it is not without some advantage that there arc fixed forms for the preparation of them. Cataplasma Lini. Linseed Poultice. Take of Linseed in powder, half a pound, Hot Avater, one pound and a half. The poAvder is to be gradually sprinkled into the hot water, Avhile they are quickly blended together Avith a spoon. Poultices are commonly made too thin, by which means the least pressure, or their own gravity remove them from the part; they should be thick enough to support a cer- tain form Avhen applied. This is the best and the most convenient of all the emollient poultices for common cases, and may in a great measure supersede the bread and milk one so much in use formerly, and which is so liable to become brittle Avhen dried. The mucilage of the slippery elm bark Avill also be found an excellent application of this kind for most of the purposes required. 69 546 preparations and compositions. Cataplasma Dauci. Carrot Poultice. Bruise the fresh carrots in a mortar into a pulp, or the carrots may be first boiled. The carrot poultice is employed as an application to ulcerated cancers, scrofulous sores of an irritable kind, and to various malignant ihveterate ulcers. Cataplasma Fermenti. Fermenting Poultice. Take of Flour, a pound, Yeast of beer, half a pint. Mix them, and apply a gentle heat until the mixture begins to rise. The yeast mixed Avith the flour, and aided by the heat applied, soon excites fermentation, and the cataplasm in this state has been applied with much advantage as an anodyne in painful and irritable sores, and as an antisep- tic in ulceration Avith foetor. Its efficacy appears to depend on the carbonic acid gas evolved by the fermenta- tive process. Cataplasma Aluminis. Cataplasm of Alum. Alum Curd. Take the whites of two eggs; agitate them with a piece of alum, until a coagulum be formed. This preparation taken from Riverius, is a useful astringent epithem for sore moist eyes. AVhere the complaint is violent, this preparation, after the inflamma- tion has subsided a little to bleeding, is one of the best external remedies. It is to be spread upon lint and ap- plied at bed time. Cataplasma Sinapeos. Mustard Cataplasm. Take of Mustard, in poAvder, Crumb of bread, of each, half a pound, Vinegar, as much as is sufficient. Mix and make a cataplasm. preparations and compositions. Cataplasms of this kind, are commonly known by the name of sinapisms. They Avere formerly, frequently pre- pared in a more complicated state, containing garlic, black soap, and other similar articles. But the above simple form will ansAver every purpose Avhich they are capable of accomplishing. They are employed only as stimulants; they often inflame the part, and raise blis- ters; but not so perfectly as cantharides. Their chief advantage depends upon the suddenness of their action. This preparation is the common sinapism which is ap- plied with advantage, as a powerful stimulant, to the soles of the feet in typhus, Avhere there is a determination to the head, and in comatose affections. 5i8 PREPARATIONS AND COMPOSITIONS. CHAPTER XXI. LINIMENTS, OINTMENTS, CERATES, AND PLASTERS. These are all combinations of fixed oil, or animal fat, with other substances, and differ from each other only in consistence. A liniment is of the consistence of thin honey; an ointment is firmer; and a cerate still harder. Oil or lard is their common basis; the due consistence is given by wax or spermaceti, and to the composition may be added any substance which is to be used under this form. Plasters are the most solid, and when cold, should be firm, and should not adhere to the fingers, but when gently heated, should become sufficiently soft to spread easily, and should then adhere to the skin. Plasters derive their firmness, either from a large proportion of Avax, or from the presence of some metallic oxide, such as that of lead. The following general directions are given in the Edinburgh Pharmacopoeia for their prepa- ration. In making these compositions, the fatty and resinous substances are to be melted Avith a gentle heat, and then constantly stirred, adding at the same time the dry ingredients, if there be any, until the mixture on cooline become stiff. Linimentum Simplex. Simple Liniment. Take of Olive oil, four parts, AVhite wax, one part. Unguentum Simplex. Simple Ointment- Take of Olive oil, five parts, AVhite wax, tAvo parts. preparations and compositions. 549 Unguentum Physeteris Macro Cephali Sevi. Ointment of Spermaceti. Take of Spermaceti, tAvo parts, Olive oil, AVhite Avax, each one part. Melt them together over a slow fire, stirring them constantly and briskly until they be cold. These several compositions differ merely in consist- ence. They are useful cooling ointments for excoria- tions and other frettings, and for softening the skin and healing chaps. They are aiso applied spread on linen as usual dressings to slight wounds and simple ulcers. Fre- quently they are employed as the basis of more com- pounded ointments. Linimentum Hydrargyri Compositum. Compound Liniment of Quicksilver. (Lond. Pharm.) Take of The strong mercurial ointment, Prepared lard, of each four ounces, Camphor, one ounce, Rectified spirit of wine (alcohol) two flui- draehms, Water of ammonia, four fluid ounces. Rub the camphor first with the spirit, then Avith the lard and mercurial ointment, lastly adding gradually the water of ammonia, mix the Avhole together. This is designed as a stimulating application and dis- cutient, to be applied to indolent tumors or collections of fluid, a truly excellent formula for all cases in which the object is to quicken the action of the absorbents, and gently stimulate the surface of parts. It is a capital application for diminishing the indurated state of parti- cular muscles, a peculiar affection every now and then met with in practice ; and it is particularly well calculat- ed for lessening the stiffness and chronic thickening often noticed in the joints. 550 preparations and compositions. Unguentum Oxidi Plumbi AlLbi. Ointment of White Oxide of Lead. AViiite Ointment. Take of Simple ointment, five parts, AVhite oxide of lead, one part. Or, the oxide may be added in the same proportion to the spermaceti ointment, its firmer consistence being better adapted to the purpose of keeping the oxide uniformly suspended. This is a cooling desiccative ointment of great use when applied to excoriated surfaces; and has been a common application to burns and superficial inflamma- tion. Unguentum Acetitis Plumbi. Ointment of Acetite of Lead. Saturnine Ointment. Take of Simple ointment, twenty parts, Acetite of lead, one part. This is an excellent cooling ointment, and of the great- est use in many cases. It is applied to the same purposes as the preceding, and is more frequently employed. Ceratum Lithargyri Acetati Compositum. Com- pound Cerate of Acetated Litharge. Goulard's Cerate. Take of AYater of acetated litharge, two ounces and a half, YelloAV Avax, four ounces, Olhe oil, nine ounces, Camphor, half a drachm. Rub the camphor Avith a little of the oil. Melt the wax Avith the remaining oil, and as soon as the mixture begins to thicken, pour in by degrees the water of acetat- ed litharge, and stir constantly until it be cold; then mix in the camphor previously rubbed Avith, oil. This ointment, usually named Goulard's cerate, has been rendered famous by the recommendations of Air. Goulard, a French surgeon. It is unquestionably hi many cases very useful; it cannot, hoAvever, be considered as preparations and compositions. 551 varying essentially from the saturnine ointments already mentioned. It is employed Avith neaiiy the same inten- tions, and differs from them chiefly in consistence. Unguentum Rosarum. Ointment of Roses. Take of Hog's lard, Fresh damask roses with their calices, each equal parts. Let the roses be slightly bruised in a marble mortar with a pestle of wood, and put them in a vessel Avith the lard ; place this over a gentle fire, so as to evaporate a great part of the moisture; then press it through linen and suffer it to cool. Separate the feces which are on the top, and melt it in order to depurate. Unguentum Aqua Rosa. Ointment of Rose Water. Take of Oil of sweet almonds, two ounces, Spermaceti, half an ouuce, AViiite wax, one drachm. Melt the Avhole in a Avater bath, stirring it frequently; Avhen melted, add of Damask rose water, two ounces, and stir the mixture continually till it is cold. These more elegant compositions being similar in their properties to the preceding, are used for the same pur- poses. Unguentum Stramonii. Ointment of Thorn Apple. Take of Leaves of thorn apple recently gathered and sliced, five pounds, Hog's lard, fourteen pounds. Let them simmer together over a gentle fire till the leaves become crisp and dry. Then press out the lard, return it into the vessel Avhen cleansed, and add to every pound of the compound, of ATcHoav Avax, two ounces. £ 552 PREPARATIONS AND COMPOSITIONS. Set the whole on the fire; when the Avax has melted re- move the vessel, and let it rest Avhile the contents gradu- ally cool, that the impurities may subside. These must then be separated from the ointment. This ointment has been found to afford relief in exter- nal inflammations, and hsemorrhoids. It is also highly beneficial in burns, and to allay the swelling of a cow's udder. Unguentum Resinosum. Resinous Ointment. Basilicon Ointment. Take of Hog's lard, eight parts, Resin of pine, five parts, YelloAV wax, tAvo parts:—Or Take of Yellow resin, ..........Avax, Hog's lard, Oil of olives, equal weights. This ointment, long known under the name of yellow basilicon, is commonly employed in dressing, for digest- ing, cleansing, and incarning Avounds and ulcers. Unguentum Picis. Tar Ointment. Take of Tar, fhe parts, YelloAV wax, two parts. Equal parts of tar and mutton suet arc prefered by some as forming an ointment of a more firm consistence. The two compositions, however, cannot be considered as differing essentially from each other. As far as they have any peculiar activity, this entirely depends on the tar. From the empyreumatie oil and saline matters Avhich it contains, it is undoubtedly of some activity. Accordingly it has been successfully employed agaiiH foul ulcers, and some cutaneous affections, particularly tinea capitis. PREPARATIONS AND COMPOSITIONS. 553 Unguentum Infusi Meloes Vesicatorii. Ointment of Infusion of Cantharides. Mild Epispastic Oint- ment. Take of Cantharides, Resin of pine, Yellow Avax, each one part, Hog's lard, Venice turpentine, each two parts, Boiling water, four parts. Infuse the cantharides in the ay ater for a night; then strongly press out and strain the liquor and boil it Avith the lard till the water be consumed ; then add the resin and Avax, and Avhen these are melted, take the ointment off the fire and add the turpentine. This ointment, containing the soluble parts of the can- tharides, uniformly blended Avith other ingredients, are more commodious, and in general occasion less pain, though little less effectual in their action, than the com- positions Avith the fly in substance. Unguentum Pulveris Meloes Vesicatorii. Oint- ment of the Powder of Cantharides. Strong Epis- pastic Ointment. Take of Resinous ointment seven parts, Powdered cantharides, one part. This ointment is employed in the dressings for blisters, intended to be made perpetual, as they are called, or to be kept running for a considerable time ; which in many chronic, and acute diseases, is of great service. Parti- cular care should be taken, that the cantharides employ- ed in these compositions, be reduced into a very subtle poAvder, and that the mixtures be made as equal and uniform as possible. Unguentum Sulphuris. Sulphur Ointment. Anti- sporic Ointment. Take of Hog's lard, two parts, Sublimed sulphur, one part. 70 55i PREPARATIONS and compositions. To each pound of this ointment, add of Volatile oil of lemons, or ................ of lavender, half a drachm. Sulphur is a certain remedy for the itch, more safe, than mercury. A pound of this ointment serves for four unctions. The patient is to be rubbed every night, a fourth part of the body each time. Though the disease may be thus cured by a single application, it is in general adviscable to touch the parts most affected for a few nights longer, and to conjoin the internal use of sulpur. Unguentum Acidi Nitrosi. Ointment of Nitrous Acid. Take of Hog's lard, one pound, Nitrous acid, six drachms. Mix the acid gradually with the melted lard, and dili- gently beat the mixture as it cools. The axunge in this ointment seems to be oxidized; for, during the action of the acid upon it, there is a great deal of nitric oxide gas disengaged. It acquires a yel- loAvish colour, and a firmer consistency; and forms an excellent and cheap substitute, in slight herpetic and other cutaneous affections, for the ointment of nitrate of mercury. Unguentum Hydrargyri. Ointment of Quicksilver. Strong Mercurial Ointment. Take of Quicksilver, Hog's lard, each three parts, Mutton suet, one part. Rub the quicksilver carefully in a mortar with a little of the hog's lard, until the globules entirely disappear; then add the remainder of the lard and the suet, rubbing them Avell together. Unguentum Hydrargyri Mitius. Mild Ointment of Qiiicksilver. Blue Ointment. This is to be prepared as the preceding ointment, ex- cepting tfcat only one part of quicksilver is to be employed. PREPARATIONS AND COMPOSITIONS. HO .1 During the trituration of mercury Avith unctuous mat- ter, it cannot be doubted that an oxidation of the metal is effected ; and the efficacy of the ointment depends, in a great measure, on this oxide of mercury. It has been also supposed, with a sufficient probability, that the por- tion of sebacic acid formed in animal fat, when exposed to the air, may promote this oxidation, and combine with the oxide ; and the improvement of the ointment on keep- ing, a fact long observed, is probably OAving to the gra- dual formation of this sebate of mercury. Mercurial ointment, is the form by which mercury is introduced into the system by external friction. It is a mode employed with advantage, in eases Avhere the pre- parations administered internally, are liable to be too much determined to the intestines, so as to occasion grip- ing and purging, and Avhen it is necessary to introduce a large quantity of mercury speedily into the system ; iike- Avise in some local affections, particularly bubo. One drachm of the strong ointment, (that containing equal parts of the mercury7 and lard,) is introduced by friction in the evening, and frequently in the morning, until the system be affected. The inside of the thighs and legs, are the parts most suitable for the application of the frictions. But it is frequently necessary to change the place, as eAen the mildest ointment is sometimes apt io excite topical inflammation, and render further applica- tion very inconvenient. It is requisite that the ointment should be prepared with Arery great care; for, upon the degree of triture Avhich has been employed, the activity of the mercury Aery much depends. Several expedients have been contrived to facilitate the extinction of the mercurial globules by trituration; the most of these, however, are inadmissible. If sul- phur be used, it will probably render the mercury inac- tive, and turpentine renders the ointment so acrid, that when applied by friction it produces irritation on the skin, or inflammation. Rancid fat, it has been found, extin- guishes the quicksilver better than recent fat, and by the action of the metal the rancidity of the fat appears to be corrected. If the trituration lie made at first with a little tallow, as being a harder substance than fat, the operation may be completed without much difficulty. Half a drachm of camphor, added to one ounce of strong mercurial ointment, is much recommended to be rubbed on thickened, indurated parts .with a view »f ex. 556 PREPARATIONS AND COMPOSITIONS. citing the action of the absorbents. Rubbed along the course of the urethra, it is very serviceable in diminish- ing and removing chordee. Unguentum Oxidi Hydrargyri Cinerei. Ointment of Gray Oxide of Quicksilver. Take of Gray oxide of quicksilver, one part, Hog's lard, three parts. This is designed as a substitute for the mercurial ointment, and as the quicksilver is fully oxidized, it has been supposed that it will prove more active. If this were sufficiently established, the facility and certainty of its preparation Avould be attended with great advantages. Unguentum Sub-Muriatis Hydrargyri et Ammo- nia. Ointment of Submuriate of Quicksilver and Ammonia. Take of Submuriate of quicksilver and ammonia, one drachm, Ointment of roses, one ounce and a half. Let them be mixed very intimately. This is a very elegant mercurial ointment, and is fre- quently made use of in the cure of obstinate cutaneous affections. Unguentum Oxidi Hydrargyri Rubri. Ointment of Red Oxide of Quicksilver. Take of Red oxide of quicksilver by nitrous acid, one part, Hog's lard, eight parts. This is an excellent stimulating ointment, often of very great service in indolent, ill conditioned sores, Avhen we Avish to excite them to greater action. If it prove too stimulating, it may be Aveakened with axunge; and in this state, it is often applied to the eye-lids, in chronic ophthalmia. PREPARATIONS AND COMPOSITIONS. 557 Unguentum Nitratis Hydrargyri. Ointment of Nitrate of Quicksilver. Yellow Ointment. Take of Purified quicksilver, one part, Nitrous%acid, two parts, Hog's lard, three parts, Olive oil, nine parts. Dissolve the quicksilver in the nitrous acid, by diges- tion in a sand heat, and, Avhile the solution is hot, mixAvith it the lard and oil, previously melted together, and just beginning to grow stiff. Stir them briskly together in a glass or wedgewood mortar, so as to form the Avhole into an ointment. In this ointment, the nitrate of the quicksilver com- bines with the lard; and as there is also an excess of nitric acid, it acts chemically on the fat, and gives to the composition a very firm consistence. It is a very active ointment, and as such, it is frequently employed with success in cutaneous and other topical affections, a small quantity being rubbed on the part. Unguentum Nitratis Hydrargyri Mitius. Milder Ointment of Nitrate of Quicksilver. This is prepared in the same manner as the preceding, with a triple quantity of hog's lard, and olive oil. It isj of course, a much milder application, and is designed to be also of a softer consistence ; but, to obtain the latter convenience, it is better to reduce the strong ointment, Avith the requisite proportion of lard. Unguentum Sub-Acetitis Cupri. Ointment of Sub- Acetite of Copper. Ointment of Verdigris. Take of Resinous ointment, fifteen parts, Sub-acetite of copper, one part. This ointment is used for cleansing sores, and keeping doAvn fungous flesh. AVhere ulcers continue to run from a weakness of the vessels of the parts, the tonic poAvers of the copper promise considerable advantage. It is also frequently used with advantage in cases of ophthalmia, 558 preparations and compositions. depending on scrofula, Avhere the palpebral are principally affected ; but, when it is to be thus applied, it is in gene- ral requisite that it should be someAvhat weakened, by the addition of a proportion of simple ointment of bog's lard. Unguentum Oxidi Zinci Impuri. Ointment of Im- pure Oxide of Zinc. Ointment of Tutty. Take of Simple liniment, five parts, Prepared impure oxide of zinc, one part. This and the following ointment are chiefly used in affections of the eye, perticularly in those cases where redness arises rather from relaxation than from active inflammation. Unguentum Oxidi Zinci. Ointment of Oxide of Zinc. Take of Simple liniment, six parts, Oxide of zinc, one part. Ceratum Simplex. Simple Cerate. Take of Olive oil, six parts, White wax, three parts, Spermaceti, one part. This differs from the simple ointment, in containing a greater proportion of wax to the oil, and in the addition of the spermaceti. But by these means, it obtains only a more firm consistence, Avithout any essential change of properties. Ceratum Carbonatis Zinci Impuri. Cerate of Im- pure Carbonate of Zinc. Turner's Cerate. Take of Simple cerate, five parts, Prepared impure carbonate of zinc, one part: —Or, Take of Olive oil, two pounds, Yellow Avax, PREPARATIONS AND COMPOSITIONS. 55:J Prepared impure carbonate of zinc, each one pound. This composition is formed upon that Avhich was for- merly c.dled Turner's cerate. The inventor strongly recommends it in cutaneous ulcerations and excoriations. It appears, from experience, to be an excellent epulotic., and as such, is frequently made use of in practice. Ccrvtum Sabina. Savine Cerate. Take of Fresh lea- es of eedar savine, bruised, tAVO pounds, Yellow wax, one pound, Hog's lard, four pounds. Boil the leaves of the savine Avith the lard and wax melted together till they become crisp, and AYhile hot strain the mixture through a coarse cloth. It is some- times prepared from the leaves, reduced to fine powder, and mixed with lard. The ceratum sabinje (see juniperus virginiana) is designed as an irritating application with the view of exciting a perpetual discharge from blisters as a remedy in chronic diseases of the joints, ke. and in other cases where such discharge is required. It is an admirable preparation of that shrub, and has been found by experi- ence to answer every purpose for which it was originally suggested by Dr. Crowther. On the use of this cerate, immediately after the cuticle raised by the blister is re- moved, it should be remarked, that experience bas proved the advantage of using the application lowered by half or two thirds of the unguentum certe: an attention to this direction will produce less irritation and more discharge, than if the savine cerate is used in its full strength. But as the discharge diminishes, the strength of the savine dressing should be proportionally increased. Emplastrum Simplex. Simple Plaster. Take of Yellow Avax, three parts, Mutton suet, Resin of pine, each two parts. The principal use of this plaster is as a dressing, when spread thin on linen, to the part to which a blister has been applied. 560 preparations and compositions. Emplastrum Resinosum Compositum. Compound Resinous Plaster. Take of Burgundy pitch, tAvo pounds, Galbanum, one pound, Resin of pine, YelloAV wax, each four ounces, Fixed oil of mace, one ounce. To the pitch, resin and wax melted together, add firsi the galbanum and then the oil of mace. This plaster has been applied to the region of the sto- mach, as a stimulus, to relieve nausea and vomiting, and is considered as the most elegant formula of the kind. Emplastrum Meloes Vesicatorii. Plaster of Spa- nish Flies. Blistering Plaster. Take of Mutton suet, YcIIoav Avax, Resin of pine, Cantharides, each equal Aveights. Beat the cantharides into a fine powder, and add them to the other ingredients previously melted and removed from the fire. This is the plaster usually employed to raise a blister. It is of a softer consistence than the other plasters, that it may admit of being spread Avithout the assistance of heat, wliich Avould impair the acrid quality of the cantha- rides. It requires to be applied twelve hours to produce a perfect blister; it is then removed; the vesicle is cut, and the inflamed surface dressed Avith simple cerate or plaster. Emplastrum Meloes Vesicatorii Compositum. Compound Plaster of Spanish Flies. Take of Venice turpentine, eighteen parts, Burgundy pitch, Cantharides, each tAvelve parts, YelloAV Avax, four parts, PREPARATIONS AND COMPOSITIONS. 561 Sub-acctite of copper, two parts, Mustard seed, Black pepper, each one part. Having first melted the pitch and wax, add the turpen- tine, and to these in fusion, and still hot, add the other ingredients, reduced to a fine powder and mixed, and stir the whole carefully together, so as to form a plaster. It occasionally happens, that the common plaster of cantharides is insufficient to excite a blister, even when its surface has been sprinkled over with powdered can- tharides. In such cases, or even in others, where it is ne- cessary that a blister should be quickly raised, this more powerful composition may be employed. It certainly contains a sufficient variety of stimulating ingredients, and its operation is accompanied with a pungent sensation of heat. Emplastrum Oxidi Plumbi Semivitrei. Plaster of the Semi-Vitrified Oxide of Lead. Common Plaster. Take of ^ Semi-vitrified oxide of lead, one part, Olive oil, two parts. Boil them, adding water, and constantly stirring the mixture till the oil and oxide be formed into a plaster. Oxides of lead, boiled Avith oils, unite with them into a plaster of an excellent consistence, and which makes a proper basis for several other plasters. In the boiling of these compositions, a quantity of Ava- ter must be added to prevent the plaster from burning and groAving black. Such water as it may be necessary to add during the boiling, must be previously made hot; for cold liquor would not only prolong the process, but likewise occasion the matter to explode, and be throAvn about with violence, to the great danger of the operator. This accident will equally happen upon the addition of hot water, if the plaster be extremely hot. It is there- fore better to remove it from the fire a little, before each addition of water. This plaster, which has long been known under the name of diachylon, is a common appli- cation in excoriations of the skin, slight fresh wounds, and the like. They keep the part soft, and somewhat warm, and defend it from the air, which is all that can be expected in these cases, from any plasters. 71 562 PREPARATIONS AND COMPOSITIONS. Emplastrum Resinosum. Resinous Plaster. Adhe- sive Plaster. Take of Plaster of semi-vitrified oxide of lead, Resin of pine, equal Aveights. This plaster rendered more adhesive, and somewhat stimulating, by this intermixture of resin, is used for keeping on other dressings, for retaining the edges of recent Avounds together, when we are endeavouring to secure them by the first intention, and for giving mecha- nical support to neAV flesh, and contracting the size of ulcers in the manner recommended by Mr. Baynton, for the cure of ulcers of the legs. Emplastrum Assa Foetida. Plaster of Assa Fozlida. Anti-Hysteric Plaster. Take of Plaster of semi-vitrified oxide ofltcad, Gum resin of assa foetida, each two parts, Galbanum, Yellow Avax, each one part. As an application to the umbilical region, or over the Avhole abdomen, in hysteric cases, this plaster has some- times produced good effects. But probably more from its giving an additional degree of heat to the part, than from any influence, derived from the fetid gums. Emplastrum Gummosum. Gum Plaster. Take of Plaster of semi-vitrified oxide of lead, eight parts, Ammoniacum, Galbanum, YelloAV Avax, each one part :—Or, The following form is prefered by some for the same purposes. Take of Plaster of semi-vitrified oxide of lead, three pounds, Strained galbanum, half a pound, .v 4 PREPARATIONS AND COMPOSITIONS. 563 Common turpentine, Frankincense, each three ounces. Melt the three first articles together, and add the last in powder; stir them well together. This plaster is used as a digestive and suppurative; particularly in abscesses, after a part of the matter has been maturated and discharged, for suppurating or dis- cussing the remaining hurt part; but it is very» doubtful Avhetber it derives any advantage from the gums entering its composition. Emplastruai Saponaceum, Saponaceous Plaster. Take of Plaster of semi-vitrified oxide of lead, four parts, Gum plaster, two parts, Soap sliced, one part. To the plasters melted together, add the soap; then boil for a little Avhile so as to form a plaster. This is likewise supposed to possess a discutient qua- lity, but is much inferior to the mercurial plaster, and is scarcely ever used. Emplastrum Hydrargyri. Plaster of Qiiicksil-ser. Blue Plaster. Take of Olive oil, Resin of pine, each one part, Quicksilver, three parts, • Plaster of semi-vitrified oxide of lead, six parts. Melt the oil and resin together, and Avhen this mixture is cold let the quicksilver be rubbed Avith it till the globules disappear; then add by degrees the plaster of semi-vitrified oxide of lead melted, and let the Avhole be accurately mixed. This mercurial plaster is considered as a powerful resolvent and discutient, acting Avith much greater certaiuty for these intentions than any composition of vegetables alone. Pains in the joints and limbs from a venereal cause, nodes, tophi, and beginning indurations lire said sometimes to yield to its application. • 564 PREPARATIONS AND COMPOSITIONS. Emplastrum Oxidi Ferri Rubri. Plaster of Red Oxide of Iron. Strengthening Plaster. Take of Plaster of semi-vitrificd oxide of lead, twenty- four parts, Resin of pine, six parts, A^ellow wax, Olive oil, each three parts, Red oxide of iron, eight parts. Grind the red oxide of iron Avith the oil, and then add it to the other ingredients, previously melted. This plaster spread on leather is used as the common strengthening plaster in Aveaknesses of the large muscles, as of the loins ; and its effects seem to proceed from the artificial mechanical support given to the part, which may also be done by any other plaster that adheres with equal firmness. APPENDIX. No. I. OF MINERAL WATERS. J he chemical analysis of mineral waters is of conside- rable importance, as determining the principles in Avhich their active poAvers reside, and thus enabling the physi- cian to employ them Avith more advantage and discrimi- nation. Mineral waters include all such fluids as are naturally impregnated with heterogeneous matter, which they have dissolved within the bowels of the earth, whe- ther sulphureous, metallic, or saline ; and as many of these are successfully employed in medicine, they have received the appellation of medicinal Avaters. They de- rive their peculiarity of character in general either from containing carbonic acid, or soda not neutralized, sulphu- retted hydrogen, purging salts, earthy salts, or iron; or from their temperature exceeding in a greater or less de- gree that of the atmosphere. These Avaters have also a specification depending on the foreign substances which they contain. Waters impregnated with free carbonic acid gas sparkle when draAvn from the spring, or poured into a glass; they have a taste more or less pungent and acidulous, bat soon become vapid from exposure to the air. Along with the carbonic acid, there generally are present portions of saline, earthy or metallic matter, chiefly carbonates of lime, magnesia, and iron. The quantity of carbonic acid contained in the mineral Avaters is very various. AVhen highly impregnated Avith carbo- nic acid gas, they are grateful from their pungency, sit light on the stomach, and in a large dose produce even sensibly a degree of exhilaration ; they increase the ap- petite, and generally have a diuretic effect. They prove useful in dyspeptic affections, from the grateful and mode- 566 APPENDIX. rate stimulus exerted by the carbonic acid on the sto- mach, aided by the diluent operation of the Avater ; and hence the advantage derived from them in the numerous chronic affections connected with impaired poAver of the digestive organs. They generally also contain some sa- line substances Avhich communicate additional powers, and the operation of these is usually promoted, or at least they are rendered more grateful by the carbonic acid. Those which contain carbonate of soda, as Seltzer Avater, prove more poAverfully diuretic, and are employed Avith advantage as palliatives in urinary calculus, and in the painful discharge of urine from other affections of the urinary organs. Those waters impregnated with iron are more particularly employed in those diseases in Avhich that metal is employed. The sulphureous mineral waters owe their distinguish- ing character to an impregnation of sulphuretted hydro- gen, and they are at once recognized by their peculiar fcetid smell. They almost uniformly contain saline sub- stances Avhich modify their powers. From the action of the sulphuretted hyrdrogen, they are employed more par- ticularly in cutaneous affections; and from the combined action of this and the saline matter which generally has a purgative effect, they are farther used in diseases of the digestive organs, dyspepsia, hypochondriasis, torpor of the intestines, and visceral obstructions; and also in scrofulous affections. They are also applied locally in cutaneous eruptions, and the warm sulphurous baths have been in particular celebrated for their efficacy under this form of application. The saline mineral waters comprise those in which, Avithout any large proportion of aerial matter, various sa- line compounds, generally neutral, exist. The salts most u.-soally present are sulphates, muriates, and carbonates; and the bases Avith which the acids forming these are combined, are soda, magnesia, and lime. These Avaters are usually aperient, the substances Avhich they hold dis- solved being either so far as can be determined inert, such as the sulphate and carbonate of lime ; or being ca- thartic, as the greater number of the other compound salts. It has ahvays been remarked too Avith regard to them, that their cathartic power is greater than could be supposed from the extent of their saline impregnation as determined by analysis ; a proof of the influence of dilution in the operation of mineral waters. They are APPENDIX. 567 usually employed in diseases, where it is of advantage to stimulate the digestive system, the intestinal canal, and the secreting organs connected Avith it, or Avhere advan- tage is derived from moderate and continued evacuations. Hence their celebrity in the treatment of some forms of dyspepsia and hypochondriasis, chlorosis, chronic hepa- titis, jaundice, and in scrofula. AVhen these waters are impregnated Avith carbonic acid, which they frequently are, they become more grateful, and sit easier on the stomach. When they have an impregnation of iron, they acquire tonic powers, and more efficacy as remedies in amenorrhcea and the other chronic diseases in Avhich this metal is employed. Sea Avater, in strict chemical arrangement, must be regarded as belonging to the class of saline mineral wa- ters, as it holds dissolved merely various neutral salts, chiefly inuriate of soda and of magnesia, and sulphate of soda and magnesia with a little sulphate of lime. It much exceeds, however, in the extent of impregnation, any common mineral Avater. Its medicinal poAvers are similar to those of the saline mineral waters; from the extent of its saline impregnation it is more active as a cathartic, and this renders it more stimulating than fresh water as a bath. Chalybeate mineral waters owe their characteristic properties chemically and medicinally to an impregna- tion of iron. The oxide of iron is almost uniformly held dissolved by carbonic aeid, the acid being usually in ex- cess ; in a feAV mineral waters, sulphate of iron is pre- sent ; but these are rare, and are in general too active to be Avell adapted to medicinal use. Chalybeate waters have a peculiar styptic taste ; they are transparent when taken from the spring, but Avhen exposed for some time to the air, a pellicle forms on the surface, and a quantity generally minute of ochrey sediment subsides, the water at the same time losing its taste. This change is accele- rated by heat. Chalybeate mineral Avaters are remedies of considera- ble activity and power. They act as tonics, increasing the strength of the system, raising the foree of the circu- lation, giving tone to the digestive organs, augmenting muscular vigour, and promoting the excretions. They are of course employed in those diseases in which iron is principally used, amenorrhcea, chlorosis, some states of menorrhagia, leucorrhcea, dyspepsia, scrofula, and vari- 56S APPENDIX. ous forms of chronic debility. And as iron always suc- ceeds best when given in small do>es, and in a state of considerable dilution, the chalybeate Avaters afford the best form under which it can be prescribed, that av liich is at once attended with least irritation, and from which the greatest benefit is obtained. The powers of these waters, too, are often aided by the presence of other ingredients. The impregnation of carbonic acid, when it is present in excess, gives them a grateful stimulant quality, which is exerted on the sto nach; anil saline substances communicate to them an aperient power. It Avould be foreign to the object of this sketch to attempt a particular history connected with the various celebrated mineral springs, so much resorted to on the European continent, but some account of the principles and medicinal properties of those of our own country cannot fail of being acceptable, since the most serious consequences frequently result from an indiscriminate employment of these Avaters. The Ballston Mineral Waters are those most celebrat- ed in the United States, and the following is the result of their analysis, by an eminent French chemist. 1. Carbonic acid, three times its volume. 2. Muiiate of soda, 31 grains. o. Super.saturated carbonate of chalk, 22 grains. 4. Muriate of magnesia, 12{ grains. 5. Muriate of chalk, 5 grains. 6. Carbonate of iron, 4 grains. To the preceding analysis, published in an excellent periodical Avork, the American Medical and Philosophi- cal Register, Professor Hosack, of New York, has sub- joined some valuable '•' Observations on the use of the Ballston mineral waters in various diseases." " The Ballston Avaters have been long known to yield a great quantity of fixed air, and to hold in solution a large portion of iron. By the analysis refered to, it appears that they yield a much larger proportion of fixed air, and that they contain a greater quantity of iron, than any other mineral Avater that has hitherto been discovered, not excepting that of Vichy, one of the strongest cha- lybeate waters in Europe. But it appears, that they also contain another substance, viz. the muriate of lime, which, with the other ingredients Avith Avhich it is asso- ciated, promises to he of great and extensive utility. APPENDIX. 569 «AVe are accordingly from this analysis induced to ascribe more virtues to the Ballston waters than physi- cians have generally believed them to possess. Althougb much is due to exercise, change of air, and an agreeable occupation of the mind, Avhieh the amusements of water- ing places usually afford, I have no doubt, from the sensi- ble effects produced upon the system by the Avaters them- selves, that they also are productive of great good in a variety of diseases, some of which I shall iioav briefly enumerate. " 1st. From the effects of the Ballston waters, as a strong chalybeate, they may be employed with advantage in most diseases of debility, whether directly or indirectly such. But in those complaints Avhich are attended with an increased excitement of the Avhole system, or with local inflammation they are manifestly prejudicial. These principles are deducible from the qualities of the Avaters alone; but they are also confirmed by the experience and observation of physicians who have attended to their operation. "Accordingly in intermittent fever, dropsy, dyspepsia. hypochondriasis, and hysteria, connected with, or pro- ceeding from debility of the digestive organs; in paraly- sis, chronic rheumatism, gout in its chronic state, chloro- sis, fluor albus ; in suppression of the menses when arising from w eakness, in Avorms, and in other diseases of debility, whether of the intestinal canal, or of the whole system, the Ballston Avaters have been long and justly celebrated. On the other hand, in a plethoric state of the system as in pregnancy, in consumption of the lungs, inflammation of the liver, acute rheumatism, dysenterij, and other dis- eases of an inflammatory nature, in Avhich they are often times resorted to, they invariably do injury. AVe may, perhaps, except from this remark a species of consumption Avhich arises in females about the time of puberty, iu which, from Avant of energy in the system, menstruation does not take place at the period in whicii it usually ap- pears; dyspepsia ensues, folloAved with general irritation of the nervous system, pain in the breast, cough, some- times hpemerrhage from the lungs, and ultimately termi- nating in confirmed consumption. These consequences have frequently been prevented by a course of iron, and vegetable tonics, aided by generous diet, and exercise, especially riding on horseback. Under similar circum- stances I have no doubt that the Ballston waters ma a be 570 APPENDIX. serviceable in this species of phthisis in its incipient state; but they should never be employed in diseases of this nature, without the advice of a physician. " 2d. From the saline impregnation of these waters, and their operation upon the urinary organs as Avell as by perspiration, they are indicated in diseases of the kidneys and Madder, in gout, chronic rheumatism, and eruptions upon the skin, all Avhich diseases are most frequently produced by, or connected Avith a morbid condition of the fluids, and an impaired state of the secretions. In these complaints, I have repeatedly prescribed these waters with the best effects. " But according to the foregoing analysis, they contain an ingredient of great value besides those already enume- rated; I mean the muriate of lime. It appears upon the authority of Dr. Beddoes, Dr. R. Pearson, Dr. Wood, and Dr. Schraud of Vienna, that this substance has lately been discovered to be a remedy for scrofula, Avhieh hi- therto has been the opprobrium of our profession. It is true, cases have been recorded by Russell and others of the cure of this disorder by the use of sea Avater. But as it has been ascertained by chemists, that the muriate of lime enters into the composition of sea Avater, it is very possible that much of the efficacy of the latter, in that disease, may be derived from the muriate of lime which it has been found to contain. " But as scrofula is usually attended Avith a general de- bility of the system, as Avell as a morbid condition of the fluids, the Ballston waters will probably be found pecu- liarly serviceable, inasmuch as they possess the means of invigorating the system, at the same time that they con- tain the antidote to the peculiar virus of that disease. " But to obtain the benefits of the Ballston waters in any of the diseases Avhich have been noticed, it is neces- sary that in the use of them, as it regards the time of taking them, the quantity taken, the stage of the disease, and other circumstances Avhich must govern their exhibi- tion, the directions of the physician arc indispensably necessary. As Avell might the patient make use of any other article of the Materia Aledica Avithout medical advice, as drink these Avaters in the manner in Avhich they arc usually taken. It is but a short time since, a very valuable life Avas destroyed by the imprudent use of them during a state of pregnancy. A few days ago I Avas consulted by two gentlemen who had left the springs APPENDIX. 571 much worse than they had gone to them. The one labor- ed under dyspepsia, attended with habitual costiveness. Neglecting to relieve his bowels, he commenced the use of the Avaters; the consequences Avere, an aggravation of bis disease, followed with fever, acute pain in the head, and other symptoms of general excitement. The other person refered to, had come from Airginia, on account of an obstinate chronic diarrhoea, attended Avith great debility, and general emaciation. Without advice he im- mediately began to drink the waters to the quantity of several quarts daily. The consequences may readily be imagined; an increase of his disease, and a degree of debility from which he Avith difficulty recovered." OF THE WATERS OP STAFFORD SPRING IN THE STATE OF CONNECTICUT. The Avaters of Stafford spring have been subjected to a partial analysis by the late Dr. Samuel Willard. Though far from being complete, for the Avant of proper agents or tests, the results of his experiments favor the conclusion, 1st. That "iron is the prevailing ingredient in the water,—that it is held in solution by the carbonic acid,—that when the water is exposed to the action of the atmospheric air, or is acted on by heat, the acid is extricated, and the iron precipitated,—the purple colour struck by the vegetable astringents, and by distill- ed spirits—the precipitate produced by the caustic fixed alkali, and the blue tinge communicated to the water, by calcareous and alkaline prussiates all indicate the presence of iron. 2d. That the water is also impregnated Avith the sul- phuretted hydrogenous gas, its sulphureous smell, its pos- sessing the property of blackening silver, and its receiv- ing a green tinge from the admixture of vegetable purple juices, may be considered as proofs. 3d. That the water contains aluminous and magncsian earth, its effects on soap, its effervescing with the sulphu- ric acid, when deposited as a sediment, and the nevv com- bination which takes place on the admixture of that acid, induce a belief of this fact." 572 APPENDIX. A SHORT ACCOUNT OF THE ARTIFICIAL MINE. RAL WATERS IN THE UNITED STATES. Taken from Conversations on Chemistry. The extensive utility of many of the natural mineral waters has been long established by the experience of mankind, and sanctioned by the opinions of the first medical practitioners of every enlightened country. The accurate analysis of all the most important and celebrated mineral Avaters has been accomplished by men competent to the task; and we are thus informed not only concerning the nature, but the proportion of the ingredi- ents wliich they contain. They are either solid substances such as Avater can dissolve, or gases, capable of being combined Avith this fluid. To both of these the mineral Avaters OAve their medicinal powers, and to the latter alone, and chiefly to the carbonic acid, their peculiar activity, briskness, and pungency. In the manufacture of artificial mineral Avaters, the Original water is perfectly imitated, by the addition of all the ingredients in the proper proportions; and the gas, by a peculiar and very powerful apparatus is afterwards forced in, till the Avaters acquire a degree of briskness and activity far surpassing any thing Avhich they ever exhibit in nature. The impression, entertained by some, that a perfect imitation of the native mineral Avaters is impossible, is therefore equally contrary to the decisions of good sense, as it is repugnant to experience; for in London, in Paris, and in many other great towns, artificial mineral Avaters are thus fabricated; and used to great extent. In the artificial waters, Ave always have it in our power to leave out noxious, or useless ingredients; to substitute others, and to vary the proportions at pleasure. Every species of mineral waters whatever can be pre- pared by art; but the principal ones that have been attempted in this country, are the Ballston, Soda, and the Seltzer Avaters. BALLSTON WATER. The Ballston water is Avell known in the United States as a gentle cathartic ; an active diuretic; a remedy against gravelly complaints; a tonic to the stomach, and generally to the system; not to mention its efficacy against APPENDIX. 573 rheumatic and cutaneous complaints, when applid exter- nally, as Avell as internally. It remains to !>.>, added only, that the artificial Ballston Avater is found by experience to produce the effects of the natural water; it is, how- ever, more powerful, and therefore an equal quantity produces more marked effects. SODA WATER. The Soda is not an exact imitation of any natural water, but has been directed by medical men as a remedy in a number of common and troublesome complaints. It is ordered in the Pharmacopoeias and Dispensatories, and their prescriptions should be followed in this manufac- ture. It is a complete remedy against sourness of the stomach, commonly called heartburn, and in most cases of indigestion and weakness of the stomach if is very use- ful ; gradually restoring the appetite, and with it the tone of the organ. It is a preventative of many of the diseases of the stomach and boAvels, Avhich proceed from acidity, and for the same reason it often removes or prevents the sick headach. As a palliative, and even a remedy, in some cases of urinary calculi and gravelly complaints, it is preferable to the Ballston Avater. It may prevent, arrest, retard, or remove the complaint, according to cir- cumstances. The Soda Avater is also a very refreshing, and to most persons a very grateful drink, especially after heat and fatigue, and may be made a complete substitute for the beverages of which ardent spirits form a part. AVith wine and sugar it is very grateful. SELTZER WATER. The Seltzer Avater has long been known, and is one of the most famous of the natural mineral Avaters of Eu- rope. On account of its agreeable taste and exhilarating effects, it is largely used at table, and as a beverage at all hours. It is a diuretic, and possesses considerable effi- cacy in nephritic and urinary complaints. It is very use- ful against bilious and dyspeptic affections, and in many cases of cutaneous eruptions. It possesses a peculiar power of allaying feverish irritation, and has done much service in sio\v hectic fevers. It mixes Avell Avith milk, and is thus used Avith advantage by hectic patients. It is used also Avith sugar and Avine. The manufacture of mineral waters upon correct chemical principles, Avas undertaken in New Haven, Con- 574 APPENDIX. iiecticut, about three years ago ; and during the last summer, a public establishment for this purpose Yvas opened in the same town, under the direction of Professor Silliman. An establishment of the same kind, aud under the same direction, was effected in New York in April of this year (1809) by Noyes, Darling, and Co. Fountains of Ballston, Soda, and Seltzer waters were opened in tee bar of the Tontine Coffee House. The cisterns are placed in the cellar, and the waters are conveyed into the bar in block-tin tubes, which pass up into mahogany pillars, croAvned Avith gilt urns, lettered Avith the names of the rcspecthe Avaters. The pillars, with their urns, stand a foot apart, and the middle one is raised above the others; silver stop-cocks inserted into the sides of the pillars, give the whole much neatness and richness of appear- ance. The proprietors of this establishment intend, as wc understand, to open fountains at the City Hotel, in the month of May, in a spacious room, fitted up and orna- mented in a handsome style, and adapted to the accom- modation of ladies as well as gentlemen. The Ballston and Seltzer Avaters are prepared accord- ing to an accurate analysis; and in order to give the Soda Avater its proper efficacy, it is made Avith the full pro- portion of soda directed by the Dispensatories. The waters are bottled for exportation, in any quantity de- manded. Soda water has been made in NeAV York by Air. LTsher, for a year or more, and has had a good reputation and an extensive sale. It has been sold from a fountain, and in stone bottles. We understand that he is about to extend his establishment. There have been, for some time, manufactories of mineral Avaters in the city of Phi- ladelphia, and Ave are informed that these waters have been extensively used. To the preceding statement it remains to be added, that a public establishment of a similar nature has been introduced into the town of Boston by Mr. John P. Whit- will. The Soda and other Avaters Avhich he manufac- tures have acquired considerable reputation, and proved extremely salutary and useful. From the great atten- tion and exertions of the proprietor, very satisfactory and beneficial effects have been derived, and the utility of his undertaking is becoming more and more extensive and important. No. II. MEDICAL PRESCRIPTIONS. The principal objects designed to be attained by the composition of medicines, are, to communicate an agree- able taste or flavour; to give a convenient form; to cor- rect the operation of the principal medicine, or obviate some unpleasant symptom it is liable to produce; to promote its action, by the additional article exerting one of a similar kind; to obtain the joint operation of tAvo remedies, having different powers; or to alter their usual effects, by the power which one may have of modifying the action of another. A prescription has been usually divided into four parts, which compose it,—the basis, or principal article; the adjuvans, or that designed to promote the action of the former; the corrigens, or that Avhich is intended to cor- rect its operation, or obviate any unpleasant symptom Avhich it may be apt to produee; and the constituens, or that which gives to the other ingredients consistence or form. These are not necessarily present in every for- mula; nor is the division of much importance, "except as perhaps affording the best principle for regulating the order in Avhich the ingredients of a prescription should be enumerated. The folioAving are the principal circumstanees to be attended to in forming a prescription. 1st, Simplicity should be attained, as far as is consist- ent with the objects of the prescription. Nothing ought to enter into the composition Avhich does not add to its virtue, render it less ungrateful, give it a convenient form, or which is not necessary to conceal any particular ingredient; and, in general, the practice of accumulating a number of articles in one prescription is to be avoided. 2dly, Substances, it is evident, ought not to be mixed together, which are capable of entering into chemical combination, or of decomposing each other, unless it be Avith the view of obtaining the product of the combina- tion, or decomposition, as a remedy. 576 APPENDIX. 3dly, Those mixtures are also to be avoided, in Avhich one medicine, by its peculiar action on the stomach or general system, modifies and changes the action usually exerted by another, unless Avhere the object is to obtain the effects of that modified operation. 4thly, The error of contra-indication is to be guarded against, or those medicines ought not to be combined, the virtues of which are not merely different, but are, in some measure, opposed to each other. 5thly, The ingredients Avhich are to be mixed, must be such as will mix properly together, so that the form in which the remedy is designed to be exhibited, may be easily obtained and preserved. Lastly, The form under Avhich a medicine is prescribed, must be adapted to certain circumstances; principally to the nature of the disease, the nature of the remedy itself, and, as far as may be possible, to the taste of the patient. The doses of medicines are not reducible to any gene- ral rules, from their general similarity of operation, or any other circumstance. The principal circumstances by which they are influenced are, Age, Sex, Tempera- ment, Idiosyncrasy, Habit, and Disease. Age.....From infancy to manhood, a larger dose of any medicine is requisite to produce its effect, in proportion to the advance in life. From manhood to old age, there is a similar gradation with regard to diminution of dose, though in a much less proportion than that which regu- lates the increase. The following table has been suppos- ed to shew these proportions. TABLE. Let the dose for a person of middle age be .... 1 or 1 drachm. For one from xiv to xxi years, it will be...... ■§- or 2 scruples. .................. vii to xiv,................................. -§- or half a dr. .................. iv to vii, ................................... -j or 1 scruple. ............. of iv years of age,....................... \ or 15 grains. ..................iii ......................................... \ or half a scr. ................., ii ....................................... | or 8 grains. .................. i .......................................... y1^ or 5 grains. Sex.....AVornen, in general, require smaller doses of any medicine than men. a difference probably owing to their greater sensibility from their habits of life. Temperament.....Those of the sanguine temperament are supposed to be more affected Ly medicines, and there- APPENDIX. 577 fore to require smaller doses than those of the phlegma- tic or melancholic; but in what has been said on^this subject, there is so much uncertainty, that little reliance can be placed on it. Idiosyncrasy.....This denotes that disposition in indi- viduals to be affected by certain causes, in a manner different from the generality of mankind. Such idiosyn- crasies are observed Avith regard to medicines, as well as to other agents; and, where they are known, require to be attended to by the prcseriber. Habit.....This has an important influence on the ope- ration of medicines. In general, they lose some of their power by having been long continued. This is particu- larly the case Avith all strong stimulants and narcotics, and is even observed, to a certain extent, in some of the other classes of the Materia Medica. In a few instances, the reverse has been supposed to hold true. Disease.....This has an influence on the doses of medi- cines not less important; the susceptibility to external impressions, and to action, being much varied in morbid affections, and the operations of remedies of course being modified by such variations. The state of susceptibility being in general apparent, Avhen it v.c-ies much from the healthy standard, the doses of the medicines adminis- tered are easily regulated. Murray. 73 No. III. ON THE NATURE AND MEDICINAL USES OF THE GASES. BY A FELLOAV OF THE MASSACHUSETTS MEDICAl SOCIETY. J. he term gas, introduced into the nomenclature of chemistry, by Van Helmont, is synonymous Avith air, and applied to a class of bodies, invisible, highly attenuated, compressible, and permanently clastie at the common temperature of the atmosphere, and the lightest of sub- stances, whose specific Aveight is susceptible of demon- stration. Every species of gas owes its form to the caloric Avitli which it is combined. By the introduction of this agent^, the particles which constitute the basis of the air, arc made to recede to a greater distance from each other, cohesive attraction is destroyed, and a repulsive power is acquired, iu consequence of which, they would fly off to an indefinite distance, were it not counteracted by a proportional external pressure. By the abstraction of caloric to a certain degree, the distance between the particles of the air or gas is diminished, they are still capable of moving freely over the surfaces of each other, although cohesive attraction be so far augmented as to constitute them liquids. Hence, as the airs obviously owe their specific forms merely to the quantity of caloric with which they are united, it has been infered by chemists, that they are formed by the solution of certain unknown bases in heat. For example, the term oxygen is applied to a substance of peculiar properties, which, by its union Avith caloric, is rendered capable of assuming the form of an invisible, inodorous, insipid, permanently elastic, and compressible fluid, denominated oxygen gas. AVhen this air or gas ex- erts an attraction for other substances, and enters into APPENDIX^ 579 combination with their particles, the oxygen, or the base alone, is the subject of the change, and the other princi- ple, the calorie, is evolved or becomes sensible. Hence the origin of the heat during the transition of oxygen from the aeriform to the solid state. The same observa- tions are equally applicable to the other species of gases. By the diminution of the capacity of an air for caloric, even Avithout altering its form, by simple compression, a quantity of heat may be evolved, sufficient to produce, by a peculiar arrangement, the ordinary effects of combus- tion. Of the precise nature of the bases of the different gases, Ave are still ignorant, for no attempts to obtain them independent of their combinations, have yet proved successful. The difference betAveen ^gas and vapour is the property, possessed by the former, of remaining permanently elas- tic (vvitji the single exception of the oxygenized muriatic acid gas*) at the common temperatures of the atmos- phere, while the latter, though it retain its elasticity for a time, is ultimately condensed, and restored to the state 4f a liquid. The gases are susceptible of their peculiar form at very Ioav temperatures, for the abstraction of caloric to the greatest extent observed in nature, or produced by art, has never been sufficient to deprive them of their elasticity, and reduce them to the state of liquids, or of solids : on the contrary, in the formation of vapour, the temperature of the liquid is augmented above that of the surrounding air, it rises in the atmosphere, where its ca- loric, from its repellent poAver or tendency to equilibrium when accumulated in a body, is gradually abstracted, its particles again approximate tOAvard each other, and it Tcassumes the form of liquid. Hence,, says Mr. Murray, * Gaseous ammonia is another exception to the general ob- servation, that the airs are incapable of undergoing a change of form by a reduction of temperature. This abstraction of heat, however, mast be great, and is to be effected by art. Accord- ing to the experiments of Ckiyton, ammonia retains its elastic form at any temperature above 56*% but below thai point it is converted into a liquid, an effect ascribed by Mr. Murray, to the presence of water, with a portion of which, that gas is always found strongly combined. It rcassumes the a-erial form as the temperature rre?. 580 APPENDIX. " the distinction betAveen gas and vapour is merely rcla- tive, and arises from the difference of temperature, at Which they Avere formed."* In the enumeration of the different species of the qx- tensive genus of gases, Ave shall confine ourselves to the description of the properties of those, Avhich, in conse- quence of their peculiar action on the nervous system, and their well known influence in exciting or depressing the vital poAvers, have been lately introduced as a distinct class of remedies, into the Materia Medica. The obser- vations of Lavoisier, confirmed by the more extensive and hazardous experiments of Mr. Davy, have sufficiently demonstrated, Avhich indeed was thought probable a pri- ori, that the different species of airs, when taken into the lungs, produce very powerful effects on animal life. The respiration of some of them is accompanied with all the effects of increased excitement. The pulsations of the heart and arteries are accelerated, respiration is hurried, the brain labours Avith intense thought, new ideas and images present themselves to the imagination, and produce neAV combinations and associations, a propensity to mus cular motion, almost irresistible, is excited, and the whole frame glows Avith a sense of "pleasurable existence."! The breathing of others, on the contrary, is folloAved by vertigo and sickness, the senses grow less acute, a painful sensation of stricture across the chest is produced, respi- ration becomes irregular and laborious, aud the pulsa- tions of the heart almost imperceptible, the wish and even the power of muscular motion is for a time extinguished, and the vital powers of the system slowly recover from the almost annihilating influence of these invisible agents. Hence it is obvious, that the airs are capable of acting as remedies in tAvo Avays, either by exalting or by depressing the vital poAvers of the constitution. Of the first class there exist but two species, oxygen gas and nitrous oxide gas. 1. Oxygen Gas. This gas, generally obtained from the black oxide of manganese by the application of heat, is an invisible, ino- dorous, insipid, permanently elastic fluid, rather heavier (ban atmospheric air, and characterized by the property * Murray's Chemistry, vol. ii. p. 10. f Davy's Researches. APPENDIX. 581 of eminently supporting the processes of respiration and combustion. As the capacity of atmospheric air to con- tinue these actions has been sufficiently demonstrated to depend on the oxygen it contains, it was reasonable to suppose, that, ay hen respired pure and undiluted, it Avould have no inconsiderable influence in increasing the acti- vity of the vital poAvers. The experiments, however, of Air. Davy prove that this stimulant effect is not so posi- tive'as might be infered, for on breathing from and into a bag containing twenty quarts of oxygen gas, nearly six minutes, the only deviation from his usual standard of health, perceptible, Avas* an increased hardness of the pulse, and an oppression at the chest analogous to that arising from the want of fresh air.* It is probable that during the respiration of this air the system is excited, partly by a stimulating quality imparted to the blood, and partly by the more direct application of the stimulant to the nervous expansions on the membranes of the lungs. The diseases, in whicii oxygen gas has been administered medicinally, are those of a chronic nature, Avhere the va- rious functions of the system are languid and debilitated. In these it has been respired always more or less diluted Avith atmospheric air, in the quantity of from one to two quarts daily, according to the effects produced by its inhalation.f 2. Nitrous Oxide Gas. This interesting compound, the effects of Avhich on the human system Avere first discovered by Mr. Davy, is formed by the union of thirty-seven parts of oxygen and sixty-three of nitrogen. It is a product of art, and is obtained in the greatest purity by the deeomposition of the nitrate of ammonia by heat. The degree of tempe- rature must be regulated by the texture of the salt. In order to obtain it Avith ease from the compact nitrate, the temperature should be preserved between the 340° and 480° Fahrenheit; the decomposition of the fibrous ni- trate is effected betAveen 400° and 450p. The products of this distillation are water and nitrous oxide gas. The theory of the formation of these substances is obvious. The hydrogen of the ammonia combines with a portion of the oxygen of the nitric aeid, and forms water, while the remaining oxygen unites with the residnal nitrogen * Researches, p. 474. + Murrav. Mat. Med. vol. ii. p. 286—7. £82 APPENDIX. both of the ammonia and acid, and produces the nitrous oxide, Avhich passes over into the receiver in the form of gas, carrying Avith it a portion of the salt which may have escaped decomposition, from which it may be freed by standing a short time in contact Avith water. The effects on the system, resulting from the respira- tion of this gas, are very remarkable, and are amply de- tailed in the " Researches" of Mr. Davy. It operates like a very povverful and general •stimulus on the vital powers; Objects appear to the subject under its influence magnifi. ed and of a dazzling lustre. The sense of hearing is often painfully acute; the Avhole frame glows Avith a conscious- ness of pleasurable sensation. If the inhalation be con- tinued the patient nearly loses all connection with the objects Avhich surround him; he gradually passes into a state of delirium, when the various faculties of the mind act with unknown and uncontrollable energy; respiration is hurried, the pulse is accelerated, and an irresistible propensity to muscular motion is evinced, which exhausts itself in laughing, stamping, exclamations of joy, and walking. These effects continue for a few minutes, and at length gradually subside, though the impression on the system often gives a charm to existence for many hours. Unlike the operation of other stimuli, the respi- ration of the nitrous oxide gas is unattended by any exhaustion or debility of the vital powers, and although the stimulation have perhaps amounted to a degree, be- yond Avhich the functions of the body might remain per- manently impaired, it passes off almost insensibly, and leaves no unpleasant traces of its powers. " A substance capable of acting in such a manner, we might suppose, would prove one of our most valuable remedies. The transient nature of its operation must undoubtedly limit its medicinal efficacy, but still in diseases of extreme de- bility Ave seem justified in expecting from its exhibition 4he most beneficial effects. The dose which is necessary to produce its peculiar effects varies from four to nine quarts, which may be breathed pure or diluted Avith at- mospheric air. It cannot be breathed for more than four minutes and a half, insensibility being induced/'* The gases inimical to animal existence constitute a much more extensive class than the preceding, and appear to be destructive of life, either by simply excluding oxy- * Murray's Mat. Med. vol. ii. p. 288—9. APPENDIX. 583 gen from the lungs, or by some positive action on the nervous system. All the airs, Avith the exception of oxygen and nitrous oxide, may be supposed to produce their effects in one of these modes. The administration, however, of these has been confined to hydrogen, nitro- gen, carbonic acid, and carburetted hydrogen gases; the tAvo first of which are negative, and the tAvo last positive, with regard to their action on the human system. 1. Hydrogen gas. For the purposes of respiration this gas should always be procured by the decomposition of Avater transmitted in vapour over the surface of ignited iron. " In a pure state, if the lungs have been previously emptied as much as possible of atmospheric air, it cannot be breathed above three quarters of a minute. It quickly occasions a giddiness and sense of suffocation; the countenance becomes livid, and the pulse sinks rapidly; but, Avhen diluted Avith "cwo thirds or an equal bulk of atmospheric air, it can be safely breathed; nor does it appear to pro- duce any very important effect. It occasions some dimi- nution of muscular power and sensibility, and of the force of circulation. It has been used in catarrh, haemoptysis, and phthisis, but its powers seem merely those of a pal- liative."* Hence it may be infered that hydrogen, Iik6 nitrogen gas, operates only by the exclusion of oxygen, and not by any positive influence on the nervous system. 3. Carbonic acid gas. This aerial fluid has acquired some celebrity in medi- cine, and has often been administered by respiration; by the introduction of substances into the stomach from Avhich it is easily disengaged; and as an antiseptie in eases of topical gangrene. It may be obtained with facility, and in a state of purity by the exposure of car- bonate of lime to a strong red heat in an iron tube, and collecting the gas over water. By the experiments of Mr. Davy, it appears to produce an acid taste in the mouth and fauces, and a sense of burning at the top of the uvula^ AVhen arrived to the upper part of the tra- ehea, it is instantly stimulated to such a degree as to excite a spasmodic" constriction of the glottis, and render it incapable of transmitting a particle of the air into the lungs. The same effects are produced even when diluted with an equal bulk of atmospheric air. But Avhen the * Murray's Mat. Med. &84 APPENDIX. proportion of the tAvo gases is about three quarts of car- bonic acid to nine of atmospheric air, the mixture may be breathed for a short time Avith impunity. The symp- toms resulting from its respiration in this Avay. are those of a weak sedative, producing a slight degree of giddi- ness, and an inclination to sleep. The effects, IiOAVever, are temporary, and rapidly disappear after ceasing to breath the air. This gas has been highly recommended in the cure of diseases of increased excitement, particularly phthisis pulmonalis; and patients have even been persuaded to visit daily, and even to reside in those places, particularly brewhouses, in which there is a constant copious pro- duction of this depressing power. There are few eases on record, in which it has done more than act like an anodyne to diminish sensibility, and thus smooth the path to the grave. This substance has perhaps proved more permanently useful as a local application to phagedenic ulcers and incipient gangrene, conycyed to the part through the fermenting poultice, from Avhich it is extricated, or by means of a flexible tube, in its pure uncombined state. 4. Carburetted Hydrogen Gas. This is undoubtedly the most deleterious of all the gases Avhich have been employed to diminish the morbid actions of the animal system. It is usually prepared hy passing the vapour of Avater over the surface of charcoal, heated to ignition in an iron tube. The fluid is decom- posed ; its oxygen enters into combination with a portion of the carbon, and produces carbonic acid, Avhile the hy- drogen thus liberated unites with the remaining carbon. forms carburetted hydrogen gas, Avhich, mixed with the other aerial product, passes over into the receiver, and is freed from the latter by agitation over lime Avater. Re- spired in a diluted state, it produces very alarming ef- fects on the vital powers, and Avhen pure almost immedi- ate death. The rashness of Air. Davy, in attempting its respiration, had neaiiy cost him his life. AVjien diluted Avith atmospheric air, in the proportion of three quarts of the former to two of the latter, its inhalation Avas folloAV- cd by a slight giddiness, pain in the head, and momen- tary loss of muscular poAver, attended by a quick and feeble pulse. AViien pure, however, the effects avc re much more positive and alarming. "After a forced ex- haustion of my lungs," says Mr. Davy, «I made three APPENDIX. 585 inspirations and expirations of the hydro-earbonatc. The first inspiration produced a sort of numbness and loss of feeling in the chest, and about the pectoral muscles. After the second inspiration, I lost all power of perceiv- ing external things, and had no distinct sensation, except a terrible oppression on the chest. During the third ex- pi. lion this feeling disappeared. I seemed sinking into annihilation, and bad just power to drop the mouth pieee from my unclosed lips."—"Putting my finger on my Avrist, I found my pulse thread-like, and beating with excessive quickness." The system was a long time in recovering from the effects of this experiment. From the action of this gas on his nervous system, it was infer- ed by Mr. Davy, that its operation is directly sedative, or productive of a diminution of vital powers and debility, without previous excitement. The medicinal effects of this air are most obvious in phthisis pulmonalis, and it is to this disease, that its ad- ministration has in general been directed. According to the experiments of Dr. Beddoes, it has in many cases relieved the symptoms and suspended the disease. Its respiration, however, must be regulated with caution. The gas should at first be highly diluted, and its strength gradually increased, in proportion as the system becomes accustomed to its action. The quantity to be respired should vary from one to four quarts a day. [The practice of pneumatic medicine Avas at no very distant period advocated by European physicians of the most respectable rank. Drs. Priestley, Percival, AVith- __ ering, and Beddoes Avere those, Avho reported in favour of the efficacy of both the carbonic acid gas, and carburetted hydrogen gas, in that fatal disease phthisis pulmonalis. In some instances, permanent cures were effected by their use. and in numerous others the hectic fever Avas greatly diminished, and the matter expectorated rendered less offensive and better digested. By some the aerial fluid, when administered, Avas mixed with atmospheric air, by others, the patients were directed to inspire the gas from an effervescing mixture of chalk and vinegar, or vinegar and potass, from Avhich much relief was constantly expe- rienced. The same mode of treatment has been adopted by Dr. Jonathan Leonard, of Sandwich, in this state, a man of experience and correct observation, who affirms that, in five patients with ulcerated lungs, he persevered 586 APPENDIX. in the use of the capbonic acid gas until perfect cures wcrt effected, and in no instance of trial has it ever failed in his hands. The patients exhibited unequivocal marks of phthisis pulmonalis, some had hectic fever, and all were afflicted with that description of symptoms, which in com- mon practice we are accustomed to consider as desperate. He asserts that the carbonic acid gas reduces the fre- quency of the pulse with as much certainty as the digitalis, and that it speedily produces a copious expectoration, not uiifrequently a nausea and some vomiting, and ultimately the appetite is in some measure impaired. In one case, there Avas no expectoration of pus after commencing the process of inhaling the gas, though previous to it the pu- rulent discharge was great, and the patient vvas evidently hectical. During the course he prescribed only some demulcent expectorants, to Avhich no part of the cure is to be ascribed. The gas is administered by a very simple process; a quantity of carbonate of lime (chalk or mar- hie) coarsely powdered, is put into a common bottle. Sulphuric acid diluted to the strength of about five or six parts of water to one of the acid being poured upon the carbonate, the gas is instantly extricated, and the patient inhales it through a small tube or quill passing through the cork. A sensation of pain and heat, about the uvula and glottis, is induced by the gas, but it is in general found practicable to continue the inspiration about fifteen or tAventy minutes each time, and the operation is repeat- ed three or four times in twenty-four hours. The prac- tice is often persevered in for several weeks, and some patients have expended one or two pounds «f the sulphu- ric acid.] No. IT. MEDICAL ELECTRICITY. The application of this subtle fluid to medicinal pur- poses, was thought of, soon after the discovery of the electric shock. At the first introduction of electricity as a remedy, it was very highly celebrated for its efficacy in a number of diseases; and after various turns of reputa- tion, its medical virtues seem noAV to be pretty well esta- blished. The medicinal operation of electricity may be refered to its stimulant power. It produces forcible contractions in the irritable fibre ; excites therefore to action if duly applied ; and Avhen in excess, immediately exhausts irri- tability. It possesses the important advantage of being easily brought to act locally, and of being confined to the part to Avhich it is applied, while it can also be em- ployed in every degree of force. Electricity is applied to the body under the form of a stream or continued discharge of the fluid, under that of sparks, and under that of shock; the first being more gen- tle, the second more active, and the last much more pow- erful than either of the others. The stream is applied by connecting a pointed piece of Avood, or a metal Avire, with the prime conductor of the electrical machine, and holding it by a glass handle, one or two inches from the part, to which it is to be directed. A very moderate stimulant operation is thus excited, which is better adapted to some particular cases, than the more power- ful spark or shock. The spark is drawn by placing the patient on the insulated stool, connected with the prime conductor, and, while the machine is Avorked, bringing a metal knob within a short distance of the part, from whicii the spark is to be taken. A sensation somewhat pungent is excited, and slight muscular contractions may- be produced : these efforts"being greater or less, accord- h&8 APPENDIX. ing to the distance at which the knob is held, if the ma- chine be sufficiently poAverful. The shock is given by discharging the Leyden phial, making the part of the body, through which it is intended to be transmitted, part of the circuit. The sensation it excites is unplea- sant, and the muscular contractions considerable, if the shock be moderately strong. The general rule for the medical employment of elec- tricity, is to apply it at first under the milder forms, and gradually to raise it, if necessary, to the more powerful. Mr. Cavallo, Avho has published the latest and best trea- tise on medical electricity, entirely disapproves of giving violent shocks, and finds it most efficacious to expose the patient to the electrical aura discharged from an iron or a wooden point; or, if shocks be given, they should be very slight, and not exceed thirteen or fourteen at a time. In this Avay he recommends it as effectual in a great number of disorders. The patient may be electrified from three to ten minutes; but, if sparks be drawn, they should not exceed the number of shocks above mentioned. Rheumatic disorders, even oflong standing, are reliev- ed, and generally quite cured, by only drawing the elec- tric fluid by a wooden point from the part, or by drawing sparks through flannel. The operation should be conti- nued for about four or five minutes, repeating it once or twice, every day. Deafness, except Avhen it is occasioned by obliteration, or other improper configuration of the parts, is either entirely or partly cured hy draw ing the sparks from the ear Avith the glass tube director, or by draAving the fluid Avith a Avoodcn point. Toothach, occasioned by cold, rheumatism, or inflam- mation, is generally relieved by drawing the electric fluid with a point, immediately from the part, and also exter- nally from the face. But when the body of the tooth is affected, electrization is of no use, for it seldom or never relieves the disorder, and sometimes increases the pain to a prodigious degree. Swellings, in general, Avhich do not contain matter, are frequently cured by drawing the electric fluid with a wooden point. The operation should be continued for three or four minutes every day, and in obstinate cases it is sometimes necessary to persevere in its use for several weeks. In inflammations of the eyes, the throwing of the elec- tric fluid, by means of a wooden point, is often attended APPENDIX. 589 with great benefit; the pain being quickly abated, and the inflammation being generally dissipated in a few days. In these cases, the eye of the patient must be kept open ; and care should be taken not to bring the wooden point very near it, for fear of any spark. Sometimes it is sufficient to throw the fluid with a metal point; for in these cases, too great an irritation should always be avoided. It is not necessary to continue this operation for three or four minutes Avithout intermission, but after throwing the fluid for about half a minute, a short time may be allowed to the patient to rest and wipe his tears, which generally Aoav very copiously; then the operation may be continued again for another half minute, and so on for four or five times every day. Palsies are seldom perfectly cured by means of elec- tricity, especially when they are of long standing; but they are generally relieved to a certain degree; the method of electrifying in those cases, is to draw the fluid with the Avooden point, and to draw sparks through flan- nel, or through the usual covering of the parts, if tkey are not too thick. The operation may be continued for about five minutes per day. Ulcers, or open sores of every kind, even of longstand- ing, are generally disposed to heal by electrization. The general effects are a diminution of the inflammation, and first a promotion of the discharge of properly formed matter; which discharge gradually lessens, according as the limits of the sore contract, till it be quite cured. In these cases, the gentlest electrization must be used, in order to avoid too great an irritation, Avhich is generally hurtful. To draw or throw the fluid with a wooden, or even with a metal point, for three or four minutes per day, is fully sufficient. Cutaneous eruptions have been successfully treated with electrization; but in these cases it must be observ- ed, that if the Avooden point be kept too near the skin, so as to cause any considerable irritation, the eruption will be caused to spread more; but if the point be kept at about six inches distance, or farther if the electrical machine be very powerful, the eruptions will be gradu- ally diminished till they are quite cured. In this kind of disease, the immediate and general effect of the wooden point, is to occasion a warmth about the electri- fied part, Avbieh is always a sign that the electrization is rightly administered. 590 APPENDIX. Scrofulous tumors, when they are just beginning, are generally cured by drawing the electric iluid with a wooden or metal point from the part. This is one of those kinds of diseases in which the action of electricity requires particularly the aid of other medicines in order to effect a cure more easily; for scrofulous affections commonly accompany a great laxity of the habit, and a general cachexy, Avhich must be obviated by proper remedies. Locked-jaw has in some instances been speedily cured by small shocks passing through the jaws. Nervous headachs, even of long standing, are gene- rally cured by electrization. For in this disease, the electric fluid must be thrown Avith a wooden, and even sometimes Avith a metal point, all round the head succes- sively. Sometimes exceedingly small shocks have been administered; but these can seldom be used, because the nerves of persons subject to this disease are so very irri- table, that the shocks, the sparks, and sometimes even the throwing the electric fluid Avith a Avooden point kept Aery near the head, throAV them into convulsions. Amenoi*rhoea, a disease of the female sex, that often occasions the most disagreeable and alarming symptoms, is often successfully and speedily cured by means of electricity, even when the disease is of longstanding, and after the most poAverful medicines, used for it, have proved ineffectual. The cases of this sort, in which electrization has proved useless, are so few, and the suc- cessful ones so numerous, that the application of electri- city for this disease, may be justly considered as an efficacious and certain remedy. Small shocks, that is, of abougt* one twentieth of an inch, may be sent through the pelvis; sparks may be taken through the clothes from the parts adjacent to the seat of the disease; and also the electric fluid maybe transmitted, by applying the metallic or wooden extremi- ties of two directors to the hip in contact with the clothes: part of which may be removed, in ease 'hey be too thick. Those various applications of electricity should be regulated according to the constitution of the patient. The number of shocks may be about twelve or fourteen. The other applications may be continued for two or three minutes; repeating the operation everyday. But either strong shocks, or a stronger application of electricity than the patient can conveniently bear, should APPENDIX. 591 be carefully avoided; for by those means, sometimes disagreeable symptoms are produced. The application of electricity has also been beneficial in other diseases besides the abovementioned; but as the facts arc not sufficiently numerous to afford the deduction of any general rules, we have thought not proper to take any particular notice of them. We may lastly observe, that, in many cases, the help of other remedies to be pre- scribed by the medical practitioner, will be required to assist the action of electricity, Avhich by itself would, perhaps, be useless; and, on the other hand, electrization may often be applied to assist the action of other reme- dies, as of sudorifics, strengthening medicines, &c. It not uiifrequently happens that electricity is relinquished as an unsuccessful remedy, Avhen by a more rigid perse- verance a cure might have been effected. N. B. The substanfce of the above article may be found in the Encyclopedia, American edition. No. V. GALVANISM. The peculiar poAver, Avhich is generated, Avhen two metals moistened are in contact, at first named animal electricity, since Galvanism, discovered by Professor Gal- vani, at Bologna, has been recently applied as a remedy in various morbid affections. Its effects on the animal system are such as warrant this application. Its activity is shewn, by its exciting strong sensations, in sensible parts, and powerful contractions in parts endowed Avith irritability. These singular phenomena take place in consequence of a mutual communication between any tAvo points of contact, whether more or less distant, in a sys- tem of muscular and nervous organs. The extent of this communication may be considered as a complete circle divided into two parts, one of Avhich, comprising the organs of the animal uuder the experiment, is called the animal arc; the other, Avhich is formed by the ine^ tals or galvanic exciters, is denominated the excitatory arc; and consists of more than one piece of various kinds. Beside the effect thus produced on the muscles, the impressions made on the organs of sense are equally remarkable. For instance, if a thin plate of zinc be placed on the upper surface of the tongue, and half a crown, shilling, or teaspoon, be laid on the lower surface of the tongue, and both metals after a short space of time be brought into contact, a peculiar sensation, simi- lar to taste, Avill be perceived, at the moment when the mutual touch happens. A similar perception will result both at the moment of contact, and that of separation, if one of the metals be applied as high as possible between the gums and upper lip, or even under the tongue. Signior Volt a*.s apparatus consists of a number of cop- per or silver plates, (which last are preferable,) together Avitli an equal number of plates composed of tin, or still better of zinc, and a similar number of pieces of card, leather, or woollen cloth, the last of wiiich substauces appears to be the most suitable. These last should be weil soaked in water saturated Avith common salt, mu- riate of ammonia, or, more effectually, with nitre. The APPENDIX. 59.3 silver or copper may be pieces of money, and the plates of zinc may be cast of the same size. A pile is then to be formed, by placing a plate of silver on a corresponding one of zinc, and on them a piece of wet cloth or card; which is to be repeated alternately, till the number re- quired be arranged in regular succession. But, as the pieces are apt to tumble down, if their numbers be con- siderable, unless properly secured, it Avill be advisable to support them by means of three rods of glass, or baked wood, fixed into a fiat wooden pedestal, and touching the pieces of metal at three equi-distant points. Upon these rods may be made to slide a small circular piece of wood, perforated with three holes, which will serve to keep the top of the pile firm, and the different layers in close contact. The moistened pieces should likeAvise be somewhat smaller than those of metal, and gently squeezed before they are applied, to prevent the superflu- ous moisture from insinuating itself between the pieces of metal.—Thus constructed, the apparatus will afford a perpetual current of animal electric fluid, or galvanic influence, through any conductor that communicates be- tween the uppermost and lowest plate; and, if one hand be applied to the latter, and the other to the highest metal, a shock Avill be perceived, which may be repeated as often as the contact is renewed. This shock greatly resembles that given by the torpedo, or gymnotus elec- tricus: and, according to the larger size of the metallic plates, the shock will be proportionably stronger. The intensity of the charge, hoAvever, is so low, that it cannot penetrate the dry skin; it will therefore be necessary to wet both hands, and to grasp a piece of metal in each, in order to produce the desired effect: its power may be considerably increased, both by an elevation of tempera- ture, and by augmenting the number of pieces that com- pose the pile. Thus tAveiity pieces of each will emit a shock that is very perceptible in the arms; if one hun- dred be employed, a very severe- but tremulous sensation will extend even to the shoulders; and, if the surface of the skin be broken, the action of the galvanic influence will be uncommonly painful. The sensation of a flash, or shock Avith this apparatus, does not materially differ from that produced by tAvo simple plates; but it may be effected in various Avays, especially if one or both hands be applied in a Avet state to the lowest plate of the pile ; or any part of the face be brought in contact Avith a wire communicating with the 75 594 APPENDIX. top piece. Farther, if a wire be held betAveen the teeth, so as to rest upon the tongue, that organ, as well as the lips, will become convulsed, the flash will appear before the eye, and a very pungent taste will be perceived in the mouth. Between galvanism and electricity there are so many points of resemblance, that they have been considerd as ultimately the same poAver, or, as the same subtle matter in different states. AVhether this opinion be just or not, the effects of galvanism on living matter, are different from those of electricity. The sensation, which the for- mer excites, though somewhat analogous to that produced by the latter, is still dissimilar; the action of galvanism is more extended, both to the nervous and muscular sys- tems, than that of electricity, which is more local in its action. The galvanic excitation produces sensations and contractions in the parts, which, from disease, are insen- sible to electrical impressions ; and the stimulant power, which both exert, appears in galvanism, to be greater in proportion to its intensity, than in electricity; or the sen- sations and muscular contractions, which the galvanic discharge excites, are more than proportioned to its power of producing electrical phenomena. The diseases, in which galvanism has hitherto been employed, are principally those of the nervous kind. In paralysis, it has been affirmed to have restored the capa- bility of muscular contraction, and consequently the power of motion. Cases of chorea, tetanus, and some other spasmodic affections, have been related, in which perfect cures were accomplished by its application. It appears, in several instances, to have relieved deafness, especially that species of it arising from torpor of the auditory nerve; and it has been successful in discussing indolent tumors. Galvanism is applied by connecting tvyo metallio Avires with the two extremities of a galvanic battery, and bring- ing them in contact Avith the part affected, so that it shall form part of the circuit of the galvanic discharge; the one Avire is kept in contact with the part it touches; the other is alternately applied for a moment and removed. If the skin be moistened, the galvanic influence is com- municated more readily and effectually; and still more so if a small piece of metallic leaf be laid on the parts to which the Avires are applied. Sometimes even the cuticle has bem previously removed by a blister, but the galvan- ic application is then attended Avith pain. No. VI. AN ABRIDGMENT OF DR. CURRIE'S MEDICAL REPORTS ON THE USE OF WATER. Dr. Currie has published a work in medicine appa- rently of the utmost importance, and particularly so to the United States; for whose uoav reigning disease it flat- ters us Avith some appearance of relief, if not of cure. The veracity of the author in all situations, is as well established as his reputation for solid and ingenious talents. Dr. William Wright, f. r. s. formerly of Jamaica, and well knoAvn for his writings in medicine and botany, seems to have furnished a case to our author, whieh, joined to his own previous opinions, led him to the train of practice and observation of Avhich we are about to give the aceount.—Dr. Wright, while on a voyage from Ja- maica, in 1777, being attacked with fever, on the third day of it, ordered three buckets of salt Avater to be thrown upon himself, Avhich gave him instant relief; and this, being repeated on the tAvo following days, removed every symptom of disease. Another passenger, Avhose attack from fever had begun on August 9, copied the example, and was restored to health. A seaman, Avho originally communicated the fever to Dr. Wright, refusing proper assistance, died. Encouraged by these incidents, and finding that Dr. Brandreth, of Liverpool, had employed cold water externally in cases of fever, with happy ef- fects, Dr. Currie resolved upon a series of experiments. In December, 1787, Dr. Currie, in seven cases of con- tagious fever, threAV cold water from a bucket upon the body of each patient; and the whole recovered. An eighth patient died, Avith whom the practice was omitted. The cure Avas chiefly entrusted to this remedy in one hun- dred and fifty-three cases, of Avhich the author kept a register; besides many subsequent cases, of which he kept no register, unless where the application failed of success. 596 APPENDIX. The 30th regiment of British infantry, in particular, while quartered at Liverpool, in 1792, afforded him an opportunity of trying this application Avith some preci- sion ; and the result of the experiment is instructive. A guard-room, prison room, tAvo sick-rooms, and a cellar, had, by their foulness, either caused or increased a fever, which soon affected a number in the regiment. Dr. Currie being called in, the primary causes of the disaster were removed, and the patients all cleansed. Those Avhose strength was not greatly reduced, had cold salt water poured upon them; and the rest were sponged over with tepid vinegar. The remainder of the regiment Avas drawn up in its ranks, and seventeen others Avho had marks of the disease were separated, and subjected to the cold affusion ;* Avhich cut the disease short in all but two of these. Those who Avere yet well, were ordered to bathe in the sea ; being regularly mustered for that pur- pose. The number infected in the whole was fifty-eight; of whom twenty-six had the disease, by these means, brought suddenly to a close; but in the remaining thirty- two it ran its course. It was fatal, hoAvever, only to two; who had been Aveakened by visiting the West Indies, and by being bled, and who besides had not received the cold aspersion, not having been visited by Dr. Currie till the twelfth or fourteenth day of the disease. The fever broke out about the beginning of June, but no new attack oc- curred after the thirteenth of that month. The Avater employed was taken from the river Mersey; having in it 1-32 or 1-33 part of sea salt; and being of the tempera- ture of 58 or 60 degrees of Fahrenheit's, which is our common, thermometer. AVhen Dr. Currie speaks of fever simply, he means the low contagious fever; which frequently is called the ner- vous, and in certain cases the putrid, fever; being the common fever of England, and prevailing chiefly among the poor, Avho are most exposed to the causes producing it. Dr. Cullen gives it the name of typhus ; terming it a contagious fever ; in which the heat is but little increased; the pulse small, weak, and mostly quick; the urine scarce- ly changed; the functions cf the brain and senses much disturbed ; and the strength greatly reduced. * By affusion or aspersion, the author means the pouring of water upon a patient, as for example, from a bucket. [Compiler.~\ APPENDIX. 597 In fevers called continued, there is nevertheless (see Dr. Cullen and others) at least one increase and one abatement in each day. This increase of the fever is known by thirst, restlessness, and increased flushing; and also by the heat in the internal parts of the body, raising the thermometer one op tAvo degrees beyond the average observed during other moments of the fever. As this increase (or paroxysm) usually occurs in the after- noon or evening, Dr. Currie prefers this period (other things being equal) for the cold affusion ; thinking it most safe, as Avell as most useful, to apply the Avater at the height of the fit, or immediately after it has begun to decline. But he says, that the remedy may be safely used, when there is no sense of chilliness present, when the heat of the surface is steadily above what is natural, and ivhen there is no general or profuse perspiration ; Avhich he observes are particulars of the utmost importance.* During the cold stage of the fever, the cold water nearly suspends the respiration, greatly disturbs the pulse, increases the chill, and seems to bring on the strug- gles of death; and really vvould do so, if repeated. The thermometer therefore is never to govern the practition- er, where the chilliness of the patient contradicts its indications. On the other hand, the absence of chilli- ness is no guide, unless the thermometer concurs to sheAV a heat more than natural. Lastly, profuse perspiration, in fever, must for the time, deter from the operation ; and especially in proportion to its continuance. Though perspiration is in itself a cooling process, yet the load of heated bed-clothes may prevent an internal diminution of the heat from being immediately perceived. Under these restrictions, Dr. Currie thinks, that the cold affusion may be used at any period of fever; but preferably in the beginning. The author seems after each affusion to have rubbed the body hastily Avith towels. The cold affusion generally reduces the heat from two to six degrees of Fahrenheit's thermometer; and the pulse sinks by it from two to above twenty beats in the * One important caution appears to have escaped both Dr. Currie and his able commentator. That when fevers are com. plicated, (as they often are in this climate) with pneumonic inflammation, or other dangerous affections of the luogs, cold ablution is inadmissible. [Compiler.] 598 APPENDIX. minute; and in one case, somewhat dubious indeed as to its issue, it fell at least forty beats. AVhere the heat is reduced and the debility great, some cordial should be given immediately after the affu- sion ; and the author thinks that warm wine is the best. In case the affusion produces effects unusually severe, then to the cautious use cf warm cordials in small quan- tities, friction, and especially of the extremities, is to be added, and a bladder of hot water applied to the pit of the stomach. Several examples are ghren of the effect of the cold affusion in the first, second, third, fourth, and succeeding days of fever. On the first and second days, the disease often instantly vanishes Avith one aspersion; and some- times on the third day; but on the fourth day this is rare. Each aspersion, however, instantly removes the symp- toms ; and a few repetitions of it on the successive returns of the paroxysm, in two or three days happily terminate the disease, with none or trifling aid from medicine. In advanced periods of the disease, the author com- monly employs Avater only fifteen or tAventy degrees below the natural heat of the human body. After the eighth or ninth day he often simply sponges the Avhole body with tepid vinegar, to which he sometimes adds water. But Avhere the heat has remained considerable, and where the sole object has been its removal, he has still persisted in the tepid aspersion. Hence another limitation occurs to the author's general doctrine; for the cold affusion is to be changed after a certain number of days for the tepid, and the tepid affu- sion in various cases is to give way after a time to mois- tening and washing the body. Since cold, cook and even tepid water, employed exter- nally, each reduce the patient's heat; Ave see why this heat should not be too low at the moment, lest too great a chilliness should folloAV. Hence also the same patient, whose disease has been removed by cold water judiciously applied, would often suffer from repeating the applica- tion in his convalescent state. But if Ave think we per- ceive why this rude remedy answers so happily at the delicate moment of the hot fit; we are still to inquire, whence it often removes the whole of the disease, of whicii the heat seems to constitute only a part ? Dr. Currie, as might be expected, has extended his trials Avitli Avater to other species of fever. One species APPENDIX. 599 and one alone, he has found in every shape insensible to his great remedy, of aspersion Avith cold water; but this species Avas generally insensible also to every other remedy, and Avas not made worse by cold water. This fever occurs, he says, chiefly in the winter season; and in persons Avho are in the floAver or vigour of life, and who are also possessed of considerable sensibility of mind, and arc in habits of more than ordinary mental exertions. Other particulars of this complaint must be looked for in Dr. Currie; who is the first perhaps Avho has noticed it, as a distinct species of fever; to which indeed it seems to lay claim, not merely by its refusing to yield to his applications, but by its symptoms; and particularly by the acuteness Avhich prevails in all the senses of the patient, beyond perhaps the state of nature, and certainly beyond Avhat occurs in common fever. In intermittents, the cold affusion with vigorous pa- tients, applied before the period of the cold fit, has pre- vented the whole of the fit; but Avhere weakness made the attempt hazardous, the cold fit was suffered to arrive and pass, and the affusion was applied to the hot fit when thoroughly formed. The disease Avas sometimes cured in the first case; but in the second, there was only a so- lution of the pending fit; though four or five repetitions of the practice finally removed the disease. In any event, opportunity was given for throAving in medicines. Dr. Currie has found not only that eruptions on the surface of the skin, but that salivation, are no obstacles to the cold affusion, under the restrictions before men- tioned. A friend of his has tried it also in the first commence- ment of scarlet fever (scarlatina,) and with complete success. The efflorescence on the skin and the affection of the throat Avere even prevented; which has led Dr. Currie to consider the tendency to these symptoms as being the effect, and not the cause, of this fever. Dr. Currie having had no late opportunity of treating the scarlet fever in its early stages, has contented himself Avith prescribing for it in its later stages, immersion in the tepid bath, heated from ninety-two to ninety-six de- grees of Fahrenheit. In the eruptive fever of the small pox, Dr. Currie has found a neAV object for the successful use of the cold af- fusion ; regulating himself as usual by the actual state of the patient's heat* as appearing from the thermometer,- 600 APPENJD1X. provided the indications of the thermometer are conlirmed by the patient's sensation of heat. In the confluent small pox, after the eruption is completely formed, he is diffi- dent of its benefit. But he is the more anxious to apply it in the eruptive fever, since he says that the. assimila- tion of the quantity of contagious matter produced from the first contagion, is invariably found to bear an exact proportion to the eruptive fever. He declares that in the eruptive fever, he has instantly abated the symptoms, however severe, and that the disease has assumed a be- nignant form. He tells us, that the Chinese are stated to have long followed this practice with success. Dr. Currie treats of cold water applied internally in fevers. He says that in the cold stage, it is never to be employed, however urgent the thirst; which ought only to be gratified in this stage of the fit, or paroxysm, with warm liquids. AYlien the hot stage is fairly formed, and the surface of the body dry and burning; cold water, he says, may be drank with the utmost freedom; and if it succeeds, in lowering the pulse and heat, as is usual, perspiration and sleep commonly folIoAV. Its effect how- ever is never so poAverful, according to his experience, as to dissolve even the existing fit of the fever, and much less the fever itself. But he holds draughts of cold water as an useful auxiliary in these cases, and says that they may be used more freely in proportion as the heat is more advanced above the natural standard. He allows cold water to be drank, though more sparingly, even in the beginning of the SAveating stage; since it may pro- mote the flow of perspiration ; Avhich after it has com- menced, seems to be checked, if a fresh increase of ani- mal heat occur. But after the perspiration has become general and profuse, the use of cold drink is strictly forbidden; the rule being, in all other respects, the same as laid down for cold water used externally. In case of injury from drinking cold water, the author recommends hot water to be applied in a bladder to the pit of the stomach; and small and frequent doses of tinc- ture of opium to be administered, which Dr. Rush re- commends in cases of injury from cold Avater drank in warm Aveather. Though Dr. Currie is persuaded that injury has some- times followed from cold water drunk in hot weather, and from cojd bathing used ai':er strong exercise; yet he denies that any inconvenience is necessarily to follow. APPENDIX. 601 He affirms, that inconvenience arises only for the Avant of making proper distinctions. In situations Avhere the body, after having been much heated and enfeebled by severe exertions, is losing its surplus heat by perspira- tion, and in general by a cessation of the exertions Avhich caused the heat; he alloAvs that cold water, whether ap- plied inwardly or outwardly, may often be injurious and sometimes even fatal. But while the surplus heat is kept up by a continuance of the exertion, he says that cold water may be drank safely in moderate quantities. The same he asserts respecting the cold bath; and there- fore he has for some years constantly directed infirm persons to use such a degree of exercise before plunging into the cold bath, as would produce some increased ac* tion of the vascular system, with some increase of heat; and thus secure reaction under the shock. It will appear, however, that the patient here ought not to perspire; or if perspiring, ought not to stand still, either dressed or undressed, sufficiently long to become chilled from the effect of the act of perspiration, or from the evaporation follovying it. Under the above persuasions our author contends against Dr. Rush; that Avhere the party is warm, no attempt should be used to reduce the heat, previous to drinking cold water. It follows however from Dr. Currie's OAvn premises, that no objection occurs either against removing the chill from the water, by means of the sun, of common fire, or of animal heat; or against continuing to exercise for a short time after the draught: and as either of these expedients is simple, it would be Avell to employ one or both of them; as the sole object in view is quenching the thirst, and not curing a disease upon speculative principles. AVe may here also observe the benefit of Avearing cottbn or even woollen next to the skin, where perspiration is probable from hot Aveather or violent exercise, especially where both are combined; since Avet linen aided by evaporation, conducts aAvay the heat of the body so rapidly, in certain situations, as often to occasion severe chills. Few however are the cases, in Avhich it will not be safe and highly adviseable to throAV off the wet linen, rub or wipe from the skin the matter perspired Avith sometliing dry, and put on a fresh and dry covering next to the body; as those who have had experience in the case, will cheerfully testify. 76 602 APPENDIX. As to using the cold bath when the body is warin, there are so many facts on both sides of the question that it requires an expedient to reconcile them ; and this Dr, Currie certainly seems to offer. By his means, Ave per- ceive whence the Roman youth could plunge in the course of their daily exercises into the river Tiber, and yet Alexander suffer from tbroAviug himself into the river Cydnus, after being fatigued and chilled with perspira- tion ; as Avell as Avhence the Russians and others jump from a vapour or hot bath into the snoAV, or into a cold bath; Avhile merely to sit in a cold stream of air, after violent exercise, is sufficient to bring others, nay the very same people, to the grave. A number of other seemingly contradictory, and yet authentic relations, peceive here also a similar solution. Hence we may assure ourselves, that if the waters of the Mississippi never injure those Avho drink them in summer, Avhatever be their state as to perspiration or fatigue; it is not OAving to the quality of these waters, but.to their warmth, in consequence of their long exposure to the sun. In like manner, if the water issuing neAvly from the ground in Abyssinia, is harmless in all cases; it is because the spring-Avater of that country (Avhich every where nearly corresponds with the average temperature of the Aveathcr of the place) is never very cold. But Ave pass on to neAV cases of disease. Before and since the year 1790, the author has wit- nessed thirteen cases of tetanus (that is, stiffness accom- panied at intervals Avith convulsion, as instanced in the disease known by the name of the locked jaAV.) This disease is distinguished into the proper or primary, called idiopathic; and the concomitant or secondary, called symptomatic, being an occasional attendant upon Avounds, especially in hot countries. The author from his later experience, is disinclined to use the cold bath in any of its forms in the symptomatic tetanus; unless in the earlier stages of the disease, when the vigour is less impaired, and the disease less rooted. One reason is, that change of posture is required for the purpose, in a case where the mere action of the will on the muscles is often alone sufficient to bring on a general convulsion. He rather prefers Avine given in large quantities, a remedy first in- troduced by Dr. Rush; but Avishes it combined with very large doses of opium. AVine, it seems, has in this disor- der been given ay ith success also to horses; but it is APPENDIX. 603 queried, Avhether other strong or spirituous liquors Avould not answer as avcU. It is observed that the constitution under this disease, powerfully resists the intoxicating quality of the wine and opium. In tetanus also, Dr. Currie has applied pressure, Avith evident good effect; moistening at the same time the bandages Avith ether, but taking care lest inconvenience should arise from too great an evaporation, the natural consequence of ether being exposed to a current of air. In the idiopathic or simple tetanus, the author has applied water of an exceeding cold temperature (exhibited in a bath Avhere the effect was sudden, and the limbs could be stretched out,) with a very marked success, though all other applications had failed. Let us observe here, that since to rub in sweet oil has been found a powerful remedy Avith many, in cases of cramp of the external muscles; it might be Avell always to try it in tetanus, though medical persons often slight it. In any event, those subject to this painful affection of the cramp, especially pregnant Avomen and SAvimmers, may do Avell to remember this use of oil. Oily substances may also be tried by the mouth or clys- ter, in cases of cramp or spasm in the stomach or intes- tines. The author has applied a very cold bath to more than one case of insanity, Avith brilliant success; but it Avas Avhen the fit was at the highest. The ordinary delirium of fever is acted upon by cold water in different shapes, in common with all the other symptoms of fever. In children's convulsions, it is also serviceable; stop- ping the fit, and giving time for other remedies. AVhen the author mentions that convulsions may sometimes arise from Avorms or other causes; perhaps he ought to have added, that teething is one of these causes, and that John Hunter has given instant relief, by cutting the gum over a young tooth Avith a lancet. On the whole, Dr. Currie recommends caution in the applications of water in early infancy; sometimes tempering his water, and sometimes only pouring it on, in preference to bathing in it; but making the operation sudden and transient, and providing means ready for securing the re-action, and even omitting it altogether when little vigour is left. But Avith thes6 precautions he has seen great benefit re- sulting from the application of cold water. In cases of St. Aitus's dance he has found no encou- ragement, for a reason hereafter to be mentioned; but 60i- APPENDIX. he recommends electricity in this complaint, as one of the feAV in which this operation seems advantageous. He promises us little from his remedy in the case of epilepsy, where his experience does not seem indeed to have been extensive. Instead however of his own favour- ite remedy, he mentions benefit derived, in a case of peri- odical epilepsy, from a plaster formed chiefly of tobacco, applied near the pit of the stomach before the expected attack. He has used tobacco also in tAvo desperate eases of convulsion, folloAved by continued coma, (that is, sleepiness and loss of sense;) but it was in the form of a decoction applied, as a clyster, which he prefers to the fumes of tobacco; the quantity for the decoction being half a drachm of tobacco in four ounces of water. In epilepsy also be applies oxide of zinc (that is the calx of the semi-metal zinc;) and still more efficaciously the digitalis pui*purea, or purple foxglove, concerning Avhich Dr. AVithering and others have lately Avritten largely. The author might have added, that hartshorn or ether mixed Avith Avater and given during the epileptic fit, tend powerfully to shorten it. But let us close the author's account of his treatment of convulsive diseases with the folloAving general remarks, extracted from his work. The efficacy of the cold bath in convulsive disorders, is much promoted by its being employed during the moment of convulsion; or (as he afterwards chooses to express himself,) its chief benefit depends on its being used in the paroxysm of convulsion; its efficacy consisting in resolving or abating this parox- ysm, by Avhich means the return is greatly retarded, if not entirely prevented. This laAV or principle in the disease, the author tells us, bears analogy to the fact, that madness is best treated in the height of frenzy. He also remarks, that the cold bath seems Avithout effect in every spasmodic disorder, (as St. Aitus's dance,) which does not rise to the height of convulsion. Lastly, he observes, that in cases of madness and convulsion, there must be no considerable wound or other lesion of struc- ture ; that the disease should not be too habitual, and especially so as to produce insensibility to impression; that the fit should have a general influence on the frame; and that the digestion should not be too much impaired nor the vigour of the circulation much debilitated, lest the action of the cold be too strong for the living powers. " Cold Avater (says our author) cannot be used as a drink during the paroxysm of convulsions ; and of course APPENDIX. 605 we cannot shew the analogy between its external and internal use in these, as in other diseases. " That its effects (he adds) taken internally, are most salutary, in a numerous class of chronic diseases, is how- ever well knovyn; though perhaps not acknowledged to the full extent of the truth. A considerable part of the virtue of mineral Avaters is doubtless to be attributed either to the diluting quality of the pure element itself; or to the invigorating effect of cold on the stomach, and through it, on the system at large. * * * In hypochon- driacal, hysterical and dyspeptic* affections, cold water taken internally has produced the most salutary effects. Hoffman praises it in headach, whether arising from indi- gestion or some primary affection of the nerves of the head. The following case will shew the use of cold drink in certain convulsive affections." Here the author cites from Hoffman the case of a Jew boy, cured of vio- lent convulsions in a fortnight, by drinking cold water frequently every day. Dr. Currie applies the term tepid, to water heated from eighty-seven to ninety-seven degrees of Fahrenheit, where it is used for affusion ; though water will seem to be Avarm to the body at some degrees lower, if used as a bath, for in this case the evaporation is excluded. The cold from evaporation is so considerable, that Avater in the warmest climates will chill the person moistened with it, if standing in a current of air in the shade. The author finds the coolness remaining from the warm affusion (strange as it may be thought) as great, as that from the cold affusion; and perhaps greater; but the cold is less sudden and stimulating. Without inquiring into the author's reasonings, let us observe that he applies the tepid affusion to certain other cases Avhere there is fever; provided the chief view is to diminish the heat, and provided there is no contagion present, nor any foul matter in the boAvels, as likewise no local inflamma- tion; for Ave must never forget, that affusion is only recommended Avhere the heat is general. Under these impressions, the author employs the warm affusion fre- quently Avith children; and he has used it also where the lungs Avere affected; and especially in his own case,dur- ing the lieetic fit, in hereditary consumption. But inde- * Dyspepsia, in general includes the obvious diseases arising from indigestion. 606 APPENDIX. endent of the possibility of the respiration being affected, e remarks that in hectic cases, the body soon parts with its heat, Avhich is then seldom great, even in the extremi- ties. He recommends, however, in any event to moisten the inside of the hands and feet; since from the sensation of heat in the extremities, great irritation follows to the system. Dr. Currie every Avhere insists, that Avhen the patient feels chilly, neither affusions, nor Avet sponges, of any kind, are to be applied; but he repeats, that the cold affusion (whicii he calls an energetic remedy) is not only the most effectual, but safest application, in many of the eases where it can be used; since the system often accommodates itself to a sudden cold Avhich is general and stimulating, but shrinks from a cold which is sIoav and successive. Water tempered from 75 to 87 degrees, (whicii the author terms cool) is recommended for febrile diseases; but more frequently for palsy and other cases of debility. If the system is to be strengthened, or if diseased asso- ciations (or habits) are to be broken through, the appli- cation is to be quick and brief; but if it is merely to allay heat, and there is no danger of indirectly affecting the respiration, it may be used more sloAvly. Such are the principal uses of water here to be men- tioned from Dr. Currie.—We may be permitted to add one of two to his list. Iu eases of strains, dislocations, or fractures, cold water employed externally has had the happiest effects : operating in the first case like a charm; and in the others, allaying inflammation and preventing sAvelling, till the arrival of the surgeon, Avho then finds less impediment in examining the bones. AVith bruises and burns, similar advantages perhaps may be expected. But in all cases, it must be remembered, that the appli- cation must be immediate and long continued, and used merely to the part affected; and the Avater changed Avhen- CA'cr the cold goes off. That the facts respecting the use of cold water in cer- tain diseases, as detailed in these sheets, may seem appli- cable to the case of the inhabitants of the United States; the author of this abridgment has judged it proper to cite the following evidence of some eminent physicians of America, on this subject. In the " History of the yellow fever, as it appeared in the city of New lTork in 1795, by Dr. Alexander Hosack, I APPENDIX. 60J7 jun. of that city," we are told that " the most certain and successful means [of cure] were, to Avash the Avhole surface of the body with cold vinegar and watep; and, immediately after, covering the patient Avith blankets, to administer such medicines as possess the effect of bring- ing on sweating. Of these, the spiritus mindereri and saline draughts of Riverius succeeded Avell; more espe- cially if the warm drinks Avere continued; such as the infusion of snake-root, gruel, toast Avater, tamarind Ava- ter, lemonade, &c. These Avere much aided by applying to the feet of the patient a warm brick, steeped in vine- gar and covered in a flannel cloth wet Avith vinegar or spirits : the steam, thus emitted and diffused through the bed, bad a wonderful effect in softening the skin and exciting sAveat; especially Avhere the cold Avashing had been previously employed. " Some practitioners have prefered the practice of plunging the patient several times in a ©old bath, and violently dashing the body Avith cold water. But simply washing the patient Avith cloths dipped in cold Ainegar and water, Avas found much preferable to immersion ;* both because it more effectually diminished the heat of the system and Avas less fatiguing to the patient. Experi- ments have proved, that repeatedly Aviping and Avashing with water, in the ordinary way in which the operation is performed; diminished the heat seven or eight degrees more than simple immersion, or dashing it over the body Avith pails. " The practice of cold bathing in fevers of this type, is not a neAV one, but was very commonly employed at BreslaAV in Silesia; and of late years has been very suc- cessfully applied in the AVest Indies,f as well as in diffe- rent parts of Europe, where diseases of this type prevaiL " Professor Gregory, of Edinburgh, and Dr. Currie, an eminent physician at Liverpool, have also prescribed it with great advantage in the low typhus fevers of those cities. But its great success in the New Fork hospital, as employed by Dr. Samuel Bard, and in the private practice of my brother, have fully convinced me of its use. " It is also proper to remark, that Avhere the physician Avas not called to the patient in the first stage of the dis- * Before deciding here, we must consult Dr. Currie. f See Dr. Jackson on the Diseases of Jamaica. 608 APPENDIX. ease, and putrid symptoms had appeared, and the patient had become much debilitated, the cold bath was injuri- ous : and from the abuse of cold bathing, by employing it in the last stage of the disease, it has fallen into disrepute with some practitioners. But as the abuse of a thing is no argument against its use, I repeat my observation, that in the first or inflammatory stage of the disease, it was one of the most useful remedies that was employed. " When the cold bath had been thus made use of, and immediately after followed by the spiritus mindereri or saline mixture, with plentiful dilution, it rarely failed to produce sweating in the course of fifteen minutes; and when once induced, it was easily continued by the repeti- tion of the sudorific medicines and drinks, until a solution of the fever was obtained. In some instances, where the patient refused his drink and medicines, or from the care- lessness of the nurses they had not been supplied as fre- quently as was proper, and the perspiration had been sup- pressed, it became neeessary to repeat the cold bathing ; whicii seldom failed to procure a return of the sweating. By the continuance of this discharge, an abatement of all the symptoms took place. It appeared to operate as a specific in the disease ; the pulse in a short time become moderate; the heat of the skin diminished ; the pain in the head and back, before so distressing, Avas also relieved; the sickness of stomach and vomiting were removed; and in the course of two or three days from the attack, the patient had little else to contend Avith but mere debility." Thus far Dr. A. Hosack, jun. Avho, as we perceive, cites the authority of his brother Dr. D. Hosack, and of Dr. G. Bard, both of New York, in addition to his own. We must observe, that neither of these gentlemen, at the time of the publication of Dr. A. Hosack's pamphlet, had seen the larger Avork of Dr. Currie ; of which the first edition appeared at the close of 1797, and the second in 1798. This Avork therefore merits an examination by itself, even by the physicians of Kcav York. One of them, Avhose name has not yet been mentioned, but whose oavii productions are read even in the eentre of Germany, mentions in a private letter, that Dr. Currie's work did not reach NeAV York till the present year (1799.) He himself says of it, that " it appears to be a judicious and interesting practical work." But not to dwell upon an opinion given incidentally only, however weighty may be the judgment of the party; we proceed to other evidence. APPENDIX. 609 An American physician, Avhose name is known in every part of the civilized world, states that " he can from the experience of five years, subscribe to all Dr. Currie's re- marks upon the use of eold Avater in the disease which has lately afflicted * * * Philadelphia." He adds, « its efficacy is now admitted by nearly all our physicians___ It is so far from interfering Avith, that it aids the opera- tions of bleeding, and mercury. Where cold Avater has been too feeble to compose the inordinate actions of the blood vessels, I have used ice Avith great advantage. When the head is much afflicted, I confine the ice in a bladder and apply it to the forehead. In a few minutes I have seen it abate pain, remove a delirium, and sometimes induce the most salutary sleep. Its effects are equally obvious when applied to the seats of violent disease in other parts of the body; provided none of those circum- stances forbid its application whicii are mentioned by Dr. Currie." In various eastern countries, we find cold water used as an instrument in medicine ; the custom probably being derived to them from ancient times. Dr. Currie not only cites the example of the Chinese, but of others; and he especially refers to the treatment of the sickness of Sir John Chardin in Persia; and Dampier says,* that he himself was cured of a flux, by bathing daily in a river in some of the eastern parts of Asia. But it is not from the rude practice of the orientals, nor even from Hippo- crates or Galen, who each employed cold water medici- nally, that Ave are to expect nice distinctions in these cases. Such do not in general offer themselves suddenly even in our ovvn times. Dr. Wright made his experiment in 1777, and (as every physician ought to do where he has the opportu- nity) he made it upon himself. He has great merit; but that merit does not consist in having given us sufficient rules. In 1788, a part of the practice in question Avas established in the Liverpool infirmary ; whence it spread into the town of Liverpool and its surrounding country. In 1791, Dr. Currie's colleague published an account of these methods iu Dr. Duncan's medical commentaries for that year. Dr. Carrie himself published another partial account in 1792. Dr. Gregory (the younger) of * This fact is stated upon memory only. 77 610 APPENDIX. Edinburgh, has spoken on the subject in his public lec- tures ; and even in 1737 it was used in a vague manner in Silesia, though it is now probably neglected there. Aarious practitioners also have resorted to cold Avater in the AVest-Indies, and some likeAvise in the United States. But as the practice has not gained ground generally, and chiefly for Avant of the rules necessary to prevent mis- takes, especially in the case of fever; Ave have sufficient proof of our obligations to Dr. Currie. AVhat thanks Avould not be due to him, Avho should teach Avith certainty Avhen to employ, and Avhen to avoid blood-letting; and especially should he give so accurate a guide as a thermo- meter and the feelings of the patient as to heat, when confirming each other ?* The thermometer indeed cannot ahvays be used by the country practitioner, to Avhom Ave shall soon suggest a substitute; but to others, Avho can more easily obtain this useful assistant, we address the folloAving information. Mr. John Hunter, in the London Philosophical Trans- actions for 1778 (see also those for 1779) describes a thermometer of his own invention and of Mr. Rurnsden's Avorkmanship; which was short, slender, and with so small a bulb, that he could upon occasion put the whole into a peacock's quill; even including the scale, which Avas moveablej and of transparent ivory, being in the form * This was written before seeing Dr. Rush's late brief and simple rules for blood-letting. The members of the three learned professions in America, notwithstanding the worth and well known talents of many among them, have long been liable to the reproach, of having contributed little to the progress of their respective sciences, by means of their publications. The American practitioners in medicine have lately relieved themselves from this charge, by somevaluable works. Among the earliest of these authors we must certainly place the amiable and respectable Dr. Rush, who has so eminently contributed to excite an emulation among the medical students in his own state. Professor Mitchell, and others, have most happily introduced a like emulation into the state of New-York; which it is hoped will soon spread itself. + A moveable scale admits the application of the naked ther- mometer in certain cases; and the observer by a mark on its tube, is easily enabled when the scale is afterwards restored to its place, to ascertain Yvhere the mercury has stood during his experiments. APPENDIX. 611 of a hollow tube, and no Avhere touching the bulb. The results of this thermometer differed from those of others before used by John Hunter, and even from his own ex- pectations. It Avas this sort of thermometer which Dr. Currie employed with his patients; taking care to make the stem head backwards in order to admit of his stand- ing behind the sick, to avoid infection from their breath. Dr. Currie recommends as a farther improvement to add a guage like that used by Air. Six, in his thermometers made upon the plan of those invented by Lord C. Caven- dish. (See London Phil. Trans, for 1782 and 17.i7.) But a thermometer with spirits of wine (vyhich suffi- ciently corresponds Avith one of mercury in the high tem- peratures here in question) Avould probably be visible enough to answer every purpose, Avere the spirits, as is usual, coloured ; and it does not appear, why excessive diuiinutiveness is so necessary a quality in mere medical thermometers. ATe have hinted that country practitioners must often be content, and may do sufficiently well, Avithout ther- mometers ; and especially in these parts of the United States, where thermometers are so seldom found corres- ponding Avith each other; and where, even if good, they are with difficulty replaced in case of accidents. The uses of the thermometer in Dr. Currie's system of prac- tice are chiefly two; one to sheAV the heat of the patient, and the other the temperature of the Avater to be applied to him. Let us begin with the latter subject. It is known to every practitioner, that boiling Avater is always of the same heat in the same state of the atmosphere. Next, it Avill soon be shewn, that Avater can ahvays easily be found at hand at certain other knoAvn degrees of temperature. Lastly, rules may be given, for producing any interme- diate temperature between that of boiling water and of water of any other known temperature, merely by mixing them in certain proportions and with certain precautions. We shall iioav sheAV that Avater may generally be found of several temperatures, Avhich are easily ascertained Avithout the aid of thermometers. 1° In Avinter, Avater which has remained a certain time filled Avith ice or pounded snow, after it is poured off, will stand at the freezing point; or at thirty-two degrees of Fahrenheit's thermometer. Water will also stand at the freezing point; when taken from underneath a surface of thick ice, formed upon it in Avinter in a vessel of moderate 612 APPENDIX. size.* 23 The average temperature of the air through- out the year may be knoAvn for any place; and this tem- perature is one and the same with that of the springs of the place Avhen first issuing from the ground, aud also of the earth of the place at a feAV feet beloAV the surface. 3° The average temperature of each month also may easily be knoAvn for any place; and when known, it will commonly neaiiy mark the temperature of the ay ater ac- cidentally found in any considerable vessel, placed under shelter from the Avind and sun, but exposed to the open air; especially upon making certain obvious alloAvanccs. Enough then has been said as to the fixed points of heat at Avhich Avater may be found and the methods by which it may be tempered by being mixed in different propor- tions at different temperatures, for the purpose of bath- ing, aspersing, or moistening the bodies of different pa- tients according to their respective cases. Happily very great nicety is not found to be requisite; and perhaps the guess of the practitioner will always abundantly suf- fice. In this case, Avhat has been said on these subjects will not be lost, since it will find its place with those attentive to meteorology and other branches of natural philosophy. As to calculating the patient's heat, without help from a thermometer, in general, Ave may depend on the patient's feelings, the rapidity of the pulse, the precedence of the the cold stage of fever, the colour of the skin, its freedom from perspiration, the fulness of the face, and the marks of universal heat to the touch of the observer. That the practitioner may not be misled by the remains of heat which the bed clothes may have kept in the patient from a preceding hot fit; let the bed clothes be thinned with judgment and for a short time; and if the patient still remains hot, he will offer a neAV criterion as to his tem- perature. If other rules are wanting, the folloAving arc some which present themselves. Take a short tube of glass, exceedingly thin, and with a very small bore, haAing one end open and the other closed. Having first heated it gradually by placing its outside in heated Avater, plunge its open mouth into a small quantity of spirits coloured Avith cochineal, or of aqua-fortis made blue by vitriol or copper; or if quick- silver is at hand, put it into a little quicksilver. As the air cools in the tube, fluid will rise into it; and Avhen a * Mr. Nairne instrument maker at London, first noted this fact, in itself so evident. APPENDIX. 61$ very short column (amounting only to a drop or tvyo) has been taken up, we have an instrument suited to our pur- pose.—A cork may be placed in the open end, Avhen this instrument is not in use, to prevent dirt entering, or the evaporation of the spirit or Avater; but the cork must be carefully AvithdraAvn, to preserve the connection Avith the atmosphere, when the instrument is employed.* Let the practitioner place it during some time under his arm-pit, when at the sick bed; and, marking the spot then occu- pied by the column or fluid, let him Avipe the instrument, and place it under the arm-pit of his patient. If the pa- tient's heat be greater than his oavii, the air behind the column of fluid confined by the closed end of the tube, Avill noAV be most rarified, and drive the fluid farther out than Avith himself; if the contrary, the reverse will happen. This instrument must at some one time be compared Avith the thermometer, merely to shew Iioav its scale of variation agrees Avith that of the thermometer, unless this can be guessed at by other methods. But the degree in which an instrument of this sort will be affect- ed by the changes in the Aveight of the atmosphere, (for it is a species of barometer) render it necessary that the comparison of it Avith the heat of a healthy person, should always take place. An object to be farther attended to is, that the patient's heat be not only greater than natu- ral, but at a high pitch even for fever heat. Perhaps chemists uiay invent some compositions, wliich by their melting or effervescence may indicate fixed de- grees of heat, Avhich may be contrived to serve as stan- dards for the heat of fever. AVith respect to the standard heat of the human subject taken internally in a state of health; it varies Avith age, constitution, exercise, fulness from meals, and other cir- cumstances, independent of disease. The usual average temperature is perhaps at 97; but eating, for example, increases it one or more degrees. In disease, according to Dr. Currie's observations, it sometimes in extraordi- nary cases, sinks as Ioav as 92; and sometimes in cases equally extraordinary, it rises to 105. Repeated doses of the purple fox-glove have reduced the heat to 89, and the pulse to 32 in the minute. Dr. Currie constantly treats the heat under the tongue ay hen the mouth is shut, * Whenever the fluid employed is carried off by evaporation qr other accident, it is easy to put in a fresh quantity, in the manner used for putting in the first. 614 APPENDIX. and the heat under the arm-pit when the body is properly covered, as one and the same; and takes them for his standard of the internal heat. The experiments of John Hunter, Dr. CraAvford, and others, upon animals Avhose bodies have been opened during life, prove that the heat Avithin, near the heart and lungs, is greater than in the other parts of the body. But it is needless to repeat these cruel experiments, which can offer no guide with patients ; the stations assigned by Dr. Currie for receiv- ing the instruments to measure the internal heat, answer- ing every purpose in the cases here in view. Dr. Currie says, in a note; "I intended to have intro- duced one or two registers of the heat and pulse, taken every half hour, during the paroxysm of intermittent; but this is delayed, till I am enabled to speak from more numerous observations." Dr. Currie, it is to be hoped, will feel himself bound to fulfil this task. If these lines should chance to meet his notice he is requested by one Avho respects his benevolent zeal, as Avell as his abilities, to extend his views; and to favour us with a more accu- rate account of the internal heat of the human subject in all cases refered to in the preceding paragraph, short of living dissections. To encourage him or others to labours of this kind (whicii are best pursued in large towns, particularly if possessed, as they are generally, of infirmaries,) avc may be allowed to state something concerning the standard rate of the pulse in the human subject. The pulse offers an important criterion in fever; and the pulse of persons under given circumstances, Avhen in health, furnishes a necessary point of comparison for the pulse of the same class of persons during disease. We shall folloAV in this, the good Dr. AVilliam Heberden; observing that he speaks of the pulse as it is found in England.* Rales of the beats of the pulse in the human subject, during the course of one minute. t On the day of birth, 130 to 140; During A Through the first month, 108 to 140; sleep. "A Thence, during the first year, 108 to 120; \ Through the second year, 90 to 100; Thence to the sixth year, decreasing, 80 to 108; During the seventh year, 72 and upwards; Thence to the twelfth year, 70 and upwards. * See Medical Transactions published by the College of Physicians in London, vol. 2. APPENDIX. (315 N. B. The pulse up to this age is more easily quick- ened by illness than afterwards. Afterwards the pulse is from sixty to eighty; but in men, it sometimes goes to ninety, and in women even beyond ninety. Sometimes the pulse is below forty. It frequently likewise intermits. After a full meal the pulse increases ten or twelve beats. But if it has ten pulsations beyond the natural rate of the patient's pulse, vieAved as varying according to accidental circumstances, it indicates disorder. In disorder during the first year, the rate may pass from one hundred and forty to one hundred and sixty; but want of sleep and appetite, with thirst and the state of the infant's breathing, are here better indications. Sometimes one hundred and forty-four is a rate fatal at two years; but with others, one hundred and fifty-six and one hundred and fifty-tAVO, are not fatal rates, at the age of four and nine respectively. With children a reduction of fifteen or tAventy beats of the pulse, accompanied Avith signs of considerable illness, mark an affection of the brain. With adults, a sudden abatement of pulse in fever, and an aggravation of other symptoms, equally indicate disease in this organ. Avith adults, one hundred beats denote commonly no evident danger; but dauger begins at one hundred and twenty, and unless there be delirium, all beyond is com- monly fatal. The author excepts cases of acute rheu- matism and cases previous to a deposit of matter ; when there have been recoveries even at one hundred and fifty and one hundred and tAventy respectively. He excepts also cases of low fever at ninety or one hundred; for here may still be danger. It is hard to count one hundred and forty beats, unless distinct; but vvhere distinct Ave may count one hundred and eighty in a minute. Schirrous and ulcerous cases, Avith a hectic, are often for a long time from ninety to one hundred and tAventy. Great pain in certain cases, docs not quicken the pulse; as is instanced with gall-stones. It must not be forgotten in disease, as Avell as in health, that Avomen sometimes have quicker pulses than men, other things being equal. Thus far Ave collect from Dr. Hcberden. A practitioner Avishing to pursue observations of this kind, may not always be provided Avith a watch beating 616 APPENDIX. seconds; and, in these parts of the United States, he can- not always be certain of access even to a pendulum clock. It may therefore be convenient to know, that in these latitudes, a pendulum beating seconds, may be made of a very fine thread and a small leaden ball; extending in the whole about thirty-nine inches and tAvo tenths, from the point of suspension; Avhich point wc Avill suppose formed by a very strong dressing pin. Theoretically, a pendulum should be somewhat shorter in these latitudes ; but the above total length will ansAver for practice with a pendulum of the above description. The habits of astro- nomers shew, that it is easy to learn to count seconds by memory. The practitioner who is able to do this, may, in certain cases, station one upon Avhom he can depend, to note the pulsations Avhich have occured in a patient, Avhile he has been counting apart a certain number of seconds. It can be of no disservice also for a patient to learn the ordinary rates of his ovvn pulse, to tell to his physician in case of disease. AVith respect to other indications of the pulse, in Avhich not only certain individuals, but certain nations pretend to a peculiar nicety, Ave refer to the various authors Avho have written more or less expressly on the subject. We do not MIoav Dr. Currie in his history of the theory of fever. AVe rather give his own account of the leading symptoms of this affection, when vieAved inde- pendent of circumstances and under general characters, in order to accompany it with his remarks. Fever begins with a languor of a peculiar kind, seen even in the countenance, and is followed by paleness, cold, and trembling, and (he should have added here) by a shrinking of the surface of the body; the action of the mind and of the Avhole system being enfeebled. The heart and lungs, being roused by the fluids now crowding in- Avards, soon press them outwards. A tightness or spasm, however, in the vessels at the surface opposing, the inter- nal re-action becomes increased. If in the struggle, the stomach becomes affected by sympathy, a tendency to sickness ensues. At last, the powers of life prevailing, heat appears, first in one part of the surface and then in another, but Avith some fluctuation; till the hot stage becomes universal, when the vessels on the surface finally yield a passage to perspiration, though not ahvays Avifh- out a check. Such is the course of a single fever fit, APPENDIX. CI 7 when it obrMns a regular termination. But in cases of continued fever, both the spasm and beat remain longer; till at length as the patient weakens, the spasm decreases so as to admit of perspiration, and the heat is sometimes brought almost to its natural state; the quickness of the pulse alone persisting, as the effect of a habit produced in the course of the disease. Thus he says, Avhen a hot room or bath raises the heat in the human subject four or five degrees, and most of the other symptoms of fever appear; yet after the external heat is removed, and the internal heat becomes natural, the increased pulse still continues; which he attributes to the principle of asso- ciation, peculiar to life and pervading the vital phenome- na, intellectual and corporeal. The author from the same case of artificial heat proves the existence of spasm; since perspiration follows this heat so plentifully, as to make it difficult to increase the internal heat beyond one hundred or one hundred and one; Avhereas at the same temperature in fever, perspiratjpi is often refused. He observes also, that both in hot fever and in the sudden increase of heat in health, the tightness of the Aessels at the surface often exists : but Avhen the heat abates, it dis- appears so as to admit of perspiration; the spasm in the case of health being the result of a resistance to a violent stimulus. This resistance he calls another laAV of tin* living system, belonging to every species of vital action, Avhether of mind or of body. In these circumstances, he conceives that the general and powerful spur or stimulus of cold water dissolves the spasm or tightness; perspiration and evaporation now succeeding, which naturally tend to reduce the heat and pulse. AVhethcr the cold as a new stimulus aids the stimulus already existing in the blood vessels; or whether the cold acts by dispelling or by counter-balancing the spasm on the surface; or whether these causes stand more or less combined, will not here be disputed. Certain it is, that the cold of the water operates more than its mois- ture; because Avarm water in general less easily effects a cure, even when producing a greater coolness through* its longer application; though it is possessed of those ad- ditional chemical poAvers for dissolving or penetrating substances which are derived from heat. On the other hand, even sudden cold reduces the animal heat, chiefly by affecting the body as consisting of organized living matter. Hence a variation in the effects, both tempo- 78 618 APPENDIX. rary and permanent, of the cold and other affusions, &e. whether Ave compare these effects with themselves or Avitli each other, in cases similar in a mere mechanical view. As to the diminution of thirst following the cold affu- sion on the surface, Dr. Currie by no means admits that much water is ever absorbed by the skin; and therefore attributes this diminution of thirst to the removal of a spasm in the mouth, jaws, and stomach. AVhether it be the removal of spasm or something else which is effected within, Avill not be discussed : it suffices, that a sympathy obtains between all these parts. It is no less true, that thirst is allayed by a draught of fluid before it can have entered the circulation; as likeAvise, that perspiration often as immediately follows. The author (as has been hinted) attributes the reduc- tion of heat by the tepid affusion, to cold arising from evaporation; but as this stimulus is always slight and necessarily transient, the heat ultimately returns and the effect becomes merely palliative. Even the cold affusion cures at once, only in the early stages of disease; and though uniformly advantageous while the morbid heat continues, its effects are less decisive Avhen morbid asso- ciations have once been produced. AVhat then, says Dr. Currie, ought to be the indica- tions in the cure of fever 1 To diminish the cold iu the cold stage ; to moderate the heat in the hot stage; to resolve the tightness or spasm on the extreme vessels; and, Avhere the inordinate action of the vascular system still continues, to support the poAvers of life, till the dis- eased associations die away from the ceasing of their causes. It is also essential, to secure the proper action of the bowels; and, in every case, to unload them of their morbid contents, Avhether these are the effect or the cause of the disease. It is a serious error, according to Dr. Currie, to sup- pose that febrile poison received into the system, is the principal cause of the symptoms of fever; and that these symptoms consist in a struggle of nature to expel the poison. It is safer to consider the poison, as an agent that excites the system into fever ; the fever being after- wards carried on, not by the agency of this poison, but of the principles Avhich regulate the actions oflifc. AVe are not therefore to Avait for a restorative process, by Avhich nature is conceived to throw off the poison; but to oppose the fever in every stage with all our skill, and APPENDIX. 619 bring it to as speedy a termination as is possible. By the poAverful means of the cold affusion applied in time, the Avhole of the feverish symptoms vanish. Hence the safety and wisdom of decisive measures before the strength is materially impaired or diseased habits established. Those Avho practice within the tropics, Avhere fever runs its dreadful course with such rapidity, ought espe- cially, he says, to be aAvare of this truth. They ought also to combat the disease not merely by cold affusions, (Avhich whether supplied by springs or by the sea, can seldom there be below the temperature of 77 or 78 ;) but by actual immersion of the patient in a bath, or in the sea, supposing this at hand. The duration of the immer- sion he thinks must be governed by the pulse, by the sen- sations of the patient, and by the thermometer. He refers for the success of this practice to the case of Sir John Chardin ; and to that of persons, who in the delirium of feAcr, and chiefly in Avarm climates, have plunged into the sea, and avIio in every instance within his knowledge (where they have been saved from drowning) have reco- vered.* To increase the cold of water in hot climates, he refers to the AveJl known artificial modes of cooling water. He also hints at the practice of alternately plung- ing the patient in Avater, and then raising him into the air, where the wind blows OArer his naked body, farther to cool it; but he says that the utmost care is necessary to guard against fatigue; and Ave venture to add, that it will be prudent to have means at hand to remove both chilliness and faintness, should either occur. In the northern and middle latitudes of the United States, the effects of cold Avinters upon springs, furnishes cold Avater at all times; and ice-houses admit of rendering it still colder. In hot climates, to cold Avater for the surface, the au- thor would add cold drink in large quantities, Avhere the patient's heat Avill bear it, especially the heat Avithin at the stomach; and he considers a tendency to vomit as no objection. He confirms his opinion by the practice of the ancients, by the treatment used in the Hungarian fever (whicii he holds as resembling the yelloAV fever,) and by the recommendations of Hoffman in bilious vomitings and dysentery. * See a remarkable case of this kind in the London Phil. Trans, for 1786, p. 190. G20 APPENDIX. AVe now proceed to glean a few other detached par- ticulars from the author's work, Avhich arc either theo- retical or conjectural; or have no immediate relatiou to the use of Avater; or have not before been sufficiently noticed. The author Avishes both cold Avater and cold drink to be tried in the case of the plague, should the heat in that disease be considerable; but if it is no greater than in the confluent small pox, which is little, if at all above the natural standard, he has little hope. The best explanation Avhich he can give of the success of his favourite remedy, in convulsive diseases and in insanity, if applied at the moment of their height, is taken from John Hunter and Dr. DarAvin; namely, that no two great actions seem to take place in the human con- stitution at the same time; and that if the balance of vital energy can be turned in favour of a shock from cold, it will supersede the disposition to the diseases in question at their critical moments, and thus break through their associations. Tobacco used in the crisis of epilepsy, is another instance Avith him of the benefit of employing, in these cases, the balance of power in one stimulus over that in another. From both these remedies thus respec- tively applied; the good effect he says, has repeatedly been permanent. In cooling the surrounding air, or in any other appli- cation of cold, in fever ; care must be taken to watch the limits within Avhich it is grateful to the sensations; in which case the author's experience has uniformly shewn it to be advantageous. It is believed that the author somewhere speaks of a wet blanket having been used with success. Dr. Craw- ford certainly gave temporary relief even from delirium, to a patient in fever, by this means; and nothing but its being used too late, seemed to have made it a palliative rather than an effectual remedy. The author says, that the action of cold may be con- veyed over the whole system by its application to a single part; as when cold substances are applied to some single part, to stop bleedings. Hence, for bleeding from the lungs, he has dipped the feet in cold Avater; though he thinks that it might perhaps have been better to have applied cold permanently to the scrotum, &c.; and he has often here found it safe and efficacious to plunge the patient into cold water up to the hips. In all these in- * APPENDIX. 621 stances, the application of cold must be both powerful and permanent. The same rule as to permanency and degree, is neces- sary for cold applied locally to parts Avhich are inflamed. Thus even ice, snoAV, and the clay-cap, are successfully employed, not only for reducing, but preventing inflam- mation ; the sensation of cold in the parts acted upon, speedily subsiding. 4 He does not apply cold to local inflammation, if at- tended with fever; chiefly, because in such cases there is too great a sensibility to cold and indeed to other stimu- lants; but this is a subject Avhich he avoids treating at length. He extends this objection however to measles, catarrhs, (or colds,) &c. and he is not persuaded that cold can be useful in pleurisy or peripneumony. Yet in inflammations of the brain, stomach, intestines, ke, and especially if desperate, he thinks the cold bath should be hazarded. But in all inflammatory cases, he inclines to judge it proper to moderate the cold, if employed. Besides sink- ing for example, gradually, into the cold bath; the state of the pulse and of the heat is to be examined; though the author remarks from his own case, Avhile in health, that the heat within the trunk of the body is wonderfully sustained in the cold bath, notwithstanding it is speedily and permanently lessened at the extremities. The House of Recovery, instituted in May, 1796, at Alanchester, in England, affords a singular instance of success in preventing infection throughout a large town; and merits a short abstract from our author. Into this asylum on the first notice of fever, the patient is remov- ed; and proper methods (being in part chemical) are taken to purify his habitation. The prevalence of fever has hence diminished to a degree beyond all rational ex- pectation ; and the fears that the institution might spread contagion in its particular neighbourhood, are found groundless; since not one case of fever appears there for ten or fifteen cases which prevailed there before. About one in nine only of those admitted, die; and as the result has made considerable impression, it will still farther greatly reduce both the deaths and the danger of conta- gion, should the poor apply in the early stages of the disease. The importance of such an institution, in great toAvns, may be known from tAvo other facts related by Dr. Currie; First, the apartments for fever-cases, in the Liverpool Avork-housc, are in the very centre of the 629 APPENDIX. building, and cannot he entered except through the com- mon stair-case ,* and yet not a single instance is known of contagion spreading thence, to the other patients in the house. Secondly, the number of fi ver-cases annu- ally presented to the medical attendants at the Dispen- sary at Liverpool (a toAvn with a population resembling that of Philadelphia) is above three thousand; and the average duration of the fever is about fourteen days, besides fourteen days consumed in the recovery, Avhere the recovery happens. The fever-cases, in short, make neaiiy one fourth of the wliole number of maladies; the loss to the public occasioned by Avhich may easily be con- ceived. In Liverpool (and this is another remarkable fact) eighteen hundred cellars are inhabited by about seven thousand persons, besides nine thousand Avho live in close and confined houses; and many of these persons taste no animal food; tea being generally drank, once, if not tAvice in the day; from Avhich causes principally, and the use of spirits, above five hundred patients, who are chiefly females, are annually found among those applying to the dispensary on account of diseased digestion. When our author, however, in speaking of the above institutions, affirms with Dr. William Heberden, that cold winters are unhealthy in England; and states that the most unhealthy moment is that when they are ex- changed for warmer weather; an inhabitant of these northern parts of the United States cannot but indulge a smile. Perhaps in no part of the civilized Avestern world, is the entire severity of a cold Avinter actually more fully braved, than in these parts; nor can a more sudden transition from heat to cold easily offer; and yet in no one country in the known world, is there less dis- ease, or fewer deaths, upon a given number of inhabi- tants. This fact, and especially in a comparative view, merits a particular attention, which will perhaps be given to it on a future occasion. The common treatment of fever by the gentlemen be- longing to the Liverpool dispensary (which is distinct from the infirmary) consists in giving first, antimonial emetics; and then, bark, opium, and wine; nourishing food being occasionally administered; but seldom washing with cold water (which would indeed be difficult in the cellars where this disease is usually found.) Dr. Currie will now offer some more particular and interesting information on the use of opium and strong liquors in fever. e APPENDIX. 623 Dr. Currie, treats of opium, pursuant to the engage- ment in the title to his work; viewing it as administered in health and in fever. In a state of health, if the mind is vacant and external objects excluded, and provided also that the stomach is empty; opium usually procures sleep. This sleep is preceded by agreeable sensations, happy slumbers, and fentle perspiration; the surface and extremities of the ody acquiring the same heat with the internal parts. As the full sleep approaches, the pulse quickens, and the breath becomes slightly irregular; but Avhen profound sleep bas^ actually arrived, the pulse abates to its slowest rate; while the breathing, besides growing sIoav, becomes regular also, and deep. In fever, if the heat reaches or exceeds one hundred degrees of the thermometer, Avith a dry skin; opium commonly seems to add to the heat and restlessness. When the skin has softened, and the heat, though still great, is yet subsiding, opium often accelerates the per- spiration; and by this means, diminishes the heat; in Avhich case tranquillity and sleep generally follow. Hence, in the case of continued fever, which is com- monly greatest in the evening, and is then accompanied Avith tAvo or more additional degrees of heat, an opiate (or anodyne) may injure at night, and yet do service at two or three o'clock in the morning. Hence also in con- tinued fever, it may be proper to lower the temperature of the surface and prepare for perspiration, by cold or tepid affusion or drink, (applied according to rules) before giving, or even after giving, the opium. In intermittents, on the other hand, where the disposition to perspire is more easily excited, opium may be given with fewer pre- cautions; though if administered in the hot stage, its salutary effects may be much promoted by moderate draughts of liquids; which should be cold, if the heat is great. The author conceives water to be a better assistant to opium in procuring perspiration, than ipecacuan or antimonials; except in inflammatory diseases and in dysentery. His dose of opium is tAvo or three grains of the extract, or from ten to sixty drops, of the tinc- ture; for he finds that a very small quantity judiciously applied, will produce considerable effects ; and he thinks that whatever is beyond necessity, it would be unwise to employ. 62.Tectum aloes Pilulae aloes compositae Pilulae aloes cum myrrha Pulvis aloes compositus Tinctura aloes Tinctura aloes composita Vinum aloes Alihaea Syrupus althaeae Alumen, supersulphas aluminae et potassae Alumen exsiccatum Liquor aluminte compositus Cardamomum Tinctura cardamomi composita Zingiber Tinctura zingiberis Syrupus zingiberis Mistura ammoniaci Emplastrum ammoniaci cum hydrargyro Liquor ammoniae Ammoniae carbonas Liquor ammoniae carbonatis Liquor ammoniae acetatis Ammoniae murias Amygdala amara, dulcis Oleum amygdalae Confectio amygdalae Mistura amygdalae Various. Pilulae cocciae PiluljeRufi Hiera picra Pilulae aromaticae ecophraticae Essentia aloes Elixir proprietatis vitriolicum Elixir proprietatis Tinctura saera Bismalva. Pulvis stypticus Aqua ammiuosa Bateana Coagulum aluminosum Amomum cardamomum. Dub. Elet- tari cardamomum. Lond. Tinctura stomachica Zingiber officinale. Lond. Heracleum gummiferum. Lond. Emp. ex ammoniaco cum mercurio Spiritus salis ammoniaci cum cake Sal volatilis salis ammoniaci Spiritus salis ammoniaci Spiritus cornu cervi Spiritus Mindereri Ammonia muriata Emulsio communis Balsamum Gileadense 656 TABLE OF SYNONYMES, &C. Edinburgh. Amyris elemifera; resina Anchusa tinctoria Anethum fceniculum Anethum graveolens Angelica archangelica Dublin. Elemi unguentum Anchusa Fceniculum dulce oleum essentiale aqua Angustura Anthemis nobilis extractum Augustura tinctura Chamasmelum extractum decoctum Anthemis pyrethrum Antimonii sulphuretum Antimonii sulphuretum praeparatum praecipitatum oxidum cum sulph. vitrif. vitrificatumcumcera pernitrat. potassae cum phosphate calcis murias tartris vinum Apium petroselinum Aqua destillata Arbutus uva ursi Arctium lappa Argentum nitras Aristolochia serpentaria Arnica montana Aromaticum electuarium Aromaticus pulvis Arsenici oxidum tinctura dococtum compositum Enema catharticum Pyrethrum Sulphuretum antimonii Sulphuretum antimonii praeparatum Sulphur antimoniatum fuscum Pulvis antimonialis Oxydum antimonii nitro.muriati- Tartarum antimoniatum fcum Aqua distiilata Uva ursi Bardana Argentum Nitras argenti Serpentaria virginiana tinctura Arnica Electuarium aromaticum Pulvis aromaticus Arsenici oxydum album TABLE OF SYNONYMES, &C. 657 London. Elemi Unguentum elemi compositum Fceniculum Aqua foeniculi Anethum Aqua anethi Gusparia Infusum cuspariae Anthemis Extractum anthemidis Oleum anthemidis Infusum anthemidis Decoctum malvae compositum Pyrethrum Antimonii sulphuretum Antim. sulphuretum praecipitatum Pulvis antimonialis Antimonii oxydum Antimonium tartarizatum Liquor antimonii tartarizati Aqua distillata Argentum Argenti nitras Serpentaria Tinctura serpentariae Confectio aromatica Pulvis cinnamomi compositus Arsenici oxydum praeparatum 83 Various. Balsamus Arcaei Aqua seminum anethi Angelica sativa Bonplandia. Willd. Cusparia fe. brifuga. Lond. Decoctum commune pro clystere Stibium Sulphur aurat. antim. Kermes mi. nerale Vitrum antimonii Vitrum antimonii ceratum Crocus metallorum Pulvis Jacobi Butyrum ant. Causticum ant. Pulvis Algarothi Tartarus emeticus Vinum antimoniale Lappa major Causticum lunare Doronicum Germauicum Confectio cardiaca Species aromaticae Arsenicum album 658 ABLE OF SYNONYMES, CvC. Edinburgh. Artemisia abrotanum Artemisia Absinthium Artemisia maritima Artemisia santonica Arum maculatum Asarum Europaeum —-----pulvis compositus Astragalus tragacantha, gummi mucilago Atropa belladonna succus spissatus Avena sativa Barytse carbonas murias solutio sulphas Bitumen petroleum Boletus igniarias Bubon galbanum Emplastrum gummosum Calx Calcis aqua linimentum Dublin. Arsenias kali Abrotanum Absinthium vulgare extractum maritimum Santonicum Arum Asarum pulvis compositus Tragacantha mucilago Belladonna Petroleum Barbadeuse Galbanum tinctura emplastrum Calx recens usta Aqua calcis Linimentum calcis carbouas a creta alba Creta, carbonas calcis b marmos album praeparatus potio trochisci pulvis compositus muriatis solutio Cancer pagurus Canella alba Capiscum annuum Carbo ligni Cardamine pratensis Carum carui spiritus praeparata prxcipitata mistura Aqua muriatis calcis Cancer Canella alba Capsicum Carbo ligni Cardaminn Caruon spiritus CABLE OF SYNONYMES, &c London. Various. 659 Liquor arsenicalis Absinthium Asarum Tragacantha Pulvis tragacanthae compositus Belladonna Extractum belladonnae Avena Solutio mineralis Fowleri Semen cinae, seu contra Aron Pulvis sternutatorius Astragalus verus. Lond. Solanum lethale Barytes. Terra ponderosa Petroleum Galbanum Pilulx galbani compositas Emplastrum Galbani compositum Calx Liquor calcis Creta Lapis calcareus Creta praeparata Mistura cretae Pulvis cretae compositus cum opio Terra pond, vitriol. Spathum pond. Oleum petrae Agaricus chirurgorum Pilulae gummosa; Emplastrum commune cum gummi Calx viva Aqua calcis simplex. Solutio calcis Oleum lini cum cake. Julepum e creta, Potio cretacea Tabellae cardialgicae Pulvis ebolo comp. Pulv. cretaceus cum opio Canella alba Capsicum Tinctura capsici Carbo ligni Cardamine Carui Spiritus carui Costus corticosus Carvi Aqua carvi spirituosa 660 TABLE OF SYNONYMES, &e. Edinburgh. Dublin. Caruon oleum essentiale Caryophyllus aromaticus Caryophyllus aromatica Cassia fistula electuarium senna tinctura composita electuarium Cassia fistularis electuarium Senna " tinctura electuarium extractum syrupus infusum Castor fiber; castoreum tinctura Castoreum rossicum tinctura composita Castoreum canadense tinctura Centaurea benedicta Cera alba Carduus benedictus Cera alba Linimentum simplex Unguentum simplex Cera flava unguentum flava purificata unguentum Cervus elaphus, cornu Cornu cervinum Cornu cervini decoctum pulvis liquor volatilis oleum rectificatum Chironia centaurium Centaureum minus Cinara scolymus Cinchona caribaea Cinchona officinalis a communis b flavus c ruber extractum decoctum infusum tinctura Cinchona; Cortex peruvianus extractum rubrae extractum resino. sum decoctum infusum sine calore tinctura TABLE OF SYNONYMES, &C. 661 London. Various. Oleum carui Aqua carui Caryophylli Caryophylli oleum Infusum caryopbyllorum Cassiae pulpa Confectio cassiae Senna Tinctura sennae Confectio sennae Syrupus sennae Infusum sennae Pulvis sennae compositus Castoreum Tinctura castorei Eugenia caryophyllata. Dub.Lond. Diacassia Elixir salutis Electuarium lenitivum Infusum senae commune Cera alba Cera flava Ceratum Emplastrum cerae Cornua Cornu ustum Mistu»a cornu usti Pulvis cornu usti cum opio Cinchona Cinchona lancifolia cordifolia oblongifolia Extractum cinchonae cinchonae resinosum Decoctum cinchonae Infusum cinchona Tinctura cinchonae Apis mellifica. Dub. Unguentum album Emplastrum attrahens Decoctum album Spiritus cornu cervi Oleum cornu cervi fcetidum e cornubus Cinara hortensis Decoctum corticis Peruviani Tinctura corticis Peruviani 662 TABLE OF SYNONYMES, ke. Edinburgh. Citrus aurantium aqua distillafa conserva syrupus Citrus medica, fructus aqua distillata syrupus Coccus cacti Cochlearia armoracia Cochlearia officinalis succus compositus Cocos butyracea, oleum fixum Cokhicum auturanale syrupus Colomba tinctura Oonium maculatum succus spissatus Convolvulus scammonia pulvis compositus Convolvulus jalapa Convolvuli jalapae extractum Dublin. Cinchona tinctura composita Aurantium Hispalense Limon conserva tinctura syrupus syrupus Coccinella Raphanus rusticanus spiritus compositus Cochlearia Cokhicum oxymel Colombo tinctura Cicuta succus spissatus Scammonium electuarium Jalapa Jalapae extractum resinosum tinctura tinctura pulvis compositus Copaifera officinalis, resina liquida Balsamum copaibae Coriandrum sativum Crocus sativus tinctura Croton eleutheria Coriandrum Crocus tinctura Cascarilla tinctura extractum resinosum Cucumis colocynthis Colocynthis London. TABLE OF SYNONYMES, &C. Varfous. 663 Tinctura cinchonae composita Aurantium Infusum aurantii compositum Confectio aurantii Tinctura aurantii Syrupus aurautii Limones Syrupus limonis Coccus Armoracia Spiritus armoracix compositus Infusum armoracix compositum Cokhicum Elixir antihypochondriacum Mala aurantia Conserva flavedinis cort. aur. Tinctura corticis aurantii Syrupus e corticibus aurantiorum Syrupus e succo citriorum Aqua raphani composita Succi ad scorbuticos Oleum palmae Acetum colchici Calumba Infusum calumbae Tinctura calumbae Conium Extractum conii Scammoneae gummi resina Pulvis scammoneae comp. Confectio scammonii Jalapa Extractum jalapae Tinctura jalapae Copaiba Coriandrum Croci stigmata Syrupus croci Cascarilla Tinctura cascarilla? Infusum cascarillae Colocynthidis pulpa Extractum rolocvnthidis Diagrydium Pulvis comitis Warwiceosis Electarium caryocostinum Mechoacanna nigra Extractum jalapii Tinctura jalapii Balsamum Brasiliense Crocus Angiicus Croton cascarilla. Dub. Lond. Clu. tia eleutheria. Linn. 664s TABLE OF Edinburgh. Cuminum cyminum Cuprum subacetis unguentum ammoniaretum pilulae sulphas solutio composita Daphne mezereum Daphnes mezerei decoctum Datura stramonium Daucus carota Delphinium staphisagria Diauthus caryophyllus syrupus Digitalis purpurea tinctura infusum Dolichos pruriens Dorstenia contrajerva Eryngium maritimum Euphorbii officinalis gummi resina Ferrum limatura purificata carbonas praeparatus praecipitatus oxidum nigrum purificatum sulphas exsiccatus oxidum rubrum emplastrum muriatis tinctura et ammoniae murias SYNONYMES, &.C. Dublin. Colocynthis extractum compositum Cuprum iErugo, subacetas cupri praeparata oxymel unguentum Cuprum ammoniatum aqua Sulphas cupri Mezereon Stramonium Daucus sylvestris Staphisagria Caryophyllum rubrum syrupus Digitalis decoctum tinctura Dolichos Eryngium Ferrum Kubigo ferri Carbonas ferri Oxydum ferri nigrum Sulphas ferri exsiccatum Oxydum ferri rubrum Emplastrum thuris Tinctura muriatis ferri cum oxydo rubro Murias ammoniae et ferri Tartarum ferri Vinum ferri TABLE OF London. Extractum colocynthidis comp. Cuminum Emplastrum cumini iErugo Linimentum aeruginis Cuprum ammoniatum Liquor cupri ammoniati Cupri sulphas Mezereum Daucus Staphisagria Digitalis Tinctura digitalis Dolichos Contrajerva Pulvis contrajervae comp. Euphorbium Ferri carbonas Mistura ferri composita Pilulae ferri cum myrrha Ferri sulphas Tinctura ferri muriatis Ferrum ammoniatum Tinctura ferri ammoniati Ferrum tartarizatum Vinum ferri Si SYNONYMES, ke. 6()o Various. Extractum catharticum. Pil. rudii Emplastrum e cymino Viride aeris Mel vEgyptiacum Cuprum ammoniacum Aqua sapphirina Cuprum vitriol. Vitr. cceruleum Aqua styptica Laureola; cocognidium Carota Garyophylla rubra Lapis contrayerva? Chalybs Ferrum alcoholisatum Chalybis rubigo praeparata Mistura myrrhae Griffiths Squamae ferri purificatae Sal martis, vitr. viride. Sal chalybis Vitriolum cakinatum Colcothar vitrioli Emplastrum roborans Tinctura martis in spiritu salis Tinctuara martis aurea. Flores martiales Tinctura florum martialum Mars solubilis. Tartarus martialis Vinum chalybeatum. Vin. martis 666 TABLE Edinburgh. Ferula assa fcetida tinctura pilulae compositae emplastrum Ficus carica Fucus vesiculosus Fraxinus ornus; Manna Gambogia Gentiana lutea extractum infusum tinctura composita vinum compositum Geoffraea inermis decoctum Geum urbanum Glycyrrhiza glabra extractions Glycyrrhizae glabrae trochisci cum opio Gratiola officinalis Guaiacum officinale tinctura * ammoniata decoctum compositum Haematoxyium campechianum extractum Helleborus niger extractum tinctura Helleborus fcetidus Hirudo medicinalis Hordeum distichon decoctum SYNONYMES, cVc. Dublin. Acetas ferri Tinctura acetatis ferri Tinctura acetatis ferri cum alcohol Sulphuretum ferri Assa fcetida lac tinctura Enema foetid urn Pilulae myrrhae compositae Carica Quercus marina pulvis Manna Gambogia Gentiana extractum infusum compositum tinctura composita Geoffrcea Geum urbanum Glycyrrhiza extractum Gratiola Guaiacum tinctura ammoniata Aqua calcis compositum Haematoxyium extractum Helleborus niger; melampodium extractum tinctura Helleboraster Hirudo medicinalis Hordeum distichum decoctum compositum TABLE OF London. Liquor ferri alkalini Assaefcetidae gummi resina Mistura assafcetidae Tinctura assafcetidae Carica Fucus Manna Cambogia Pilulae gambogiae comp. Gentiana Extractum gentianae Infusum gentianae comp. Tinctura gentianae comp. Glycyrrhiza Extractum glycyrrhizae Guaiacum Tinctura guaiaci ammoniata Mistura guaiaci Haematoxylon Extractum haematoxyli Helleborus*niger Tinctura hellebori nigri Helleborus fcetidus Hordeum Decoctum hordei compositum Cerevisiae fermentum SYNONYMES, &C. 667 Various. Extractum martis Tinctura fcetida Pilulae gummosae Emp. antihystericum iEthiops vegetabilis Manna calabrina Stalagmitis gambogioides. L. D Gummi guttae Gentiana rubra Infusum amarum simplex Tinctura amara,Elixir stomachicum Vinum amarum Geoffroya inermis. Dub. Caryophyllata Radix liquiritiae Succus liquiritiae depuratus Trochisci becchici nigri Lignum sanctum Elixir guaiacinum Elixir guaiacinum volatile Decoctum lignorum Lac guaiaci Lignum Campechense Extractum ligni Campechensis Melampodium Extractum melampodii Tinctura melampodii Aqua hordeata Decoctum pectorale 668 TABLE OF Edinburgh. Humulus lupulus Hydra rgyrus purificatus pilulae Hydrargyri emplastrum unguentum Hydrargyri acetis murias sub-murias praecipitatus oxidum cinereum unguentum rubrum per acidum nitricum rubri unguentum nitratis ung. fortius ung. mitius sub-sulphjs flavus sulphuretum nigrum sulphuretum rubrum Hyosciamus njg;>r succus spissatus tinctura Hvssopus officinalis Inula helenium Ipecacuanha Ipecacuanhae et opii pulvis vinum Iris Florentina Juniperus communis Juniperi spiritus compositus oleum volatile Juniperus lycia, resina sabina SYNONYMES, &C. Dublin. Hydrargyrum purificatum pilulae Hydrargyri unguentum mitius Hydrargyrum cum magnesia creta Acetas hydrargyri Murias hydrargyri corrosivum Sub-murias hydrargyri sublimatum praecipitatum ammoniatum unguentum Pulvis hydrargyri cinereus Oxydum hydrargyri nitricum Sub-nitratis hydrargyri unguentum Super-nitratis hydrargyri unguent. Oxydum hydrargyri sulphuricum Sulphuretum hydrargyri nigrum h)drargyri rubrum Hyosciamus succus spissatus tinctura Hyssopus Enula campana Ipecacuanha • , Ipecacuanhae pulvis compositus vinum Juniperus Juniperi spiritus compositus oleum essentiale Olibanum Sabina TABLE OF London. Cataplasma fermenti Humnlus Extractum humuli Tinc'ura humuli Hydrargyrus purificatus Pilulae hydrargyri Emplastrum hydrargyri Unguentum hydrargyri fortius mitius Linimentum hydrargyri Hyd/argyrus cum creta Hydrargyri oxymurias Liquor hydrargyri oxymuriatis Hydrargyri sub-murias Pilulae hydrargyri sub-muriatis Hydrargyrus praecipitatus albus Hydrargyri oxydum cinereum oxydum rubrum nitrico-oxydum Unguentum hydrargyri nitr. oxydi nitratis Hydrargyri sulphuretum rubrum Hyosciamus Extractum hyosciami Tinctura hyosciami Ipecacuanha Pulvis ipecacuanhae comp. Vinum ipecacuanhae Juniperus Spiritus juniperi compositus Oleum juniperi Olibanum Sabina ynonymes, ke. 669 Various. Extractum lupuli Argentum vivum ; Mercurius Pilulae cceruleae Emp. lithargyri cum hydrarg. Unguentum cceruleum fortius mitius Mercurius alkalisatus Mercurius corrosivus sublimatus Lquor bellostii Calomelas. Panacea mere. Pilulae plummeri praecipitatus dulcis Mercurius cosmeticus Unguent, e mercurio praecip. Mercurius solubilis Mercurius cakinatus praecipitatus ruber Unguentum citrinum Turpethum miner. Merc. emet. flav. iEthiops mineralis ; Pulv. hypnot. Cinnabaris factitia Callicocca, or cephaelis ipecacuanha Pulvis Doveri Aqua juniperi composita Thus 670 TABLE Edinburgh. Juniperus oleum volatile Kino tinctura Lactuca virosa succus spissatus Lavandula spica spiritus compositus oleum volatile Laurus camphora; camphora Tinctura camphorae Emulsio camphorata Oleum camphoratum Laurus cassia aqua desrillata Laurus cinnamomum aqua destillata spiritus tinctura composita Laurus nobilis sassafras oleum volatile Leontodon taraxacum Lichen Islandicus Lichen rocella Linum usitatissimum oleum Linum catharticum Lobelia syphilitica Ly thrum salicaria Magnesia carbonas sulphas Marva sibestris Manganesium Mel ONYMES, &.C. Dublin. Sabina oleum essentiale extractum unguentum Kino tinctura Lavandula spiritus compositus oleum essentiale Camphora Spiritus camphoratus Mistura camphorata Oleum camphoratum Cassia lignea Cinnamomum aqua spiritus tinctura composita Sassafras oleum essentiale Taraxacum extractum Lichen islandicus decoctum Litmus Linum ' oleum Linum catharticum Lythrum salicaria Magnesia usta Magnesia Sulphas magnesiae Manganesium Mel despumatum TABLE OF SYNONYMES, ke. London. Various. 671 Ceratum sabinae Kino Tinctura kino Pulvis kino comp. Lavandula Spiritus lavandulae compositus Oleum lavandulae Camphora Spiritus camphorae Mistura camphorae Linimentum camphorae comp. Cinnamomum Aqua cinnamomi oleum Spiritus cinnamomi Tinctura cinnamomi Laurus Sassafras Taraxacum Extractum taraxaci Lichen Decoctum lichenis Linum usitatissimum Oleum lini Infusum lini Linum catharticum composita C Eucalyptus resinifera, Ed.; £ Butea frondosa, Dub. Lactuca sylvestris Spiritus lavend. simp. Oleum spicae Spiritus vinosus camphoratu* Julepum e camphora Linimentum camphorae Xylocassia. Can. Malab. Cannella Aqua cinnamomi simplex Aqua cinnamomi spirituosa Tinctura aromatica Dens leonis Muscus Islandicus Lacmus tinctorius Magnesia Magnesiae carbonas sulphas Malva Mel despumatura Sal catharticum amarum Magnesia vitriariorum 672 TABLE OF Edinburgh. Marrubium rulgare Melaleuca leucadendron,oleum Melissa officinalis Meloe vesicatorius tinctura pulveris unguent. infusi unguentum emplastrum Meloes vesicatorii emplast. comp. Mentha piperita aqua destillata spiritus oleum volatile Mentha pulegium aqua destillata Mentha viridis Menyanthes trifoliata Mimosa catechu, extractum electuarium tinctura infusum Mimosa nilotica, gummi mucilago emulsio Momordica elaterium succus spissatus Morus nigra Moschus moschiferus; Moschus Myristica moschata; Nux moschata spiritus Myroxylon Peruiferum; Balsamum Myrrha tinctura Myrtus pimenta aqua destillata YNONYMES, ke. Dublin. Oxymel Marrubium album Oleum cajeput Cantharis tinctura unguentum Cantharidis emplastrum Emplastrum calefaciens Mentha piperitis aqua oleum essentiale Pulegium aqua oleum essentiale Mentha sativa oleum essentiale aqua infusum compositum Trifolium paludosum Catechu electuarium compositum tinctura Gummi arabicum mucilago Emulsio arabica Cucumis agrestis Elaterium Moschus tinctura Nux moschata spiritus Balsamum Peruvianum Myrrha tinctura Pimento; Piper Jamaicense* aqua TABLE OF London. Oxymel Marrubium Cajuputi oleum Lytta Tinctura lyttac Ceratum lyttae Emplastrum lyttae Mentha piperita var. a. Aqua menthae piperitae Spiritus menthae piperitae Oleum menthae piperitae Pulegium Aqua pulegii Oleum pulegii Spiritus pulegii Mentha viridis Oleum menthae viridis Aqua menthae viridis Spiritus meuthae viridis Menyanthes Catechu extractum Infusum catechu Acaciae gummi Mucilago acaciae Elaterii poma Extractum elaterii Morus Syrupus mori Moschus Mistura moschi Myristicae nuclei Spiritus myristicae Balsamum Peruvianum Myrrha Tinctura myrrhae Pimentae baccae Aqua pimentae S.i SYNONYMES, &C. 673 Various. Oxymel simplex Melaleuca cajuputi. Lond. Lytta vesicatoria. Lond. Unguentum epispastkum fortius Unguentum epispasticum mitius Emplastrum vesicatorium Aquamenth. pip. simplex spirituosa Aqua menthae vulgaris simplex spirituosa Trifolium palustre Acacia catechu. L. Terra Japonica Confectio Japonica Tinctura Japonica Infusum Japonicum Acacia vera. L. Gummi Senegal Julepum e moscho Aqua nucisioschatae spirituosa Balsamum Indicum nigrum Piper Jaroaicense Aqua pimentae spirituosa 67* TABLE OF SYNONYMES, ke. Edinburgh. Dublin. Myrtua spiritus oleum volatile Nicotiana tabacum vinum Olea Europaea; oleum Oleum ammoniatum Oleum sulphuratum Oniscus asellus Opium tinctura ammoniata Pimento spiritus oleum essentiale Nicotiana Oleum olivarum Ammoniae linimentum Millepedae Opium extractum aquosum purificatum tinctura tinctura camphorata syrnpus Electuarium opiatum Pilulae opiatae Pulvis opiatus Origanum majorana Origanum vulgare Ostrea edulis Oxalis acetosella Ovis aries; sevum Papaver somniferum extractum syrupus Papaver rhocas Pastinaca opoponax; gummi resina Phasianus gallus Pimpinella anisum oleum volatile Pinus abies, resina aponte concreta Pilulae e styrace Majorana Origanum oleum essentiale Ostrearum testae praeparatas Sevum ovillum Papaver album syrupus Papaver erraticum syrupus Ovorum testae praeparatx Anisum oleum essentiale spiritus compositus Pix Burgundica Emplastrum aromaticum TABLE OF SYNONYMES, ke. London. Various. 675 Spiritus pimentae Oleum pimentae Tabacum Infusum tabaci Olivae oleum Linimentum ammoniae fortius carbonatis Oleum sulphuratum Opium Extractum opii Tinctura opii camphorae composita Emplastrum opii Vinum opii Confectio opii Pilulae saponis cum opio Linimentum volatile Balsamum sulphuris crassum Extract.thebaicum. Opium colatum Tinctura thebaica.Laudan.liquidum Elixir paregoricum. Ed. paregoricum Lond. Dub. Laudanum liquidum Sydenhami Philonium Londinense Pilulae thebaicas Origanum Oleum origani Ostrea Testae praeparatae Acetosella Sevum Sevum praeparatum Papaveris capsulae Extractum papaveris Syrupus papaveris Decoctum papaveris Rhoeados petala Syrupus rhceados Opoponax Ovum Anisum Oleum anisi Spiritus anisi Pix arida Picis aridae unguentum Emplastrum picis compositum Abietis resina Lujula Syrupus diacodion; Syr. e meconio Unguentum basilicum nigrum Emplastrum cephalicum Thus 676 TABLE OF SYNONYMES, k 245 Butterfly weed 154 C Cabbage bark tree 224 Cajeput tree 267 oil 267 Calamine, prepared . . 455 Calcination 87 Calico tree . . 247 Calomel 442. 446 Caloric 252 Camphor 59 Camphor, tree . . 252 Camphorated acetous acid 497 oil 470 Canella alba 167 Candleberry myrtle 278 Cantharis 269 Caraway . • 176 Carbon 31 oxide of 32 acid of . 32 Carbonate 171 of ammonia 407 barytes . . 172 iron 432 precipitated . 432 lime 172 indurated 172 mixture of 489 prepared 414 soft 142 magnesia 416 potass 394. 395 pure 396 impure 173 soda 402 ENGLISH INDEX. 69& Carbonate, of soda, impure sine, impure prepared Carbonic acid gas Carburetted hydrogen gas Cardamom, lesser . Cardiac confection . ■ Carrot, wild Cascarilla . . • Cassia pod tree . • bark . . tlower buds , water Castor Castor oil Catechu Catalogue of new articles , Cataplasms . Cataplasm of alum , mustard Cathartics Caustic ley • » Caustic common, strong , mild • lunar . » Cedar, red . . Centaury, smaller Cerates Cerate of acetated litharge, compound impure carbonate of zinc savin simple . * Ceruse Chalk prepared . * mixture powder Chalybeate wine Chamomile Charcoal of wood Cherry tree, laurel wild Cicuta Cinchona ofthe Carribean islands common officinal red 175 176 455 583 44. 584 139 532 208 202 176 176. 251 251 251 472 177 323 271 374 545 546 546 108 392 393 394 429 247 180 548 550 558 559 558 292 172 414 489 528 519 142 169 312 310 195 188 180 180 180 700 ENGLISH INDEX. Cinchona, yellow Cinnabar, factitious Cinnamon tree water Citric acid Classification, table of Clove tree Coakum Cochineal Cockspur pepper Coffee Colocynth Colomba Coltsfoot Columbo of Marietta Combustion Compounds of acids, alkalis, and earths Concentration Conserves Conserve of oranges red rose buds Contrayerva Copaiva tree Copper pills preparations of Coral, red Coriander Corrosive sublimate Cowhage Cow parsnip, common Crab, black clawed Crab's eyes Crane's bill Craw fish Cream of tartar Crystalization Crystals of tartar Cuckow pint Cunicum Cure all Currants Damask rose water Damson, mountain Dandelion Decoction D ENGLISH INDEX. 701 Decoctions Decoction of barley cinchona guaiacum, compound marsh mallow mezereon sarsaparilla seneka the woods Deadly night-shade Decomposition Deflagration Deliquesce Demulcents Diacodium . Diaphoretics Digestion Dill Diluents Distillation Distilled spirits waters Diuretics Diuretic salt Dock curled narrow water Dogwood, common swamp or blue berried Doses of medicines Dover's powder Dragon root E Earths Earthy salts Effloresce Elder, common Elecampane Electricity Electuaries Electuary, aromatic of cassia catechu opiate of senna Elixir of camphor guaiacum volatile 702 ENGLISH INDEX. Elixir of health paragoric proprietatis stomachic of vitriol Elm American, (slippery) Elutriation Emetics Emetic weed tartar Emmenagogues Emollients Emulsions Emulsion of almonds ammoniacum camphor Epispastics Epsom salt Ergot Errhines Escharotics Essential salts Ether Evaporation Expectorants Extraction Extraction of pulps Extractive matter Extracts Extract of black hellebore butter nut cinchona chamomile gentian jalap liquorice logwood rue senna white poppy lead, Goulard's Fecula Fennel sweet Fern, male Fetid tincture ENGLISH INDEX. m. Fig tree Fir Scotch Fixed fossil alkaline salt, purified vegetable alkaline salt, purified Flag, blue Flax, common Fluoric acid Flower de luce Flowers of benzoin sulphur washed zinc . Foxglove, common Fusion G Galbanum Gallic acid Gall nut • Galvanism . Gamboge . Garget Garlic . Gases Gentian . • Ginger Glauber's salt Glauber's spirit of nitre Gluten Gold Golden thread Goulard's cerate Goat's thorn Granulation Guaicum, officinal Gum Gum arabic tragacanth pills plaster Hart Hellebore, black fetid white Hemlock Henbane, black H roi ENGLISH INDEX. Herb Ben net Herb Christopher Hiera picra Hips Honey Hooded willow herb Hop, common Horehound, white wild . Horse chesnut Horse raddish Hydrogen . gas Hydro-sulphuret of ammonia Hyssop Indian physic poke tobacco turnip Indigo fera Indigo weed Infusions . , Infusion of catechu cinchona common foxglove gentian, compound rhubarb roses tamarinds and senna Ipecacuan Iron filings of, purified rust of scales of purified Isinglass Ivy Jalap Jamaica pepper Japonic infusion tincture Jerusalem oak .lirason Meed ENGLISH INDEX. 70S Juices, expressed and inspissated Juice inspissated of aconite or wolfsbane black henbane deadly nightshade hemlock thorn apple Juniper 464 464 466 465 465 466 245 Kermes mineral Kino K 424 248 Lady's plume Lambkill Larch tree Laurel, broad-leaved dwarf Lavender thrift . . Lead red white . Leech Lemon tree Lenitive electuary Lettuce, common garden wild Levigation Ley Lime water - . , Liniments Liniment of quicksilver, compound saponaceous simple volatile ,, Liquid laudanum Liquorice . , , Litharge Lithontriptics Liver of sulphur Lixiviation Lobelia , Logwood tree Aunar caustic 287 248 303 247 248 255 345 306 292 292 230 189 533 250 250 84 87 37. 166 413 548 549 513 548 469 510 225 293 122 400 87 258. 262 227 429 89 70S ENGLISH INDEX. M Mace Maceration . Madder Magnesia alba calcined Mahogany Malic acid . Mallow, common Mandrake Manna Marble March violet Marsh mallow rosemary Martial flowers May apple Measures and weights Medical prescriptions Medical electricity Medicated vinegars wines Mercury Mercurial ointment strong miid pills plaster Metallic salts Metais Mezereon ' . Mild epispastic ointment ointment of quicksilver Milder ointment of nitrate of quicksilver Milkweed Mineral waters Minims Mixture of iron compound (Griffith's] Monkshood Moss, Iceland Motherwort Mountain damson Mouthroot Mucilages . Mucilage of gum-arabic gum-tragacanth 37. ENGLISH INDEX. 707 Mucilage of starch 489 Muriatic acid 44, 387 Muriate , 274 of ammonia . . 275 and iron . , 434 antimony 425 barytes 411 quicksilver 438 soda . , 276 M'lPk 273 Mustard, common . 340 white 340 cataplasm . 546 whey . , 341 Myrrh % 280 N Narcotic principle . . 70 Narcotics . . . 97 Nettle, common . 359 Neutral salts . , 46 Nightshade, American , 300 deadly 157 woody 341 garden . 159 Nitrate of potass 284 silver 429 Nitre 284 Nitric acid 44, 384 Nitrous acid , . , 44, 383 diluted 383 oxide gas 581 Nitrogen gas , . . 29 Nutmeg tree 278 0 Oak . 314 Jerusalem 179 oriental . . 314 poison 321 Oats .... 162 Oils, expressed , 58 volatile 58 Oil of almonds 468 amber 390 purified 479 benne seeds • 339 caraway , 477 camphorated 470 708 ENGLISH INDEX. Oil of linseed . . 468 with lime 469 mace ■•■ 278 olive - . , 286 savine . . . 476 turpentine 303 rectified 478 vitriol 127 volatile of anise seeds 477 cinnamon 251 cloves 216 fennel seeds . 478 juniper berries 476 lavender 477 lemon . • 189 mace 278 pennyroyal 478 peppermint 476 pimento • ■ 478 pine, purified 478 rosemary 477 sassafras 254 spearmint ; . . 478 Oily grain . i 339 preparations . . 468 Ointments 548 Ointment of acetite of lead 550 basilicon 552 grey oxide of quicksilver 556 infusion of cantharides . 553 nitrate of quicksilver 557 milder 557 nitrous acid 554 oxide of zinc . 558 impure • . 558 powder of cantharides 553 quicksilver 553 milder 554 red oxide of quicksilver 556 resinous 552 of roses 551 rose water 551 simple 548 of spermaceti 549 sub-acetite of copper 557 sub-muriate of quicksilver and am monia 556 sulphur 553 tat 552 ENGLISH INDEX. 709 Ointment of thorn apple . 551 tutty • . 558 verdigris . 557 white oxide of lead . 550 yellow » 557 Opium . . 293 cultivation of • m 647 Orange, Seville , , 189 peel water . . 472 Oxalic acid , 67 Oxidation , , 28 Oxides , , 34 Oxide of antimony with phosphate of lime 424 sulphur by nitrate of potass 421 arsenic . 288 bismuth . , 163 iron, black , 219 purified , 431 red ? . 434 lead, red , . 292 semi-vitrified » 293 white . , 292 quicksilver, ash coloured , 448 red by nitric acid . 449 zinc , . f 454 impure • r 293 prepared . 455 Oxygen . « 28 Oxygenation . 28 Oxygen gas , . 580 Oyster P ■ 287 Palma christi , 323 Palm oil , . , 192 tree , 192 Paragoric elixir . 511 Pearl ashes . 173 barley . . . 231 Pennyroyal 271 water . . 472 Pepper, black 305 Jamaica . 281 long v' 305 Peppermint . 270 water . 472 Peruvian bark . ,. 180 Phosphate of lime, impure 416 soda , 403 7lQ ENGLISH INDEX. Phosphoric acid 45 Phosphorus 33 Pills, aloetic 538 of acetite of lead and ipecacuan 539 aloes and assa fcetida 538 coloquintida 538 myrrh 539 ammoniaret of copper 540 assa fcetida, compound 539 opium . . . 541 plummer . . 543 quicksilver 540 rhubarb, compound 542 squill 542 stomachic : 542 Pimento tree 281 water 472 Pink, Carolina 343 Pitch, Burgundy 303 Plantain 305 Piasters 548 Plaster, adhesive 562 of assa fcetida 662 common 561 gum ^ 562 of quicksilver 563 red oxide of iron . 564 resinous 562 compound 560 saponaceous 563 of semi-vitrified oxide of lead 561 simple 559 of Spanish flies 560 compound 560 strengthening 564 Pleurisy root 154 Poison berry tree 267 Poison oak 321 vine 320 Poke root 360 weed 360 Ponderous spar 349 Poppy white 293 Potass . 39. 393 with lime 394 Potassa . 39 Potatoe fly . 262 wild 198 ENGLISH INDEX. 711 Poultice, linseed carrot fermenting Powders Powder of aloes with canella asarabacca, compound carbonate of lime, compound cinnamon, compound ipecacuan and opium, (Dover's) jalap, compound opiate of scammony, compound super-sulphate of alumina and pot- ass, compound tragacanth, compound . Precipitation Prickly ash yellow wood popny Pcii'p of India or China Proof spirit Prunes, French . Prussic acid Buccoon Pulps, extraction of Pulverization Quassia Quicksilver Quicklime purified Q R Raisins Rattlesnake root Rectification Red precipitated mercury Refrigerants Resin of pine Rhododendron, yellow flowered Rhubarb Rochelle salt Rock oil Rose, damask dog red. 712 ENGLISH INDEX. Rosemary Rubefacients Rue 325 118 327 Saccharine matter Sacred elixir, tincture Saffron, common Sage Sago Sal aeratus . ammoniac polychrest Salop Salt of amber hartshorn steel tartar Salts, neutral Salt petre Saponaceous plaster Sarsaparilla Sassafras Saturation Saturnine ointment Saunders red Savine cerate Scammony Sculkap, blue Scurvy grass, garden Sea salt Seneka Senna American Septfoil Seltzer water Setterwort Sheep Shrub yellow root Sialagogues Sifting Silex Silkweed Silver Simples, collection and preservation of ^inapism ENGLISH INDEX. 713 Skoke 300 Skunk cabbage . . 150 Snake root, Virginian 149 weed . t 309 Soap, Spanish 333 castile . 333 Soda 40 water 573 Soluble tartar . 401 Solution .... 85 of acetite of zinc . 457 carbonate of ammonia 409 muriate of barytes 413 lime 415 potass 392 super-carbonate of iron 433 potass . 397 soda 402 sulphate of copper compound. 431 arsenic 457 Southern wood 150 Spanish flies . , 269 Spearmint 270 water 472 Spermaceti BOO Spirit of ammonia 406 fetid . , 474 caraway 473 cinnamon 473 juniper, compound 474 lavender 473 compound 507 mindererus 409 nitrous ether . . 462 nitre dulcified 464 nutmeg 473 peppermint 473 pimento . • 473 rosemary 473 sea salt 387 sp'&armint 473 vitriol, dulcified 461 wine 133 Sponge . 344 Spruce fir . • 303 Spurge laurel . 204 Spurred rye 337 Squill .... 335 dried 335 pills 542 90 71* ENGLISH INDEX. Squill vinegar 496 Stag ; 179 Starch 357 Stibium .... 352 Stimulants 105 Strong epispastic ointment 553 Strong mercurial ointment . 554 Stronties .... 38 Styptic powder 431. 530 Sub-acetite of copper 347 Sub-borate of soda 347 Sublimation . . 89 Sub-muriate of quicksilver . 442 precipitated 446 and ammonia 447 Sub-Bulphate of quicksilver, yellow 450 Succinic acid, 390 Sugar .... 328 brown 328 cane . . . 328 double refined 328 candy . . 328 of lead 452 Sulphate of barytes 349 copper 349 iron 433 dried . . 434 magnesia 350 potass 399 with sulphur 400 soda 404 zinc 455 Sulphates 46 Sulphur .... 33 sublimed 351 washed 381 Sulphur ointment 553 Sulphurated hydrogen 33 oil 469 Sulphuric acid 43. 127 diluted 382 ether 459 with alcohol 461 Sulphurous acid 43 Sulphuret of antimony 352 precipitated ' 423 prepared 421 potass 400 quicksilver, black 451 red 451 ENGLISH INDEX, 715 Sumach, narrow-leaved Pennsylvanian swamp Virginain (stags horn) . white Super-sulphate of alumina and potass Super-tartrite of potass impure . Swallow-wort Sweet flag Sweet-smelling balsam tree Swietenia Synthesis Syrups Syrup of balsam of tolu <-_ . buckthorn damask roses ginger lemons marsh mallow « orange peel red roses simple of squills violets . whi^e poppies. T Tamarind tree (tamarinds) Tannin Tansy Tar ointment . * Tartar Tartar emetic Tartaric acid Tartrite of antimony potass aud soda Thebaic electuary pills tincture Thorn apple Thoroughwort Tin Tinctures . made with etherial spirits Tincture of aloes, etherial dried 320 320 321 320 321 348 420 354 354 154 131 279 355 27 491 494 493 493 492 492 491 491 494 491 494 495 492 355 64 356 304 552 354 426 67 426 401 405 534 541 521 205 217 345 498 515 515 •16 ENGLISH INDEX. incture of aloes and myrrh 4&9 angustura 502 aromatic S07 of assa fcetida 500 balsam of tolu 514 benzoin, compound 500 black hellebore . 506 henbane 506 camphor . w 501 cantharides 508 strong i 508 cardamom 499 cascarilla . 501 castor 502 compound 517 catechu 508 cinchona . 502 compound 503 cinnamon 507 compound 507 colomba 503 common foxglove 504 gentian, compound . 505 guaiacum 505 ammoniated (volatile) 517 hop . 515 jalap 504 kino . 506 lavender, compound 507 muriate of ammonia and iron 509 iron 509 musk 509 myrrh 510 opium 510 ammoniated 518 . camphorated 511 peruvian bark 502 Huxham's 503 rhubarb 512 bitter . 512 rhubarb, sweet 513 and aloes . 512 and gentian 512 sacred 519 of saffron 504 senna compound 502 soap 513 and opium 513 socotorine aloes . 498 squills . 514 ENGLISH INDEX. 747 Tincture thebaic 510. 521 of Virginian snake root 500 white hellebore 514 Tobacco 281 Tonics ... 101 Toothach tree * . . 147 Tragacanth . • . 157 Traumatic balsam , , 500 Trituration • . . 84 Troches of carbonate of lime 535 chalk . . . 535 liquorice with opium 535 magnesia • » • 536 Tulip bearing poplar six. 257 Turmeric . 204 Turner's cerate . . . 558 Turpentine, common . * * 304 oil of 303 Venice . 303 Turpeth, mineral . 450 Tutty . • 293 prepared . 455 • y Valerian, wild . 360 Varnish tree 321 Vegetable acids . . . 65 mineral water 454 analysis . 47 Verdigris . 347 Vine . 363 Vinegar . 125 distilled . . . 388 plant 320 Violet, March . . ■ 363 Vitrified oxide of antimony with sulphur, 422 wax 423 Vitriolated tartar . 399 Vitriol, blue ,349 green . 433 white . 455 Vitriolic elixir proprietatis 515 acid • 127 diluted . 382 ether . « 459 Volatile liniment . 469 oils 475 tinctures W 517 Wake robbin ,» «* *. 152 718 ENGLISH INDEX. Water 31. 143 of acetated litharge 453 acetite of ammonia 409 ammonia . . * 409 caustic 405 carbonic acid 391 avens 225 distilled 472 potass 392 styptic 431 dock 326 flag 244 Waters of Stafford spring 571 Wax, white 178 yellow 178 Weights and measures 91 Wheat 357 White walnut 245 precipitate of mercury . 447 ointment 650 Wild indigo 342 Willow, broad leaved 329 red . . . 200 white . . m . 329 Wine . " . 363 Amerkan 366 of gentian, compound 520 ipecacuan 520 iron . • 519 opium, compound 521 rhubarb 522 socotorine aloes 619 tartrite of antimony- 522 tobacco 521 Winter berry . 310 Witch hazel 227 Wolfsbane . ' . 130 Wood sorrel 288 Worm seed . . . . 150 Wormwood, common 150 Y Yellow ointment 557 root shrub . . 367 wood, prickly 368 & . 2inc .... 369 oxide of 454 impure 293 prepared 455 LATIN INDEX. Acetis hydrargyri 436 plumbi 452 potassae 398 Acetum aromaticum 496 scillae maritime 496 Acidum acetosum 125 camphoratum 497 distillatum 388 forte 389 benzoicum 67. 389 muriaticum 44. 387 nitricum 44. 384 nitrosum 44. 383 dilutum 383 succinicum 390 sulphuricum 127 aromaticum 516 dilutum 382 Acipenser sturio 128 Aconiturn napellus 130 Acorus calamus 131 Actea spicata r 131 iEsculus hippocastanum 132 iEther sulphuricus 459 Cum alcohole 461 aromaticus 516 Agrimonia eupatoria 133 Alcornoque 370 Alcohol . • • 71. 133 ammoniatum 406 aromaticum 517 fcetidum 474 dPutum 134 Allium sativum 135 Aloe perfoliata 136 hepatica 156 socotorina . . • 13S 10 LATIN INDEX. Althaea officinalis 13? Ammoniacum 138 Ammoniaretum cupri 430 Amomum repens . 139 zingiber 138 Amygdalus communis 139 Amyris gileadensis 140 Anethum fceniculum 140 graveolens . 141 Angelica 141 Angustura 142 Anthemis nobilis 142 Aqua 143 acetitis ammonia? 409 acidi carbonki 391 ammoniae 405 citri aurantii . 472 carbonatis ammoniae 409 calcis . . . 413 super-carbonatis ferri 433 destillata . 472 fortis 384 tenuis . 383 lauri cinnamomi 472 lauri cassiae 473 lithargyri acetati 452 menthae piperitae 472 pulegii 472 viridis 472 myrti pimentae 472 potassae 392 rosae damascenae 472 super-carbonatis potassae 397 sodae 402 Aralia spinosa 147 Arbutus uva ursi 147 Arctium lappa 148 Argemone mexicana. 148 Argentum 149 vivum 332 Aristolochia serpentaria 149 Artemisia abrotanum 150 absinthium 150 santonica 150 Arum Amerkanum 150 maculatum . 152 triphyllum 153 ^Asarum europaeum 153 Asclepias decumbenS 154 LATIN INDEX. 731 Asclepias syriaca Astragalus tragacantha Atropa belladonna Avena sativa Aurum Balneum mariae Bismuthum . Bitumen petroleum Bubon galbanum B 156 157 157 162 159 87 163 165 166 Calx Cancer astacus pagurus Canella alba Cantharis Capsicum annuum Carbo ligni Carbonas ammoniae barytaes . calcis praeparatus ferri praecipitatus magnesiae potassae, impurus purissimus sodae impurus zinci impurus praeparatus Carum carui Cassia fistula marilandica senna Castor fiber Cataplasma aluminis sinapeos lini dauci fermenti Centaurea benedicta Cera alba . ; flava €»eratum simplex 91 723 LATIN INDEX'. Ceratum carbonatis zinci impuri lithargyri acetati compositum sabinae Cervus elaphus Chenopodium anthelminticum Chironia centaurium Cicuta Cinchona caribaea officinalis Citrus aurantium medica Cocos butyracea Coccus cacti Cochlearia armoracia officinalis Coffea Colomba Cordum maculatum Conferva citri aurantii rosae gallicae Convolvulus jalapa panduratus scammonia Copaifera officinalis Corallium rubrum Coriandrum sativum Cornus florida sericea Crocus sativus Croton elenlheria Cucumis colocynthis Cuprum Curcuma longa D Daphne mezereum Datura stramonium tatula Daucus carota Decoctum althaeas officinalis cinchonae officinalis daphnes mezerei guajaci compositum hordei distichi polygalae senegae smilacis sarsaparilla; Digitalis purpurea Dolichos pruriens Dorstenia contrajerva LATIN INDEX. :72« E Electuarium aromaticum cassias fistulae sennae catechu opiatum Emplastrum assae foetidae gummosum meloes vesicatorii compositum hydrargyri oxidi plumbi semivitrei ferri rubri resinosum compositum saponaceum simplex Emulsio amygdali communis ammoniaci camphorata . . Eugenia caryophyllata Eupatorium perfoliatum • pilosum Extractum anthemidis nobilis cassias sennae cinchonae officinalis convolvuli jalapae gentianae luteae glycyrrhizae glabrae hasmatoxyli campechensis hellebori nigri jug!andis cinereae papaveris somniferi rutae graveolentis Fecula Ferrum Ferri limatura purificata oxidum nigrum . purificatum Ferula assa fcetida Ficus carica Frasera carolinensis Fraxinus ornus Gambogia Gentiana lutea G 72* LATIN INDEX. Geoffraea inermis Geranium maculatum Geum urbanum Glycyrrhiza glabra Guajacum officinale H Hamamelis Virginiana Haematoxyium campechianum Helleborus fcetidus niger . Heracleum sphondylium Hirudo medicinalis , Hordeum distichon Hamulus lupulas . Hydrargyrus purificatus Hydro-sulphuretum ammoniae Hyoscyamus niger Hyssopus officinalis Ichthyocolla Infusum cinchonae officinalis digitalis purpureae gentianae compositum mimosas catechu rhei palmati rosae gallicae tamarindiet sennas Inula helenium . Ipecacuanha Iris pseudacorus Juglans cinerea Juniperus communis sabina Virginiana Kalmia latifolia angustifolia Kino K Lactuca sativa \ ;iosa Lajirus camphora LATIN INDEX. 7S Laurus cassia 251 cinnamomum 251 sassafras 254 Lavandula spica 255 Leonorus cardiaca 256 Leontodon taraxacum 255 Lichen islandicus , 256 Linementum hydrargyri compositum 549 simplex 548 Linum usitatissimum 257 Liquor arseni calis 457 Liriodendron tulipifera . xix. 257 Lobelia inflata 258 syphilitica 262 Lytta vittata 262 M Magnesia ; 37. 419 Malva sylvestris 264 Maranta arundinacea 264 Marrubium vulgare . , 266 Mel 266 Melaleuca leucadendron 267 Melia azedarach 267 Melissa officinalis 268 Meloe niger , 264 vesicatorius 269 Mentha piperita 270 pulegium 27t viridis 270 Mimosa catechu 271 nilotica 272 Mistura carbonatis calcis 489 ferri compositae 435 Moschus moschiferus 273 Mucilago amyli " . 489 astragali tragacantha; 490 mimosas niloticas 490 Murias 274 ammoniae 275 et ferri 434 antimonii 425 barytae 411 hydrargyri 438 sodas 276 Myrica cerifera humulis 278 Myristica moschata 278 Myroxylon peruiferum 279 Myrrha 280 Myrtus pimenta 281 726 LATIN INDEX. N N'cotiana tabacum , 281 Nigel la . 283 Nitras argenti . . 429 potassae ■ 284 0 Olea Europaea . . 286 Oleum ammoniatum . 469 amygdali communis . . 468 camphoratum ■. 470 earui . ( 477 fceniculi dulcis , 478 juniperi sabinas , , 476 lini usitatissimi , , 468 cum cake . . 469 succini et acidum succinicum . 390 purissimum . . 479 sulphuratum . , 469 eugenias caryophyllatae . 216 juniperi communis , , 476 lauri cinnamomi , , 251 lavandulae spicae • . 477 menthas piperitae . . 476 pulegii , 478 viridis , . 478 myristicae moschatae ~ 278 myrti pimentae . 478 pimpinellas anisi . 477 pini purissirn\im , 478 rorismarini officinalis . . 477 Orchis mascula , m 287 Ost.ea edulis • ^287 Ovis aries , , 287 Oxalis acetosella 288 Oxidum antimonii cum phospha e calcis 424 sulphure per nitratum [potassae . 421 vitri ficatum 422 vitrificatum cum cera 423 arsenici . . 288 ferri nigrum purificatum . 431 rubrum . . 434 hydrargyri cinereum . 448 rubrum per acidum nitricum 449 plumbi album , , 292 rubrum , 292 semi-vitreum 293 zinci 454 LATIN INDEX. 1%\ Oxidum zinci iropurum 293 praeparatum 455 P Panacea antimonii 428 Papaver somniferum t 293 Phosphas calcis impurus 416 sodas . . 403 Physeter macrocephalus 300 Phytolacca decandra . 300 Pilulae acetitis plumbi et ipecacuanhae 539 aloes et assas fcetidas 538 colocynthidis 538 myrrhae 539 aloeticae 538 ammoniareti cupri 540 ferri cum myrrha 543 gambogia compositae 543 assae fcetidas compositae 539 hydrargyri 540 opiatae 641 plummeri 543 rhei compositae . . 542 scilliticae 542 Pimpinella anisum 302 Pinus abies 303 balsamea 303 larix 303 sylvestris 3@4 Piper longum 309 nigrum 305 Plantago 305 Plumbum 306 Podaigria tinctoria 342 Podophyllum peltatum 306 Polygala senega 307 Polygonum bistorta 309 Polypodium filix mas 309 Potassa 393 cum cake 394 Potassium 40 Prinos verticillatus 310 Prunus laurocerasus 312 domestica 311 Virginiana 310 Pterocarpus santolinus 313 Pulparum extractio 467 Pulvis aloes cum canella 531 asari compositus . ■•*• 528 728 XATIN INDEX. Pulvis carbonatis calcis compositus . astragali tragacanthae compositus cinnamomi compositus ipecacuanhae et opii . . jalapas compositus . opiatus scammonii compositus super-sulphatis aluminas et potassae [compositus tragacanthae compositus Quassia excelsa simaruba Quercus cerris robur . Q R Resina pini Rhamnus catharticus . Rheum palmatum Rhododendron crysanthum Rhus copallinum glabrum radicans toxicodendron . typhinum . vernix Ribes . Ricinus communis Rosa canina damascena gallica Rosmarinus officinalis . Rubia tinctorum . Rumex Acutus aquaticus crispus Ruta Graveolens Saccharum officinarum Salix alba latifolia Sal catharticus amarus Salvia officinalis . Sambucus nigra Sanguinaria canadensis Sapo LATIN INDEX. 729 Scatellaria lateriflora Scilla maritima exsiccata Secale cornutum Sesamum orientale Sinapis alba nigra Smilax sarsaparilla . A Sodium . Solanum dulcamara Solutio acetitis zinci muriatis barytas calcis sulphatis cupri composita Sophora tinctoria Spigelia marilandica Spina cervina Spiraea trifoliata . - . Spiritus aetheris nitrosi cari carui juniperi compositus lauri cinnamomi lavandulae spicae menthae piperitae viridis myristicae mogchatas , myrti pimentae rorismarini officinalis Spongia officinalis Stannum Statke limonium Sty rax benzoin Sub-acetis cupri . Sub-boras sodae Sub-murias hydrargyri prascipitatus et ammoniae Sub-sulphas hydrargyri flavus Succinum Succus spissatus aconiti napelli . atropas belladonna conii maculati . daturae stramonii hyoscyami nigri Sulphas barytes . cupri ferri exsiccatus maguesiae 92 730 LATIN INDEX. Sulphas potassx 399 cam sulphure 400 sodas 404 zinci 455 Sulphur sublimatum . ■. 351 lotum . 381 Sulphuretum antimonii 352 praecipitatum 423 praeparatum 421 hydrargyri nigrum 451 rubrum 451 potassae . 400 Super-tartris potassae 354 impurus 351 Super-sulphas aluminae et potassae 348 exsiccatus 420 Swietenia febrifuga 355 mahagony 355 Syrupus althaeae officinalis 491 amomi zingiberis 492 citri aurantii ; 492 citri medicas 492 papaveris somniferi 492 rhamni cathartici i 493 rosae damascenae . 493 gallicae 494 scillae maritimae 494 simplex 491 toluiferae balsami 494 violae odoratas 495 T Tamarindus indica 355 Tanacetum vulgare .r 356 Tartris antimonii . » . 426 potassae 401 et sodae 405 Tinctura aloes aetherea 515 socotorinas 498 et myrrhas 499 amomi repentis 499 angusturas 502 aristolochiae serpentariae 500 benzoin composita 500 camphorae 501 castorei 502 composita 517 ciuchonae officinalis 502 composita 503 LATIN INDEX. 731 Tinctura cinnamomi composita 507 colombas 503 convolvuli jalapae 304 croci sativi 50* digitalis purpureae 504 eleutherise 501 ferulae assae fcetidas 500 gentianae composita 505 guajaci ammoniati . 517 officinalis 505 hellebori nigri 506 humuli . 515 hyoscyami nigri 506 kino 506 lauri cinnamomi 507 lavandulae composita 507 meloes vesicatorii 508 fortior 508 mimosae catechu 508 moschi 509 muriatis ferri 509 ammoniae et ferri . 509 myrrhae 510 opii 510 ammoniata ,? 518 camphorata 511 rhei dulcis 513 et aloes , 512 et gentianae 512 palmati 512 saponis 513 et opii 513 scillae maritimae 514 sennae composita 502 toluiferae balsami 514 veratri albi ' . 514 Toluifera balsamum 356 Tormentilla erecta 357 Triticum aestivum 357 Trochisci carbonatis calcis 535 glycyrrhizas cum opio 535 magnesiae 536 Tussilago farfara 357 U Ulmus Americana 358 Unguentum acetitis plumbi 550 acidi nitrosi 554 aquas rosae 551 732 LATIN INDEX. Unguentum hydrargyri . 554 mitius . 554 infusi meloes vesicatorii 553 nitratis hydrargyr i 557 mitius 557 oxidi hydrargyri cinerei 556 rubri 556 plumbi albi 550 zinci 558 impuri . 558 physeteris macro cephali sevi 549 picis . 552 pulveris meloes vesicatorii 553 resinosum . 552 rosarum . 551 simplex . 548 stramonii . . 551 sub-acetitis cupri . 557 sub.muriatis hydrargyri et ammoniae 556 sulphuris . 553 Urtica dioica • 359 V Valeriana officinalis , , 360 Veratrum album i . 360 Vinum aloes socotorinas , 519 ferri 519 gentianae compositum 520 ipecacuanhae . 520 nicotiana' tabaci . 521 opii compositum 521 rhei palmati . 522 tartritis antimonii 522 Viola odorata 363 Vitis vinifera • 363 X Xanthorhiza apiifolia . 367 tinctoria • . 367 Xanthoxylum clava herculis , 368 fraxini-folium 369 Zincum Z 369 wz.