WS] 'WW W'fw'H>j,«Wlv^(U(HiiS ^SH JUM >>" '••■'• ."'f^ "^RT -.;'! UOMPARAIIV m Wwm NATIONAL LIBRARY OF MEDICINE ^ssaaacaayM^saMKaz NLM001001739 / A1ST ODEX or COMPARATIVE THERAPEUTICS TABLES OF DIFFERENTIAL DIAGNOSIS, A PRONOUNCING DOSE-LIST IN THE GENITIVE CASE, A LIST OF MEDICINES USED IN HOMCEOPATHIC PRACTICE, MEMORANDA CONCERNING INICAL THERMOMETRY, INCOMPATIBILITY OF MEDICINES, ETHICS, OBSTETRICS, POISONS, ANAESTHETICS, FEES, ASPHYXIA, URINARY EXAMINATIONS, HOMCEOPATHIC PHARMACOLOGY AND NOMEN- CLATURE, Etc., Etc. By SAMUEL 0. L.^ POTTER, A.M., M.D., President of the Milwaukee Academy of Medicine, Author of "The Logical Basis of the High Potency Question," and many other essays in defence of the Milwaukee Test. [SECOND EDITION.] 'Jjtullius aftifctua jursrc in brrta maestri."—Horatius. CHICAGO: DUNCAN BROTHERS. 1882. WBC 1662 COPYRIGHT 1880 By SAM'L O. L. POTTER. TO THE MEMORY OP MY PRECEPTORS AND FRIENDS, R. H. COURTENAY, M.B. (Lond.), L.R.C.S.I., AND GEORGE KEMP, M.R.C.S. (Edin.), THIS COMPILATION IS AFFECTIONATELY INSCRIBED. PREFACE. The object aimed at in this book is to present the therapeutics of the two great Medical Schools in the manner* best adapted to comparative study and quick reference. In parallel columns are placed the remedies recommended by the most eminent and liberal teachers in the regular and homoeopathic branches of the profession. The drugs common to both schools are in black type, and following them, in-italics, are the remedies peculiar to each; with short, concise indications for their use, and references to authorities for all state- ments except those made by the compiler. These references enable the book to be used as an index to the authorities, for more strict differentiation between indicated drugs. As this Index is intended for the use of all physicians, the giving of undue prominence to the methods of either party has been avoided as much as possible. The plan necessitated giving prece- dence in the drug arrangement to the similar remedies; and therefore the precedence of position has been given to the older school. The critical reader will no doubt notice, under any given title, the omission of some favorite remedies, and the insertion of others which to him may seem less important. The compiler has been compelled to use his own judgment in regard to this, and cannot expect that the result will please all. Homceopathists will miss many names from the list of authorities. The nature of the plan prohib- ited the use of references to authors who deny disease-entity, or omit pathological and physiological indications for drug-usage. To have presented pure symptomatology properly would have been to expand the book to the dimensions of a ten-volume octavo, and to incorporate material which would be essentially foreign to an Index of Comparative Therapeutics. Many difficulties were encountered in following the arrrangement as designed. Remedial agents and measures would constantly appear on apparently the wrong side of the page. The necessity of vi PREFACK. forcing each article into two equal parts has proven to be a mechan- ical difficulty not easily overcome. In presenting this book to the students and practitioners of the medical profession, the author would remind them that it is not intended to be used as a substitute for, but as an index to many great works upon Therapeutics. This science, the end of all medical know- ledge, the capstone in the temple of -lEsculapius, deserves the most earnest and unremitting study; and in the hope that his compilation will make that study more comprehensive, and at the same time less difficult, the author commits the book to the consideration of his brethren. The undersigned is under many obligations to Prof. H. G. Piffard, of New York, for encouragement and many kind suggestions; to Dr. Lewis Sherman, of Milwaukee, for his invaluable assistance in revis- ing the proof of the Dose-Lists; and to Dr. Edwin A. Gatchell, of Milwaukee, for his cheerful assistance in reading the proof of these pageS' Sam'l O. L. Potter. Milwaukee, Wis., Sept., 1880. The sale of a large edition of this book within a few months after its appearance has given me the opportunity of thoroughly revising the text. Many typographical and other errors have been corrected, and additions have been made to several articles. I desire to return my thanks for the many appreciative notices which my labor has received from reviewers and practitioners in both schools of medicine. Milwaukee, Sept., 1881- ABBREVIATIONS [Compare Dose-List, and Homceopathic Dose-List, on page 81 et seq.] aa—Ana, Of each. Ad—To, up to. Ad lib.—Ad libitum, At pleasure. Aq. bull.—Aqua bulliens, Boiling water. Aq. dest— Aqua destillata, Distilled water. Aq. ferv.—Aqua fervens, Hot water. Aq. font.—Aq. fontana, Spring water. Bis die—Bis in die, Twice daily. C—Congius, A gallon. Cerat.— Ceratum, A cerate. Comp.—Compositus, Compound. Cort.—Cortex, Bark. Decoct.—Deeoctum, A decoction. Dil.—Dilutus, Dilute. Emp.— Emplastrum, A plaster. Esp.—Especially. Ext.— Externally. Extr.—Extractum, An extract. Fl.—Fluidus, Fhiid. Ft.—Fiat, Let be made. Gr.—Granum, grana, A grain, grains. Gtt.—Gutta, guttse, A drop, drops. Haust.—Haustus, A draught. Inf.—Infusum, An infusion. Int.—Internally. Lb.—Libra, A pound Liq.—Liquor, A solution. M—Misce, Mix. Mist.—Mistura, A mixture. Mucil.—Mucilago, A mucilage. No.—Numero, In number. O.—Octarius, A pint. O, in the dose-list—Crude drug, original substance. Par. seq.—Partes sequales, Equalparts. Pil.—Pilula, pilulae, A pill, pills. P. r. n.—Pro re nata. According to cir- cumstances. Proph.—Prophylactic. Pulv.—Pulveris, A powder. Q. s.—Quantum" sufficiat, As much as is necessary. 1J—Recipe, Take. Ss. —Semissis, A half. S., Sig.—Signa, Write. Solv.—Solve, Dissolve. Sol.—Solutio, A solution. Spt.—Spiritus, A spirit. Suppos.—Suppositoria, A suppository. Syr.—Syrupus, A syrup. Tablesp.—A tablespoonful. Teasp.—A teaspoonful. Tinct., —Tinctura, A tincture. Trit.—Trituratus, A trituration. Troch.—Troehiscus, A lozenge. Ter die—Ter in die, Tlirice daily. Ung.—Unguentum, An ointment. Vin.—Vinum, A wine. Note.—Fractions below # are expressed thus: 1-10 (one-tenth), 1-60 (one-six- tieth^. All quantities not fractional are usually expressed by Roman numerals, thus: gr. x-xv (ten to fifteen grains). Such abbreviations as inflam'n, temp., oint., scarcely require explanation. Many such are used throughout the book. REFERENCES AND BIBLIOGRAPHY, [In the left-hand column.] (A)—Aitken. The Science and Practice of Medicine, 3rd Amer.ed. ,Phila, 1878. (Ag)—Agnew. Principles and Practice of Surgery, Phila., 1878. (B)—Bartholow. Materia Medica and Therapeutics, 3rd ed., N. Y., 1879. (Q—Carter. A Practical Treatise on Dis- eases of the Eye, Phila., 1876. (CI)—Clarke. A Manual of the Practice of Surgery, N. Y., 1879. (D)—Druitt. Manual of Modern Surgery, 11th ed., Lond., 1878. (E)—Emmett. Principles and Practice of Gynaecology, Phila., 1879. (El)—Ellis. Practical Manual of Diseases of Children, 3rd ed.,N.Y., 1879. (L)—Leishman. A System of Midwifery, 2nded., Phila., 1875. (N)—Niemeyer. A Text-book of Practical Medicine, 8th ed., N. Y., 1879. (P)— Phillips. Mat. Med. and Therapeu- tics, Veg. Kingdom, N. Y. 1879. (Pf)—Piffard. Editor of Phillips' Ma- teria Medica, etc., N. Y., 1879. (R)—Ringer. A Handbook of Therapeu- tics, 6th ed., N.Y., 1878. (Ros)—Rosenthal. Treatise on Diseases of the Nervous System, N. Y. 1878. (S)—Stille. Therapeutics and Materia Medica, 4th ed., Phila., 1879. rgt)_Sturgis. The Student's Manual of Venereal Diseases, N. Y , 1880. jT)—Tanner. An Index of Diseases and their Treatment, London, 1876. (Tr)—Trousseau. Therapeutics, by Trous- seau & Pidoux, 9th ed., N. Y., 1880. (Tt)—Tait. Diseases of Women, 2nd ed., N. Y., 1879. (W)—Wood. Therapeutics, Mat. Medica and Toxicology, 3rd ed., Phila. ,1880. (\Va>—Waring. Practical Therapeutics, 3rd American ed., Phila., 1879. Besides the above, occasional references are made to other works by the same authors. References will also be found to Anstie, Brown-Sequard, Clymer, Cohen, Da Costa, Fordyce-Barker, Hammond, Hilton, Lister, Mitchell, N61aton, Nussbaum, Ricord, Simpson, Thomas; Bayes, Dake, Dudgeon, Dunham, Fleischmann, Hartmann, Holcombe, Johnson, Kafka, Leadam, Lewis, Neidhard, Pope, Russell, Sherman, Sircar, Teste, Woodyatt, and many others. viii [In the right-hand column.] (A)—Angell. A Treatise on Diseases of the Eye, 5thed.,N.Y., 1879. (.A & N)—Allen and Norton. Ophthalmic Therapeutics, N. Y., 1876. (B)—Bahr. ScienceofTherap'utics.accord- ing to principles of Horn., N. Y. ,1875. (F)—Franklin. The Science and Art of Surgery, St. Louis, 1867. tQt)—Gatchell. A Handbook of Diet in Disease. Chicago, 1880. (H)—Hughes. Manuals of Pharmacody- namics and Therapeutics.Lond. ,'78. (Ha)—Hale. Special Therapeutics of the New Remedies. 5th ed., N.Y., 1880. (Hah'n)—Hahnemann. Various writings by Dr. Samuel Hahnemann. (Heiy-Helmuth. A System of Surgerv. 4th ed., N. Y. and Phila., 1879. (Hg)—Hering. Various writings by Dr. Coustantine Hering, Phila. (Hpt)—Hempel, Chas. J. Materia Medica and Ther., 2d ed., N. Y., 1864. (J)-Jahr. Various writings by Dr. G. H. G. Jahr, of Paris, France. (Js)—Jousset. Lectures on Clinical Medi- cine, Chicago, 1880. (Ky-Kidd. The Laws of Therapeutics, London, 1878. (D—LUienthal. Homoeopathic Therapeu- tics, 2nded., N.Y., 1879. (Ldy—Ludlam. Notes to Jousset's Clinic;. Medicine, Chicago, 1880. (M)—Mexjhoffer. Chronic Diseases of the Organs of Respiration, London, '71. (Mg)—Morgan. Contagious Diseases, Lon- don, 1877. (Mn)— Marsdcn. Handbook of Practical Midwifery, N.Y. and Phila., 1879. (Ey—Ruddock. Text-book of Medici) and Surgery, London, 1879. (VonG)—Von Grauvogl. Text-book o. Homoeopathy, Chicago, 1870. index Comparative Therapeutics, ABDOMINAL PLETHOEA. (Compare Ascites.) Cathartics, saline, mercurial, and hydra- gogue; compound cathartic pill bcst(B). Mineral Waters, the saline, benefit (B). Grape-cure, has cured many cases (P). Aliment, water-free food, esp. cases from excessive beer-drinking(B); avoid bread, salted, seasoned, or twice-cooked meat, rich sauces, solid vegetables esp. cucum- bers, soups, end fruit. Biscuits, lemons, fresh meat, fish, fowl, game may be used. Silica, Sulph. lx, Ars. 3x, in scrofulous children (R). Cina, from worms (R). Bapt. typhoid condition (R). Dig., Tertb., Ars., dropsy (R). See Ascites. Coloc. or Kvx vom tympanitis (R). Cimicif. pains shooting across (R). Iod., Phylo., Ferr. mur.,Vr,ij ter die; Calc., Ars. iod. 3*, Mere, iod , mesenteric (R). China, Carbo vcg. 3x, It is, Boms 3x, Ign. 8x (E). ABOKTION. (Compare Hemorrhage Uterine. Ergot, in threatened abortion, small tonic doses have given excellent results (P). Cimicifuga, to prevent miscarriage when irritable uterus aiid prolapsus (R). Savin, the dried powder of the leaves, gr. xv- xx ter die; one of the most powerful and valuable remedies against the he- morrhage indicative of approaching abortion (Wa); one of the most powerful emmenagogues, with the advantage of being safe (P). See Amenorrhcea. Aurum, the chloride, to avert tendency to habitual abortion (B). Tannin, combined with opium and ipe- cac, in threatened abortion (Wa). Opium, often valuable, cautiously (Wa). Abortifacients. Aloe's,cotton-root,savin, rue, cantharis, apiol, colocynth, quinia, lead—all are dangerous to life in quanti- ties sufficient to produce abortion (B). Secale, as prophylactic, to check tendency (II). Secale or Caul, severe spasmodic irregular pains (R). Cimicif. has frequently caused, and has been successfully used to prevent " ha- bitual abortion ' (Ha); when from uter- ine irritation depending on rheumatic causes (Hpl). Sabina, free discharge of blood (R); when from irritation (H). Am. if from fall or mechanical injury (R). Cham, if caused by anger, fright, etc. (R). Aeon, quick pulse, febrile symptoms (R). Ham. discharge, but no pain (R). Ustil. 3-s bearing-down pains (Ha). Caul, much recommended as prophylac- tic (H); esp. when pains spasmodic (Ha). Nuxvom. as prophy.with constipation (R), Calc. carb., Sulph., scrofulous subjects (R). Sepia, Heton., as prophylactics (R). ABSCESS. Belladonna, as plaster, to subdue (B); in- ternally, often successful (R); painted around areola (Wa). Calcic or Potassic Sulphide, half-grain doses, frequently repeated, to abort abs- cess, or to hasten formation of pus (B); gr. 1-10 of sulph. calc. every hour or two with a gr. of sugar of milk, gives strik- ing results in healing large abscesses (R). Calcic Phosphate, in large abscesses (R). Mercury and Morphia, oleate of, locally, diminishes induration due to old abs- cesses; prevents formation of new (R). Carbolic Acid, a weak solution as injection after evacuation, and as dressing (Lister). Silver Nitrate, a strong solution in nitrous ether, if applied early to adjacent terri- tory, will check inflammation (B). Counter-irritation, by blisters or iodine around or adjacent to the disease (R). Poultices, to check, or assist in maturation, may be smeared with Bell, or Opium (R). Potassie Permang. 5j-Oj aquae, to correct fetor (B). Iodine, tinct. injected after opening large (B, R): esp. in scrofulous abscess (Wa) Salicylic and Boracic Acids, dressings (B). Sarsaparilla, in chronic abscess, with pro- fuse discharge, very useful medicine (P). Cod-liver Oil, improves and dimishes dis- charge from scrofulous abscesses (Wa) Surgical. Opening necessary in deep abscess, when on face, near anus, mam- mary, or danger of its opening into an internal cavity. Open with grooved di- rec'or and forceps (Hilton). Never open a deep abscess with a plunse. Drainage tube may be required; also irrigation of cavity and pressure (Agnew). Bel!.. Merc, Aeon., before suppuration. Bell, in mammary abscess, shining, red, swollen. A solution of the same locally. Severe pains, headache, etc. (R). Hepar sulph. cheeks when impending, and promotes when inevitable (77, R). Calc. assists healing after suppuration is completed, and the elimination of dis- ease from the constitution (R). Merc, averts when pus threatens (H); painful abscesses, nocturnal aggrava- tions of pain (R). Ac. Carbol. scrofulous (R); highly-diluted injection freely into indolent abscesses (Hpl). Silica, tardy, long-continued, or unheal- thy discharge, chronic abscess, and abs- cess of bone. Facilitates suppuration, and moderates it when excessive (R,H). Am. early stage, and when arising from aninj'iry(-R). Arsen. severe burning pain, symptoms of general vital depression (R). China , 3 to 5 drop doses, sustains during suppuration or excessive discharges (R). Calend. locally (R): kills suppuration (H). Ac.phos., Silic, Aurum, chronic abscess, diseased bone (R). Merc, Hepar sulph., Aeon., abscess of liver (R); evacuation by aspirator (R, Js). Bry., Silicate of Calc, earliest signs of mammary abscess (R). Phos. in mammary, int. and ext. during formation, with hot-water dressing (iJ). Phyto. U, int. and ext. in mammary, if Bry. and Phos. fail (R, Ha). Calc. iod., Calc. sil., Ars. iod., Sulph., Aur. 3\ scrofulous (R). Tomato, poultices (R). ACIDITY. (Compare Dyspepsia.) Acids, Hydrochloric or phosphoric, before j Ac sulph. recommended by Hah'n (H). meals, acid wine—a genuine Rhine wine gtt. xx-xxx in water, for pyrosis (R). best; sulphurous (ItT,v-5J- well diluted,) Ac. cit. Lemon-juice 2 hours after meals, 1 for acid fermentation of starchy ele- | part to 2 of water, teasp. doses (K). ments (B, R). Acids after meals for al- Alkalies, inadmissible; except as a very kaline pyrosis (R). See Tannic and \ rare temporary expedient (H). Carbolic Acids, below. . Nux vom. nausea after meals, cannot bear Alkalies, after meals relieve, effects not tight clothing; patients of dark, bilious permanent (B. R); Bicarbonates best (R). I complexion and sedentary habits (R). COMPARATIVE Nux Vomica, excellent in small doses (B); especially in acidity of pregnancy (R); gtt. ij-iij before meals Pulsatilla, gtt. v, every 4 hours in water in acidity of dyspepsia (P). Silver Oxide, extremely useful (B). Bismuth, I> Bism. subnitrat. 5iij; ac-car- bol. gr. ij-iv; mucil. acaciae Sj; aq. menth. pip. Siij. M. big.—A tablesp. for adults 3 or 4 times a day. Gives excellent results (B); combined with morphia or opium, sometimes with magnesia (R). Ipecacuanha, in acidity of pregnancy (R). Mercury, Gr. ss. ter die, when with clayey stools (R). Manganese Oxide, gr. x-xv of the purified black oxide, relieves (B). Tannic Acid, useful in pill, lTJ?j. of glycer- in with gr. iv. of tannin (B). Carbolic Acid, often arrests eructations (B); see Bismuth. Kino, a favorite remedy (B). Phosphorus, the compound syrup of the hypophosphites in acne indurata. Is excellent as a substitute for arsenic (B). Arsenic, in old cases, esp. acne rosacea; often disappoints. Given with potass. brom. prevents the bromic acne (R, B). Belladonna, locally of some slight service, checks abundant secretion from the se- baceous follicles (R). Sulphur, internally, and as lotion. In severe forms an ointment of the iodide (R); sulph. 5i; glycerini si; aquae rosae O ss. Sig. Lotion. Potassic Bromide, cures, inmod. doses(R). Borax, a solution in rose or elder water, of great benefit in acne simplex (Wa). Mercury, in lotions much employed (B). In early stages a lotion of hydr.chlor. corr. 1 part to 100 of water, with alcohol enough to dissolve it. A teasp. of this to 0>4 of water to be applied with a sponge to the face bis die (R). Alkaline Lotions, for persons with greasy skin. R Liq. potassse 5j; aq. rosae Siv; apply with soft sponge bis die (B). Bismuth, locally to skin, as cosmetic (B) Glycerin, int. has been successful (B). I therapeutics. 3 Puis. , food tastes bitter, gentle disposi- tion (R). Arg. nit. heartburn (H); eructations, acute stitches in liver (R). Calc. carb. the most useful medicine in acidity (H). Iris, vomiting, indigestion of milk (77a). Carbo vcg. great fullness after eating, flat- ulence (R). Bry. Loss of taste, vomiting of bile, pres- sure or weight as of a stone after food (R). Lye. elderly persons (R); sour eructations (77). Ver. alb. 1*, thirst for cold drinks (R). Robinia, or Calc. carb. chronic acidity (R). Phos. 3*, during pregnancy (R). Aeon, rising of sweetish water to mouth, burning sensation along oesophagus, qualmish stomach (Hpl). Diet. Use lemon-juice, aerated bread, and plain biscuits. Avoid new bread, much vegetables, pastry (R). Phos. praised in obstinate cases (77); .4c phos. from onanism (R). Arsen. chron. cases (77); acne rosacea (72). Ars. iod., Ars. brom., Sulph. iod., Carbo. an. promise best in acne rosacea (77). Bell., Puis, simple acne in young people (77); in the plethoric, Bell., esp. when bright-red pimples (R); severe cases of acne rosacea, Bell., Ars. (7?). Sulph. chronic cases of acne simplex, locally with brush each day (77); some- times aggravates (R). Kali brom., Kali-iod. acne indurata (77). Kali brom. crop of boils; on face, scalp and back (77). Borax, acne of plethoric young women; red, papulous eruption on cheeks and chin (Hpl). Bary. carb., Calc. carb. maggot pimp. (R). Rumcx, with rumex and sulph. oint.(72). Jug. C, Dros., Sep. 3x, Borax, Petrol. (72). Agar., Nuxvom., Opi. acne rosacea from use of alcohol (R). Rhus. 3*, Merc. 3-s acne rosacea in young persons (72). Sulph., Ant. cru.. Apis, Rhus. rod. acne I rosacea (72). ACNE. 4 INDEX OF Water, hot sponging for acne indurata, with soap several times a day If this irritates, rub in glycerite of starch after each washing (R). Diet and Hygiene. Require careful attention, saline mineral waters (B). ADDISON'S Iron, the tinct. of the chloride, spt. chlo- roform! aa ItJJxv-xx, glycerini r;ij in a single dose, produced decided advant- age (Gieenhow). Treatment, of little use; hygienic man agement, and perhaps iron or other tonics; disease always fatal (H). Cinchona, gr. vj-xij a day, with iron or arsenic (B); for pule, badly-fed town dwellers (R); as a general tonic when flesh flabby, skin perspiring (P). Arsenic, for swelled feet of old or weakly persons, and breathlessness from weak heart (R); tonic in continued doses of gr. 1-60 to 1-12 (Wa). Nux Vomica, in adynamia of drunkards. U Tinct. capsici 3vj; tinct. nucis vom 3ij gtt. xx in water every four hours (B). Lime Salts, the phosphate, when from prolonged town life or overwork, gr. j, with gr. j each of phosphate of iron and carbonate of lime, for a dose (R). Hypo- phosphites, of lime or soda, in nervous or general debility (R). Iron, promotes appetite and digestion. Gr i-iij of the sulphate, or the officinal iron and aloes pill, or with manganese (B): anaemic subjects (R). Hydrastia, as substitute for quinine, to promote appetite and digestion and im- prove assimilation (B). Digitalis or Eucalyptus, with weak heart- action (B). Bitters, especially Calumba, useful for a short time (B). Manganese (B); Gentian, Quassia (R). Sanguinaria, when stomach needs stimu- lation (P). SarsapanMa.broken-down, syphilitic con- stitutions (P). Ant. cru., Puk., Hepar sulph., Calc. carb. acne strophulosa (72). Sarz. , acne vulgaris, especially at time of puberty (72). Iod. Homoeopathic to acne punctata, which it often causes (72). DISEASE. Ars. would seem indicated (77). Iod. might aid to attack the scrofulous process in the capsules (77). Kreas., Apomorphia, may perhaps do something for the vomiting (77). Arg. nit. a promising remedy; benefited one case (L). China, great debility, with trembling, ex- cessive nervous sensitiveness; disposi- tion to sweat (L); nervous debility, and that from loss of animal fluids (72). Arsen. nervous debility, malarial, and asthenic fevers, with great prostration (72, 77). Nux vom. irritable, aversion to open air and exercise, disposition to lie down (L); digestive derangement; nervous de- bility from sexual excess (72). Calc. carb. in constitutional (72); from loss of animal fluids or sexual excesses (L). Ferr. debility from loss of fluids, anaemic (72). Fcrr. phos. constitutional debility, especially of children (72). Ac. phos. the best nerve-tonic. Debility without erethism [with China] (77); from loss of fluids, extreme delicacy, irrita- bility (72). Anac. sexual debility, nervous prostra- tion from seminal emissions (77). Mosch. nervous, feeble pulse, cold ex- tremities (72). Curare, debility from exhaustive ill- nesses (77). Iod. constitutional, tendency to faint, glandular enlargements (72). Ac. picric, asthenia from diminished nu- trition; better in open air and when at rest (L). Selen. great nervous debility after typhus; sexual desire, debility of organs (X). ADYNAMIA. (Compare Convalescence.) comparative therapeutics. 5 Sea-bathing, in chronic illnesses, with debility (R). Alcohol, is of great value, but has been abused; hurtful when it increases temp. and pulse, dryness of tongue, etc. (B). A wine with much ether in debility of old age, especially where sleeplessness, indigestion and stomach cramps (R). Aliment, sugar and saccharine fruits, veg- etables, oil, milk, cod-liver oil, wine of good body and strength (B). Porter or rum-and-milk for town-living women (R). Gelsemium, suspends, large doses (TT£xx) necessary (B). Cimicifuga, relieves and allays general nervous excitement (P). Ergot, preferable to Cimicifuga (R). Camphor, gr. x-gr. VA morphiae, an effec- tive remedy (B); Sj in vj of mucilage, tablesp. doses every hour or two (Wa). Belladonna, as ointment, used in France (L). See Morphia below. Ch loroform. linim. chlorof. sj, soap linim. 5vj to abdomen on flannel (Barker). Qvinia, gr. v-x night and morning, with the above chlorof. lin. locally, in neu- ralgic after-pains which do not yield to opiates; uterus tender on pressure (Barker). Chloral, will stop; large doses (gr. xx-xl) necessary (R). Morphia and Atropia, gr. #-1-100 com- bined (B); morph. hypodermically (Wa). Opium, valuable, and more certain in ac- tion than any other remedy (Wa). Poultices, warm, over hypogaster, sooth- ing injections into vagina(L), Ricinus Communis, Gr. v, of extract, or Sj—ij of strong decoction, daily in water; also the leaves, or an infusion, locally to mammae (T). Gossypivm, an emulsion of the seeds has repute in India, as a galactagogue. A winegl. of the decoction every 20 or 30 minutes (P). Alelris, debility of females from long ill- ness, or defective nutrition; debility after diphtheria (L). Helon, from loss of fluids (72). Ign. nervous debility (72). Cod-liver Oil, Glycerin (72). Water-cure, mild, in some cases (72). Turkish Baths, when caused by the tropics; caution necessary. When town- dwellers become stout and flabby, are easily tired, suffer from lack of energy and mental depression, a course of baths is beneficial (R). Gels. 1*, most to be relied on (77); is re- commended (72). Cimicif. 2, rheumatic uterus(77); neuralgic or irritable disposition (77a). Secale. pains continuous (77); in high dilutions (72). Camph. severe, cramp-like pains (72). Bell, with headache, flushed face, nerv- ousness (72). Chloroform, gtt. v-OX aquae, teasp. doses, when chloroform has been given to ex- cess during labor (Ld). Caul, when spasmodic (77a). Nux vom. pains press on rectum or blad- der (77); flatulence, discharge of large, firm clots (72). Cocc. pains intestinal rather than uterine (77). .4)-n. ext. and int. (72); given just after delivery will do much (77). Coff. extreme sensibility, restlessness (72). Cham, irritable patients (72, 77). Xanlhox. neuralgic pains in thin, nervous subjects (77a). Ign., Puis., sometimes required (77). Asaf. has repute, when with hyper-sensi- tiveness (77). Puis, promotes the secretion (77). Urt. ur. lx, (72); sudden suppression, or deficiency after labor (77a). Bell, may afford great aid, in scrofulous patients with tendency to cerebral con- gestions (Hpt), AETEE-PAINS. AGALACTIA. (Compare Lactation.; 6 index of ALBUMINURIA. (Cod Aconite, in incipient, high body temp. (R). Lead, diminishes the albumen (R). Turpentine, gtt. ss-j, every 2 to 4 hours (P) Cannabis Indica, bloody urine (R). Chimaphila, has unquestionable power (P). Cantharis, Ttpj every 3 hours; bloody urine, after subsidence of acute symptoms (R). Gallic Acid, for acute. Aitkin's formula is: R Acidi gallici 5j-5ij; acid sulph. dil. 5ss; tinct. lupuli Sj; infus. lupuli Svj. M. Sig.—A tablesp. ter die (B, P). Alkalies, citrates and acetates as diuret- ics (R). Turkish Baths, benefit (R). Milk-cure, esp. with buttermilk (B). Chalybeate Waters, the purgative (B). A rsenic, for distressing vomiting, one drop ofliq. arsenit. before breakfast (R). Capsicum, in dyspepsia of chtonic alco- holism, and to induce sleep; also as sub- stitute for the alcohol. Gr. x, with hon- ey (B). With bromide or arsenic and bitters to assist in overcoming habit, lttx doses of tinct. (R). Quinia, esp. the cinchona rubra, for gas- tric catarrh of drunkards (B); gr. ij-vj daily to raise the nervous tone (P). Nux Vomica, for after stomachal disorders (B); in tremor of chronic alcoholism, of much value (P). Bromides, 3j every 4-6 hours in the "horrors" (B). Phosphorus, in chronic alcoholism (R). Opium, cautiously, if at all (B). Chloral, very successful; gr. xv-xx; cau- tiously with old worn-out drunkards (B). Picrotoxine, for tremors. Small doses. Gr. 1-20 repeated (B). Zmcic Oxide, in chronic. 5 Zin. ox. 3j; piper. 3j. M. ft. pil. no. xx. Sig.—One ter die (B). Lvpuline, R Ext. lupulinae fl., tinct. cap- sici aa Sj. Sig.—1 or 2 teasp. as necessary. This is the best substitute for alcoholic stimulants, also extremely useful for the "horrors "(B). pare Brigiit's Disease.) Aeon, incipient cases (72). Plumb, in incipient; diminishes the al bumen (77). Tereb. urinary symptoms (72); blood in urine (77). Cann. ind., Chimaph. Canth. (Hpl). Bell, early in the case (77). Ac.-phos. or Helon, when from nervous irritaf n, probably a fiequent cause (77). Lye. urates, renal colic, pain in back (72). Silic. diminishes the albumen (77). Apocy. can. oedema and dropsy (72). Aur. general and local dropsy (77). Arsen., Apis, in albuminuria of preg- nancy (77). * Merc. corr. in alb. of pregnancy (Ld). Ars. vomiting, in the morning usually (72). Caps, large doses in sugar water (72); nj;x doses of tinct. for atonic dyspepsia of drunkards (77). Sulph. quin. with tremors (72). Nux vom. the most frequently indicated remedy (72); in chronic of value for ner- vous degeneration (77). Kali brom. to produce sleep (L). Phos. in chronic alcoholism, for nutri- tion of nervous centres. Also fatty foods (77). Opium, stertorous breathing, coma (L). Chloroform, internally (72). Bell, delirium, gtt. ij every 2 hours(72). Agar, recommended from exper'nee (77). Ant. tart, gastric irritation; delirium tre- mens from beer (77). Asar. of great repute in Russia for effects of excessive drinking (77). Hyos. hysterical subjects, sanguine tem- perament (L). Zinc, in nerve degeneiation from chronic alcoholism; is homoeopathic (77). Strain, in active mania-a-potu; furious rage, hallucinations (77). In acute alcoholism use emetic, or stomach-pump; cold douche to head and breast; warmth to feet and limbs; ! artificial respiration may be required. ALCOHOLISM. (Compare Delirium Tremens, Vomiting.) comparative therapeutics. 7 Ammonia, a full dose of sp. of ammonia will often speedily sober a drunkard (R). A few drops of liq. ammoniae, diluted, have prompt action (S). Cantharides tinct., 1 part to § of castor oil, well rubbed into roots of hair, night and morning (Wa). Arsenic, HIv of liq. arsen. ter die, exercises a more or less powerful influence (Wa). Nitric Acid, with olive oil, makes a ser- viceable liniment (Wa). Ammonia,Wilson's favorite wash is H Ol. amygd., liq. ammoniae aa Sj; spt. rosma- rini, aq. mellis Sa Siij. M., ft. lotio (Wa). Glycerin, in combination with the above remedies (Wa). - Sulphur Iodide, has been found very effec- tual, ext. and int. (Wa). Frequent shaving may often save the hair in alopecia after illness (72). Arnica, has long been a popular remedy in Germany. Mannoir employed it with much success (P, Wa). Rue, in minim, doses night and morning, for dimness of vision from functional amaurotic condition. Elgakaji says it produces dim vision, and in smaller doses improves the eyesight (P). Strychnia, may cure, in functional amau- rosis, from lead, tobacco and alcohol (B). Gr. 1-40 hypodermically (Nagel). Hypo- dermically in tobacco and traumatic amaurosis, and in progressive nerve atrophy not dependent on inter-cranial disease (R). Santonin, has given very satisfactory re- sults (Wa). Milk, mucilaginous drinks, black coffee, are principal remedies for acute cases of alcoholic poisoning (Hg). A milk diet often creates a disgust for alcohol (Z). Canth. int., and ext. in pomade (72). Arsen. in non-syphilitic cases; has caused alopecia (77). Ac. nit. Kali carb. after nervous fevers (72). Kali carb. great dryness of hair (72). Ac. fluor. has cured when syphilitic his- tory (77). Ac. phos. after illness; from general de- bility (72, 77). Phos. 5j, ad 01. ricini Sj, locally thrice weekly (72). Sulph. with chronic headache (72). Also Hepar sulph., Calc. carb., Aloes, Au- rum, Iod., Natr. mur., Sil., Sepia. Use clean brushes with long bristles, brush against the natural lay of the hair. (72). Arn., Ruta, from over use of eyes (72). Nux vom. excessive mental labor, from stimulants (72, A & N). Santoh. 1*, hyperaesthesia of retina, dim- ness, haziness; gr. j at night (72). Zinc, periodic, with headache (72). Merc. corr. organic change, struma (72). Bell, congestion, photophobia (72). Phos. debility, or old age. Ac. phos. self- abuse (72). Ferr. mur, from anaemia in the young (72). Euphrasia, lachrymation, catarrh (72). Lith. carb. hemiopia, right obscured (77). Macrotin, retinal hyperaesthesia (A). Gels, thirst for light, post-diphtheritic (72). Tabacum, when due to excessive smok- ing (77). .ALLOPATHY. (Compare Homceopathy.) The common rendering of Allceopathia, a term invented by Hahnemann, and applied by him and his followers to designate the ordinary method of medical practice, as opposed to Homceopathy. The "regular" medical profession is now vulgarly known by this title, which is, however, repudiated by the members thereof, who consider it a contemptuous epithet. ALOPECIA. (Compare Tinea .) AMAUROSIS AND AMBLYOPIA. 8 INDEX of Veratria, as lotion brushed over eyelids, brows and temples, once a day; often useful. R Veratriae gr. x; aether, sulph. gij; sp. vini rectif. sj. M. Should not touch the conjunctiva (Wa.) Seton, a small scion in the temple, kept open for a long period, has been found effectual when other remedies failed (Wa). Aconite, sudden suppression from cold (B, R, P). Pulsatilla, in sudden suppression, also aconite (B); often of the greatest value in functional form (P). Iron, when from anaemia, the most fre- quent cause. Small doses preferred. Solution of acetate, or ferri ct ammo- niae citras (gr. ij), or ferri et strychnia! citras (gr. j), also chalybeate waters. Caution.—Careful diagnosis before giv- ing iron (B). Cimicifuga, has been recommended (R): is of very great value (P). Arsenic, combined with iron, when from functional inactivity of ovaries (B). Aurum Salts, from torpor of ovaries (B). Ignatia, in suppression of hysteria(P). Nux Vomica, small doses of the extract, of benefit in some obstinate cas:s (Wa). Silver Nitrate, in substance lightly to the os uteri, at time of expected discharge (Wa). Colocynth, in chlorotic amenorrhcea (P). Ergot, has cured when due to plethora (B); when anaemia after use of iron (R), in chlorotic (P). Rue, in functional inactivity. 01. rutae, TTfij-v (B, P). Sanguinaria, functional, in absence of ple- thora. R Tinct. sanguin., tinct. nucis vom., aa 5ij; tinct. aloes, sss; M. gtt. xx bis vel ter in die (B, P). Savin, general atony. Ext. sabinae fl., Tftv-x (B, R, P). Serpcntaria,xvUh anaemia or chlorosis (B). Ammonium Cliloride, for headache (R). Aloes, when dependent on anaemia(B); at the periods, with hot pediluvia, friction, etc. (R, P). China, debility, loss of fluids (77). Aeon, rheumatic, from cold, or pressure of interna) carotid artery (72). Glon.. Cacl. complicated with heart- trouble (72). Puis, if suppressed meuses(72). Sang, severe throbbing headaches (72). Cimicif. aching in eyeballs (72). Crocus, gauze before the eyes (7J). Aeon, from chill or fright(77); full-blooded patients, disturbed circulation, delay of first menses (72); exposure to wet or simi- lar rheumatic causes (Hpl). Puis, simple cases of scanty menstruation (72): from chill; mild, tearful disposition (77); delay of first menses (A'). Ferr., Helon.. with anaemia; delay of first menses (72). Cimicif. torpor of ovaries, hysteria, pain in left breast and side, rheumatic tendency (72); pains in limbs, headache, nervous excitement, peevishness (Hpl). Arsen. prostration and emaciation, poor appetite, swollen ankles, feet, or face(72). Auri et Sodii Chlor. 1, 3, in atonic (77a). Ign.. Hyos., suppressed, from grief (72). Nux vom. morning headache, constipa- tion, spasms, acute indigestion,sedentary habits (72). Arg. Nit. watery discharge (72). Coloc, Ciiam., suppressed, from anger(72). Phos. delicate constitution, chronic diar- rhoea, tendency to chest-disease (72). Bell, symptomsof cerebral irritation (Hpl); during intervals, with Aeon, at period, in scanty menstruation,due to plethora (77). Graph, delayed, scanty, with constipa- tion (77): unhealthy skin (72). Sepia, much leucorrhcea, chlorosis, he- morrhoids (It); constipation, chronic cases (77). Calc. with incipient tuberculosis (Ld). Kali carb. has specific action (77). .Were, sallow complex., liver derang't(/2). Apis, congestion to head, delirium, ten- dency to dropsy.mental depression (Hpl). Coff., Oj)i., suppressed, excessive joy (72). Oi>i. heat and redness of face (L). AMENORRHEA. comparative therapeutics. 9 Apiol, when from functional inactivity. First give iron for the blood; next, aloetic purgatives, then apiol (gr. xv) just pre- ceding the period; or a daily dose for a week, or several days before (B). Senega, a saturated decoction of the root, to extent of a pint in 24 hours, during preceding two weeks, advantageous (P). Sitz-baths, hot, for six days before period; mustard may be added at period. Often effectual in sudden suppression (R). Spinal-ice-bag, to lower dorsal and lum- ber vertebrae; or cold sponging useful(R). Electricity, in atony of uterus and ovaries (B). Nux Vomica, stimulates blood-making or- gans. R- Ferri, sulph. exsic. sij; qui- niae sulph., 3i; strychniae sulph. gr. ss. M. fit pil. no. xx. Sig.—One ter die (B). Iron, its chief value is to improve diges- tion; also furnishes haematin to the blood. The most astringent preparation after meals, best. Also chalybeate wa- ters (B). Some stomachs, with irritable mucous membrane, require bland pre- parations. A pale, flabby tongue indi- cates large doses of the perchloride or sulphate (R). Arsenic, as adjunct to iron, and where iron cannot be borne, or fails (B). Quinia, for badly-fed town dwellers (R). Hypophosphilcs of Lime or Soda, should not be given with iron, cod-liver oil. or stimulants (R). Phosphate of Lime, in anaemia of growing persons, and of women weakened by rapid child-bearing or excessive men- struation (R). Lacto-phosphate of Lime, for nursing moth- ers, or in waste from suppuration (B). Acids, added to purgative salts as tonics to the mucous membrane (R). Pepsin, is recommended by Hollmann (B). Manganese, alone not of much use; is best combined with iron (B). Is not, like iron, found in the faeces, nor does it cause constipation (Wa). Galvanization, as aid to remedies (B). Cold Sponging, is useful (R). Wines, red wines best (B). Helleb., Cyclam., Senecio, may serve if Pulsatilla fail (77). Sulph. scrofulous, skin eruptions, tempo- rary flushes of heat (77). Nat. mur. constipat'n,dry,sallowskin(7i). Conium, general torpor of organs (77). Bary. carb.. Plat., Ver. alb (72). Am. when due to over-exertion, a cold, etc.; when symptoms of abdominal ple- thora (Hpl). Bry. when induced by rheumatic expo- sure, cutting pains in bowels, nausea, determination of blood to head (Hpl). Sitz-bath, 58°-60', at bed-time, with fric- tion (72). Nux vom. persons of sedentary habits, di- gestion feeble from debauchery (77). Ferrum. the acetate or iodide, 2*, 3*, is homoeopathic to the condition (77); with scanty or suppressed menses (72). Ferr. pyro phos. by some considered the best chalybeate (72). Iron of no use in pro- gressive, pernicious anaemia (77). Ars. rapid prostration, fear of death, great emaciation, coldness, esp. in idiopathic or progressive pernicious anaemia (77). China, for the exhaustion consequent on loss of blood or other fluids (77). Puis, with disordered menstruation (72,77). Argen. and Zincum, homoeopathic (77). Helon. lx, when iron disagrees (77). Nat. sulph. has been recommended as a specific (72). Ac. phos. loss of seminal fluid (72). Nat. mur. 3*, when iron fails (72). Iod., Merc, Macrot., are also used (72). Ac. picric, very highly recommended, esp. in idiopathic anaemia (Hpl). Aeon, when of chlorotic origin; the 6, if from loss of vital fluids (77p0. Cold Sponging, needs great caution, or may lower tone by minute degrees (72). Diet and Hygiene, of prime importance. Nourishing, digestible food, in as large quantities as can be assimilated—milk, eggs, animal broths; afterwards, fish, poultry, game, mutton, etc. Moderate daily out-of-door exercise, in pure air, is indispensable. Bathing, especially sea-bathing, aids restoration (72). AN5 10 index of ANESTHESIA. The purest anaesthetics indispensable. Never administer chloroform where fatty degeneration of heart exists. Old drunkards are peculiarly unfavorable subjects. Dangerous where tumor or abscess of brain. Enlarged tonsils, swollen epiglottis, oedema of glottis, emphysema of lungs, are contraindications. No operation should be commenced in incomplete anaesthesia. Administration shouid be slow at first, with a nearly empty stomach, clothes all loose, recumbent posture. Whisky or brandy 3j-ij before inhalation, to sustain heart and prolong narcosis (B). Morphia, subcutaneously, diminishes danger, and relieves the after-pain of operation (Nuss- baum). In chloroform a., 96}^ per cent, of atmospheric air necessary for safety and anaesthesia. The "London Committee" recommend a mixture of alcohol, partj; chloroform, parts ij; ether, parts iij; given on a handkerchief, or a flannel stretched over a wire frame. Chloroform is the most dangerous, but produces less vomiting. Ether is regarded as safer; bichloride of methyl still more safe. Watch the pulse, respiration, and countenance. If heart stops, remove the vapor and invert the patient (N61aton). If respiration arrested, artificial respiration by Sylvester's method (see Asphyxia), forcible drawing out of tongue, and artificial warmth, with faradi- zation of the respiratory muscles (B). In obstetrics, caution necessary with primi- para;. Only during existence of the pain should it be practiced, and not usually before the end of the first stage. If it causes great excitement, and lessens uterine con- tractions, it should be withdrawn. Incautiously used, anaesthetics have produced many evil results in labor (B). Vomiting may be relieved after anaesthesia by morph. gr. }4 with gr. 1-125 of atropia, injected subcutaneously (B). Local Anaesthesia. Use ether (sp. gr. not to exceed 0.723) or rhigolene, with hand-ball spray apparatus (B). ANEURISM. Potassic Iodide, in large doses (gr. xv-3ss), 3 or 4 times a day, gives great relief, and has cured (B); combined with recum- bent position and restricted diet (R). Veratrum Viride, aids surgical expedients: also in large internal aneurisms, with absolute recumbence and a little opium; vomiting to be avoided (B). Ergot, with recumbent position; favors coagulation of the blood in sac (B); er- gotine (P). Chloroform, inhalation, greatdyspnoea(R). Plumbic Acetate, a valuable auxiliary to the more important items of rest, diet, and mechanical appliances; gr iij-vter die (Wa); use limited to the sacculated form(S). Electrolysis. Galvano-puncture in deep aneurisms. Not very successful (B). Aliment. Milk regimen, for denutrition (B). A low diet, with absolute rest: er- gotine and iodide of potas. for deep aneurisms, beyond reach of surgical treatment (B). Kali iod. in large doses (72); gr. v. ter die (7^; gr. doses, bis die (H). Verat. vir. in recent aneurism, to control arterial excitement, and favor the depo- sit of fibrin. Gtt. v of ^ every three hours, until the pulse is reduced to 50 or 60 per m in., said to be very beneficial (72). Secale, hypodermically, in doses of gtt. iij-x of tinct. or watery extract, has effected cures (77c0- Aeon, to relieve pain and quiet arterial excitement (72). Digit. , as a palliative (72). Am. alt. Aeon, in traumatic aneurism (72). -lc. gall. 3ss doses, comb'd with iest (77c7). Bell., Gels., Cimic., are also recommended for the acute symptoms (72). Calc. phos., Lye, two cases of cure (77); Sulph., Nat. sulph., for the chronic de- generative metamorphosis (72, Hel.) Rest, in recumbent posture, and light unstimulating diet, are primary and essential elements in treatment of aneur- isms (72). comparative therapeutics. 11 ANGINA PECTORIS. Aconite, believed by Gubler to be appro- priate (P). Arsenic, lessens or prevents paroxysms, if used in the intervals (B, R, Anstie). Amyl Nitrite, as inhalation, affords signal relief (R, B); unsafe in advanced degen- eration of cerebral vessels and fatty de- generation of heart (B). Laurocerasus, as anodyne (P). Strychnia, in the milder forms; very small doses. Gr. 1-100 to 1-32 (P). Glonoinum, doses of l-lOOltp have been used with success (Pf, R). Chamomile, in pseudo-spasms of hysteri- cal persons (P). Ether, aborts a mild attack (B). Sulphuric ether, in nervous form; aspoonf. imme- diately on commencement of attack will greatly mitigate it (Anstie). Phosphorus, often serviceable (R). Morphia, hypodermically, esp. in cardiac dyspnoea. Strengthens the heart (R). Turpentine applications, hot over chest, to mitigate severity of the paroxysms, especially in the aged (Wa). Quinia, when intermittent (Wa). Hydrastis, locally, promotes healing (B). Rhatany, tinct. krameriae ITfxv, fl. ext. kra- meriae gr. xv-xl, aquae gij, as injection, night and morning, after enema in the morning, to move the bowels (Pf, Tr). 7oa*o/orrci,improves, and relieves pain (B). Iodo-tannin, well applied, effective (B). Belladonna, locally, of great service for painful spasms of sphincter (P). Opium, with gall ointment for fissures of anus. Miid purgatives should be simul- taneously employed (R). Sulphur, as a mild purgative, to cause soft motions (R). Tannin sj-glyeerin Sij; introduced on a tent, night and morning, with great advantage (Wa). Collodion, as protective covering (P). Potassic Bromide, with 5 parts glycerin, as local application (R). Castor Oil, as a mild purgative (R). Aeon, recent cases, plethoric habit, great anxiety (72). Ars. when a cardiac neuralgia (77); dys- pnoea, debility, pale, haggard face (72). Amyl nitrite, gives rapid and certain re- lief, when of spasm form, causing oppres- sion. Useless where spasm is absent (77). Inhaled, the best palliative (72). Ac. hydrocy. recent cases, muscular (77). Nux vom. gouty,hemorrhoidal subjects( Js). Glon. face pale in paroxysm (72). Spigclia, irregular pulse, tendency to syn- cope; aggravation by movement (Js); darting pain (77). Cuprum, muscular; of long standing (77). Digit, advanced stage, frequent parox.(72). Verat. slow pulse, cold extremities, cold sweats (72). Cactus grand, hand-grasp sensation, rheu- matism (72). Tabac frequently causes. Should be pro- hibited to sufferers if used by them; if not, may be of uschomceopathically(77). Brandy, in frequent small doses, with hot bran poultice over heart, and warmth to extremities (72). Hydras, the cerate locally, cures (77a). R ha tan, Petrol, important medicines (72). The former when burning in anus, with and preceding defecation (L). Nit. ac. in high dilutions, has cured many cases without operation (77, Hel). Ign. has also been of service (77); controls return of spasm (72). Ham. 2, has proved useful in my own hands, with JEscul. for pain (77). jEscul. int., locally after defecation (72). In slight cases gives good results (77a). Sedum acre, empirically used, but with very good results (Js). Phylo. has rendered good service (77a). ;ie. carbol. 1-10, injected daily, affords great comfort (72). Surgical means, the most efficient (72); forcible dilatation of sphincter, or par- tial division in severe cases, through the mucous mem. and a few fibres of sphinc. ANUS, FISSUEED, 12 INDEX OF APHONIA. Ignatia, in hysterical women (P). Atropia, in hysterical aphonia, and for fatigue of vocal chords. Gr. 1-120-1-80, morning and evening (B). Nitric Acid, Itpv-x of the dilute acid, for hoarseness of singers, in fatigue of vocal chords, and when stomachal (B). Alum, gr. x-*j aq., as spray, in chronic coughs and hoarseness (R). Borax, a piece the size of a pea allowed to dissolve in the mouth (R). Glycerin of Tannin, locally, in chronic inflammation of the throat (R). Sulphurous Acid, by inhalation, spray, or fumigation, in clergyman's aphonia (R). Ipecacuanha, wine, as spray, when con- gestion of vocal chords (R). Ammonium Chloride, vapor inhaled, of great value in catarrhal aphonia (Wa). Turkish Bath. At commencement of a feverish cold (R). Ign., Nux vom., nervous and hysterical (72); also Nux mosch., Plat. (Js). Bell, sudden, cerebral origin (L). Caust. catarrhal (77); also Aeon., Bell., Merc, Brom., Amm.brom. in crystals(72). Kali bich. tenor voice, from over use [Caust. soprano, Phos. bass J; also Arn., Bary, carb., with rest, galvanism, mag- netic pad to throat (72). Arg. met. has cured hoarseness (77). Carbo veg. in chronic hoarseness (77); ca- tarrhal aphonia (72). Ant. tart, from cold, bronchial r&les (72). Spong. 2*, or 7od. 2*, with dry, laryngeal cough (72). Phyto. complete or partial loss of voice (72). Gels, weak voice at menstrual period (77). Ant. cru. when exposed to heat (77). Phos. paralytic aphonia (77). Galvanism, localized, the best means for hysterical aphonia (77). APHTHtE. Potassic Chlorate, the best remedy. Sol. 3j-3iv to affected part, and gr. x-aj by stomach (B). Borax, with honey, or as glycerin of borax, frequently used (R); crystals al- lowed to dissolve in the mouth (W). Sulphurous Acid, as solution, strong or di- luted, locally (U): dilute as spray (B). Mineral Acids, formerly much used(B). Mercury. Ilydr. cum creta in small doses, borax being used locally, when aphthae exist in the mouth (Wa). Copper Sulphate, a weak solution painted over mucous membrane (R). Potassic Iodide, gr. j-v-3j aquae, locally(B). Salicylic Acid, one part (dissolved in alco- hol) to 200 of water (R). Quinia, gr. j every 2 or :S h., in infants(B). Coptis, the infusion has repute in New England (B). Bismuth, freely to parts (B). Glycerin, will sometimes cure (R). Rliubarb, as draught. I£ Pulv. rhei. mag. carb. ai gr. x-xv; spt. ammon. a. Iljxx; aq. cinnam. Sjss. M. fit haust. In small doses this is highly useful (Wa), Kali chlor. a crystal sucked occasionally, or 5ij with Oj aquae as mouth wash (72); very useful (77). Borax, has specific power. Gr. iv-3j aquae, locally (72); internally alone will cure, in almost any dilution (77). Ac. sulphs. 1\ ulcerous, in adults (72). Ac. sulph. int. and locally (Hartmann). Ac. mur. int. and locally (Teste). Merc, offensive breath, dribbling saliva, diarrhoea (72). Anl. tart, with vomiting of milk after nursing (72). Ars. dark-colored eruption, exhausting diarrhoea (72); has no rival in severe forms (77). Sulph. intercurrent with indicated reme- dy. Skin eruptions (72). Bry. or Nux vom. gastric derangement, dry mouth, tongue white or yellow (72). Caul, in pregnant and nursing females (Johnson). Washes. Borax, Hydras., Ac. carbol. 1*, or Sang., one part of any to 12 or lo of water (72). A wash of Kali permang. pre- ferred (Burnett). comparative therapeutics. 13 APOPLEXY. (Compai Aconite, full strong pulse: hot, dry skin, plethoric cases. The best remedy (P). Colocynlh, appears to act well (P). Elalerium, as a purgative; a large dose (gr. ij) in suppository with soap, or as injection into large bowel (P). Croton Oil, as purgative; lfl.% or ]/s each hour (R). Cold Water, often harmful, though fre- quently used. Injurious when face pale, surface cool, circulation depressed (B). Electricity. Very mild galvanic cur- rents to promote absorption. Caution necessary, especially if much headache and vertigo (B). Diet and Hygiene, of great importance in patients subject to ap. Avoid stimu- lating food and drink (especially beer), overeating, excitement, haste, exposure to hot sun, heated rooms, etc. At no subsequent period should a full animal diet or the use of undiluted wines be indulged in (A). Diagnosis. Should be carefully differen- tiated from drunkenness, with which it is often confounded. Ignatia, corrects diseased appetite (P). Food should be eated slowly. Habits require careful attention, espe- cially in loss of appetite. Phosphorus, in minute doses, for athero- ma, with cod-liver oil (B). Arsenic, often of great value in atheroma; indicated when there are puffy eyes, drowsiness, intellectual torpor (B). Quinia, gr. iij-x daily, in atheroma, with advantage (B). Ammonium Bromide, in atheroma, to pro- mote absorption of deposit (Wa). Digitalis, may be useful in general capil- lary atheroma. Cautiously! (W). Cod-liver Oil, with phosphates, hypo- phosphites, or the lacto-phosphate of lime, in combination (B). Cerebral Congestion.) Aeon. alt. Bill, every hour, in early symp- toms, with hot-water fomentations to head every two hours (72). Aeon, full quick, strong pulse (72); active cerebral congestion, much arterial ex- citement (77). Bell, when congestion the most promi- nent symptom (77, B, J); red face, con- vulsive movements (72). Opium, rivals Bell. esp. where stupor more profound (77); bloated, dusky-red face, stertor (72). Glon. full sensation, throbbing headache in temples (72). JVjtxi'om.sedentary habits, high liver, con- gestive state of brain, favoring ap. (72). Arn. old people; symptoms of shock (77). Gels, intense passive congestion, nervous exhaustion (72). Verat. vir. the best remedy for cerebral congestion (77a). Sang, distention of temporal veins (72). Phos. retards calcareous degeneration of arteries (72). Caust, Zinc, Cupr., Plumb., Cocc. Phos., Rhus., Lye., for after-effects (77, 72). Ign., Merc, Sil.,Calc.carb.,Gels., excessive; China, Ac. phos., excessive after illness; Cina, from worms; Ars.-, Ferr., Chin. rnlph., Nux vom., Ac. nit. (72). F. (Compare Aneurism.) Phos. is a remedy which, in atheroma, is full of promise, when a primary fatty degeneration (H, 72). Ars. in chronic aortitis, esp. as arseniate of antimony, in the lowest triturations, the best remedy (Js). Spig. for pain of chronic aortitis, resem- bling that of angina (Js). Secale, in senile gangrene, wherein its homceopathicity is evident (77). Plumb, in atheroma, when a general chronic endarteritis (77). Aeon, low dilution and repeated doses, in acute arteritis (77). APPETITE. (Compare Dyspepsia.) AETEEIES, DISEASES 14 index of ASCITES. (Compare Dropsy.) Digitalis, of the greatest service, except where aortic regurgitation and cardiac hypertrophy (P); fresh infusion best (R). Arsenic when from feeble heart, and in old age (B). Apocynum Can. an active diuretic (P). Copaiba, excellent. B; Res. copabiae siij; alcohol 5v; spt. chloroformi sj; mucil. acaciae Sij; aquae ad Sxij. M. Sig.—A tablesp. ter in die (B). Jaborandi, has given good results (B). Stillingia, due to hepatic changes (B). Jalap, the compound powder, with podo- phyllum, the most generally approved hydragogue purgative (B). Elatcrium, to produce free watery evacua- tions. Cautiously in debilitated subjects. Contraindicated when gastro-intestinal irritation or inflam'n. Is depressent (B). Milk-diet, successful; an ancient prac- tice; causes profuse alvine and urinary discharges (B). Digitaline 1*. with caution. Small, feeble, irregular pulse, pale face, livid lips, dyspnoea. Infusion in 5ss doses (72). Ars. in ascites from enlargement of liver or spleen. Debility, emaciation, depres- sion, burning thirst, feeble, irregular pulse (72). Apocy. has remarkable virtues (77); or an infusion for cardiac or portal dropsy (72); teasp. doses of tincture (Hpl). Crot. tig. the most reliable remedy in ascites from cirrhosis of the liver (72). Apis, Ars., China, Apoc, most efficient (77). Apis, after peritonitis and pleuritis (77). Aur. mur. has cured ascites of scrofulous patient's, from disease of liver, when every other remedy failed (Hpl). China, specific for ascites after intermit. fever (Hpl); exhausting discharges (72). Palliatives, when incurable: warm baths, gin, tapping, etc., to alleviate (72). Water may be drunk in abundance (72). ASPHYXIA AND APN(EA. From Drowning.—Remove the person from the water as rapidly and gently as possible, turn the face downwards for a moment, and depress the tongue, in order that water, mucus, etc., may be removed from immediately over the entrance of the windpipe. Give the patient plenty of fresh air, fully exposing neck and chest to the bieeze, unless inclement. Turn gently on the face, one forearm being under the forehead, and raise the body up that the water may have free discharge from the mouth. Place patient upon the side and apply stimulants (ammonia, etc.) near the nostrils; or the cold douche, in order to excite respiration. The above measures being ineffectual, convey the body to the nearest convenient spot, strip it carefully and dry it, and place it on a warm bed, with head and shoul- ders slightly raised, and at once employ one of the following methods, known as Silvester's and Marshall Hall's. Silvester's Method.—Pull the tongue forward, to prevent obstruction to entrance of air into the windpipe; produce expansion of the chest by drawing the arms from the sides of the body and upwards until they almost meet over the head. Then bring the arms down to the sides again, causing the elbows almost to meet over the pit of the stomach, and thus producing contraction of the chest. This imitation of the act of respiration should be continued at the rate of fifteen or six- teen times a minute, as in health. Marshall Hall's Method.—The person should be placed flat on the face, gentle intermittent pressure being made with the hands on the back, the body turned on the side, or a little beyond, then on the face, and the same pressure, etc., con- tinued as at first. The whole body must be worked simultaneously, The same number and frequency of these artificial processes of respiration should be employed as in the other method. COMPARATIVE therapeutics. 15 The Michigan Method.—Lay the body face down, the head upon the arm, and stand astride it; grasp it then about the shoulders and armpits, and raise the chest as high as you can without lifting the head quite off the arm, and hold it about three seconds; then replace the body upon the ground, and press the lower ribs downwards and inwards, with slowly-increasing force, for ten seconds; then suddenly let go, to perform the lifting process again. Whichever process be employed, the effort to restore the temperature of the body must be maintained, the body being well rubbed in an upward direction with the hands, with warm flannels, etc.; bottles of hot water, hot bricks, etc., being applied to the stomach, the axillae, the soles of the feet, etc., stimulants and beef-tea being judiciously administered when restoration is about taking place. The attempts at resuscitation must be persevered in for several hours, if necessary. Laryngotomy or tracheotomy, with or without catheterization, or forced insuffla- tions of air or oxygen, have proved successful, as also electro-puncture (Garratt). In artificial inflation, always press the larynx and trachea against the vertebral column, so as to close the oesophagus and thus prevent the air entering the stomach. After long submersion is recovery possible?—According to Harley (p. 881), dogs kept under water 1% minutes always died, if water had entered the lungs. If it had not, the trachea being plugged, they survived a submersion of 4 minutes. When persons rise after sinking they usually get some air, and less speedily come into a state from which recovery is impossible. The greatest period between the last inspiration and the stoppage of the heart is 4 minutes. Some think that no recovery has been made after complete cessation of the heart's action. We infer that after complete submersion for 5 minutes recovery is improbable, unless the person had been previously choked, or in a fainting state, so that no water entered the lungs. But in Anderson's case, the patient had been underwater at least 15 minutes, and in Garratt's the time was variously estimated at from 15 to 60 minutes. When is a case hopeless?—Harley says (p. 892): "If the eyes are open, the pupils dilated, the conjunctiva insensible, the countenance placid, the skin cold, frothy mucus round the nostrils and mouth, no attempt at respiration, and the heart's action inaudible (when the ear is applied to the chest), the case is hopeless." Signs of Death—The following have been suggested as methods of deciding whether death has occurred: a. Tie a string firmly about the finger. If the end of the finger becomes swollen and red, life is not extinct. 6. Insert a bright steel needle into the flesh. If it tarnishes by oxidation in the course of half an hour, life may be considered not extinct. c. Inject a few drops of liquor ammoniae under the skin. During life a deep red or purple spot is formed. d. Moisten the eye with atropine. During life the pupil will dilate. e. Look at a bright light, or at the sun, through the fingers held closely side by side. During.life the color is pink; after death a dead white. /. After death a dark spot is said to form gradually on the outer side of the white of eye, from the drying of the sclerotic, so that the dark choroid shows through. g. Putrefaction is an absolute sign of death. Better delay for it than run any risk of burying alive. From Foreign Bodies in Air Passages.—If round and smooth, invert the patient and strike on the back; laryngotomy; tracheotomy. Of the New-Born.—Clean the mucus out of nostrils and throat; catheterize the trachea, and suck up the mucus. "Marshall Hall's method:" by placing child on abdomen, then bringing into lateral posture, repeating slowly and deliberately. "Schultze's method:" by placing the thumbs upon the ant. surface of thorax, the 16 INDEX OF indices in the axillae, and the other fingers along the back, the face of the child being from you; rotate the child, by swinging upwards, so that the inferior extremi- ties turn over towards you. In a moment re-rotate to the original position. Do not support head or legs in the forward rotation; their bending upon or towards the abdomen gives a forced expiration. ASTHENOPIA. (Compare Myopia.) The proper glasses; cold douche; rest of eyes. Atropia, systematically instilled, to prevent strain, and control spasm of the accommodation (C). Strych. nit. 1-200 (72). Macrot. in muscular form, for irritability of eye; also Nux vom., Spig., Gels. (A). Use, daily, but with moderation (A). ASTHMA. Aconite, in spasmodic (P); often averts the attack, if given at commencement; useful also in the asthma following cory- za and sneezing in children (R). Ipecacuanha, the wine as spray to the fauces, sometimes useful in severe bron- chial asthma, but not of much service in genuine asthma (R); nauseating and emetic doses in spasmodic (B). Lobelia, gtt. x of tinct. every 14 hour dur- ing paroxysm, nj> ter die, with addition'l doses at night, in bronchitic, when worse at night. Cautiously if heart disease (R). Often gives permanent relief (B). Arsenic, as cigarettes. R; Arseniatis po- tassae gr. xv; vel. sodae gr. xxx-lx; aq. dest. sj. Moisten unsized white paper, and roll into 20 cigarettes; 2 or 3 daily (B). One drop of liq. arsen. ter die, in attacks from bronchitis, local irritation, etc., allied to hay fever (R). Belladonna, relieves paroxysm when ex- pectoration abundant, skin cool and moist. Cigarettes. Belladonnae gr. v. stramon. et hyoscy. aa gr. iij; ext. opii gr. 1-5; aquae lauro-cerasi. q. s., or Atro- pia gr. 1-60, at bedtime, for morning paroxysms (B). Large doses required, but very satisfactory (R). Was much valued by Dr. Salter and M. See (P). Potassic Iodide, when from acute bron- chial catarrh, gr. xv-xx each 2, 3, or 4 hours. See Bromides (B, R). Nux Vomica, in nervous subjects (B); in spasmodic a., often of great benefit (P). Chloral, may arrest paroxysm (B, R). Aeon, during paroxysm of spasmodic asth- ma; also in bronchitic from cold (72); anguish, suffocative cough at night (I.). Ipec. , gtt. j every half-hour; spasmodic asthma, with retching, paleness, and troublesome cough (72); bronchitic symp- toms (77); difficult expiration (L). Lobel. 2 to 6 (77); large doses, for purely nervous form; spasmodic cough, vomit- ing, giddiness (72); worse from exertion, with disordered stomach (L). Ars. in aged and feeble; in chron. asthma, with heart disease, or after catarrh or bronchitis. Burning heat, prostration, aggravation by lying down (72). In acute asthma, suitable after Tjpec. (L). Bell, nightly attacks (72); occasionally benefits (77); plethoric subjects, esp. in hot, damp climates (L). Kali iod. to 3*, perseveringly; of great value when other remedies fail, and in rheumatic or syphilitic patients (72). Nux vom. probably the best anti-asthmatic (K); spasmodic asthma, with digestive derangement (72); asthenia, with imper- fect and slow digestion (L). Ant. tart, bronchitic asthma in children (77); especially old people or children; dyspnoea, suffocative fits (L). Caffeine, in spasmodic asthma (77a). Cof- fee, black, without milk or sugar (72). Amyl nit. has been found very useful (77a, Hpl); often gives speedy relief (72). Chlor. hyd. Gr. xv. at a dose, in inveterate cases; if necessary, may be repeated every 3 or 4 hours. Cautiously (R). COMPARATIVE THERAPEUTICS. 17 Antimony, in an affection of children like asthma. Dissolve a gr. of tartar-emetic in half a pint of water, and give a teasp. of this every % hour for the first hour, then hourly. If vomiting induced, lessen the dose (R). Coffee, a small cup of very strong coffee often useful in a paroxysm (R). Asth- matics should not use it as beverage (P). 4myl Nitrite, inhaled, quickly checks spas- modic asthma (B, R). Chloroform, inhaled from warm water. Anaesthetics relieve, but increasing doses required, leading to habit (B, R). Ether, full dose, may abort mild attack (B). Cannabis Indica, has been useful (R). Sulphurous Acid, by inhalation, spray, or fumigation (R). Opium; Morphia, hypoder., quickly cuts short a paroxysm (B); in some cases morphia will induce a paroxysm (R). Stramonium, twenty grs. of the dried leaves or ten of the powdered root may be smoked. Datura tatula sometimes bet- ter. Stramonium preparations often bad. Asthmatics advised to grow the drug themselves (R). Grindelia, gives relief in spasmodic form (B); three grs. of extract thrice daily to prevent attacks, or Tffxx-xxx of liquid extract every half-hour or hourly from onset of paroxysm (R). Tobacco smoking sometimes relieves(R.P). Asafoztida, has been recommended (R); palliative only (P). Colchicum, in gouty subjects (R). Bromides, relieve, but soon lose effect. R; Pot. brom. Sj; pot. iod. Sss; aq. Siv. M. S.—A teasp. in water every half-hour or hour (B. R). Eucalyptus, smoked with stramonium, belladonna, tobacco (B). Quinia, after acute symptoms subside, as antipyretic to succeeding fever and res- torative tonic (B). Potassic Nitrate, the inhalation of fumes of burnt nitre paper will sometimes avert a paroxysm. Different methods of pre- paration useful for different cases (R). Oxygen, when no heart disease (R). Silver Nitrate, sometimes injected into trachea (R). Chloroform, inhaled, to relax contracted muscular fibres; affords immediate re- lief. Not always safe (72). Cann. ind. 1*, often promptly relieves spas- modic asthma; anguish, with great op- pression; better in open air (77a). Cann. sat. humid asthma; dyspnoea, mu- cous riles, rattling cough, thick, yellow sputa (72). Sulph. chronic asthma, with skin erup- tions or gout. Also after use of other remedies (72). Opium, pulmonary spasms, deep stertor- ous breathing, suffocative fits, and cough during sleep (L). Grind, mucous asthma, tenacious sputa, nervous and cardiac asthma (7,). Vcr. vir. labored breathing, cold sweats, violent paroxysms of spasmodic a. (72). Cupr. (72), or Ac. Hydrocy. (77), in nerv- ous asthma. Cupr. spasmodic asthma, dyspnoea and fear of suffocation; aggra- vation at night (L). Samb. relieves when much dyspnoea (Js); profuse perspiration in children (72); nightly suffocative attacks, great rest- lessness (L). Pulmo mil. 1, in chronic humid asthma: a precious remedy (Von G.). Aralia rac. in humid asthma; gtt. x of tinct. every h.; for children the 2* (77a). Rhus gla. has popular reputation (77a). Cactus, when of cardiac origin (77a); op- pression of the chest as from a weight, stitches in the heart, worse lying on left side, amelioration in the open air (L). Stann. should be noted (72); oppression, especially in the evening or at night; cough,with copious expectoration, espe- cially of sweetish mucus (L). Brom. asthma with spasm of glottis, tickling, dry cough, wheezing and rat- tling in larnyx (Hpl). Cocc. may do good service in spasmodic asthma (Hpl). Eup. perf, Rumex, and Liq. sodse chlor. should be noted ,'72). Prophylaxis.—Avoidance of exciting causes, esp. indigestible food, wet, damp, and sudden changes of temp. Attention to the stomach will do most for many asthmatic patients. An important point 18 INDEX OF Galvanism of pneumogastric often re- lieves; -+- pole beneath mastoid process; — pole to epigastrium. Faradism of no use (B). Cod-liver Oil, has proved beneficial (Wa). Olive Oil, by inunction, every 12, 6, or 4 hours, successfully employed (Wa). Arsenic, has had remarkable success in muscular atrophy (Tr). Electricit Y,in progressive muscular atro- phy, the induced current very strong at first, then weaker as improvement. Inter- rupted currents from vertebral column and plexuses to nerves of affected mus- cles. In more extended forms, the con- stant current to the nerves, the induced to the muscles (Ros). Mercury. Hydr. chlor. corr. gr. j to sjss aquae calcis, as lotion, if not much in- flammation (D). Oil, on linen, to inflamed part, beneath foreskin, which must be again drawn forward. Strict cleanliness. Astringent Lotions. Alum, sulphate of zinc, with warm-water injections (D). Lime-water, the best lotion if much in- flammation (D). Alcohol. Brandy or eau-de-cologne, to harden skin of parts exposed to pressure (R); as wash to parts threatened (B). Glycerin, or glycerin cream, rubbed over the parts exposed to pressure, after wash- ing, morning and evening, is one of the best preventives (R). Alum sss, whites of four eggs, tinct. cam- phorae Sij; an excellent application (B). Charcoal, sprinkled over the black slough, which is then covered with poultice (R). is to take the heaviest meal early in the day, and very little solid food after 2 p. m. Shower-bath and out-of-door exercise, not, however, to a fatiguing extent (72). tor Ataxia, and Emaciation.) Cod-liver oil, with frictions, and exercise alternated with perfect rest (72). Olive Oil, by inunction (72). Ars. in that of the aged and of children a main stay (Hpl). Sulph. followed by Calc. in atrophy of children (L). Ant. cru. when signs of digestive derange- ment, with unhealthy skin; tendency to sores (Hpl). Ars., Zinc, Iod.; Cal. carb., Calc. acet., Bary. carb., scrofulous; Sil. 3*, Phos., Sulph. (72). s Gonorrhoea, Phimosis.) Merc will rapidly subdue (H); when from a hard sore (Mg). Merc. corr. 3* (72); Merc. sol. best (77). Thuja, should be used (17). Calendula, locally, in neglected cases (77). Corall. rub. 3*, has done good service, esp. where accompanied by gleet (Mg). Ac. nit. int. and ext., in weak solution; when from a soft sore (Mg). Aeon, or Bell, inflam. symptoms (Mg). Alcohol, as preventive. Spirit of proof strength best (72). Glycerin, or glycerin of starch, gently rubbed over the parts, after washing frequently with soap and water (72). Accarbol. Sj-qt. j of water, on lint, cured a very bad case (Hpl). Ac. sulph. dilute on compresses, when bed- sores threaten to become gangren's (Hpl). Calendula lotion, benefits (72). Arnica, as plaster (72). ASTIGMATISM. Atropia, a weak solution to aid exami- I Cylindrical Glasses in simple, bi-cy- examination ofeye by dilating pupil (B). j lindrical in mixed astigmatism (A). Duboisia, as substitute for atropia (B). | Spectacles, best form (TTdrf). ATEOPHY. (Compare Locomc BALANITIS. (Compa] BED-SORES. comparative therapeutics. 19 Galvanic Couplet, of zinc and silver, con- nected by a copper wire; one element on sore, the other on adjacent part (B). Silver Nitrate, a solution (gr. xx-Sj) to be painted on threatened but unbroken skin, as soon as it becomes red, will prevent sores. If nitrous ether solution be used, 5 grs. to the oz. is enough (R). Iodoform, dusted over sores (R). Olive oil, 3 parts, with 1 part laudanum and 2 of brandy; a liniment highly re- commended by Miss Nightingale (72). Ointments of zinc or coal tar (72). Am., Carbo veg., China., Plumb., Ac. sulph. (L). Linen, air-dried better than that which is ironed or mangled, by reason of its greater softness (72). BILIOUSNESS. (Compare Dyspepsia.) Bryonia, bilious headache, vomiting (P). Podophyllum, acts as a cathartic (B); cor- rects deficient secretion of bile, esp. in children and infants. Gr. 1-20 to 1-10 every 6 hours, to correct white or clayey stools. Also in general hepatic derange- ment (P). Aconite, in occasional doses, improves the effect of podophyllum (R). Mercurial Cathartics, act as purge only. Hydrarg. chlor. mitegr. j-x; or pil. hy- drarg. gr. v-xv. Mercury restricted as purgative to cases where there is excess or deficiency of bile (B). Frequent small doses of grey powder for deficiency (R). Hydrastis, gtt. v-xv fl. ext. daily before meals, when with chronic gastric catarrh and dyspepsia (B). Mineral Acids, before meals. Hydrochloric and pepsin after meals, in atonic dys- pepsia (B). Stillingia, when deficient biliary secre- tion. 9 Ext. stillingiaefl. 5v; tinct. aloes ij; tinct. nucis vom. 3j. M. Sig.—20 drops in water ter in die (B). Ammonium Iodide, gr. j-iij in water each 2, 3, or 4 hours, when catarrh of duodenum and biliary ducts (B). Sal-ammoniac, is used with success (B). Manganese, gouty subjects (B). Rhubarb, as a cholagogue (B). Aloes, with constipation (B). Angustura, is suitable to worst forms of bilious fevers (P). Calumba, is of benefit in many forms (P). Alkalies, and their laxative salts. When bilious state, with uric acid diathesis (B). Milk-cure, in obstinate cases; butter- milk or skimmed milk often agrees best (B). Bry. or Puis, from indigestible food; vom- iting of bile and mucus (72). Pod. torpidity of liver, sallow complex- ion, constipation (77a); hyperemia of liver, with flatulence, pain, soreness (L). Aeon, from cold or excitement (72); liver derangement from rheumatism \Hpl). Merc, torpidity of liver, pale stools (77); bad taste, tongue moist and furred, thirst for cold drinks (L). Hydras, headache and constipation (77a). Ac. nitro mur. much praised (77). Cham., in females, and when from worry or passion (72). Iris, Ver. alb., sick headache, with vomit- ing or diarrhoea (72). Nux vom., from stimulants, overeating, etc, with constipation (72); recent hyper- aemia of liver (77). Sulph. 3, in chronic cases, at bed-time, assists the action of Nux by day (72). Leptandra lxt, with Nux vom., one of the efficient remedies. Black stools (77a). Hepar sulph. chronic liver engorgement (77); if mercury has been too freely pre- scribed; craving for stimulants (72). Chel. has a high repute (77). Pain in he- patic region and under right scapula; jaundice (77a). Carduus, "stitches in the side," generally the right; dark green stools (77a). Eupat. perf. bilious headaches, vomiting of bile (77a). Sang, torpid liver, vomiting of bile, flatu- lence, sick headache over right eye (72). JEscul. congestion of liver, piles (77a). Emetics.—A teaspoonful of mustard in a tumbler of hot water, or drink freely of hot water and vomit the bile; after that, Nux vom. 1* (72). 20 INDEX of BLADDER, IRRITABLE. (Compare Cystitis, Dysuria, Urinary Disorders.) Belladonna, in nocturnal incontinence.due to relaxation of sphincter, or irritable mucous membrane (B); gtt. v-xx of tinct. every 3 or 4 hours, give gradual but sure relief (P). Cantharis, in women, without acute in- flammation (B); on coughing (R). Benzoic Acid, when from enlarged pros- tate, removes fetor of urine; also renders phosphatic or alkaline urine acid (P). Cubebs, in women; cantharis better (B). Aqua-puncture, has been used with extra- ordinary success (B). Bell, children and hysterical females (72); the tinct. TTRx-xx (77). Canth. with or after cystitis (72), Ac. benz. strong-smelling, high-colored urine (72); alkaline urine, with phos- phatic or muco-purulent deposit (II). Copaib. in old women (77). Nux vom. gouty persons; spasm (72); from alcoholism (77). Ferr. diurnal irritability (77). Bell., Canth., Sulph., nocturnal (72). Aeon, strangury from cold (72). Dulc. from exposure to wet (72). BLADDER, PAEALYSIS OF. Cannabis Indica, retention from spinal disease (R). Ergot, in paralytic dysuria, esp. when sensation of bladder being only partially emptied (P); when incontinence from paralytic sphincter, and in paralysis from overdistension (B, Wa). Arnica, has proved curative (P). Strychnia, gr. 1-60 to 1-30, useful (B). Cantharides, often given with excellent effect, when bladder atonic (Wa). Galvanism, may greatly benefit (B). Electro-magnetic current from the blad- der to the spine, of great use (Wa). Cann. ind. strongly affects the nerves of the bladder; has many symptoms of paralysis (77a). Secale, has repute; when sensation of bladder being imperfectly emptied (77). Arn. from overdistention; with electrical and mechanical aid (77). Strych.3x, 6x, often cures when from ha- bitual distention or uterine pressure (77a). Gels., Caust., paralysis of sphincter, oc- curring in adults (77). Opium, when idiopathic (77). Bary. carb., Bell., Aeon., Nux vom. (72). Ferr. mur. , from disease of spine (77). BLEPHAEITIS. Pulsatilla, internally and externally (P,B). Mercury, after detaching crusts, rub in brown citrine ointment (B). Tannin, powdered, or tannic acid solu- tion, gr. j-x-3j (B). Alum, after acute symptoms subside. R Aluminis 3j; aquae rosae Siv (B). A solu- tion, gr. viij-3j aquEe, every }4 or J^ hour; an excellent application (R). Hydrastis, as lotion, very serviceable (P). Bismuth, equal parts of the subnitrate and glycerin to the inflamed surface, in ciliary and glandular blepharitis (Wa). Puis; in recent simple cases (77). Merc, simple cases; also unguent of white precip., gr. j-3j simple cerate. In severe cases, red precip. gr. ij-sj simple cerate, as unguent at night, with Merc, (red ox- ide) 2 or 3 trit. (A). Kali iod. int., with unguent of same (gr. ij-3j cerate), alternately with mercurial treatment (^1). Hepar sulph. meibomian glands (77). Graph, inflam'y symptoms absent (77). Euph., Clem., Sulph., Calc. carb. (72). Cleanliness and removal of crusts (A). comparative therapeutics. 21 BOILS. (Comp Belladonna, as plaster, to subdue inflam- mation, or use lint wetted with atropiae gr. iv, aquae rosae Sj (B); with glycerin locally, to allay pain; internally, often successful (R, Wa). Sulphides, in small doses (gr. ss-j) every hour or two (potas. sulphuretum), or Sulphurous Mineral Waters, will abort or mature, and aid to expel pus (B, R). Of no use in the boils of diabetes (R). Silver Nitrate, gr. v-3j-Sj of nitrous ether, painted over adjacent part, to abort. Specific, if used early (B, R). Arsenic, long continued, for succession of boils (B). Opium, a thick extract locally (R). Camphorated Alcohol, smeared over boils in the earliest stage, then when skin dry smear with camphorated oil to abort (R). Counter-irritation, by blisters or iodine around the boil (R). Collodion, at papular or pustular stage(R). Poultices, to assist maturation and allay pain; may be smeared over with bella- donna or opium (R). BONE DISEASES. (See Caries, Exostosis, Nodes, Periostitis, Eachitis, Spina Bifida, etc.) Iodine, in scrofulous affections of bones, should be used locally, with the iodide of iron or cod-liver oil internally; nutri- tious diet, wine, out-door exercise (Wa). Cod-liver Oil, in scrofulous affections, may be relied on, if perseveringly used, and accompanied by good hygienic condi- tions (Wa). Potass. Permang. gr. j-Sj aquae rosae, as toilet application (B). Chlorine. R Calc. chlorinat. 5iij; aquae destil. alcoholis, sui Sij; ol. rosae gtt. iv. M. Sig.—A teasp. to a tumblerful of water, as lotion for mouth (B). Carbolic Acid, as wash for mouth (W). Camphor, is used as a corrective (R). Look for bad teeth, disordered digestion; in very offensive cases.gangrenous lungs. ire Carbuncle.) Bell. 1, repeatedly (77); locally and int. Crop of boils (/?). Bell, or Am. alt. Aeon. when forming (7?). Sulph. prevents recurrence and checks tendency (77). Sulph. alt. Bell, and hot poultices, with equal parts of Succus, Bell.,&nd Glycerin painted over; or with Ver. vir. <£, when formed (72). Hepar sulph., Sil., when suppuration has set in, but is torpid (72). Silic 3. to disperse in later stages; favors and expedites suppuration (77). Am. prevents and cures; locally (gtt. j-Sj) to abort (77). Calc. mur. as lotion, when very painful, or to prevent formation. Must be applied early (72, 77). Arc. lap. persistently recurring crop of boils (77a). Hydras, small "blind" boils; great irri- tation and burning (77a). Phyto. tendency to painful boils, esp. on back and behind ears (77a). Sulph., Hep. sulph. (72, 77); Kali brom., China, Hydras., tendency to boils (7?). 72wta 3* and Ruta lotion externally, in contusion of bone (7?). Aur., Asaf., Merc, Ruta, Ac. nil., Ac. fluor., Ac. phos., Staph., Phyto., pain in bones (72); Mez., Eup. perf., bone-pains of epidemic influenza (77). Calc. carb., Sil., Ac. phos., Calc. phos., Phos., Merc, Sulph., softening of b. (72). Merc sore or aphthous mouth (72). Carbo veg., Hep. sul., Ac. nit., decayed teeth, bad gums, merc'l salivation (72). Spig. white or yellow mucus in mouth, back of tongue painful (72). Nux vom., Puis., Ant. cru., indigest'n (7?). Aur.,Puis. It, females near puberty (72). Sulph. following the above remedies (72). Kali Chlor. gr. x ter die; Nux mosch. (R). Cleanliness of teeth and mouth essential. BREATH, FETID. 22 index of BEIGHT'S DISEASE. (Compare Albuminuria, Nephritis.) Turpentine, as diuretic (R); haematuria (see ILematemesis for formula). Also in hydronephrosis with constitutional de- pression (B). Dropsy, albuminous urine, J^-drop doses (P). Aurum, the chloride, in pill, gr. 1-30 to 1-20 ter die, persistently. Useful in chronic interstitial form (B). Lead, diminishes the albumen (R). Cannabis Indica, as diuretic, esp. useful! when bloody urine (R). Iron, to improve digestion and correct anaemia. The tinct. of the chloride, or tinct. ferri acet. aetherea preferred (B). Hydrastis, lessens excret. of albumen (B). Chimaphila, has power in various forms, when albuminuria (P). Jaborandi, in uraemia, is very satisfac- tory (B). Eucalyptus, improves; cautiously (B). Elaterium, for the dropsy; cautiously (R). Gallic Acid, to lessen albumen (B). Potassic Iodide, has improved cases (B); possibly only when due to syphilis (R). Potassic Bromide, for convulsions (R). Potassic Bitartrate, to prevent dangerous accumulations in cellular tissue or im- portant cavities; also to draw off effete matters. Care must be used, as it is a brisk purgative, and is weakening (R). Inform of " cream-of-tartar lemonade," an agreeable diuretic (B). Tartrates, excellent diuretics (R). Col-liver Oil, is very useful (R). Baths, warm and Turkish,when uraemic symptoms and dropsy; discretion need- ful, as baths may weaken (R). Milk-cure, has been very successful. Skim-milk alone for some time, then gradual addition of other diet (B). Water, in large draughts, as diuretic, hot fomentations to lumbar region (B). BE0N0HLE0TASIS. (Compare Emphysema.) Quinia, the most useful tonic (B). Phosphates and hypophosphites, are un- doubtedly useful (B). Tereb. the leading remedy in chronic pa- renchymatous nephritis, after an acute attack, from cold, wet, malaria, etc., with severe albuminuria and dropsy (77). Scanty, dark, smoky, bloody urine, with albuminuria (72). Aur. mur. dropsy; acts as diuretic; also when Ars. is indicated, but has failed of results (77). Plumb, in granular degeneration, or chronic desq. neph., the most hopeful drug. Is known to decrease albumen and increase the urea (77). Cann. ind., Opium, Cupr. acet., Ac. carbol, are found useful for uraemic symptoms, convulsions, etc., but diaphoresis neces- sary here (77). Ferr. sulph. in convalescence (72). Ars. to aid Tereb.; best when of malarial origin. Also in fatty kidney has cured (77). When from alcoholic excess, asci- tes, hydrothorax, general anasarca (72). Phos. should be important, esp. in cases (not amyloid) arising in the course of chronic suppurations. The best remedy in fatty degeneration (77). .4c. phos. the most promising remedy in waxy kidney (77). Apocy. will check dropsy (77a). Colch. granular degeneration from lead, pericarditis, gouty diath..amaurosis (72). Merc. cyan, in diphtheritic (77a); Merc. corr. for the bronchitis (77). Nux vom. for the dyspeptic vomiting (Js); when from alcoholic excess (/2). Ac nit. urged for dyspepsia, etc. (72). Cactus, if over-action of heart (77). Accessories.—Milk-diet (77, 72). Warm baths, or better, vapor baths. Vegetable food; healthy residence; abundance of mild exercise; bathing or cold sponging, and friction (72). Slann., Sulph., Calc, with deodorizing in- halations,forthis"putridbronchitis"(7r). Amm. carb. dilatation of bronchi (72). comparative therapeutics. 23 BEONOHIT] Aconite, gtt. ss-j every hour (B); in catarrh and bronchitis of measles (R). Tartar Emetic, first stage, gr. 1-20 to 1-12. If cough violent, Ant. et pot. tart., morph. acet., aa gr. ss, aquae gij. M. Sig.—A teasp. every hour or two (B). Gr. X to M every 2 or 3 hours (R). Ipecacuanha, as wine, when expectora- tion profuse, and difficult to expel (R); dry stage (P); see below, Opium. Lobelia, as expectorant (B). For parox- ysmal dyspnoea (R). Sanguinaria, after subsidence of acute symptoms. 9 Tinct. sanguin., tinct. lo- beliae aa 3j; vini ipecac. 5ij; syrup tol. Sss. M. Sig.—A tablesp. every 3 hours as expectorant (B). Very successful (P). Quinia, to reduce temperature (R). Turpentine, small doses as a diuretic (R). Colchicum, useful when gouty diath. (P). Ammonium Carbonate, expectoration pro- fuse, and condition low (R). Opium. Morphia and quinia combined, or Dover's powder, to abort an attack; also with expectorants to allay cough (B). Frequent and violent coughs, without obstructed oxidation; also to check ex- cessive secretion (R). As sudorific very useful, grs. x of Dover's powder (P). Cimicifuga. Ext. cimicif. fl, sss; tinct. opii deod. 3ij; syrup tol. 5x. M. Sig.— A teasp. every 4 hours (B). Nitric Acid, ttflx of dilute acid relieve (B). Asafcetida or Ammoniacum, the last best in bron. with wheezing of old people (R). Cubebs, very useful, esp. when secretion copious and system relaxed (P). Counter-irritants, mustard as poultice (large), with linseed or oatmeal, or both, very useful (R). Iron, Lead, Zinc Oxide, to check profuse secretion (R). Ipecacuanha, as emetic, preferred to tartar emetic in cap. bron. of very young or very old (B); as wine, when expectora- tion profuse and difficult to expel (R). [S, ACUTE. Aeon, early and frequently to abort; short, hard, tickling cough (72); often the only remedy required (77). Ant. tart. 2*, suffocative cough, loose, lumpy expectoration, dyspnoea (72). In bron. of fever (77). Frequently indica- ted in children and in the aeed (L). Ipec. asthmatic (77). Spasmodic cough, sickness (72), Rattling mucus and sibi- lant rskles in the chest, especially of children (L). Lobel. cough, dyspnoea, esp. children (72). Sang, red cheeks, pain in breast, dry throat, extreme dyspnoea, short, quick breathing (77a). China, sustains the system under abundant secretion of mucus (72). Tereb. dry, hot throat (77). Colch. when gouty diathesis exists (77). Amm. carb. difficult expulsion of mucus in old persons (72); of great repute (77). Kali bich., thickly-coated tongue; small bronchial tubes affected (77); tenacious, stringy, opaque-white phlegm (R). Bry. common "cold-on-the-chest,'" tra- chea and large bronchi affected (77). Violent cough (72). Phos. 3, lungs involved; cough, stringy, tough mucus (72). Ver. vir. vomiting, diarrhoea, dry, hard cough, stomach complication (77a). Rumex 3, good in dry.tickling coughs (77a). Balsam Peruv. muco-purulent discharges. ij> orl^trit.; also by steam atomizer (77a). Ars. rarely indicated, except in aged people (77). Suffocation when lying down, dyspnoea (72). Merc. corr. bron. of Bright's disease (77). Heat, by linseed poultice to chest, of great service (72). Diet, light and liquid, free diaphoresis, warm, moist atmosphere (72). Ipec. spasmodic cough, after Phos. (77); dyspnoea, nausea (L). Lobel. highly recommended (72). Amm. carb.difficultexpuls'n of mucus(72). BEONOHITIS, OAPILLAEY. 24 index of Lobelia, for paroxysmal dyspncea (R). Ammonium Carbonate, when expectoration profuse, and strength diminishing; in severe bronchitis or broncho-pneumo- nia of children, esp. when prostrate and livid (R); has probably a specific action on the diseased tissue and its products (Clymer). Ammonium Iodide, in small, rapid doses, often gives great relief (B). Ammonium Muriate, gr. ij every 2 hours, either alone or with potassic chlorate (Clymer). Serpentaria, in cap. bron. of children, ex- cellent results from IJ Ext. serpent, fl. Sss; ammon. carbon. 5ij; syrup tol. Sjss. M. Sig.—A teasp. every 2, 3, or 4 hrs. (B). Camphor, to allay cough and promote expectoration (B). Hydrarg. Subsulph. effective as emetic(B). Mustard, as poultice or bath, useful (R). Poultices, to encircle the whole chest, in children (R). Antimony, when expectoration copious and difficult to expel (R). Arsenic, where emphysema, in cigarettes. [See ante, Asthma, for formula] (B). Sulphur, gr. v-x, in severe cases, with abundant discharge, especially where constitutional debility (R). Sulphurous Acid Gas, inhalations, or the acid in form of spray, sometimes bene- cial (B, R). Lobelia, for paroxysmal dyspncea (R). Ammonium Chloride. R Ext. eucalyp. fl. gj; amm. muriat. 5ij; ext. glycyrrhizae gij; syrup tol. Siij. M. Sig.—A teasp. 4 to 6 times a day (B). When secretion thick and abundant; may be applied by atomizer (R). Carbolic Acid, as inhalation of spray, 1 part to 100 of water; maybe combined with tinct. iodine (B, R). Hydrastis, fl. ext. locally and internally (B). Of great value internally and ex- ternally in chronic coryza (P). Senega, especially in the aged (R). Turpentine, small doses as a diuretic (R). Ant. tart, the grand remedy for this con- dition (77). Lumpy expectoration, em- physema, aged persons (/2). Of especial value when paralysis of lungs impen- ding (77). Aeon, loose cough, burning sore pains in chest (72); good, if given early, in bron- cho-pneumonia of children (77). Bry. 12 alt. Ipec. 12, to arrest in early stage (Js). Suffocative cough of chil- dren, great anxiety and agitation (72). Phos. the great remedy for broncho-pneu- monia (77). Kalibich. severe cough, tenacious, stringy phlegm; from catarrh or influenza (A). Solania 6 alt. Phos. 2, senile or infantile weakness (72). Sol. 2, threatening paraly- sis of lungs (77). Ars. anxious, labored breathing; in the aged or feeble (72). Hepar sulph. in croupous bronchitis (7J)j in capillary (Hpl). Chelid. urged by many (77). . Ant. tart, much loose mucus (72); lumpy expectoration. Generally the first reme< dy (77); see Kali bich. Ars. debility, deficient oxidation (72). Sulph. in unhealthy constitutions (77). Ac. sulphs, sulphur burned in room at night very useful; gr. ij—iij. Ventilation necessary (72). Lobel. obstinate bronchial cough, with dyspncea (72). Amm. mur. pulmonary catarrhs, with con- stant hacking; dry cough, worse at night; night heat, followed by sweat (L). Ac. carbol. or Kreas. as inhalation from boiling water, checks secretion and cor- rects fetor (72). Hydras, has marvelous control over chron- ic catarrh of mucous membranes (77). Senega, harassing dry cough in old persons (77); thick mucus in bronchi, expelled with difficulty; tendency to diarrhoea (7.). Tereb. dry, hot throat (77); bronchial catarrh of the aged, with muco-purulent sputa (L). BEONCHITIS, OHEONIO. (Compare Cough.) COMPARATIVE THERAPEUTICS. 25 Colchicum, in gouty subjects (R). Iodine, inhalation, sometimes used (R). Balsam of Peru, tolu, and copaiba, when copious secretion of pus (R). Ammonia, inhalation, to lessen expec- toration (R). Ammoniacum, in old people, wheezing and abundant discharge (R). Benzoin, 3J of the comp. tinct. to boiling water, as inhalation; eases cough and lessens expectoration (R). Sometimes used by atomization (B). Phosphates, for the resulting cachexia (B). Phosphate of lime (R). Sei-pentaria, as stimulant. R Infus. ser- pentariae Siv; amm. carbonat. 3ij. M. Sig.—A tablesp. every 3 hours (B). Alum, powdered, dusted over surface (B). Silver Nitrate, locally (gr. v-gj-Sj) on sponge probang. (B). Camphor, to aUay cough and promote ex- ' pectoration (B). Sumbul, has decided efficacy (P). Opium, with expectorants, to allay cough (B). When frequent and violent cough, without any signs of obstructed oxida- tion; also to check excess, secretion (R). Codeia, gr. % every 3 to 6 hours, when other opiates are not well borne (P). Squill, in chronic forms with tenacious sputa, but not when fever or acute in- flammation. R Syrup, scillae Sss; tinct. opii camph. 3ij; ammoniae 5ss; syrup. tol. 5x. M. Sig.—Teasp. as necessary (B). Tar, diminishes the secretion and allays the cough (P). gr. ij in pill every 3 or 4 hours in chronic paroxysmal winter cough (R). Digitalis, with interstitial pneumonia and general anasarca (B). Eucalyptus, valuable in chronic cases of broncho-pulmonary catarrh (B). Gallic Acid, useful in some forms of chron. broncho-pulmonary catarrh (B). Iron, with free expectoration, mistura ferri composita; or better, the phosphate of iron, quinia, and strychnia (B). To check profuse bronchial secretion (R). Koomiss-cure, possesses great value (B). Cod-liver Oil, a teasp. ter die after meals, of great service, if continued (B); to control expectoration (R). Colch. when gouty diathesis exists (77). Iodine, overgrown young people, with weak chest and dry cough, subject to pulmonary hemorrhage and cardiac palpitations, enlarged glands, etc (L). Balsam peruv. <\>, trit., also by inhalation; of great utility for neglected bronchial catarrh, muco-purulent discharge (77a). Ac nit. in chronic "winter cough" no remedy so efficacious (H). Amm. carb. incessant cough, sensation of wool in the larynx, muco-pus (72). Has considerable repute (77). Merc, purulent expectoration (72, 77) Bry. semi-membranous expectoration, bronchial polypi. Rare (77). Kali bich. tough, stringy phlegm (72). Choice usually lies between this and Ant. tart., which see (77). Aeon., Bry., dyspncea, asthma humidum, followed by Iod., Sulph., Ars. (M). Cann. ind. lx, humid asthma (M). Calc. iod. scrofulous children (77). Puis, subacute, in delicate persons (77). China, sustains the constitution under the abundant secretion (72, 77). Ilyos. severe cough, influenza, aggrava- tion on lying down (77). Silica, chronic, purulent (77). Stann. chronic bronchial muco-purulent discharge (77). Carbo veg. in the aged; great debility, profuse expectoration, loss of voice (72). Myosotis 1*, may prove valuable in copi- ous mucous expectoration (77a). Cactus, Iberus, cardiac complication (77a). Sticta, relieves "racking" cough (77a). Silphium, has proved useful (77a). Sang, severe dry cough, tickling in thrvat, pain beneath sternum, myalgic pains in chest (L). JEscul. when with gouty diathesis; piles, and constipation (72). Pulmo vulpis 1, "humid asthma," symp- toms of much mucus iu chest (Von G.). Poultices, made large, of hot linseed meal, to cover the chest, when conges- tion of lungs (72). Olive Oil, inunctions to chest, has sooth- ing and strengthening effects (72). Diet, nutritious, and stimulants neces- sary when great prostration (72). 26 BEONOHOEEHCEA. Ammonium Iodide, small rapid doses give great relief (B). Eucalyptus, of great utility (B). Sulphurous Acid Gas, as inhalations, or acid as spray (B). Lead Acetate, as astringent, to restrain secretion (B). Asafoetida. R Misturae asafoetid. siv; am- nion, muriat. 5j. M. Sig.—Tablesp. as necessary (B). Grindelia, an efficient remedy (B). Iodine, as liniment, over front and back of chest (R). Spinal Ice-bag, to restrain excessive secre- tion (R). Merc. 6, of great service (77); purulent expectoration (72). Ant. tart, mucous, lumpy expectoration, muscular debility (77). Amm. carb. copious muco-purulent secre- tion, atony (72). Silica, tendency to suppuration (B). Lye purulent expectoration; is highly praised (77). Calc carb. in delicate leuco-phlegmatic children (77). Kali bich. tough, stringy expectoration; yellow tongue, loss of appetite (72). China, sustains the constitution under excessive secretion (77). BEUISES. Arnica, the infusion very useful for exter- nal bruises and cuts; also an excellent remedy for internal bruises, shake, falls, blows, or shock, trjv-x every 2 or 3 hours (P); in bruises, sprains, etc. (Wa). Aconite, the liniment locally to painful sprains and bruises (Wa). Capsicum, a strong tinct. applied with gum, said to act like a charm on dis- colored bruises (R). Sulphurous Acid, a solution constantly applied (R). Oil of Bay, as stimulating liniment (P). Opium. Tinct. opii 5j, with lin. saponis Sj, diligently rubbed in 2 or 3 times a day, affords great relief (Wa). Am. , 1 part to 10 water, as lotion; cover with oiled silk (72); int. also, in high di- lution, for remote effects. The great remedy for muscular injury (77). Aeon, bruises near the eye, of joints, etc., with ice locally (72). Ham. instead of Am., when discoloration, broken skin, predisposition to erysipelas. One part to 6 water, as lotion (72). 72i4a, bruises of skin covering bone, as on the tibia (72). Coni. bruises of mammae, or of other glandular structures (72). Collin, has been very useful (77a). Erig. , diluted, used as Arn., an excel- lent application (77a). BUBO. (Compare Chancre, Syphilis.) Mercury, necessary in the indurated bu- boes diagnostic of syphilis (Ricord); the powder of calomel locally for indolent buboes refusing to heal after opening(H). Nitric Acid, indolent and broken bubo(R). Sulphides, are less useful in maturating than in the case of ordinary boils or abscesses (R). To check suppurat'n (St). Iodoform, locally, has proved useful (Wa). Iodine, applied to produce vesication around a bubo, relieves inflammation (R); freely every day, with rest, and compression, to cause absorption (St). Merc. sol. in specific buboes only (M). Merc, biniod. 2", gr. v-x in phagedenic bubo (77). Merc. sol., Aur. (72). Ac. nit. 1, extolled in inflamed bubo; ten- drop doses of the 1* or 2» if mercury has been given (77). Hep. sulph. if suppuration inevitable (77). Iodoform,locally (72). Calend. , 1 part to 8 water, as lotion, in phagedenic bubo, on cotton wool, laid in and over the wounds (77); on poulti- ces (72); combined with 4c. carbol. and gum-water as dressing (M). COMPARATIVE Silver Nitrate, lightly to surface, to stimu- late indolent buboes (Wa). Potassio-lartrale of Iron, 30 parts to 250 aquae destil., 3 tablesp. daily; also as lo- tion to sore (Ricord); phagedena (St). Tartar Emetic, gr. j every 2 hours, reduces inflammation in many cases (Wa). Ice, greatly relieves (B). Surgical. Open freely with a bistoury, when suppurating (H). Iodine paint, or Emplas. hydrarg. for in- dolent form; thick but not tender (D). Rest, fomentations, and anti-anthritic remedies for thickened bunion. Burst it by pressure if recent and sac thin (D). Carbolic Acid, 1 part to 30 of lin. calcis; or 1 part to 6 of olive oil; the latter speedily relieves pain, and promotes healing without suppuration (Wa). Boracic Acid, a saturated watery solution, used with great success by Lister (B). Lead Carbonate, white lead paint; an excellent application to burns of small extent (B). Salicylic Acid, 5j-Sviij ol. olivae is an effi- cient local application (B). Collodion, flexible, to burns of first degree (B, R, P). Phytolacca, relieves pain (B). Lime, as lime-water and oil, equal parts (R); or lime-water with linseed-oil. a favorite application (P). Turpentine, in dangerous cases, where great constitutional depression (P); as wash to severe burns, then locally basili- con oint. mixed with turpentine (B). Cotton-wool, to allay pain and exclude air (P). Warm Bath, immerse for some days(R); exclusion of air the main indication (H). Iodine, painted on outside, after removal of fluid with aspirator (D); after blister- ing (Wa). THERAPEUTICS. 27 Ars. when of gangrenous type (M). Aur. met., Ac. nit., Hep. sulph. mercurial- ized constitutions (.17). Phyto. internally and externally, has spe- cific glandular action (77a). Carbo an. has old repute in inflamed (77); for old, indolent buboes (M). Cleanliness, rest, recumbent posture, emollient poultices(M); agenerous diet, with cod-liver oil in phagedenic b. (77). Iod. internally and externally for indolent bunion without tenderness (72). Am., Ruta; Ver. vir. ext. if inflamed (72). Hepar sulph. or Silica; and Calend. or Ac. acet. lotion externally, if suppurating (72). Ac carbol. and Olive oil, to be applied on layers of cotton wool. On renewing the application, the lowest layer should not be removed, but re-soaked. In treating burns by means of Ac. carbol., the pain is much more speedily relieved by leav- ing the injured surface exposed to the air, and applying the carbolated oil with a feather or a camel's-hair pencil (72). Urt. ur. on cotton-wool, in simple injury (72); 1 part of to 20 aqua when cutis not involved (77). Canth, <#>, diluted, locally (77); burns of second degree, blisters (72). Am. the infusion, diluted, locally, in third stage, applied warm (Hpl). Rhus, int. in extensive but superficial burns (77). Camph. repeated doses, for shock in burns of third degree (77). Kali bich. duodenal mischief attending severe eases (77). Calend., Glycerin, Urt. ur., ext.: Sulph., Phos., Ars., int. for ulcers from burns or scalds (72). Iod. chronic, enlarged glands; painted over interior after opening with knife (72). Am. from friction or bruises (72). BUNION. (Compare Bursitis.) BUENS .AND SCtULDS. BUESITIS. 28 index of Blisters, in rheumatic enlargement 01 bursae, are almost indispensable for a rapid cure (Wa). Fomentations, with rest, to relieve pain and swelling. If unavailing, a crucial incision into the bursa, care being taken not to open the capsule of the knee (D). Excision, when chronic, tumor hard, resisting other measures (C). Lime, the phosphate, in scrofulous affec- tions and anaemia (Wa); in phthisis, and affections marked by mal-nutrition (B). Iron, in splenic syphilitic, and strumous, and esp. in all anaemic states; also in the malarial, and phthisical; chalybeate wa- ters (B). The ammonio-citrate the best tonic in the cachexia of gastric ulcers, esp. in chlorotic females (Wa). Arsenic, a prompt remedy in the malarial cachexia; also in cancerous, of real value (Wa). Hydrastia, in paludal and splenic ca- chexiae, stands in high esteem (B). Nitric Acid, is adapted to the cachexia following acute disease or intemperance; also as alterative after long courses of mercury (Wa). Potassic Iodide, in constitutional syphilis, and resulting affections of bones and skin (Wa). Mercury, in the syphilitic; but its utility much questioned (Wa). Phosphates, in bone diseases; wasting bronchitic, leucorrhoeic, etc. (B). Arnica, in very developed cachexiae, has excitant action on nervous system (Wa). Eucalyptus, a serviceable tonic and stimu- lant in cachectic states generally (B). Manganese, the syrup of the iodide of iron and manganese in anaemic, syphilitic, strumous, malarial, cancerous, etc. (B). Grape-cure, often modifies most happily many conditions (P). Air, in good condition, an important element (B). Water, the Turkish bath and wet pack as aids to remedial action, in plumbic, mercurial and paludal (B). Sil. 3x, of knee-joint (77); tendency to suppuration (72). Bell, heat, redness and swelling;lancinat- ing pains (72). Rhus tox. has cured several cases (72). Puis, or Puis. alt. Lye, with rest of part (72). Local Applications of the indicated remedy should also be made (72). Seton, by which to convert to abscess(72). Calc. phos. in all forms of assimilative derangement, when affecting the osseous system (72); see Calc. carb. Ferr. in anaemia chlorosis, and associa- ted ailments. The iodide especially in scrofula and tuberculosis (72). Ars. in malarial (77); in scrofulous and cancerous cachexiae, and those marked by debility, emaciation, thirst (72). Hydras, in the cancerous (72). Ac. nit. scrofulous, syphilitic, and mercu- rial, esp. when affecting the parts where skin and mucous membrane join (72). Kali iod. syphilitic, rheumatic and gouty, esp. when pains are worse at night (72). Merc, in rheumatic and syphilitic, and many manifestations of scrofula (77, 72). Phos, for fatty degeneration, wherever occurring, caries of bones, rachitis (77); organic hepatic disease (72). Sulph. the most valuable remedy in most forms of cachexia, especially those in which the skin is involved. Of great value in the rheumatic (77). Rarely cures alone (72). Also Hepar Sulph. (72). Calc. carb. a principal remedy in all forms of assimilative derangement, especially rachitis, scrofula, and tuberculosis (77). Bary. mur. has been given with much benefit in scrofulous disease (77); en- larged glands, eruptions, etc. (72). Iod. has a profound influence on the lacteo-lymphatic system; therefore valu- able in scrofula, esp. the sanguine form, in all glandular affections, tabes meseu- terica, and tertiary syphilis (77). China, in neuralgic, malarial, and all cachexiae marked by periodicity of symptoms (72). CACHEXJJE. comparative ' Oils and Fats, to promote constructive metamorphosis, in many cachexiae, esp. cod-liver oil (B); the latter a most valu- able remedy in scrofula, phthisis, atro- phy, tubercular and jail cachexiae, anaemia, etc. (Wa). Massage, has been productive of remark- able results in many forms of c. (B) Aliment, of prime importance (B). [See the various headings, Scrofula, etc.J CtVLCULI, BILIAEY. Chloroform, undoubtedly affords some re- lief, but cannot act as a solvent (B). Morphia and Atropia, hypoder. Morph. gr. %, atropia gr. 1-120, as anodyne, for the vomiting (B). Chloral, sometimes relieves the pain (R). Ndro-Muriatic Bath, useful in India (B). Sodium Phosphate, in 3j-3j doses before each meal for several months, useful to prevent recurrence (B). Turpentine and ether, partes aequales. Du- rande's remedy. Is not solvent, and, as anodyne, inferior to morph.or chloral (B). Counter-irritants, relieve pain from pas- sage (R). Aliment. Withhold all starches and fats; alk. min. waters especially useful (B). Anaesthetics, to relieve pain (B). Morphia. [See Calculi, Biliary.] Alkalies, salts of potassium long continued will effect solution; soda salts not to be used(B); to dissolve uric acid calculi (R). Alkaline Mineral Waters will do the same. Waters rich in potassa preferred, espe- cially the Vichy (B). Ammonium Benzoate, long continued, will dissolve phosphatic calculi (B). Potassium Citrate, in large doses, for pa- tients with bloody urine, containing quantities of uric acid crystals (R). Counter-irritants, relieve pain from pas- sage of renal calculi (R). Nitric Acid, very dilute, as injection for phosphatic calculi (R). THERAPEUTICS. 29 Silica, in the enchondromatous diathesis, scrofula in bones and joints, rachitis (77). Aurum, in cancerous, mercurial, and syphilitic cachexiae (72); esp.when bones, glands, and oculo-nasal mucous mem- brane affected (77). Coni. cancerous and strumous, affecting the aged, especially females (72). Mez. rheumatic, syphilitic, or mercurial disease of bones and skin (72). (Compare Jaundice.) Chloroform or Morphia hypodermically (72). Berb. , to relieve the pain (77). Calc. carb. 30, has powerful influence in relieving the pain; better than chloro- form or hot bath (77). Chel. (j>, expels, and prevents formation (72); has cured numerous cases (77, 77a). Aeon, with large hot compress over the seat of pain (72). China. 6, never fails to cure the tendency (Thayer); said to dissolve calculi, and prevent their re-formation (72). Podoph. to aid expulsion (72). Nux vom., Elat. 2*, Gels., Aeon., Cham., spasm while passing (72). Sulph. to prevent re-formation (72). Ac. phos., Lye, Canth., Berb., (72). Chloroform or Morphia hypodermically (72). Berb. , to relieve the pain (77). Calc. carb. 30, better than chloroform or hot bath to relieve pain (77). Nux vom., Sarz , relieve the pain (77). Gels., Nux vom., Aeon.', Cham., spasm while passing (72). Lithium citrate, gr. xv bis die, to increase secretion of kidneys, and dissolve or wash out gravel (72). Ozonic ether, 5ss-j ter die in water, to dis- solve uric acid calculi (72). Diet. Restrict sugar in any form or com- bination, fat, and alcohol. Live care- fully; with frequent abstinence from animal food. Lemon-juice, milk-diet, large draughts of soft water, useful (72). CALCULI, EENAL AND VESICAL. 30 index of Castor Oil, as a purgative, of value (P). | Baths, or fomentations, hot, for spasm Cotton-root, in decoction, as demulcent, while passing (72). in strangury and gravel (P). Surgical. Lithotrity or Lithotomy for Calumba, to alleviate the vomiting (P). I removal of stone from bladder (72). CANCEE. Arsenic, in cancer of stomach, diminishes pain and cheeks vomiting; also in scir- rhus of stomach and epithelioma; is believed to retard the growth of uterine cancer (B). Arsenious acid, pure or with starch, as a caustic; enough should be used to set up active inflammation (R). Belladonna, locally and internally (ttjv-x of great benefit as palliative in severe pains of cancer (P). Conium, as poultice, and internally to re- lieve pain (R). Is particularly applicable to pain of cancer (P), As palliative (Wa). Hydrastis, has a renewed interest (Pf). Carbolic Acid, undiluted, to sore, and in- jected beneath it, limits and retards (B); pure, as anaesthetic, before applying caustics; with glycerin, as application to fetid cancers (R). Citric Acid, 5J-5viij aquae, useful in allay- ing pain of cancerous ulcerations (Wa). Acetic Acid, 1 to 3 aquae; rrjxxx injected into the tumors, has been used with va- rying success (Wa). Chloral, in gr. x doses, 3 times a day, has relieved most severe pain of cancer (R). Chloroform, as vapor to raw surface (R). Hyoscyamus, bruised leaves, locally (P). Bismuth, relieves pain and vomiting of gastric. R Bism. subnit. 3ij; morph. sulph. gr. j. M. Fit. pil. no. vj. Sig.— One ter die in milk (B). Glycerin of Tannin, with glycerin of car- bolic acid, checks discharge and stench of uterine cancer (R). Carbonic Acid, injected up vagina in can- cer of uterus, to relieve pain (R). Iodoform, applied to diseased surface, re- lieves pain and removes fetid odor(B, R) Pepsin, injections into tumor (B). Salicylic Acid, pure, applied in powder(B). Zinc Chloride, the most efficient and safe escharotic. Partsj-ij-v flour, or "caustic arrows " inserted at base of tumor (B). Potcusa Fusa, as escharotic (B). Ars. preseveringly used has arrested growth, and gradually dispersed. Ars. alb. or Fowler's sol. (72); often cures epithelioma, relieves pain, retards ad- vance (77); probably useful in cancer scroti (Hpl); ext. and int., remarkably controls cancer of the lip (77). Bell, scirrhous induratious; cancerous ulcers, burning when touched (L); large doses in scir. indurationsof glands(TTpi). Conium, especially in mammary (77); also locally, to relieve pain (72). Hydras, int. and ext., when glands or uterus effected; large doses; is much extolled. Several cases of cancer of the lip have been cured by Hydras, ext., with Ars. int. at the same time (72). In mammary scirrhus (77). In two cases given int. and ext., seemed to cure true cancer (Tif). Ac. carbol. ext. andint.,gtt.ij diluted, ter die, especially valuable after excision, to prevent recurrence (72. Hpl); indis- pensable in uterine cancer, alone or alternated with Sodic sulphite or Bromo- chloralum (Ha). Ac. cit. as a local application (77). Carbo an. of old repute; condition gene- rally that of torpor (77); has effected much improvement, and revived the dormant energies of the system (72). Thuja, epithelial (72); the 30th in soft cancer, fungus haematodes (77). Phyto. in cancer of the breast (77a). Sang, to prevent recurrence (72). Phos. cancer of stomach (72). The 30th in soft cancer (77). Hydroc. asiat. in uterine cancer (72). Cundurango, in open cancers, had good effects; but useless in scirrhus (77, 77a). Aur. cancer of bone (72, 77), antrum (77). Aeon. rad. , int. and ext., the best ano- dyne when severe pain (72). Vibur. prim, topically has cured cancer of tongue (77a). COMPARATIVE THERAPEUTICS. 31 Opium, to cancerous sores. Morphia, dissolved in glycerin and spread on lint, very useful where there is much pain. Opium is also used in cancer of the stomach (R). Codeia (gr. 1-15 to 1-10) a good hypnotic (P). Zinc Sulphate, dusted over, dry. An ex- cellent caustic. Remove the eschar by poultice (B). Bromine, for destruction of uterine cancer, is preferred by some (B). Chromic Acid, a powerful escharotic (B). Iron and Manganese, the syrup of the iodide, for resulting cachectic state (B).. Poultices of starch, applied cold (R). Warm Enemata, to relieve pain and straining in intestinal cancer (R). Arsenic, in medicinal doses (R). Nitric Acid, to surface (R); strong nitric acid the best caustic for worse forms of the disease (Wa). Potassic Chlorate, gr. xx-xl in 24 hours, has been strongly recommended (D). Quinia, made into a syrup, or as enema, to support the strength (Wa). Belladonna, with glycerin, as local appli- cation to relieve pain (R, P, Wa). Carbolic Acid, on lint, with glycerin or oil, into discharging sinuses (R). Iodine, to produce vesication around car- buncle; reduces inflammation (R); partj of tinct. to iij aquae, locally, has most striking effect (W'a). Calcic Sulphide, 1-10 of gr. hourly, or every two hours, of great service (R). Opium, a thick extract locally (R). Poultices, the inflamed surface having been previously smeared with belladon- na and glycerin (R). Strapping, with plaster, concentrically from border inwards, will sometimes arrest extension (R). Collodion, as protective covering (P); as zone around base, leaving the centre exposed (Wa). Ac. mur. 3*, 12, in cancer of tongue (Hpl). Galium, has repute in cancer of tongue (72. 77a); large doses necessary (77a). Secale, cancer of uterus (77). Sil. and Calc. in substantial though small doses, seem capable of abating pains, and causing the growths to wither (77). Lapis alb. recommended by Von Grau- vogl for many forms (77). Merc biniod., Aur., Puis., Coni., Cham., Phos., Sulph., sarcocele (72). Kali chlor. as local application (77); dust- ed over the sore, and covered with a wet compress (72). Poultices, of bread, sprinkled with char- coal or freshly-ground coffee, as deodor- izers to open cancers (72). Ars. has no rival (77); extensive disorgani- zations, prostration (72). Ac. nit. when from excessive mercurial treatment (72). Kali chlor. has proved very efficacious (77); as lotion (72). Merc, closely resembles (77). Hydras, a solution locally (72). Bell, smooth, tense, bright-red (77). Bell. alt. Hepar sulph. forming stage, and in simple cases (72). Ac. carbol. and glycerin, after suppuration established, to arrest decay, etc. (72). Iod., Liq. calcis., and Camph., locally, have each dispersed (77). Am. int. repeated doses may abort (VonG). Ars. fever and prostration (Js, 77); malig- nant cases (72). Bry. to hasten suppuration (J). Lach. prostration without nervous and vascular erethism (77); malignant (72). Sil. to check excessive suppuration (77); indolent (72). China, Lach., exhaustion or symptoms of blood-poisoning (77). Apis, extending erysipelatoid swelling(72). Poultices, of yeast or tomatoes (72). Diet, should be nourishing (72). CANOEUM OEIS. CAEBUNCLE. (Compare Abscess, Boils.) 32 CABIES. (Compare Necrosis.) Aurum, in syphiloma of bones (B). Phosphoric Acid, with s parts water, local- ly applied, has been of benefit (Wa). Phosphates, best is syrup of lacto-phos- phate of lime, or Parrish's phos. (B, R). Villate's Solution, Cupri sulph., zinci sulph., aa partes xv.; sol. subacetat. plumbi, partes xxx; ac. acet. partes cc, as injection, has cured several cases (B). Sarsaparilla, a very useful medicine (P). Iodine, locally, with iron or cod-liver oil internally (Wa). [See Bone.] Potassic Iodide, in syphilitic caries, holds the first place (Wa). Cod-liver Oil, to promote constructive metamorphosis (B, R). Aur. when of syphilitic, mercurial, or scrofulous origin (77, 72). Ac. phos. 1", highly valued by the Ger- man writers, especially when free sup- puration and hectic (77). Phos. with Natr. mur. reported as most efficient (77). Merc, scrofulous periostitis (77). Sulph. to begin with (J). Silica, Ac. fluor. valuable remedies (77). Calcphos., AsaJ. 12, Arg. met., Phyto. int. and ext. (72). Ac. nit. has arrested caries of the zygo- matic process (Hpl). Caps. an. caries of the mastoid process, with acute, shooting pain (Hpl). Cod-liver Oil, Calc. hypophos. (Ha). CATALEPSY. Terpentine, in enemas, and embrocations along the spine, affords the best chance of stopping the paroxysms (Wa). Treatment must be essentially tonic and restorative (77). No constant line can be stated (A). Cann. ind. presents in its action a perfect picture of c. The 2, rapidly curative (77). Ac hydrocy. may control spasms (Hpl). Artem. vulg. has effected cures (Hpl). Opi., Cupr. acet., Cicut. and cold douche (72); Scutel. with iron (77a). OATAEACT. Phosphorus, with oil, by frictions to the forehead, and by instillation of the same into the eye, may cause absorption of the lens or capsule (Wa). Sodic Sulphate, a solution suggested as injection into anterior chamber, in hope to dissolve the nebula (Wa). Galvanism, has been successfully em- ployed in incipient stage (Wa). Mydriatics, belladonna, hyoscyamus, etc., to secure full dilatation of pupil, as a means of ascertaining when the opera- tion should be made, which is when the cataract is mature, there being no vision even with dilated pupil (Wa). Diet and Regimen, may do much to retard degeneration of the lens, in cases due to diabetes, or malassimilation in gouty or rheumatic persons (Carter). Iridectomy, made early and effectually, may postpone the progress of lenticular opacity, if due to increased intraocular tension (Carter). Phos., Merc, Euph. (A); Caust., Magn. carb., Sepia (77). Bell, after inflammation of eyes (77, 72) Sant. improved one case (77); cured four cases out of nine (77a). Colch. benefited three cases (77). Conium, traumatic cataract (73). Sang, relieves senile cataract (72). Calc. carb. strumous patients (72, 77). Sulph. after cutaneous eruptions (72, 77). Silica, when opacity of lens after sup- pressed perspiration of feet (77). Puis, suppressed menses (72, 77,'. Am. int. and ext, cured a case caused probably by contusion (Hpl). Cann. specks on the cornea (72). Cann. sat. from hard drinking (Hpl). Treatment sometimes efficacious (72,77). No reason why it should not be (4). In Burnett's monograph (London, 1880); there "is found not one single case of undoubted cataract, cured by any me- thod whatsoever" (P. Park Lewis). COMPARATIVE THERAPEUTICS. 33 CAT.AEEH, acute nasal, o Aconite, in severe colds with much chilli- ness, aching of limbs, a hot, dry skin, and quick pulse, In catarrh of children and measles (R). In coryza (P). Belladonna, gtt. v of tinct., then gtt. j each hour in acute nasal catarrh, with profuse watery secretion (B). Aconite and Belladonna, in ordinary sore- throat from cold, with much fever. I£ Tinct. aconiti radicis 5j; tinct. belladon. 3ij. M. Sig.—1 drops in water every hour or two (B). Nux Vomica, has great effect on a dry " cold-in-the-head " (P). Euphrasia, of decided utility (P). Pulsatilla, in coryza; a warm lotion, 5j or ij to Siv aquae, syringed into the nasal passages (P, B). Camphor, spirits in form of vapor: a use- ful inhalation (B, R). Tartar Emetic, gr. 1-20 to 1-12, in first stage (B). In acute catarrh of children, often with vomiting and diarrhoea (R). Arsenic, sneezing, frontal headache, itch- ing of nostrils (R) Cigarettes (B). [See ante, Asthma, for formula. ] Veratrum Viride, if arsenic fails (R). Ipecacuanha, for acute nasal and bron- chial catarrh, and ordinary colds in children. Fl. ext. best (B). Potassic Iodide, gr. x at bedtime, at the onset, to cut short acute cold in the head; also useful in chronic colds (R). Cimicifuga, an excellent expectorant. IJ Ext. cimicif. fl. Sss; tinct. opii deodor. 3ij; syr. tolu. 5 x. M. Sig.—A teasp. every 4 hours (B). Has been given with success when headache, stiff muscles, dull aching bone-pains (R). Rheumatic colds, neuralgic pain in jaws (P). Ammonium Iodide, gr. j every two hours, unquestionably serviceable (B). Quinia and Morphia, gr. x with gr. J^, at incipiency, will often abort (B). Opium, at night, if taken early, will often abort an attack of coryza; a glass of hot grog assists its action (R). Dover's pow- der, in a full dose at onset, may abort (B). Iodine, by inhalation in daily attacks, with itching nose (R). Compare Hay-Fever, Influenza.) I Aeon, catarrhal fever (77); early stage, with feverishness (72). Bell, larynx or trachea involved, conges- tion of head and face (72); fluent coryza of one nostril, with dry cough (Hpl.) Nux vom. incipient dry stage of fluent coryza (Js); often useful, alt. with Merc. (72). in "stuffy cold" (77). The 2* or 3*, no better remedy to abort an incipient attack of coryza. Euph.0, 3x, acrid fluent coryza, profuse laehrymation, red conjunctiva (72, 77). Puis, in females and children; thick, fetid discharge, loss of taste and smell (72,77). Camph. the most frequently used in in- cipient cold with chilliness (17). Ant. tart, difficult expectoration (72). Ars. thin acrid discharge, with influenza taint; much prostration (R, 77). Ver. vir. catarrhal fever, with vomiting, and catarrh of posterior nares (77a). Ipec- sneezing very hard (77); Ipec or Cact. rattling mucus (72). Kali iod. 3*, sneezing, and simple, fluid discharge (72); red nose (77). Cimicif. rheumatic (77a); when catarrh be- coming chronic (72). Gels, incipient cold, with chills (72, 77); torpid heavy condition. The best remedy for undeveloped or suppressed catarrh, the whole head suffering (77a). Merc sol. 6, sneezing, thick discharge, sore throat, chilliness, and perspirations (72); yellow expectoration (77). Merc. iod. dull headache in the morning, much mucus in the posterior nares (72). Merc, cum Kali iod. promptly curative, when profuse watery discharge (77a). Bapt. catarrh with feverish cough (72). Kali bich. tough, stringy sputa, digestive derangement (72, 77). Dulc. when from damp, wet, etc. The best prophylactic against damp (72). Cham, infants or children (72). Allium cepa, fluent nasal catarrh (77). Mez. pain in the lining membrane of the frontal sinuses (72). Samb. obstructive coryza of infants (77). Sticta, severe coryza; sneezing, headache, and conjunctivitis (77a). Cold Powder, camph. partes v dissolved in ether to consistence of cream; add ammon. carbonat. partes iv, and pulv. opii parsj. Dose. gr. iij-x. Useful for breaking up or modifying colds (B). Ammonia, inhaled in early stage (R). Potassic Chlorate, eight or ten lozenges a day will abort many a cold (R). Sulphurous Acid, in coryza, by inhalation, spray, or fumigation (R). Oil, inunction to whole body daily, to prevent frequent catarrhal attacks in cases of susceptibility to cold (B). Baths. A warm foot-bath before going to bed (R). Turkish bath, in coryza, at onset, will cut short feverish cold; also useful later on (R). Cold sponge bath, in susceptibility, supplemented by Turk- ish baths (R). Plant, maj. sneezing and toothache (72). Aur. offensive discharge, syphilitic sub- jects, depressed spirits (77). Eup. perfol. severe bone-pains (77). Phos., Bell, Spong., Hepar sulph., when larynx or trachea involved (72). Camph., Iod., Kali iod., Rumex, Hepar sulph., Calc. carb. (habitual); Sepia (fe- males), Gels., etc., for sensitiveness to colds, with morning cold bath, and breathing through the nostrils (72). Inhalations. Puis, 1, Ars. 2, Iod. \,Phot 1, to avert an attack. Salt and water, sniffed up the nostrils; Arg. nit. U, trit, as snuff' (72). Diet, should be light, very little meat; with hot foot-bath, or Turkish baths, rest in bed, and protection from atmos- pheric changes (72). 0AT.AEEH, CHEONIC NASAL. (Compare Oz^na.) Pulsatilla, 3J-U to Siv aquae as wash (P). Hydrastis, ext. and int., of value (B, P). Potassic Bichromate, solution (gr. j-x-3iv) is an excellent local application (B). Sanguinaria, ten drops ter die of tinct. in- ternally (or gr. 1-15 of alkaloid) and the powder locally in small quantity to Schneiderian membrane (B). Iodine, the tinct. by inhalation (B). Cod-liver Oil, in strumous subjects (R). Cubebs, finely powdered and blown into nares by insufflator (B). have proved useful (P); also smoked, and given in teasp. doses (Wa). Ammonia, inhalations, in pain and in- flam'ns of nose and frontal bones (R). Carbolic Acid, a 1-100 solution as spray; combined with tinct. iodine, and vapor- ized by warmth of hand. Tinct. iodin. Sss; ac. carbol. 3j (B). Iodoform and Tannin, by insufflation (B). Senega, lias been found serviceable (Wa). Bromine, vapor may greatly benefit (B). Alum, in powder, dusted over affected surface (B). Eucalyptus, has been employed (W). Sea-water Gargle, in naso-pharyngeal apace, has been used with great success (Prof. Mosler in Berlin Klinische Wock). Puis, when of simple character, without constitutional taint (77). Hydras, tenacious, stringy discharge, mu- cus dropping from posterior nares (77); also locally (77a). Kali bich. with tough sputa, digestive de- rangement (72, 77). Sang. 1, stinging tickling sensation, irri- tative swelling, with or without free discharge (77). Locally, the 2*, as snuff, with 3* internally, successful (77a). Iod. deserves special attention (B). Cod-liver oil, the best radical remedy; anae- mic, thin patients, sensitive to attacks of coryza (77a). Amm. brom. 1*, ter die for a few weeks; no more effective remedy in catarrh of posterior nares and fauces of thick, stringy mucus (77a). Ars. iod. discharge acrid, burning in nose and throat, delicate tuberculous sub- jects (77); old cases, discharge bloody and fetid, scabs and pus. Effectually cures, with a douche of glycerin and water (77a). Merc, biniod. catarrh of posterior nares, dull morning headache (72). Sticta, scabs in nose and throat; rheuma- tic pains (77a). comparative THERAPEUTICS. 35 Spray, by atomizer, of warm watery solu- tions, cosmoline, etc., is used with much success. The atomizing tubes used are of annealed glass, with a cupon the tube for the remedy, permitting the latter to be heated over a spirit lamp (Cohen). Iron, the tinct. of the chloride, or mild chalybeate waters, in chronic cases from general anaemia (B). Amyl Nitrite, in vaso-motor spasm (B). Chloral, in small doses, with stimulants, warm baths (Ros). Camphor, or other cerebral excitants, as aisafoetida, valerian, serpentaria (B). The mono-bromide of camphor in one to five grain doses (Hammond). Glonoinum, irjj of 1 per cent, solution (P). Phosphorus, supplies the needed material for healthy brain-action (B). Nux Vomica, stimulates blood-making or- gans (B). [See Anjsmia for formula.] Electricity, through head (B). CEEEBEAL Arnica, when from a fall, cannot be too highly spoken of (P). Warmth, to extremities, rest, expectant treatment, will suffice in mild cases (Ag). The indications are: (1) to recover from insensibility and collapse; (2) to prevent inflammation; (3) to restore impaired faculties (D). Stimulants, or Venesection, cannot be too strongly reprobated (Ag). CEEEBEAL CONGESTION. Aconite, in active form, renders import- ant service (B). Belladonna, one of the best remedies in all hyperaemic conditions of the brain or spinal cord (P). Gelsemium, njv of the fluid extract every 2 hours, very useful (B). Bromides, are very useful (B). Colocynth, as counter-irritant, appears to act well (P). Aurum, discharge offensive; bones of nose sore; spirits very depressed. Mercurial- ized and syphilitic subjects (77). Graph, catarrh extending to eustachian tubes, middle ear: tendency to eruptions on skin (77). , (Compare Ins omnia. ) Ferr., China, aided by Dig. and a blood- making diet, when due to feeble cardiac action; or deficiency of blood (77a). Amyl nit. may be remedial (77a). Chloral, 3*, 6*, suddenly appearing (77a). Camph. brom. is secondarily indicated, and will be useful (77a). Amm. brom. 3*, 6", from diminished cali- bre of vessels, or vaso-motor spasm (77a). Kali-brom. 3*, 6*, profound melancholy, illusions (77a). Atropine 2, an excellent remedy in ram- bling muttering coma vigil, prostration, tongue dry, face pale (77a). Sil., Bary. carb., Graph., Lye, Ambra, Ac. fluor. .vertigo of cerebral anaemia (77). Arn. alt. ^4con. or Bell, the latter if signs of cerebral disturbance (72). Arn. symptoms those of shock (77). Aeon, to moderate reaction, as soon as it sets in; Bell, if reaction established, in- flammation threatening (77). Opi. stertorous breathing, constipat'n (72). Hyos. low or furious delirium (72). Quiet indispensable, no attempt should be made to arouse him (72). (Compare Apoplexy, Coma.) Aeon, acute active congestion, from cold or violent emotion (77). Bell, arterial congestion from any cause; red face, tendency to delirium; cerebral congestions of childhood (77). Bell, 3* or Airop. sulph. 3* first; if these fail, Apis 3x, when cerebral depression, or Glon., when cerebral exaltation (72). Gels: recent, passive, with diplopia, gid- diness; venous hyperaemia (77). OEEEBEAL ANtEMH 36 INDEX OF Cathartics, lessen blood-pressure (B). Colchicum, in plethoric subjects (B). Galvanism, of brain and cervical sympa- thetics (B). Chloral, when temperature high (B). Arsenic, sluggish venous circulation, torpor (B). Hydrocyanic Acid,n%i]-v of Scheele's di- lute acid (B). Venesection, will prevent injury to brain (B). Not to be adopted as a matter of course. Is contraindicated when anae- mia, aortic valvular disease, or in cases commencing with syncope (A). Water, cold douche to head, feet in warm water: ice and hot water alter- nately to head and nape of neck, often more effective than ice alone (B). Diet, should be low, but not too low, until all fear of relapse past. Full ani- mal diet should be avoided, also undi- luted wines (A). Natr. brom. in first stage of inflammation, or active congestion, gr. xv per hour (adults) for 3 to 4 hours, better than Aeon.. Bell., etc. (77a). Kali brom. very valuable in acute (77a). Ver. vir. the best remedy (77a). Glon. sudden, intense; sunstroke, men- strual suppression (77). Nux vom. hyperemia of some standing in patients of sedentary life, using animal food and alcohol (77). Bry. simple, non-inflammatory conges- tion of brain (77). Cupr. retrocedent exanthemata (77). Opi. drowsiness, stupor, coma (77). Sulph., Iod., old congestions, erythema or acne on face (77). Arn. chronic congestion; vertigo (77). Water. Hot water to head on flannels; mustard and hot-water packing, for 20 to 30 minutes, around legs, when active congestion. Protect bowels well (72). CEEEBEAL SOFTENING. Venesection, and antiphlogistic treat- ment generally, most beneficial in red softening, result of inflammation. Re- quire wise discretion, and should be used early. Not to be thought of in the yellow form, from want of nutrition; where res- toratives and food, perhaps wine (A). Phos. is truly homoeopathic to the idio- pathic form; in secondary softening from deficient nutrition, may be useful (77). Hyper, pain and other nerve symptoms (72). Merc. alt. Bell.; Ac. phos., Nux vom., Zinc, Ars., Phos., Zinc phos. 1*(72). CEEEBEITIS. (Compare Meningitis.) Ammonium Muriate, in solution, with vinegar, as evaporating lotion, with local antiphlogistics, leeches, etc. (A). Merc, the most homoeopathic (77). 7od., Plumb., are suggested (B). Nux vom. may be beneficial (Js). CHANCEE. (Compare Syphilis.) Mercury, small doses steadily; ptyalism must not be induced. Black wash (calo- mel gr. viij, aq. calcis sj), or yellow wash (hydr. chlor. corr. gr. j, aq. calcis Sj-ij), on lint, to erosions and ulcerated indurations (B). Calomel alone as dry dressing. Internal use of mercury best postponed until secondary symptoms appear (St). Carbolic Acid, as wet dressing. Gr. ij of crystals to Siv aquae ter die (St). Merc. sol. the leading remedy, and al- ways will be, in indurated or Hunteri- an chancre (J). Dosage varies greatly (77). The lx and 2x (Mg); in recent and hitherto untreated chancre, the 30th (Hah'n); the 1st (J, B); Mercury is an- tipathic to hard, homoeopathic to soft chancre (77). Merc. iod. or Ac. nit. in scrofulous and broken-down constitutions, where Merc. in any other form injurious (Mg). COMPARATIVE THERAPEUTICS. 37 Iodoform, heads the list of dry dressings. With lycopodium, equal parts, or 1 to 2 zinci oxidi; 2 to 1 hydr. chlor. mite (St). Hydrogen Peroxide, said to destroy the specific character. Wash lesion ter die, and apply lint soaked in it (R). Caustics, should never be used unless chancre attacked by phagedena (St). Caustic Alkalies to hard edges (R). Bro- mine, Chromic Acid, best escharotics (B). Dressings, effective, as far as the local trouble is concerned, in the majority of cases; sometimes a piece of lint on the erosion will suffice (St). Mercury, the acid nitrate one of the best caustics; apply with a glass rod (B). Nitric Acid, as caustic (B, R); 3j to Sviij aquae is an excellent dressing (St). Carbolic Acid, injected into sore (B); 5ij-v to Oj aquae, locally in phagedena (St). Ferri et Potas. Tartras, the "born enemy of phagedena" (Ricord); Sj to Svj aquae, internally, teasp. doses, thrice daily; also locally (St). Ferric Iodide, in sloughing phagedena, or simple c. in debilitated constitutions (B). Iodoform, powdered and dusted over the sore, allays pain, changes morbid action, and is antiseptic (B, R); 1 part to 2 of lycopodium, or one of tannic acid; as stimulant and alterative (St). Caustics, in severe cases. The white iron, strong sulphuric acid, pure nitric acid, pure carbolic acid, are effective in the order named (St). Sulphurous Acid, as solution, or by fumi- gation (R). Glycerin, diluted, or better still, glycerin of starch, or with y2 the quantity of eau- de-cologne (R). Benzoin, the comp. tinct., 1 part to 4 of glycerin; an admirable application (P). Hydrastis, on compress, as lotion (P). Collodion, is usefully employed (P). Merc. oxyd. rub. lx, gr. X twice daily, for neglected but not mercurialized chancre (J); the 2* for chancriform erosion, the most frequent form of primary syph.(Mg). Ac. nit. chancre which has been treated with large doses of mercury (B). Ars. 3x, or Fowler's sol. gtt. v ter die,with perfect rest, for gangrenous or phagede- nic type (Mg). Calend. locally (Mg). [See Chancroid.] Cleanliness, of great importance; tepid water locally frequently suffices for the outward treatment of infecting chancre (Mg). Merc, is homoeopathic, and in moderate doses may be relied on (77). Merc. corr. in phagedenic chancre (J). Ac. nit. 2x, 3x, thrice daily, with strict cleanliness, good plain diet, and a solu- tion of Calend., Ac. carbol., or Ac. nit., locally, in ordinary cases. Is a formid- able opponent to chancroid (Mg); an effective ally to Merc. (77). Ac. carbol. as solution, locally (Mg). Calend. as cerate, locally; or in combina- tion with Ac. carbol. and gum-water, acts admirably (Mg). Ars. 2x, gangrenous form (J, B); bloody edges; corrosive, fetid discharge (Mg). Caust. 2x, chancroid, with disposition to fungous growths; patients of gouty dis- position, or subject to cutaneous erup- tions (Mg). Aeon, at bedtime, when needed to soothe the nervous system (Mg). Ac. sulph's, with glycerin, locally (72). Glycerin, with Arn. and Calendula, mixed as lotion (72). Petrol. 12, int. and vaseline ext., when unhealthy condition of skin (72). Phos., Sil., Sang., Lye, Trill., dryness and burning of skin (72). Bell, swollen, with much redness (72). Puis, blue-red; pricking pains (72). CHANCEOED. (Compare Bubo.) CHAPPED HANDS AND LIPS. 38 INDEX of CHEST-PAINS. Belladonna, as ointment, when tender- ness is in skin (pleurodynia) (R). Iodine, oint.; pain in muscles (myalgia); skin may be pinched without pain (R). Arn. stitch-in-the-side when walking (72). Bry. pain catching the breath (72). Puis., Sep., Cimicif., under left breast in women, and intercostal rheumatism (72). CHICKEN-POX. Aconite, is of great value (B). Water. Hot and cold baths and packs are of great utility; cold if hyperpy- rexia; cold compress if sore-throat; hot or warm pack when free diaphoresis required (B). Treatment, precautionary only required. Avoid exposure to cold and wet; main- tain the action of skin and bowels (H). Aeon, sthenic febrile symptoms (72, 77). Rhus. tox. generally the first, and often the only remedy required (72). Bell, headache, flushed face.sore throat(72), Apis, excessive itch'g with erupt'n (72,77), Merc, if any of the vesicles suppurate (72), Inunction with camphorated oil, or thin starch, to relieve itching and allay in- flammation (72). CHILBLAINS. Arnica, a useful application (Wa). Iodine, ointment, the best application (R). Carbolic Acid, an efficient application is: IJ Acidi carbol. 3j; tinct. iodinii gij; acid, tannici 5ij; cerat. simplicis Siv. M. Sig.—Ointment (B). Sulphurous Acid, an efficient application; 3iij-5j each of water and glycerin (B). As solution or fumigation (R). Balsam of Peru, in ointment for broken chilblains (R). Capsicum, tinct. painted over unbroken chilblains (R). Cajeput Oil, applied locally (R). Turpentine, as wash; then apply basilicon ointment, mixed with turpentine (B). Arn. int. and ext.; never externally to broken chilblains (72). Tamus comm. , as paint to unbroken; an almost infallible remedy (72). Bell, bright-red, shining, swelling; pulsa- tive pains (72). Puis, blue-red, pricking, worse towards evening (72, 77). Rhus., Canth., inflamed, excessive itch- ing (72, 77). Sulph. obstinate cases; predisposition (72). ^4<7ar. is homoeopathic to them (77), Petrol., Bell., Rhus., broken, cracked (72). Ars., Phos., Petrol., Kreas., Ac. nit., ulcerated (72). 77a?re. or Calend, as glyceroles (72). OHLOEOSIS. (Compare Anjemia.) Iron, combined with arsenic or strychnia. IJ Ferr. arseniat. gr. ij; ext. cinchonae gr. xij. M. ft. pil. no. xij. Sig.—One ter die after meals. Occasional purga- tion and active exercise. Also chalybe- ate waters for blood deficiencies (B, R). Is not a specific in chlorosis, and acts best in the purest types (Tr). The iodide, when much torpor of the system, is often speedily efficacious (Wa). Arsenic, if iron fails, or disagrees (B). Ergot, in chlorotic amenorrhcea (P). Ferrum. Ferr. redact, lx or 2*, specific for simple forms (B). Ferr. phos. 1*, strumous, lymphatic patients (77). Ferr. acet. lx, gr. iij bis die (Js). Ferr. et Strych. citras 3x, strumous patients, lym- phatic temperament (Ld). Ars. menorrhagic (Js); when iron has been-abused; great debility, cedematous, paleness, cardiac complications (B); dyspncea, languor (R). Puis, simple, uncomplicated; scanty or absent menses (72). COMPARATIVE THERAPEUTICS. 39 Manganese, the saccharated carbonate of manganese and iron (B). Nux Vomica, stimulates the blood-making organs. Ferri sulph. exsic. 9ij; quiniae sulph. 3j; strychniae sulph. gr. ss. M. ft. pil. no. xx. Sig.—One ter die. Or Aitken's syrup of iron, quinia, and strychnia (B). Cocculus Indicus, with amenorrhcea and exhausting leucorrhoea (P). Hypophosphites, of lime or sodium (R). Benzoin, has been used with ad vantage(P). Pepsin, benefits, especially where digest- ive derangement (B). Oils and Fats, as inunctions after baths, of great benefit (B). Galvanization, central; will aid the action of the remedies (B). Potassic Bromide, benefits a curious affec- tion, sometimes found in children who from their birth can swallow solids with ease, but choke at drinks (R). CHOLEEA, Camphor, a drop or two of the saturated tincture, or v-x drops of the spirits with a little opium every ]4 hour (B); gtt. iv- vj of strong spirits every 10 minutes until symptoms abate, then hourly (R). Arsenic in epidemic cholera. Some cases of arsenic poisoning not distinguishable from cholera (B). For the vomiting, and in collapse (R). Copper salts, have been given (R). Turpentine, "px-xx every 2 hours, prom- ises to be a remedy of value (Wa). Chloral, as injection, the most efficient treatment. R Chloral, hydrat. 5iij; mor- phiae sulph. gr. iv; aquae lauro-cerasi Sj. M. Sig.—tt^xv-xx as injection (B). Chloroform, a few drops frequently repeat- ed, or x-xxx drops of chlorodyne, of great value (B). Opium, 1-10 to 14 gr. morphiae hypoder. in preliminary diarrhoea (B, P); ]/a to yA gr. of the greatest value even in collapse (R); dangerous if kiduey complications exist (P). Helon. atonic uterus, defective digestion (72); is considered valuable in alterna- tion with Ferrum (77a). Arn. nit. defective oxidation (77). Cycl. from checked menstruation, with dizzy headache (77). Plumb, obstinate constipation, general cachetic condition (72); has been used successfully (77). Ign. nervousness, depression (72). .4c. phos. symptoms traceable to mastur- bation (72). Calc. carb. inveterate cases in strumous patients (72). Senecio, with chronic catarrhal disorders, or strumous diathesis (77a). Ant. cru. with gastric complications, great depression, constipation (Hpl). 01. cajeputi, in one case of persistent "choking" sensation in the throat, a few doses removed the symptoms, which had lasted several weeks (77a). ASIATICA. Camph., Cupr., Ars., Ver. alb., the great remedies, all except Ars. having been indicated by Hahnemann (77). Camph. premonitory symptoms.diarrhcea, chilliness, spasmodic pains in abdomen. Rubini's saturated tincture should be used (72, 77). Prophylactic (72) Ars. sudden prostration, cramps, sup- pressed urine (72). The remedy most trusted in collapse (77). Cuprum, the best remedy for the cramps, and for vomiting when a marked fea- ture. Is undoubtedly prophylactic against the disease (77). The arsenite in the 6x acts promptly (77a). Tereb., Canth., Kali bich., for suppressed urine, if Ars. fails (77). Veral. alb. excessive vomiting and diar- rhoea, with cramps (72) and coldness, but without collapse and lividity (77). Ac. phos. frequently indicated in the con- secutive typhoid fever (77). Secale, Phos., large, watery, painless mo- tions (77). CHOKING. 40 INDE3 Lead, the acetate in early stages (R). Carbolic Acid, with iodine. R- Ac. carbol. gr. iv; tinct. iodinii, gtt. xvj; aquae menthae pip. Siv. M. Sig.—A tablesp. every hour or more frequently (B). Sulphuric Acid, the aromatic, with opium, is very effective (B). Strychnia, as prophylactic during the preliminary diarrhoea, and in epidemic when nearing collapse (B). Alcohol, small doses of iced brandy for vomiting (B). Spinal-ice-bag for cramps (R). Saline Injections, into the veins, have been successful in the collapse (B). Transfusion, of milk, in collapse (B). Ipecacuanha, greenish stools with mucus and often blood (B). Arsenic, for vomiting and collapse (R). Mercury, gr. % of grey powder hourly, of great service in infantile cholera with incessant sickness, profuse almost con- tinuous diarrhoea, offensive and nearly colorless stools. A starch injection, with a minute quantity of laudanum, assists the grey powder, and should be given in urgent cases (R). Zinc Oxide, with bismuth and pepsin, is very useful (B). Camphor, 3j-Sivof milk, very serviceable (B); an admirable remedy for summer and choleraic diarrhoea (R). Copper sulphate, often very successful. 3 Cupri sulph. gr. j; tinct. opii deodor. gtt. viij; aquae dest. siv. M. Sig.—A teasp. every 2, 3, or 4 hours, for child i-ij years old (B). Carbolic Acid, with bismuth, often arrests promptly. R Ac. carbol. gr. iv; bism. subnitrat. 5ij; mucil. acaciae sj; aquae menthae pip. Siij. M. Sig.—A teasp. every 2, 3,or 4 hours (B). Lead Acetate, one of the most useful as- tringents. R Plumbi acetat. gr. xxiv; pulv. opii gr. xij; pulv. camphorae sss; sacc. alb. q. s. Ft. pulv. no. xij. Sig.— One every hour. Also lead acetate and morpia as enema (B). ;x OF Aeon. , lx, eminently useful in first in- vasion to restore pulse, and arouse the vital reaction (Hpl). In the collapse, perhaps more energetic and effective than Cupr. or Ars., esp. when collapse comes on very rapidly, deadly chill (77). Ac. hydrocy. great oppression of lungs or heart (Russell); pulseless, respiration slow, deep, gasping (Sircar, of Calcutta). Cicut. spasmodic hiccough, belching (77). China, Ac phos. during convalescence(fl). Absolute rest, recumbent posture; no food, ice ad libitum. Enemata of warm milk. Fresh air; friction and heat to abdomen, legs, and feet. Stimulants worse than useless (72). Ipec. simple diarrhoea, with straining oi blood-streaked motions, from overloads ing the stomach, or during hot weather, with sickness a marked symptom (72). Ars. unquenchable thirst, aggravation at night, pale sunken face, prostration, chronic tendency (72). Merc. dul. clay-colored stools, watery or mucous; straining, nausea, thirst (72). Zinc. ox. gr. %-] every 3 or 4 hours (72). Camph. brom. 2\ when with spasms (77a), Aeon, should probably be the first reme- dy gi ven^77); heat of body, much thirst and restlessness (Hpl). Crot. tig. esp. when stools are ejected with great force; deserves trial (77). Pod. sudden exhausting offensive dis- charges, worse in morning; retching without vomiting (72). Verat. alb. watery discharges, in gushes, excessive vomiting and tenesmus. Cold sweat on forehead, abdominal coldness (72); the principal remedy (Js); "has always failed in my hands " (77). 7m, vomiting frequent, bilious evacua- tions (72); checks the vomiting speedily (77); a very valuable remedy (77a). Cham, during dentition, from cold, with fretfulness, colic; greenish watery offen- sive stools (72). Euphorb. corol. is quite homoeopathic (71); in 3» acts well (77a). CHOLEEA INFANTUM. COMPARATIVE Potassic Bromide, when from nervous ir- ritation or cerebral congestion (B). Silver Nitrate, beneficial after acute symp- toms have passed (B). Caffein, when from nervous irritation (B). Aliment. Milk, animal broths. No starches or fats (B). Camphor, an admirable remedy (R, B). Veratrum Album, for the vomiting and purging (72). Copper Salts, have been given (R). Arsenic, for vomiting; also for collapse in the later stages (R). Chloral, by injection, the most efficient treatment (B). [See C. Asiatica for formula.] Carbolic Acid, with bismuth, very effect- ive (B). [See above, C. Infantum.] Lead, the acetate, in early stages (R). Opium, gr. %-% morphia, hypoder; very useful (B). Gr. %, %, or l/% opii, every 2, 4, or 6 hours, in early stage (P). Calumba, as anti-emetic, of great value (P). Ipecacuanha, has been used with much advantage (Wa). Sumbul, said to have proved successful (P). Mustard, as emetic in collapse, to stimu- late a failing heart (P). Cajeput oil, much used in India for chol- eraic affections (P). Alcohol. Iced brandy in small doses for vomiting (B). The value of stimulants justly doubted; if given, should be largely diluted (Wa). Aconite gtt. j hourly, will relieve (R, P). Belladonna, combined with camphor or opium, gives the best results of remedies administered internally (St). Camphor. Ricord's formula is: 9 Cam- phorae, lactucarii, aa 5j. M. ft. pil. no. xxx. Sig.—One or more as necessary (B). 3j doses of the spt. will relieve (R). Cantharis, gtt. j ter die, will prevent (B, R). Cannabis Indica or Cannabis Sativa (P). Lupulin, valuable (P); said to prevent (B). 'HERAPEUTICS. 41 Alcohol, in grave cases, with tendency to collapse; gtt. x-xx of brandy with milk, every 30 to 60 minutes (72). Diet. Farinaceous food a common cause. Cow's milk 0% with sacch. lactis Sj-0% aquee-bul., or cold milk with lime- water (72). Camph. , strong chills (72); early stage. The best routine remedy for choleraic diarrhoea (77). Ver. alb. profuse vomiting and purging, coldness (77); cramps (72). Cupr. the best for cramps, vomiting (77); blueness (72); the arsenite in the 6* acts promptly (77a). Ars. general depression of vitality, col- lapse, suppressed urine (77, 72). Aeon. , lx, passage green, bilious vomit- ing, intense thirst and restlessness (Hpl); violent vomiting and purging; collapse (72, 77). China 1, specific for summer choleraic diarrhoea (77); simple c. with griping (72). Iris lx, bilious motions, colicky pains (72); vomiting and purging (77). "Works like a charm " (77a). Croton, stools suddenly expelled and copious (77). Dulc. when from alterations in temp. (77). Elat. 2, evacuations copious (77). Dios. excruciating abdominal pains (77a). Pod. has been very successful (77a). Secale, for women; large, watery, pain- less motions (77). Aeon, int., and ext. Bell. (72); inflamma- tory symptoms (77). Camph., Nux vom., int. and ext., spas- modic form (37); Camph. brom. gr. ij-iij at bed-time, controls effectually (77a). Canth., Caps., Puis., exercise marked power over inflammatory form. Also cold compress, low diet (M). Cann. ind. with amorous dreams (77a). Gels. , in drop doses hourly (72, 77a). Ac. picric, is indicated (77a). CHOLEEA SIMPLEX. CHOEDEE. 42 index of Colchicum, a "lixxx dose nightly (B). Morphia, Magendie's sol. 3iv; with gr. j atropiae; aq. dest. 5iv; of this, irjv-viij hypoder. in the perineum at bed-time. The one sure remedy (St). Cimicifuga, in cases due to menstrual de- rangement, is very useful (B, P); when rheumatic history (R); a very valuable remedy (P). Strychnia, in doses gradually increasing to toxic (Tr); minute doses (gr. 1-80 to 1-40) have been of much use when from fright or commencing puberty (B). Arsenic, large doses required, nyv ter die, when non anaemic (B); very successful in uncomplicated cases (R). Zinc, the sulphate has similar action to arsenic, but is inferior (B). In large and increasing doses is very useful (R). Iron, large doses of the subcarbonate in anaemic cases, about the time of puberty (B). Chalybeate waters often relieve or cure. Arsenic generally better, unless anaemia coexists f R). Copper. Cupr. ammoniatum has been used successfully (B). Veratrum Viride, has been employed (R). Cocculus, picrotoxine, large doses (B, P). Conium, in large doses, to quiet muscular agitation (B); is only palliative (R); evi- dence contradictory as to its value (P). Valerian, said to restrain the movements (R). Useful when from worms'(P). Chloral, contributes to a cure by inducing quiet sleep (B, R). Chloroform, inhalations, often of great service in severe cases (R). Morphia, with chloral, hypoder. in large doses, for severe cases (Tr); when the movements prevent sleep (R). Physostigma, is recommended (R); of doubtful benefit (B). Musk, has been given (R). Cod-liver Oil, in low nutrition (B, R). Water. Cold effusion to head and spine, and cold baths, important (B); not to be used if rheumatism, fever, or pain in joints. Tepid water first (R). Chloral-hydrate, gr. x-xv at bed-time, sue. cessful in severe cases (77a). Diet, plain and moderately low, copious draughts of barley-water or linseed-tea, No stimulants (Mg). Cimicif. i>, a most valuable remedy in many forms (77a); from rheumatism (72). Rheumatic, menstrual, and uterine dis- orders. Examine mental symptoms(77pQ, Strychnia, when cerebral irritation (72). Ars. of great value; often curative, esp. in simple cases (72). The prince of reme- dies in chorea (77). Zinc, recent and simple (72); chronic(I). Ferr. when anaemia coexists (72, 77). Cupr. periodical chorea; twitchings ofteD confined to one side, better when lying down (L); ordinary eases of idiopathic form (77); stands at the head of anti- choreic remedies (J, B). Ver. vir. is valuable (77a); when cerebral irritation (72); a useful adjunct (77). Cocc. in some rare forms (77). Agar, is credited with the most cures. Twitchings cease during sleep(77). True cerebral chorea, idiotic expression (7,). Stram. in severe cases, until the violence of paroxysm is reduced, then Cupr. (B), the mydriatics most suitable in nervous, delicate children (77). Aeon., Ign., when from fright (72, 77). Spig. when from rheumatism (77). 7od. in grave forms (Js); when tubercu- lous diathesis (77). Cupr., Zinc, Bell., Agar,, Stram., Hyot., recent, simple cases (72, 77). Ars., Iod., Firr., Sulph., from scrofula or other cachexia (72). Ars., Cupr. acet., Zinc, 7od., chronic cases (72, 77). Aur. with otorrhoea after scarlatina (72). Mygale, Tarant., have been used with advantage (77a, 77). Liq. sodx chlor. in small doses, when from uterine derangement (72). Galvanism, the constant current, used by Benedict in twenty cases, all recover- ing. Galvanic chain around neck and down the back (72). CHOEEA. comparative therapeutics. 43 CHOEOIDITIS. Mercury, as in iritis; cannot be borne to the same extent as in latter disease (A). Opiates, necessary externally and intern- ally, to overcome pain (A). Treatment. Generally the same as in corresponding forms of iritis, but when atrophic spots appear on the choroid, no treatment can repair the damage (A). Chloroform, injected as deeply as possible about seat of greatest pain (B). Electricity, has cured one severe case of 12 yrs. standing, and helped others (Ros). Surgical treatment the only resource in rebellious and painful cases (Ros). Nott extirpated the coccyx; Simpson per- formed subcutaneous section of muscles and ligaments. Aconite, for nervous palpitations, and restlessness or "fidgets;" gtt. j hourly (R). Cimicifuga, for distressing headache (R). Nitrite of Amyl, in small doses when the "heats" predominate, followed by cold, clammy, pale skin (R). Nux Vomica, Opium, and Belladonna, when symptoms described under Iron are limi- ted to head and face (R). Iron, for flutterings of the heart, with full- ness of head, heat and weight on the vertex, frequent flushings, and hot and cold perspirations. Large doses of ses- quichloride ter die (R). Ammonia, Raspail's sedative., lotion to painful part of head, in headaches (R). Potassic Bromide, for despondency, with sleeplessness and irritability, often also with heats, flushings, perspirations (R). Camphor, for drowsiness and headache. Eau-de-cologne saturated with camphor rubbed to head (R). Zinc Valerianate, hysterical symptoms (R). Change of air and scene, where other treatment only partially successful (R). Warm Bath, to promote free perspiration. 90° to 95° Fah. for an hour, once a week, will obviate many of the symptoms (R). Merc, the best of any one remedy (^4). Merc, Kali iod., in syphilitic (77). Bell, and Gels, in simple, recent (A & N). Phos. in cases of longer standing (A&N). Rhus, in suppurative choroiditis; can be depended on if any remedy can (77). Sant. lx, has cured (77). Ipec colored halos around objects (77). Cicula, from injury or pressure during labor (72); tearing jerking in the coccyx, stiffness in lower limbs (L). Ruta, pain extending from coccyx to sacrum, as if caused by a blow (L); as lotion (72). Ac. fluor. aching pain in os sacrum and lumbar region, relieved by pressure, stretching, and bending backwards (£). Aeon. 6, a most soothing remedy (77); in- valuable and almost indispensable; has a wondeiful influence over the disorders of this period (Id). Cimicif. 2x, for the "sinking at the sto- mach," rarely fails (77); cures mammary pains at this period (77a). Amyl nit., Sang., Ac. sulphs., flushes of heat (72, 77, 77a); Sumbul (Ha). Nux vom., Ferr., China, headache, burn- ing pressure on vertex (72, 77); head feels as if opening and shutting; a symp- tom of debility from loss of fluids (77). Jabor. flushing perspirations (77). Glon. 3x, most efficient for head symp- toms, rush of blood, throbbing, beating, roaring noises in ears (72, 77, K). Amyl nit., Lach. (77). Lach. 6, 12, rarely fails to control the flushes (77); headache, insomnia (72). ^.c. hydrocy. invaluable for "sinking at the stomach " in idiopathic cases (77). Sepia, for congestions due to failure of menses, is very helpful (77). Sulph. piles, flushes of heat, mental de- pression (72). Ambra, numbness, stinging in arms (72). Valer. for hysterical symptoms (77). COCCYODYNIA. CLIMACTEEIC DISOEDEES. (Compare Hemorrhage Uterine.) 44 INDEX OF COLDNESS. Strychnia, cold hands and feet (R). Cold Water, as bath, with frictions, nightly for cold feet (R). Camph., Aeon., Cedr., Bry., Ver. alb.(R). China, Merc, Sepia, Natr. mur., Helm., for constant chilliness (72). Nux vom. spasmodic, flatulent colic; also to correct tendency to recurrence (72); from indigestion; habitual spasms(77). Bell, especially in children; sensation as of a ball or lump forming; constipation (72); transverse colon prominent from flatulence (77). Cham. , women and children; pinching, twisting pain, nausea (72, 77). Cocc menstrual colic (72). Also Plat, Secale., Cauloph., Ignatia(R). Chloroform, a few drops of chloric ether in water, for flatulent colic of infants, will charm away the pain and flatulence (77). Coloe cutting, griping, or intermittent pains; severe colic, with flatulence or diarrhoea (72): when traceable to cold; Coloe or Plumb, generally indicated (77), Plumb, flatulence, constipation, chronic cases (72); retracted abdomen, scanty urine; cause obscure, probably neural- gic (77); see Coloe, above. Aeon, when traceable to cold (Hpl). Iris vers, severe flatulent colic; often con- trols when other remedies have failed (72). Grumbling bellyache (77a). Ver. alb. vomiting of bilious matter (72); colic of rheumatic origin (77). Cina, worm-colic, and flatulent colic of older children (77). Dios. I*, bilious colic (72, 77); pain radi- ating from umbilicus (77a). Lye to reinforce Nux vom., checking the production of gas, in habitual flatulent colic (77). Bry. less severe colic; sharp, stitching pains in sides or bowels, with irasci- bility, and distention of bowels (72). Water. A copious enema of warm water often gives immediate relief (72). Dress warmly; flannel binder around abdomen; avoid damp feet (72). COLIC, IN1 Nux Vomica, quickly subdues abdominal cramps and spasms (P). Belladonna, especially in children (R.) R- Atropiae sulphatis gr j; zinci sulph. Sss; aquae destil. Sj. M. Sig.—3 to 5 drops two or three times a day (B). Chamomile Oil, m iv-vj, in colicky attacks _of hysterical women (P). Cocculus, of great value, especially dur- ing pregnancy (P). Chloral, sometimes relieves (R). Chloroform, effective in flatulent colic. IJ Spt. chloroformi, tinct. cardamomi comp. aa gij. M. Sig.—A teasp. every }4 hour in water; also useful in hepatic and saturnine (B). Often combined with opium (R). Potassic Bromide, in a peculiar form in young children (R). Asafcetida, no better remedy in flatulent colic of infants. Teasp doses of the mistura asafcetidae (B). Morphia, gr. %-% hypoder., repeated in 15 minutes, gives more relief than any other remedy, in all forms of colic (B). Frequent small doses (R, P). Arsenic, will cure in a surprising manner when enteralgia is idiopathic (B). Essential Oils, especially those of cloves and cinnamon (R), anise, cardamon, etc. Oil of rue in flatulent colic of children (P). Tobacco, as enema; dangerous ! (B); as clyster, or by stomach (R). Ammonia, in spasm of intestinal canal, and in colic of children or infants from bad feeding (R). Lime Water, for young children who eject milk in lumpy masses, with colic and flatulence (R). Water. Hot fomentat'ns to ease pain (R) Milk-cure, efficacious in enteralgia (B). comparative therapeutics. 45 COLIC, LE.AD. (Comp Alum, singularly the best remedy. R Alu- minis 51J; ac. sulph. dil. 5j; syrup limo- nis Sj; aquae Jiij. M. Sig.—A tablesp. every hour or two (B). Gr. x hourly (R). Opium, gr. %-*4 of morphia hypoder., gives more relief than any other remedy (B); gr. ij-iv opii, with a moderate dose of castor oil (P). Sulphuric Acid, dil., as prophylactic, and useful in treatment of the disease (B). Tobacco, may control. Dangerous (B). COLIC, EENAI, AND HE] Ether, inhaled in paroxysms of hepatic colic (R). Chloroform, inhalation in renal and biliary colic, inferior only to morphia injection, superior to opium, warm baths, etc. 2 or 3 administrations may be required (R). [See also Colic, Intestinal.] Counter-irritation, flying blisters for renal colic (R). Opium, small doses with spt. chloroformi, every 5 or 10 minutes until the pain gives way, or morphia hypoderm. (R). Turpentine, has been given with benefit in biliary colic (R). Water. Warm baths to ease pain (R). Aliment. Withhold all starches and fats. Alkaline mineral waters are useful (B). Blisters, in a comatose condition, large blisters or mustard poultices should be applied in quick succession to different parts of the body — chest, abdomen, thighs and calves; often very valuable in the critical condition near the end of an acute illness (R). Cold Douche, for stupor of drunkenness or of opium poisoning. May have to be repeated if relapses occur. It should be kept up for a long time if pulse and breathing improve, or no worse (R). Oroton Oil, as purgative, njj i£ or l/3 every hour (R). Potassic Bitartrate, as purgative, when blood is poisoned (R). ire Poisoning by Lead.) Alumen.has high repute (77); in massive doses (gr. xx every 4 hours) has effected some beautiful cures (Hpl). Opium, the chief remedy, is not so much an anodyne as specific: relieves even in attenuated doses (77). Ac. sulphs.. Plat., Bell. Ac sulphs. as lemonade, to prevent lead colic; also great cleanliness of the person necessary Nothing should be eaten while at work in lead (72). ATIC. (Compare Calculi.) Berb. , and Pereira brava, seem to be homoeopathic to renal colic (77); the latter is especially efficacious (Js). Calc 30, has extraordinary efficacy in re- lieving pain from passage of renal and biliary calculi (77, Bayes, Dudgeon, etc ), China 6, has radically cured several cases of biliary colic (77). Nux vom. Sarz., to relieve the pain from urinary calculi (77). Galium, Equis., have a popular reputa- tion (77a). Epigea repens, seems especially adapted to uric acid calculi (77a). Dios. in so-called " bilious colic," which is probably pain from gall-stones (77); is as useful in renal Colic as in hepatic (77a). Bell, in slight cases is useful (72). Opium, great difficulty in arousing the patient, stertorous breathing, throbbing of carotids, red face, contraction of pupils (72). Gels, in coma from intense passive con- gestion (72). Helleb. paleness of the face, slight con- vulsive movements (72). JEscul. gla., Bromides, Chloral, Cann. ind., Ac carbol., Gels., Gymnoc, Lachnan., Sant., Solanum, are mentioned as causing coma (77a). Exercise. In coma from poison, the patient should be persistently walked about (72). COMA. (Compare Cerebral Congestion.) ■ 46 CONDYLOMATA. (Compare Chancre, Syphilis.) Nitric Acid, Sj to Oj aquae, as wash, fre- quently used (B, R). Thuja Occid. locally a strong tinct. with gtt. v in water, night and morning, int. for warts with narrow base and pendu- lous body. Warts about anus or pudenda of either sex, whether syphilitic or not, often rapidly cured by Thuja (P). In non-syphilitic warts of penis or vulva, I have employed it with satisfaction (Pf). Mercury. Calomel dusted over, after wash- ing with a solution of chlorinated soda (Ricord, R, B), the nitrate locally, or a 20 per cent, oleate (R). Zinc, the chloride, iodide, or nitrate, as local applications (R). Arsenic, arsenious acid as a caustic (R). Carbolic Acid, as a mild escharotic (B). Chromic Acid, gr. c-Sj aquae dest; a good local application (B). Ac. nit. 1, a prime remedy for syphilitic condylomata (77); on glans penis (R); complicated with chancroid (Mg). Thuja, int. and ext., when on glans, prepuce, scrotum, or anus (72); compli- cated with gonorrhoea (77); mulberry moist surface (Mg); efficacious in the 30th dilution (77). Merc. sol., Merc, corr,, Ac. phos., Staph., when with hard chancre (Mg). Ant. tart, valuable often when other re- medies have failed. Gr. x to siv aqua as lotion, internally gr. 1-100 to Sviij aq. A teasp. every four hours (Hpl). Lye, Cinnab., Sabina, ext. and int., have been very successful (Mg). Caust., Dulc, Rhus., Thuja, are best for non-venereal warts (Mg), Local Applications. Zinc, sulph., dried; Phyto. and Glycerin; Kali. iod. oint. (72). CONJUNCTIVITIS. (Compare Ophthalmia.) Belladonna, locally and internally (R). Euphrasia, as a mild astringent (P). Mercury, calomel dusted over membrane, or after detaching scales rub in the brown citrine oint. (B). The oleate of mercury and morphia outside the eye, in palpebral conjunctivitis (R). Pulsatilla, sj-ij to siv aquae, as wash, 8 or 10 times a day; also gtt. j-x internally, every 3 or 4 hours (P). Zinc, A weak solution of sulphate as drops (R). R Zinci sulphat. gr. ij-viij; mor- phiae sulphat. gr. ij-iv; atropiae sulphat. gr. ss-j; aquae rosae, sj- M. Sig.—For the eyes (B). Alum, after acute symptoms subside. B; Aluminis 9j. aquae rosae siv (B). Copper Sulphate, locally once a day, in granular lids (B). Silver Nitrate, solutions of various strength dropped into the eye (R). To granular lids, strong (3j-3j); weak in acute con- junctivitis (gr. j-iv-3j). Zinc and copper salts are preferred (B). Opium, the wine dropped into the eye relieves pain, and improves condition of the membrane (R). Bell, or Euph. generally sufficient in sim- ple conjunctivitis (77). Bell, congestion of head, frontal head- ache (D); ocular surface dry (77). Euph. acrid flow of tears, coryza (D); the principal remedy (77, Js). Merc. sol. or Hep. sulph. meibomian glands affected, crusts on ciliae (7f). Merc- corr., Kali bich., chronic cases (77). Puis, evening exacerbations (D); neural- gic pains in eyeball (72). Zinc, sulph. gr. j; or Alum gr. ij; or Arg. nit. gr. j; or Borax gr. v-x, respectively, to the oz. of water, as simple and often serviceable collyria (A). Cupr. sulph. in old cases, touched very lightly to the swollen papillae: must not be repeated until the eye recovers from the application (4). Arg. nit. in chronic cases, is a truly ho- moeopathic remedy (77). Aeon, in first stage, wtth a cold compress (A, B, J). Nux vom. considered by many to be the best remedy (72). Staph, obstinate chronic catarrhal con- junctivitis, with swelling of lids (B). comparative Cadmium, as a collyrium. ^ Cadmii sulph. gr. ij; aquae rosae sj (B). Bismuth, is one of the numerous applica- tions in chronic conjunctivitis and granular lids (B). Castor Oil, a drop in the eye often allays pain and intolerance of light caused by an irritant (R). Tannin, powdered, or tannic acid gr. j-x-Sj (B). Blisters, behind the ear (R). Nux Vomica, gtt. j-ij of tinct. bis vel ter in die (R); gtt. v-x in a glass of cold water before breakfast and dinner, often over- comes the most obstinate c. (P); esp. useful when great fecal accumulations from torpor of bowel (B). Sulphur, gr. x with confec. sennae, often succeeds after other remedies fail (R). Sulphurous mineral waters (B); or sul- phates in purgative waters; frequent .small doses (R). Podophyllum, the most generally used ca- thartic when deficient secretion (B). Gr. 1-12 to y% night and morning, when c. with nervous and bilious headaches (P). Mercury, calomel or grey powder as cathartic (R). Hydrastis, very valuable, when constipa- tion referable to a sluggish liver (P). Magnesia, the bi-carbonate, a useful and mild aperient (R). Alum, cheap and serviceable laxative (B). Ipecacuanha, gr. j every morning, fasting, when great torpor of bowels (R). Cocculus, flatus, hard, lumpy motions (P). Turpentine, in purely atonic c, with gase- ous distention of colon, has triumphed when all other remedies failed (P). Physostigma, very effective in intestinal torpor. ^ Tinct. physos., belladonnae, nucis vom. aa Sij., M. Sig.—Gtt. xxx in water, morning and evening (B). Stillingia, frt>x of fl. ext. in habitual c. (B). Castor Oil, a mild, efficient cathartic (B). Ammonium Chloride, in the so-called bil- ious state, with constipation (B). Arsenic, small doses (njij) of Fowler's solution often overcome constip'n (R). therapeutics. 47 Ars. the great remedy in chronic cases (77); burning pain, acrid flow of tears, oedema of lids (D). Sulph. in recent cases, often effects a rapid cure (D); chronic cases in un- healthy subjects (77). Chloral, grain doses or less (77). Hygienic measures of great importance. Protection by blue or smoked glasses, rest; avoidance of tobacco, and places where impure air prevails (A, 72). Nux vom. when frequent ineffectual efforts, piles, nausea, congestive morning head- ache, indigestion; abuse of coffee, tobac- co, or alcohol; sedentary habits (72, 77). Sulph. 12, a good remedy to commence treatment with; bad constitution, he- morrhoidal tendency (77); in the , when piles, skin diseases (72). Podoph., Merc, corr., lumpy, pale stools, with mucus or blood, tenesmus (72). Hydras. , gtt. j, once daily belore break- fast, for a week, then gradually increase frequency. The most frequently cura- tive remedy, especially when aperients have been abused (77, 77a). Magn. mur. knotty, hard stools (77). Alumen, constipation of infants, stools white or grey, difficult to expel (Hpl). Opium, stools of small, hard, black balls, absence of Nux vom. symptoms; persons of sedentary habits, brain-workers (77); aged and plethoric patients (72). Plumb. 3, 6, when opium indicated, but fails; motions small, hard, balls like sheep's dung; colic, retracted abdomen (77, 72); frequent violent colic (L). Bry. chilliness, throbbing headache, pain about liver, rheumatic tendency (72); hard, large, dry stools (Hpl). Lye rumbling and flatulence, heartburn, (72,77); obstinate of young children (77). Graph, large knotty stools, tendency to skin disease, amenorrhcea (77). Natr. mur. sallow complexion, thin, dry state of system (77); dry, sore mouth, ulcerated tongue (72). JEscul., Aloes, or Collin., constipation with piles (72, 77a); -iEscul. white stools (77a). CONSTIPATION. (Compare Feces, Intestinal Obstruction.) 48 INDEX OF Belladonna, gr. ]4 of the extract at night, in habitual const. (B); gr. y6-% once a day, esp. when dyspepsia (R). Acts di- rectly on the bowel as a stimulant (P). Croton Oil, the most efficient cathartic, when simple impaction without inflam- mation. Gtt. j-ij (B). When evacuation of blackened feces (R). Cathartics, especially confectio sennae, pil. rhei compos., pil. aloes., the comp. ca- thartic pill, as well as those above (B). Purgation as usually practiced de- nounced by editor of Lancet, Oct. 1,1870. Saline Waters, are useful (B). Pullna, Friedichshall, or Hunyadi; the first two, with milk, are good for children (R). Enemata, of soap-suds and salt, or a pint of cold water (B); or turpentine, castor oil aa Sss, to Oss-j of gruel (P). The habitual use of warm enemata increases torpor of the bowels (R). Tamar-Indien, a favorite mild aperient. Is proprietary, and supposed to contain cocculus, Glauber's salts, etc. Aliment, important in habitual; corn bread, cracked wheat, oatmeal, bread of unbolted flour, fruits, green corn, toma- toes, and celery. % doz. each of almonds and raisins daily. A glass of cold water before breakfast may overcome habitual constipation (B. An orange or a smoke after breakfast (R). CONVALESCENCE. Lime, as lime-water, or the carbonate, in convalescence from serious diseases (R). Quinia or Hydrastia, to promote digestion and appetite (B). Fats, especially cod-liver oil (R). Alcohol, before or during meals (R). Koumiss, possesses great value , gtt. j at bedtime, in water, an all but never-failing aperient (Cooper). Purgatives, Aperients, and Enemata, should only be used as temporary expe- dients in extreme cases; used habitually are very injurious (72, 77). Recent and simple constipation generally needs only regulation of diet. In disease, it is usually only a single element in the whole morbid condition, and is best let alone (77). Diet and Hygiene. Oatmeal porridge and brown bread, water before break- fast. Regularity in meals and time of going to stool, are of prime importance. A comfortable, warm closet a prime necessity. Friction of abdomen with hand dipped in cold water, every morn- ing for fifteen minutes. In young chil- dren withhold starchy food (72). (Compare Adynamia.) Calc carb., China, Ac phos., after acute disease, loss of animal fluids (L). China or Chin, sulph. moderates the exces- sive hunger, especially useful if much waste of body (72). Sulph. aids recuperative efforts of nature; should be continued (72). Diet, requires the most careful attention; the prevalent error of giving food of dif- ficult digestion too early must be guarded against, especially in intestinal or gastric disorders. The strictest moderation should be enjoined. The symptom! must be watched closely, and combated by appropriate medication (72). comparative therapeutics. 49 CONVULSIONS. General Directions.—In all cases, horizontal posture, fresh air, loosen the clothing; insert a plug of soft wood, or a cork, between the teeth, to prevent biting the tongue; sprinkle the face and chest with cold water. Epileptic—the general directions above will usually suffice. See also Epilepsy. Hysterical.—The diagnostic peculiarities are: pupils not dilated, but are sensitive to light; no wounding of tongue; face not livid; pulse usually normal. See also Hysteria. Infantile.—Administer some anti-spasmodic, as ether, alone or combined with musk or belladonna; then search for any mechanical cause; as a pin in the dress, etc. Lance gums, if dentition the cause (A). See Convulsions, Infantile. Ur.emic.—See Uremia; Puerperal Convulsions. CONVULSIONS, INTANTILE. Aconite, one of the best.remedies (P). Belladonna, is of special value, when of congestive origin (P). Ignatia. in convulsions of children from intestinal irritation, no cerebral con- gestion present (P). Potassic Bromide, in all forms (B. R). Chloroform, inhalations of great service (R). Anxslhelics useful in all forms (B). Chloral, full doses (B); gr. v, by mouth or rectum (R). Opium, morphia, hypoder., best cure(B). Veratrum, has been employed (R). Valerian, when from worms (P). Potassic Bitartrate, when due to blood- poisoning (R). Asafcetida, in convulsions of teething; a small portion in an enema, appears to mitigate (Wa). Alcohol, has remarkable power in arrest- ing convulsionsof dentition; small doses of wine or brandy (Wa). Water, as general warm bath, with cold effusions or ice to head, very serviceable (B). Spinal ice-bag (R). Mercury. Calomel by insufflation. The red iodide gr. ij, cerat. gr. xl, oil gtt. xx, successfully used as ointment (Wa). Cadmium, said to promote their absorp- tion. Bi Cadmii sulph. gr. ij—gj aquae rosae, as collyrium (R, Wa). Silver Nitrate, gr. v-x-3j aq., as lotion (C). Aeon. alt. Bell, frequent doses (72). Bell, most frequently required; red, swol- len face, patient full-blooded, excite- ment of brain [suddenly, Glon.], as indicated by elevated fontanelles [de- pressed, Zinc, Camph.]. Convulsionsof teething (77). Ign., Strain., convulsions of spinal, rather than of cerebral origin (77). Ign. or Cina, from worms (72). Ign. or Cham, convul- sions of dentition (77). Kali brom. reported successful in fifty cases of infantile convulsions (72). Chloroform, gtt. ij in gum-water every 15 minutes, or one part to two of olive oil, rubbed along spine (72). Opium, convulsions from fright (72). Verat. alb., Cupr., conv. with cramps(72). Camph. inhaled, will often calm (H). Gels, rigidity, from cerebral disease (72). Helleb. when apparently idiopathic (77). Plumb.. Cupr., Zinc, Ipec, Ac. hydrocy. may be indicated (72, 77). Enemata, of warm water, important; also warm baths (72). Merc, corr, has cured many cases, when from interstitial deposit of lymph; esp. when mercury cured the original in- flammation (77). Cann. ind. is most in repute (77"). Euph (72); very efficacious for specks on the cornea (77). COENEAL OPACITIES. 50 index of Iodine, int; and in collyria, has been effi- cacious, esp. in strumous cases (Wa). Sortie Chloride, gr. x-3j aq. dest., ftyv-x injected subconjunctival^, to hasten disappearance of turbidity (C). Pannvs, Leucoma, are best let alone (D). Tattooing to relieve deformity (C). Silver Nitrate, solid after soaking and paring (Wa), the best application for soft corns; and very irritable ones (D). Acetic Acid, strong, to remove corns (Wa). Mercury. Corrosive sublimate in alcoholic solution, locally to remove corns (Wa). Iodine, gr. xl, ad Sj alcoholis, locally (Wa). Poultices, are useful; or a plaster of soft material, with hole in centre (D). Aconite, irritable, tickling throat-cough; short, dry cough of asthmatics, with anxious look, full, strong pulse (P). Belladonna, often useful. No indications. (R). Int., and ext. as plaster to the chest, very serviceable in spasmodic and nervous coughs (Wa). Hyoscyamus, very useful in spasmodic, tickling night-coughs (P). Hydrocyanic Acid, for nervous, irritable cough, and cough of phthisis and moth- ers' sympathetic cough. R Ac. hydro- cyan, dil. 3j; tinct. sanguinariae 3iv; syrup senegae Sss; syr. tolutan. Sij; aq. lauro-cerasi svij. M. Sig.—One or two teasp., according to age, every 3 or 4 hours (B). Laurocerasus, as substitute for hydrocy. acid, in spasmodic coughs (B). Conium, supposed to be useful (R). Is very useful in spasmodic cough (Wa). Ipecacuanha, the fl. ext. for troublesome night-cough (B); in obstinate winter- cough, with wheezing, the wine as spray- to fauces, efficacious (R). Lobelia, dry cough, continued tickling sensation, even in sleep (P). Sanguinaria, combined with hyoscyamus, in nervous, spasmodic cough (P). Caust., Sant. (77); Kali iod., Phos. 6*, and Sil. 6x; Calc. carb. alt. Sulph.; Hydras., as lotion (72). Surgical means have not been very suc- cessful. Opacities often disappear with- out aid of remedies. When old, and glistening, are incurable (.A). Arn. or 72ufa, int. and ext., hard corns (72); Arn. <£>, dilute, as plaster to soft corns, after paring (72). Sulph., Calc. carb., Sil. 3, 30, internally(72), Ver. vir., as paint to inflamed corns (72). Ferr. perchlor. or Castor oil, as paint (72). Water, hot and cold, alternately applied to inflamed corns. Keep a corn thin by frequent washing and paring (72). Ironchitis, Pertussis.) Aeon, recent, dry cough, burning in throat, feverishness (72). Bell, dry, spasmodic cough, worse at night, cerebral congestion (72). Hyos., Lauro., Conium, dry cough, worse at night on lying down, or coming on about 3 a. m. (72). Ac. hydrocy. in spasmodic and whooping- cough (77). Prostration, oppression on chest, violent symptoms of cerebral congestion (Hpl). Ipec. recent wheezing, nausea and vomit- ing (72); spray in winter cough (77). Lobel. dry, spasmodic cough (77a). Sang, chronic bronchial or laryngeal dry coughs, with diarrhoea (77a). Gels, severe, dry cough in children (72). Puis, loose cough by day, dry at night (77); worse lying down; women and children (72). Iod., Brom., Spong., laryngeal, tickling cough (72). Spong. '' barking " (77). Alumina, dry hacking cough (77). Kali brom., Dros., spasmodic, tickling, retching; worse at night, like "whoop- ing" without the " whoop" (72). Sulph. moist cough, yellow mucus, oi obstinate tight cough; asthmatic, fol- lowing eruptions (72). COKNS. COUGH. (Compare comparative Gelsemium, excessive irritability of the respiratory centre (R); often remarkably relieves convulsive, or spasmodic, re- flex, nervous coughs (B). Pulsatilla, as anemoniue, y> gr. and. gr. doses, very useful in irritative cough, asthma, whooping cough (P). Iodine, by inhalation for children, in hoarse, hollow cough, wheezing (R). Alum, int. in spasmodic. Gr. x to 5j aq. as spray, in chronic cough (R). Potassic Bromide, serviceable in various reflex coughs (uterine, renal, etc.). and in cough of phthisis occasionally ameli- orative as a gargle (B). Sulphur; see Asafcetida, below. Asafcetida. Garrod ascribes its value to the sulphur oil in it (P). Very service- able in after-cough from habit, and in mothers' sympathetic whooping-cough. R Misturae asaf. Siv; ammon. muriat. 3j. M. Sig.—A tablesp. as necessary (B). Opium, in some form much used in cough-mixtures. Morphia with glycer- in to fauces (B). When throat inflamed or even ulcerated (R). Valerian, asthmatical and hysterical (P). Chloroform, with morphia and molasses, in paroxysmal dry cough. May be paint- ed on throat also (R). Chloral, in convulsive coughs, amelior- ates symptoms after hypnotic effect (Wa). Camphor, will allay cough. Equal parts of camphor and chloral, triturated to- gether, are said to allay spasmodic cough when painted over larynx (B). Glycerin of Tannin, applied to throat when chronically inflamed, and so pro- ducing cough; often the case with children (R). Grindelia, useful in cough of habit and spasmodic cough (B). Cod-liver Oil, in chronic coughs (R, Wa). Lactucarium. the syrup as vehicle in cough-mixtures (B). Prunus Virginiana, has some influence; is much used in cough-mixtures (B, P). Pix. Tar-water, in winter-cough, especially when paroxysmal (R). Allays the cough of bronchitis and phthisis (P). Emplas- trum Picis, as rubefacient and counter- irritant in chronic coughs (Wa). therapeutics. 51 Asaf. hysterical cough in nervous, florid women (Hpl). Bry. dry, chronic cough, tickling under sternum (77); shaking the whole body, stitches in chest. Loosening remedy (72). Nux vom. dry, violent cough; jarring in the head; stomach-cough (77). ^Ic. nit. chronic dry cough, with consti- pation; after lung disease (72). Rumcx, dry, worse when talking, or in the open air; sore under sternum (72). Lach. sensation of something in throat (72). Caust. dry cough, with hoarseness; in- voluntary urination (72). • Ac. oxal. dry, worse at night, nausea, pain in the back (72). Graph, dry cough, with gruff voice (72). Phos. moist cough, brown sputa, bron- chial and lung disease; dry, short, lar- yngeal and bronchial; tendency to lung disease (72). Cimicif. children's dry cough (72). Senega, Verbas., short, hard, dry cough (72); hoarse, dry night-cough (77). Ant. tart, moist cough, profuse, easy ex- pectoration, vomiting; no remedy of wider range (72, 77). Kali bich. moist cough; tough, stringy mucus; expectoration difficult (72). Merc, Stann.. chronic moist cough, puru- lent sputa, night sweats (72). Merc sol. catarrhal, moist cough (77). Hepar. sulph. chronic moist cough, due to organic disease; indigestion (72). Ars. debility, tight chest, dyspncea at night; moist cough (72). Cocc cact. spasmodic, copious expectora- tion, vomiting (72). Mang. expectoration difficult in evening, easy in morning; cough relieved by lying down (72). Sticta, racking, incessant, wearing coughs of phthisis, etc. (77a). Samb. suffocative cough of children, with wheezing (77). Bism. sympathetic, "stomach cough" (77). Ambra, nervous, convulsive (77). Viola, spasmodic, nervous cough, with dyspncea (77). The frequency and violence of nervous coughs may be controlled by a deter- mined effort of the patient's will (72). 52 INDEX of CEOUP, CATAEEHAL. (Compare Laryngitis, Laryngismus Stridulus.) Aconite, valuable (R, Wa); has been em- ployed with the best results (P); from gtt \4 to j every half-hour, until an im pression is made on the fever movement, then every hour or two (B). Ipecacuanha, as emetic at outset (El). Hot Water, applications beneath the chin, and along the whole course of the larnyx (Wa). Hot fomentations or tur- pentine stupe to throat (El). Aeon. alt. Spong. are the two leading reme- dies; never omit Aeon. (77). Earlysymp- toms, spasm, cough, fever (72). Bry. alt. Ipec. , every 10 minutes (72); together are great modifiers of the croupal angina (Teste). Amm. brom., Bry., with hot-water spong- ing of the throat (72). Ant. tart, has a verified value (77); loose cough, difficult expectoration (72). CEOUP, MEMBEANOUS. (Compare Diphtheria.) Iodine, the tinct. externally, affords great relief, and tends to prevent formation of false membranes (Wa). Sanguinaria. by many considered specific is undoubtedly the best emetic for this disease. J& Syr. ipecac. Sij; pulv. san- guin. gr. xx; pulv. ipecac, gr. v. M. A teasp. every % hour till emesis, then Y2 teasp. every hour (P). Tartar Emetic, as an emetic, has estab- lished value in croup(Wa). Is injurious; too depressant (B). Mercury, the subsulphaie given early, is the best emetic: gr. iij-v. Calomel, use- less, yet strongly urged as a laryngeal sedative (B). Alum, a teasp. with honey or syrup every % hour until emesis; a useful, non-de- pressant emetic (B). Emetics, besides the above: Copper Sul- phate, in small frequent doses (72); Ipe- cacuanha, inferior to mercury (B). In severe cases, vomiting should be caused 3 or 4 times a day, and should be com- menced early (R). Senega, is considered a valuable auxiliary (P). has been employed (R). Sulphurous Acid, as spray, hourly or more frequently (R). Tannin, a 5 per cent, spray, several times a day for 15 or 20 minutes (R). Lactic Acid, as solvent of membrane. Rj Lactici acidi Siijss; aquae dest. sx. Used in spray-producer, orapplied by mop(B). Iod. the leading remedy (77); preferred in scrofulous patients. Also by inhalation from hot water (72). Sang, prevents extension, recurrence, and predisposition; is useful for sequelae(72); as an acetous syrup, much prized iu pseudo-membranous croup (77a). Ant. tart, valuable if given early (77). Kali bich the most homoeopathic remedy; has frequently cured true membranous croup (77). Asthenic symptoms (72). Spong., Iod.. after acute stage; cough hard, dry (77); barking, whistling (72). Brom. 3*, also inhaled; acts very simi- larly to Iodine. (77). Asthenic form, with extreme congestion and oedema of the air passages; dry, croupy cough, tickling and grating, The 1" alt. Aeon. (72). Hepar sulph. after acute stage; cough hoarsely mucous (77); expectoration very difficult (72). Aeon, febrile symptoms; alt. with other remedies, to relax laryngeal spasm (72). Phos. or Ars. debility great, typhoid character. These remedies may be alter- nated with others having more affinity to the local lesion (72). Water. Warm bath, hot fomentations or compress to throat. Watery vapor in room. Steam inhalations, with a few drops of 7od., Brom., or Kali bich. (72). Diet. Water only, in small quantities, during attack. Supporting diet may be required afterwards (72). comparative therapeutics. 53 CYANOSIS. Treatment must depend upon the nature of the lesion or disease giving rise to the cyanotic condition (A). Aeon, from fright (Hpl); Dig.,Cupr. ,Lach., Ars., Ver., Laur. (72); Kali cyan.,Digitaline (Ha). Treatment only palliative (72). CYSTITIS. (Compare Bladder Irritable, Calculus, Dysuria, Hematuria, etc.) Aconite, for febrile symptoms (R, P). Belladonna, when irritability of mucous membrane (B); very useful in recent catarrh from chill, with pain (P). Cantharis, in small doses long continued very efficient (B); gtt. j-v of the tinct. ter in die, when pain along urethra (R). Uva ursi and Pareira, successfully used in chronic (P); less efficient than Buchu(B). Chimaphila, in chronic form, also in catar- rhal affections of the bladder (P). Turpentine, when from urethral inflamma- tion, or prostatic disease (B); has been useful in chronic cystitis (R, P). Quinia, esp. useful for acute symptoms (B). Buchu, fluid extract very efficient (B, R); the best drug in chronic cystitis (P). Iodoform,as suppository in painful c. (R). Sulphites, Sulpho-carbolatcs, and Carbolic Acid prevent putrefaction of urine (B). Alkalies. Citrates and bicarbonates to make the urine alkaline when organ in- flamed; stop when urine alkaline (R). Eucalyptus, no remedy more valuable in chronic cystitis (B). Copaiba, useful, but objectionable for its taste and gastric disturbance (B, R). Cubcbs, Juniper, are useful (B). Opium, an injection of laudanum with starch will subdue pain, and prevent frequent micturition (R); injurious if kidneys diseased (P). Hot Enemata, to relieve pain (R). Aeon, alt Canth. simple cystitis, from cold (72). Aeon, only when much gene- ral erethism or fever (77). Bell. , gtt. x-xx, much irritability (77). Canth 3, the chief remedy in acute c. (77). Uva ursi, mucous, bloody, purulent dis- charges, esp. when from calculus (77). Pareira, urging pains in glans penis (L). Cimaph. <£, best remedy in chronic form (72, 77); cystitis with hectic fever (77a). Tereb. in chronic form (77). Vesical ca- tarrh in old persons of sedentary life (L). Camph. the best remedy in strangury (77), Dule from damp or cold, also chron.(77, L). Erig. vesical catarrh, unusual pain (77a). Dig. pains in bladder, brown urine (72). Sant. in chronic, brilliant cures (77a). Hydras, very useful in chronic c. (77a). Nux vom. with spasm; gouty persons (72). Silph. valued very highly in chronic (77a). Canth., Chim., Cann. sat., Apis, Eup. pe-.rf., Kali iod., Puis., best in chronic c. (72). Cann. sat. gonorrhoeal cystitis, burning pains, haematuria, dysuria (L). Sulph. obstinate chronic cases, fetid urine, burning in urethra during micturit'n(72). Washing out the bladder is of great value in chronic catarrh (72, 77) small quanti- ties of tepid water gently introduced, with rest in horizontal posture, and mucilaginous drinks (72). Hot Fomentations, for relief of pain; warm hip-bath, abdominal compress(72). CYSTS. Iodine, injection very effective in cysts of neck, and sometimes in unilocular ova- rian (B); sx after tapping (R). Silver Nitrate, gtt. v-x of solution, aj-ij as injection, will cure after setting up inflammation (B). lodium. Apis, have most evidence in their favor as curing ovarian cystic disease(77). lodium, "eau iodee" injected into sac (Js). Apis, after tapping ovarian cyst, to pre- vent re-accumulation of fluid (72) Bary. iod. deserves to be tested (77a). 54 index of Galvano-puncture, will permanently oc- clude cysts of neck (B). Aurum Chloride, may sometimes cure ovarian dropsy (B). Remedies internally have all been proved worthless (E). Quinia, cures some forms, and often causes deafness (Brown-Sequard). Glycerin, for dryness of meatus; also to form a film to cover ruptured tympa- num (R); either alone or in combination with olive oil (P); effects temporary (Wa). Tannin, the glycerite as application for throat deafness (R, Wa). Colchicum, when from gout in ear (A). Canthandes, as oint.; gr. xxx ad Sj adi- pis, below and behind the ear bis die, with alterative mercurial treatment, in deaf, from thickened tympanum (Wa) Gargles, in throat-deafness, are of great value; potassic nitrate, borax, etc., in sthenic; tinct. of capsicum added in nervous forms; hydrarg. perchlor. when from secondary syphilis (Wa). Water. Washing in warm water, in deaf- ness from general debility (Toynbee). Faradization, of the ear in nervous deafness, in which slight results only to be expected from the treatment (R). Demands the utmost caution (Wa). DELIEIUM. (Compare Ce. Belladonna, delirium of typhus and other fevers (R); severe forms of delirium (P). Hyoscyamus, delirium of typhus: mild, less inflam'ry form, hallucinations, nervous excitement, little cerebral congest'n (P). Opium, in traumatic delirium, as a rectal injection, combined with tartar emetic in fevers; or better still, morphia hypoder. Laudanum in low, muttering del. (R). Is regarded with suspicion (P). Cannabis Indica, the extract, in doses of B1'- 54-J4. i" nocturnal del., occurring in softening of the brain (Wa). Potassic Bromide, in delirium resembling delirium tremens (R). Lilium, Ustil., are homoeopathic (77a). Kali brom. three apparent cures of ovarian (77); has specific action on ovaries (Ho), Canth. tenderness and burning pain in ova- rian region; dysuria, or strangury (L). Ustilago, incipient cysts of ovaries (77a). Chin, sulph. buzzing in ears, noises in head, and vertigo (Hpl); deafness from concussion (77). Aeon., Bell., Mere, Gels., Dule, Puis.,re- cent deafness from cold (72). Bell, from suppression of acute scarlatina or measles eruption (Hpl). Arn. the infusion, int. and ext,, has cured several cases (Hpl). Ars, deafness of scrofulous patients, from exposure to damp winds (Hpl). Sulph., Bell., Merc, CheL, deafness after eruptive fevers (72). Bary. iod., Iod. sulph., Merc, iod., chronic, from enlarged tonsils (72). Puis., Mang., eustachian deafness, recent, from catarrh (77). 7od. 3x, excellent in chronic throat-deaf- ness (77). Petrol. , 3-drop doses, noises in the ear (72, 77); also Phos. (72). Ac. phos., Anac, Ambra, in "nervous" deafness (77). Calc. carb. scrofulous patients (77). Bell, when congestion of brain; acute maniacal delirium (77); see stram. Hyos. delirium of fevers, mild forms (77). Opium, mild delirium, loud talking, eyes wide open; venous congestion, with dark-red face (7.); stertorous breathing, low, muttering delirium (72). Cann. ind. when of psychical origin; not depending on any bodily ailment (77). Bromides, are useful, esp. the Calc brom. for children; gr. j of a for each year of age, every hour in severe cases-(77a). Camph. somnolent delirium, with slow fever; at night, dullness and heat of I head, with cold, clammy skin (7.). DEAT *ebral Congestion, Fever.) COMPARATIVE THERAPEUTICS. 55 Camphor, in 20-gr. doses, every 2 or 3 hours, esp. in low, muttering del. (R). Chloral, in violent delirium of fevers (R). Antimony, d. of fevers (R). [See Fevers]. Water. The cold douche in maniacal delirium; place patient in warm bath during application (R). Belladonna, of proven efficacy, when con- gestion of the brain (P); useful for the insomnia when coma vigil, cold surface, cyanosis (B). Stramonium, can do all that Bell, can do, and is more powerful (Tr). Hyoscyamus, in some forms, admirable (P). Opium, cautiously, if at all (B); as rectal injection, hypodermically, or with spi- rits. If patient strong, delirium boister- ous, and pulse pale, add Tartar Emetic or Aconite (R). Bromides, in the "horrors" preceding the delirium, 5i every 4 to 6 hours. Are of less value in the delirium, and in subsequent attacks (B, R). Chloral, at outset (R); very successful, but dangerous to old drunkards, or when heart disease exists (B). Or, Chloroform inhalations to procure sleep (R). Anaes- thetics dangerous (B). Cannabis Indica, gr. ss-j of extract, one of the least dangerous and most useful hypnotics (P). Tartar Emetic, as hypnotic (B); combined with opium to control mania and insomnia (R). Capsicum, to induce sleep in early stages; gr. xx-xxx in a bolus with honey, re- peated after three hours (R). In 20-30- gr. doses, has remarkable success (P). Coffee, often exceedingly useful (P). Digitalis, Sss of tinct. repeated in 4 to 6 hours (R); a tablesp. of the infusion every 4 hours in pale subjects, anaemia of brain, with effusion and oedema (B). Cimicifuga, an excellent tonic for the nervous system; very successful (P). Quinia, with a mineral acid, to restore digestion; in the "horrors" and in ady- namic states (B). Sumbul, very efficient for insomnia (P). Ver. vir. the best remedy for cerebral congestions (77a). Stram. hallucinations, delirium of fevers, with coma vigil and muttering; furious d., most nearly resembling del. trem.(77). All objects appear oblique; very grace- ful gesticulations (L). (Compare Alcoholism.) Bell. , gtt. ij every 2 hours; the most generally useful remedy in well-marked cases (72). Stram. , 1*, has been found very success- ful (72); maniacal delirium, complete insomnia (72, 77). Hyos. 1*, the best remedy to control the cerebral disorder (77). Opium, I", comatose; loud, stertorous breathing; no consciousness or sensa- tion; pupils contracted, or widely di- lated (72). Bromides. Camph. brom., in 5-gr doses for insomnia, jactitation of limbs, great cerebral congestion (77a). Kali brom. gr. v-x every 2 or 3 hours, in first stage, if sthenic, cerebral congestion, active delirium (77a). Chloral hydr. gr. xxx-xl at bedtime, when patient will not take regular doses (72). Cann. ind. has been found very useful (77a). Ant tart, mucous gastric derangement; delirium tremens from beer; profuse, cool sweats, pneumonia (77). Capsicum, or strong coffee, large doses (72). Dig. face cold and pale, pulse weak (77a). Cimicif. 3-s frequently; indispensable(77a); the to restore the nervous system (Hpl). Kali brom. or Dig. aided by Cimicif. 3* or Hyos. 1*, sufficient to control all cases of this malady (77a). Ars. gastritis, nervous derangement, mus- cular tremors, prostration (77). Nux vom. jactitation, very irritable, con- stipation with large difficult stools (72); forming stage, and during con vales. (77). Scutel. has been very successful in irrit- able, delicate, nervous subjects (77a). Solanum, may be used side by side with Belladonna. (77a). Cyprip. will be found useful; a palliative only, unless case be recent (77a). DELIEIUM TEEMENS. 56 INDE ;x of Lupulin, the tinct. or oleo resin; useful in mild cases, as stomachic tonic and cerebral sedative (B). Ammonium Carbonate, when anaemia of brain, and feeble heart action (B). Conium, comb, with opium, useful (P). Alcohol, of undoubted use, where failure of stomach to appropriate food (B). Water, about 60°, with ice to head; to reduce temp, in the hyperpyrexia (B, R). Treatment should tend to nourishment, and establishing of digestion (B). Con- centrated liquid nourishment, with moderate use of stimulants (H). (Compare Delirium, Melanch< Tonics and Hypnotics. Their use should not be neglected (H). Moral or Mental Treatment, in recent times, is confided in greatly. This can be best administered in a well-conducted asylum or hospital for the insane, where security and the prospect of recovery will be better than in the best home. The total abolition of any one plan of treatment in favor of another would be a great mistake. More than half of first attacks of insanity are recovered from under good management, which is best attained under the direction of persons trained in this specialty (H). Belladonna, in convulsions of dentition, rarely fails to relieve (P). Hyoscyamus, to alleviate pain and subdue irritation; better than opium for chil- dren (P). Potassic Bromide, for irritability and convulsions in teething (R). Dulcamara, the infusion; in diarrhoea of dentition, quickly checks symptoms (P). Calumba, excellent for the accompanying vomiting and diarrhoea (P). Hypophosphites, of lime or sodium (R). Agar. mus. , gtt. ij every 4 hours, has cured severe cases, when maniacal rage, attempts to commit suicide (Hpl). Diet and Hygiene. The immediate source of danger is exhaustion; hence nutritious, digestible diet in fluid form; small quantities frequently repeated; beef-tea, soups, yolk of eggs, warm milk, cocoa, cayenne pepper or stimulants in soups; coffee, to still nervous excitement; hot baths, and wet pack, to eliminate the poison. A quiet, dark room; sleeps necessity, often induced by Bell. (72). [See above.] D INSANITY. lia, Mania, Hypochondriasis.) Anac an important remedy, esp. when in the young, from masturbation. Also Ac. phos. (77). Conium, melancholia also present (77). Helleb. when supervening on acute in- sanity (77); stupor and indifference (72). Zinc, trembling, jactitation of limbs (72); timidity and anxiousness, repeats all questions before answering them (L). Hepar sulph. dementia, with complete stupidity, sits silent in a corner (L). Canth. amorous frenzy, intense erethism of sexual organs (7,), Bell., Hyos., Opi., Stram., anxiety, fear, frightful visions (7,). Bell, convulsions when dentition begun (77); also Ver.vir., Gels. (72). Aeon, feverish symptoms (77, 72). Cham, the most important remedy when nervous symptoms predominate (77). Cliam., Coff., insomnia (77). Ign., Cham., to ward off threatening convulsions (77). Kreas. 12, thin, irritable children, ex- treme agitation; decaying teeth (77). Calc. carb. or Calc phos. slow, painful cutting; bowels disordered (77). DEMENTIA Al DENTITION. comparative therapeutics. 57 DIABETES Opium, large doses necessary; gr. vj-xij a day (B). Combined with gallic acid, the most generally useful remedy (W). Alum, has produced good results (B). Jaborandi, used successfully to reduce the quantity of urine (B) Valerian, large, increasing doses (72). Krameria, lessens quantity of urine (P). Diet. A dry diet beneficial (B). Treatment, is tentative only; no specific is known for it (H). DIABETES Phosphoric Acid, largely diluted, assuages the inordinate thirst. In one case, it seemed to act as a curative agent (Wa). Arsenic, when from faulty assimilation, and in thin subjects (B). Opium, in large doses (gr. vj-xij a day), ameliorative. Codeia is especially ser- viceable (B). Abates thirst, and controls appetite (R). Its value much disputed (P); is of great value in many cases (W). Sodic Salicylate, has cured when all other drugs have failed (R). Potassic Bromide, gr. xx ter die, cured two cases in 6 weeks (Begbie, R). Krameria, lessens quantity of urine (P). Lactic Acid, has varying success (B). Phosphates, to avert failure of nutrition (B). Glycerin, has produced good results (B). Used in place of sugar (W). Alkalies, are used on theoretical grounds, but have not produced much benefit. One case apparently cured by the dili- gent use of Ammonium Carbonate (B). Salines. A warm solution of phosphate and chloride of sodium, by intravenous injection, in diabetic coma, produced astonishing results in one case (B). Aliment. All saccharine and farina- ceous foods forbidden. Use fats, animal food, and gluten or almond bread. Milk- Cure, buttermilk best, to be the only food until cessation of symptoms. Alka- line waters, when of hepatic origin and in obese subjects. Tepid drinks, in thirst (B). INSIPIDUS. Scilla 2. has been successful in 3 to 4 weeks (77); pale, watery urine (72). Ign., Hyos., hysterical patients (72). Murexpur. urine colorless. Arg., Mur ex, sometimes curative (77). Uran. nit. has cured many cases (77a). .Ac. phos., Uran., are applicable (77). Apocy. cann., sinking at "pit of stom- ach," great debility (77a). Kali brom., Eup. pur., Gels., Helon., Trill. (Ha). MELLITUS. Ac phos. It, stands highest in esteem, esp. when from nervous derangement, the most frequent cause (77, 72); gener- ally relieves, not unfrequently cures (72). Ars., Kreas., are recommended by many high authorities (77). Ars. and Nuxvom. have benefited (72). Morphia, Curare, when of rapid course; diabetes acutus (77). Uran. nil. or muriat. It, 6 (77); 1, 3* (77a). An important remedy; is eminently homoeopathic, and has cured many cases, esp. those originating in dyspepsia or assimilative derangement. Excessive thirst a characteristic indication (77). Cham. 1, when of hepatogenic origin (77). Silica, in mineral waters, valuable (77). Tereb., Arum triph., proved remedial (72). Helon., Plumb., promise well (72). Helon. in diabetes nervosa, with uterine disorders (77a). Lye has been found curative (77a). Liq. potassse, J^-drop doses, has reduced quantity and sp. gr. of the urine (72). Diet and Hygiene are of the utmost im- portance. Avoid amylaceous food, and everything containing sugar, especially ordinary bread. Use fresh, nutritious animal food, with bread of bran, or almonds. Warm baths, warm climate, flannel underclothing (72). Milk-cure, by skimmed milk, very suc- cessful; 6 to 10 pints daily. No other food for 6 weeks, then animal food alone (72). DIAGNOSIS, DIFFERENTIAL [Adapted chiefly from Da Costa and Ruddock.] BEIGHT'S DISEASE, EORMS OF. [Tabulated from Da Costa and Hoffmann & Ultzman.] (1) Acute Nephritis. (2) Chron. Parench. (3) Chron. (5) l Headings. Nephritis (large Desquam. Nephritis J4> Fatty Clinica Desq. or Acute Amyloid or Waxy Kidney. Catarrhal Parench. white (contract'd kidney). Kidney. Nephritis. Nephritis. kidney). Quantity . Normal — or-(- Normal Normal Normal or — or -f- or — or -+■ Reaction . Acid Acid Acid Acid Acid Acid Color . . Wine yellow Dark smoky Brown yellow Clear Pale Pale Sp. Gr. . Normal or — High — — 1010 1015-1030 —, above 1010 Urea . . Normal — — Normal — Normal or — Urine - Chlorides . Normal _ _ Normal — Albumen . 1-10 to 1-5 lto6 ^to2 1-10 to \i lto6 1-10 to % (per cent.) globuline Casts . . Hyaline Blood Granular, Very few Fatty Few Epithel. Epithel. Hyaline Hyaline. No blood hyaline Sediment . Mucus Brown Kidney Seldom Free oil Seldom (macros. Blood cells. epith'm. any any visible) Urates Blood. Lymph Dropsy Seldom Great, esp. of face Never absent In last stages Great Trifling Uremia Often great Not marked Great Rare Rare Other S VMPTOMS. . StifTjoints Fever Temp.lo w' Retinitis. Face pale Emacia- Sacral No fever. Tense, puffy. tion, sal- pain Infl. of -quick Cardiac low face, Lassitude serous pulse. hyper. enlarged memb. Hyper.of liver and Cardiac heart spleen, hyper. thirst, di-arrhosa Prognos s . . . . Fav'rable Recovery Recovery Unfavor- Always Depends or No. 2 (?) or No. 4 able. Course perhaps long fatal on con-stitut'nal disease present. Note.—The signs + and — respectively denote a specific gravity greater than 1024, or less than 1018. DIAGNOSIS, DIFFERENTIAL. 59 OANOEE. Cancerous (Malignant) Tumors. Are of constitutional origin. Have no cyst, but invade and convert the surrounding tissues. Cancer material is short-lived from rapid deterioration, but is rapidly reproduced. Severe increasing pain. Extend to remote parts, reappearing chiefly in lymphatic glands. Cancerous cachexia of general health. Recur after extirpation, fatal in end. Scirrhus. Is hard. Appears mostly on female breast. Hard kernel, movable under skin. Becomes fixed to adjoining structures, which it puckers. Single and grows slowly. Course slow—2-4 years. Never in the young. Blowing sound. Excited heart-action. Slight if any increase of percussion dulness. Impulse strong. Sounds normal, or more distinct, except at site where murmur is heard. Patient can be roused; pupils act. Breathing seldom stertorous. Urinary action normal. Symptoms appear closely after accident. Commences about 3d week after coitus. First as a papule, abrasion, or crack. Generally indurated (rarely not). Non-malignant Tumors. Origin, some local error of growth. Limited by a cyst; may compress, but do not invade adjacent tissues. Have uncertain period of increase, after which may remain stationary. Usually no pain. Are local, have no disposition to spread. Impair functions of parts pressed on. Do not recur. Encephaloma. Is soft and brain-like. Most frequently on the limbs. At first deeply seated, hard to recognize. Spreads through loose textures, which it pushes aside and distends. Has numerous tumors, grows rapidly. Generally fatal in 1-2 years. Often in the young, even at birth. Friction sound. Excited heart action. Marked increase in effusion stage. Wavy and feeble. Feeble and muffled; no blowing sounds. I Complete insensibility; motionless pupils. Breathing usually stertorous. May be either retention or incontinence. Frequently do not. In 24 hours to 3 days. First as a red spot, then a pustule, then a soft suppurating sore. Not on an indurated base. CARDITIS. Endo-carditis. Peri-carditis. CEREBRAL. Concussion. Compression. CHANCRE. Chancre. Chancroid, 60 DIAGNOSIS, DIFFERENTIAL. Developes slowly. Discharge slight, unless irritated. Is soon limited and seldom phagedenic. Edges sloping, not undermined. Scanty serous secretion. Sore remains solitary, and cannot be multiplied. Followed by numerous buboes, rarely sup- purating, never furnish inoculable pus. Developes rapidly. Suppurates profusely. Tends to invade surrounding tissues, or become phagedenic. Edges undermined. Discharge is pus, and copious. May be transplanted at will, and is seldom single. A single bubo may appear and suppurate, CHOLERA. Asiatic. Preceded by painless diarrhoea. Not directly from error in diet. First pain, shooting down thighs. Prostration rapid and overwhelming, and out of ratio to evacuations. Rapid reduction of surface temperature; high temperature in cavities. Evacuations like rice-water from first. Cramps commence in extremities. Veins congested; tongue, lips, and ex- tremities livid purple. Urine albuminous. Simpl e. Seizure sudden. Generally is from error in diet. First pain, abdominal colic. Prostration gradual, less marked than the vomiting and purging. Gradual reduction of surface temperature; internal temperature normal. Discharges bilious, causing burning and smarting pain; only colorless at very last. Cramps commence in abdomen. Not so. Not so. Croup. Premonitory hoarse, metallic cough, without illness. A child's disease. Tenacious mucus, covers the swollen membrane. A local disease. Epilepsy. Sudden, complete loss of consciousness. Livid face, frothy saliva escapes, eyelids half open, eyeballs rolling, teeth grind- ing, tongue biting; more or less insensi- bility of pupils to light. Countenance is distorted. Patient shews no feeling. Aura epileptica. Short paroxysm, followed by heavy co- matose sleep and dull intellect. Frequently occurs at night. Not necessarily of uterine connection, though a paroxysm often occurs at the menstrual period. Diphtheria. Premonitory illness, shivers, fever, sore throat, without cough. Attacks adults as well. Distinguished by a false membrane. A blood poison; great general depression, Hysteria. Gradual and partial or apparent. Face flushed, or complexion unaltered, no froth on lips, eyelids closed, eyeballs fixed, no grinding of teeth, or biting of tongue; pupils react readily. Is not. Sighs, or laughs, or sobs. Globus hystericus. Longer paroxysm, not sleepy, but usually wakeful and depressed in spirits. Rarely occurs at night. Often connected with uterine or men- strual disorders. DIAGNOSIS, DIFFERENTIAL. 61 Gout. Chiefly affects small joints, especiaUy the metatarsal joint of the great toe. From 35-50 years; rarely before puberty. Most frequent in men, and result of idle, intemperate, and luxurious life. Is strongly hereditary. Chalk stones (urate of soda) in ext. ear, on tops of fingers, or elsewhere. Uric acid in the blood, absent from urine. A fit often affords temporary relief. Is confined to temperate zone. Rheumatism, Large joints chiefly implicated. Generally in young adults. Affects both sexes equally, and equally the poor and the rich. But slightly so. Not so. Lactic acid in the blood. Quite the contrary. Is ubiquitous—prevails in all climates. Hsematemesis. If from the stomach, the blood is of a dark color, and is vomited. Often mixed with food, not froth. Preceded by nausea and stomach distress, and blood is passed with the stools. Haemoptysis. If from the lungs, it is bright red, and generally coughed up. Generally frothy, mixed with sputa. Preceded by pain in the chest and dysp- ncea. No blood in the stools. Pleurisy. Sharp pain, friction sound, dry cough, impaired chest motion. In stage of effusion, obliteration of inter- costal spaces, enlargement of the side, viscera displaced. Dulness, with enfeebled or absent respira- tion, voice, and fremitus. Sputa frothy, rarely any rales. Febrile symptoms slight usually. Temperature irregular, rarely high. Pneumonia. Dull pain, crepitant rale, cough followed by expectoration. In stage of hepatization none of these signs are present. Dulness, with marked bronchial respira- tion, distinct thoracic voice, increased vocal fremitus. Sputa rusty color, riles common. Febrile symptoms severe. Sudden elevations and falls, high tem- perature not uncommon. PHTHISIS. Tubercular. First symptom, a dry, short cough. No exciting cause apparent. Hereditary cases are of this class. Frequently preceded by enlarged or sup- purating glands, or other evidence of scrofula. Voice changes from tubercular deposit. Non-Tubercular. First stage follows catarrh, bronchitis, or some other acute disease. Is referable to some exciting cause, as cold inflammation, or inhaling of heavy dust. Not hereditary. No evidence of scrofula. No change of voice. 62 DIAGNOSIS, DIFFERENTIAL. EXANTHEMATA. Scarlet Pever. Measles. Small-pox, Incubation 1 day to weeks. | Incubation, 7-14 days. Fever, great heat of skin, Same fever rather increased and frequent pulse, un- abated during eruption. Brilliant stare. Eruption on 2nd day, not rough, first on neck and chest, spreads rapidly, white streak on pressure with nail. Uniform, or large patches, interspersed raised spots and some vesicles, rash scarlet, on its 7th day very complete desquama- tion in large patches. Sore throat, rarely coryza oi bronchitis. " Raspberry" tongue, red. Cerebral symptoms fre- quent and grave. Temperature may be 105- 112 to 10th day, subsides gradually, falls on 5th, 10th, and 15th days. No secondary fever. Pneumonia rare, pleurisy more frequent. Sequelae: Bright's disease, dropsy, deafness, conjunc- tivitis, phthisis, chronic diarrhoea; glandular en- largements. by eruption. Liquid watery eye. On 4th day, on face, rough spreads gradually, streak lasts short time. Crescentic patches, lasts about 5 days, then partial desquamation, scales very fine. Coryza and bronchitis very constant, rarely sore throat Tongue coated, may be red at edges. Not so. 103-106 before eruption, re- mains high for 1-2 days after, then falls suddenly. None. Pneumonia a frequent complication. Sequelae: chronic bronchi- tis, phthisis, conjunctivitis Incubation 6-20 days. Av- erage 10. Fever often violent, bound- ing pulse, pain in loins, greatly relieved by erup- tion. At end of 3rd or on 4th day on lips and forehead. Papular, then vesicular, finally pustular; pustules maturate on 8th day of eruption. Sore throat often and dry cough. Coated and swollen, may be red at edges. Cerebral symptoms are frequent. Before eruption often 106, then rapidly sinks to 100 in 36 hours; rises during secondary fever. Always secondary fever. Pneumonia not a very fre- quent complication. Sequela: chronic diarrhoea glandular enlargements, various eye diseases. Typhus Fever. Attacks quickly, incubation 9 days. Occurs at any age. Rare among the higher classes, except those exposed. Typhoid (Enteric) Fever. Commences slowly, incubation about 13 days. Most common in youth and childhood, rarely after 40. As common among rich as the poor. DIAGNOSIS, DI Mulberry eruption on 4th or 5th day, on extremities, lasts till close. Brain chiefly affected; bowels are often but little so; abdomen natural, evacua- ations dark, but never bloody (these are occasionally reversed). Contracted pupils, dusky face. Pulse and temperature rise to 120 and 105 till 3d day, high for 6 days, then fall. Lasts 2-3 weeks. Relapses rare. Death from coma, or congestion of lungs, in 1st or 2nd week. Arises from destitution, over-crowding, bad ventilation, is contagious, and generally epidemic. Post-mortem, not constant, most frequent are dark blood and enlarged spleen, soft heart. Short duration; ends in 3-7 days. Incubation 5-9 days. A disease of one paroxysm, terminating in recovery or collapse. Very severe nausea and vomiting, early epigastric tenderness. Black vomit. Hemorrhages from various parts. Tongue clean, or slightly coated. Pulse variable, slow at end. Injected humid eye. Supra-orbital pain, pain in back and in calves of legs. Rarely delirious, mind clear generally. Urine albuminous, usually suppressed. Rapid convalescence, no sequelae. Little muscular prostration, High mortality, epidemic. Treatment unsatisfactory. Autopsy: inflamed or congested stomach, enlarged yellow liver, filled with oil globules, muscular fibres of heart often are disintegrated. ifferential. 63 Rose eruption, few, on abdomen, and in successive crops, which fade and disappear. Bowels chiefly affected, evacuations ochre-color and watery, sometimes hem- orrhage, or even ulceration, abdomen tumid. Dilated pupils, cheeks flushed. Pulse and temperature rise and fall inde- pendently, and without uniformity, but both are usually high to loth day. Lasts 4-6 or more weeks. Relapses frequent. Death from asthenia, pneumonia, hem- orrhage, or perforation of intestine, in or after 3d week. Bad drainage, poisoned drinking water, putrid animal matter, want of ozone, certain electrical conditions; is not con- tagious, often sporadic. Post-mortem: morbid Peyer's patches, en- larged mesenteric glands, ulcerated mu- cous coat of intestines; enlarged and soft spleen, ulcerated pharynx. Lasts nine days or more. Incubation may extend to months. A disease of several paroxysms, with intervening remissions. These symptoms not so severe or early. Bilious vomiting. No hemorrhagic tendency. Tongue heavily coated. Pulse quick to convalescence. Eye natural. Headache, sense of fulness in head, often no loin or leg pains. Delirium frequent, mind dull. Not so. Slow convalescence, tedious sequelae. Greater muscular prostration. Slight mortality, endemic. Very amenable to treatment. Autopsy: stomach congested, rarely in- flamed, liver olive or bronze hue, not fatty. FEVER. Yellow Fever. Bilious Remittent. 64 INDEX OF VOMITING. Cerebral. Little or no nausea, vomiting continues after stomach is emptied. No tenderness on pressure over the liver or stomach. Pulse infrequent and hard. Tongue clean, breath sweet, conjunctivse normal or injected, and headache primary. Generally obstinate constipation. No salivation. Aconite, when from chill; high fever, cut- ting abdominal pains (P). Mercury. Calomel for infantile (ileo-co- litis), gr. 1-20 to 1-12 every y hour (B). The bi-chloride, gr. j in jx aquae, a teasp. frequently in acute or chronic diarrhoea of adults or children with slimy, bloody stools, pain and straining. Gr. % of grey powder, hourly; or gr. 1-100 of cor- rosive sublimate every 2 or 3 hours (R). Camphor, in summer diarrhoea, and the preliminary d. of Cholera Asiatica(B); when from effluvia of drains or expos- ure to cold (R). Useful in many forms (P). Ipecacuanha, in summer diarrhoea and dysentery of children, with greenish stools (B); hourly drop-doses of the wine esp. if vomiting (R); when from ner- vous irritation, esp. young children (P). Dulcamara, in diarrhoea of children from damp, or with dentition (P). Pulsatilla, dyspeptic diarrhoea, mucous discharges, active piles (P). Quinia, in periodic diarrhoea, with dysen- tery and jaundice (B). Veratrum Album, in the vomiting and pur- ging of summer diarrhoea (R). Croton Eleuteria, in later stages (P). Podophyllum, in chronic, with high-col- ored motions and cutting pains, also in morning diarrhoea (R). Gr 1-20 to 1-10 with occasional doses of aconite for vomiting and diarrhoea of gastroenteri- tis and prolapse of rectum (P). Gastric or Hepatic. Nausea relieved by discharge, returns when food is taken. Liver and stomach are tender, pressure produces inclination to vomit. Pulse frequent and weak. Tongue furred, breath offensive, conjunc- tivae often yellowish, and headache secondary as to time. Griping abdominal pain, diarrhoea and clay-colored stools. Increased salivation. entery, Cholera Infantum.) Aeon, diarrhoea from cold or damp (R); watery diarrhoea, restlessness (H); in many forms, bilious, catarrhal, rheu- matic, nervous, and diarrhoea from in- digestion or worms; black, fetid stools, much thirst, heat of body (Hpl). Merc. dul. particolored, slimy, infan. (H). Merc. corr. 3*, inflammatory, dysenteric (H); bilious, bloody stool, preceded by colic, followed by tenesmus; dark-green, clay-colored or yellow stool (R). Camph. sudden, with chilliness; from cold (R). Hahn's remedy for cholera^). Ipec. mucous diarrhoea of children, slimy stools, vomiting (.ff); stools grass-green, mucus, flatulent colic (R). Dulc. diar. from cold or wet, nocturnal, slimy or bilious stools (H, R); impaired appetite, dejected spirits (R). Puis, from fatty or rich food, nausea, eructations; mucous diarrhoea in chil- dren, chiefly at night (R, H). China 1, in acute diar. from elevation of temp, the most frequent cause. In chronic, painless diarrhoea(H); dischar- ges slimy, bilious, often blackish (Hpl). Ver. alb. summer or autumnal choleraic diar., vomiting and watery stool (H). Croton, summer diarrhoea, stools suddenly expelled, and copious (H); yellow, green, watery stools (R). Podoph. bilious and dysenteric, sudden, exhausting stool, prolapse of bowel (K)'< early morning diarrhoea (H). DIARRHOEA. (Compare Dys COMPARATIVE THERAPEUTICS. 65 Chamomile, an infusion in summer diar- rhoea of adults, or in that of dentition (R). The oil in diar. of children, esp. from worms (P). Arsenic, for evacuation of undigested food (B); gtt. j of liq. arsen. before meals when diar. excited by food; also in chronic and membranous forms (R). Nux Vomica, a very useful adjunct to other remedies (B); often of much ser- vice in epidemic diarrhoea (P). Sulphuric Acid, in summer and choleraic diar. Small doses in chronic form and in the straining diar. of children (R). Iron. Sol. of pernitrate in army diar. (B). Lime Carbonate, in later stages; as chalk mixture in diarrhoea of typhoid or phthisis (R). Zinc Salts, very efficient in summer diar. of children. R Bism. subnit. 5j-ij; pepsin sacch. (Scheffer's) 5ss; zinci ox. gr. vj-xij. M. ft. pil. xij. One every 4 to 6 hours (B). Rhubarb, in early stages to get rid of irri- tant, afterwards to check the diar. (R.P). Rumex Crespus, in morning diarrhoea (R). Arnica, checks exhausting diarrhoea with great certainty (P). Silver Nitrate, in diar. of children. White, pasty and offensive stools. Combined with opium, the most effective remedy for that of phthisis or typhoid (B). Mineral Acids. In painless, watery stools, light color and alkaline (B). Alkalies. Mistura cretse in sour-smelling stools (B). Sodic, potassic or magnesic bicarbonates when acid canal (R). Lead Acetate, is excellent in all forms (B); with opium as an injection (R). Bismuth, is effective; requires large doses. Gr. xxx-lx every 3 or 4 hours (B). Gr. j hourly with milk, sometimes with gr. y§ grey powder, in various forms of infantile diarrhoea (R). Opium, commonly used, but is best in watery evacuations, combined with min- eral acids or acet. of lead (B). As injec- tion with starch in severe cases (R). Calumba, when not inflammatory. Rj Tinct. cal. 3xv; tinct. opii deod. 5j. M. Sig. A teasp. in a wineglass of water before meals (B). Cham, eminently useful in diarrhoea of children, from cold or teething, bilious or catarrhal (Hpl). Cham, or Bell. alt. Merc. dul. in the diar- rhoea accompanying dentition (H). Arsen. A glorious remedy in chronic diarrhoea; also when sudden prostra- tion (H); vomiting, burning in rectum, emaciation, pallor, sunken cheeks (R); watery mucous bloody discharge (Hpl). Nux vom. from indigestible food (R); in- fantile diarrhoea from disagreement of artificial foods (H). Ac. sulph. has undoubted power; pain- less, chronic diarrhoea with debility (fl"). Ferr., China, passage of undigested food. Also Pepsin (R). Calc. carb. chronic with debility and emaciation; scrofulous patients (R). Zinc. oxid. gr. j after meals in diarrhoea of infancy (R). Rheum, sour-smelling stools, colic; diar- rhoea of children (H). Rumex, Podoph., Nuphar, Acphos.,Bovis- ta, morning diarrhoea (R). Arn. involuntary stools during sleep, fetid breath, loathing for food (L); chronic diarrhoea with fetid flatulence (Hpl). Arg. nit. chronic diar. with putrid dischar- ges, green, flaky, bloody, brown (Hpl). Iris vers. 1, bilious vomiting and purging together, cholera nostras. Is specific(iT). Periodical night diarrhoea, pains and green discharges (Ha). Sulph. , early morning, and chronic (H). Aloes, Leptan. Chronic, dysenteric, with hemorrhoids (R). Coloe 2*. acute, dysenteric with colic (R). Apis, every morning; painless, greenish- yellow motions (if); hands blue and cold, pain and weakness in bowels(-HpZ). Ant. era. white tongue; diar. from over- eating, and in the aged (R); dyspeptic symptoms, cachectic patients (Hpl). Gamboge, summer diar. severe colic (H). Ars. iod. scalding evacuations (Ha). Bry. diarrhoea during hot weather, esp. if caused by use of cold drinks or sudden changes (R). Gels, involuntary diarrhoea, when from depressing emotions (Ha). Ars., Phos., Carbo veg., in the aged (R). 66 INDE Purgatives, Saline, a teasp. of epsom salts (magnes. sulph.) in a wineglass of water every 3 hours when intestinal inflam. (B). Copper Sulphate, the most effective astrin- gent in chronic, fy Cupri sulphat. gr. j; morphiae sulphat. gr. ij; quinize sulph. gr. xxiv. M. ft pil. xij. Sig.—One ter die (B). Ergot, in persistent chronic diarrhoea (B). Iodine, 1 or 2 drops of tinct. in diarrhoea from atony of mucous membrane (B). Tannic Acid, very useful in profuse and chronic diarrhoea. Stille advises tannic acid and milk diet for chronic diarrhoea and dysentery (B). Ac. carbol. 1, severe gastric disturbances; thin .bloody stools, tenesmus (Hpl). Ac. mur. chronic diar. with tenesmus, burning at anus, prolapse of rectum diar. of typhoid and in scarlatina (Hpl). Ac. Phos. rachitic, or weakly children(J7), Diet. Cool or cold, light, bland food Gruel, rice, arrow-root, whey, barley water, in recent cases. In chronic cases, the most digestible but nutritious food as fresh fish, game, raw eggs, rice, mu cilaginous drinks. Milk-and-lime-water, or soda-water very useful. Also raw meat pulp. Avoid beef, pork, veal, and much starchy food (R). DIPHTHERIA. (Compare Croup.) Belladonna, an excellent remedy; if given eariy will abort the exudation (B); es- pecially when throat and tonsils acutely inflamed and much swollen (R). Mercury. Calomel checks plastic exuda- tion; its use limited to children of good constitutions, with sthenic symptoms. Gr. y to j every 2 or 3 hours with or without Dover's powder (gr. j) or ipecac. (gr. j) till bowels become relaxed, with greenish stools (Wa). Gr. v repeated boldly every hour to 3iv, for a child of 3 years, until stools appear like polyps in water-troughs, gelatinous, and of a bright, dark-green hue. Then a dose of castor oil if salivation is feared (Reiter's Monograph, 1878). Bromine, vapor by inhalation, useful(Wa). Potassium Permang. gr. ss in aq. destil., also locally, has undoubted value (B). Sanguinaria, the best emetic, considered by many specific in this disease. R Syr. ipecac. Sij; pulv. sanguin. gr. xx; pulv. ipecac, gr. v; M. A teasp. every y hour until emesis, then y teasp. every hour (P). Iodine, as inhalation many times a day. R Iod. gr. iv; pot. iod. gr. iv; alcoholis 3iv; aquse Siv. A teasp. to boiling wa- ter, inhaled with the steam. With use the iodine may be increased to jss at each inhalation (R). Bell. 1, Phyto., mild, simple cases, catar- rhal angina the only mischief (H, E). Merc. cyan. 3*, 6, has had great success (.ff); the chief remedy in malignant form (Js). Merc, biniod. the remedy of most intense action; 6 for children, 3 for adults(2», R); with gargle or spray of liq. caldt chlor. 5j to Siv aqu»; the best treatment now known (Ha). Croupous form, much glandular swelling. Should be freshly prepared (H). Brom. a 1-100 solution with aq. destil. gtt j-iij every y hour or hour in a teasp. of sweetened water, using a glass spoon. No food during first day. esp. avoiding milk. A saucer of aq. brom. renewed eveiy 12 hours, in room as prophylatic (Teste). Is efficient in larnygeal form, alt. with Kali permang., also by inhala- tion^). Kali permang. in malignant diphtheria, has made brilliant cures (H). Sang, produces best results locally (Ha). Iod. an important remedy (K); much glandular irritation, dyspnoea, cough(I). Calc. chlor. used in 300 cases with but 2 deaths; gtt. v-xv of liq. calcis chlor. in y glass water, teasp. doses (Neidhard). Ac. carbol. used in 28 cases with butl death (B); deposit large with most offen- sive fetor, prostration, nausea (L). COMPARATIVE THERAPECTICS. 67 Calcium Chlorate, solution locally; or 3 Aquse chlorinii sss; aq. destil. Siij; sy- rupi simplicis Sss. M. Sig.—Gargle or lotion for the mouth. Considered al- most specific by some; its chief utility is in removing fetor; may influence germs (R, B). Carbolic Acid, in spray, locally to the fau- ces, to remove fetor and destroy disease- germs (B). As caustic, the concentrated acid in glycerin on a mop or brush (W). With iodine to prevent systemic infec- tion. IJ Liq. iodinii comp. 5ij; ac. car- bol. 5j. M. Sig.— y drop to 2 drops in water every four hours (B). Arsenic, in medicinal doses, when slough- ing of throat, or malignant diph.(R). Lactic Acid, as solvent of false membrane. 9 Ac. lactici 5iijss; aq. destil. 3x. As gargle, on a mop, or by spray (B). Salicylic Acid, locally and internally (gr. x) has produced good results (B). Sulphurous Acid Gas, recommended by a royal commission in Victoria, as a means of arresting the disease. Crude sulphur burned in the room, all apertures being closed (R). Sodic Sulphite, 5j-sj aquae, locally, an easily managed application (B). Sodic Sulpho-Carbolate, has been found useful in lieu of carbolic acid (Wa). Lime Water, dissolves false membrane. The vapors of slacking lime inhaled; or better, lime-water by atomizer to back of fauces while patient respires deeply (W). Tannin, as spray, a 5 per ct. solution (R). Ferric Chloride, as solution painted on or applied by spray to the throat (R). Of no advantage locally, internally may serve by supporting the organism (B). Destroys teeth (W). Strychnia, hypodermically, for the subse- quent paralysis (R). Water. Ice in the mouth, and the wet pack to the throat are extremely service- able (B). Ice sucked, especially at com- mencement, and continued until the disease declines (R). Ice packed in bladders or thin india-rubber bags, to the throat (W). Aliment. Good foods, wines or brandy necessary from the start to maintain the patient's strength (R). Ars. alt. Amm. carb. malignant, with great prostration, typhoid state (R). Phyto. simple cases, high general fever, severe aching of head, back and limbs; internally and as gargle (H). For the subsequent hoarseness (R). Apis, early stage of croupous diphtheria, purple, oadematous throat. Gives strik- ing results; is probably the best anti- diphtheritic (H). Kali bich. thick, tenacious membrane, firmly adherent; deposits on remote mu- cous membranes (L). Specific in nasal form; in laryngeal it does all that medi- cine can do, which is not much (H). The 1st, alt. Calc. chlor., which see (Neidhard). Hepar sulph. is in the front rank of reme- dies for laryngeal diphtheria (H). Myrica, as a local application (Ha). Ac. mur. has efficacy when symptoms of blood-poisoning are prominent (K, H). Guaiac seems to specifically affect throat; is highly spolcen of in diphtheria (H). Ailan. in malignant cases (H, Ha). Ars. iod. should not be forgotten in malignant diphtheria (H). Lach. prostration, pallid fauces (H). Bapt. typhoid symptoms; has specific re- lation to the blood po:son (R). Canth. for the subsequent prostration(H). Gels., Cocc. to promote recovery from post-diphtheritic paralysis (H). Kali permang., Calc. chlor., Ac. carbol., Brom., Phyto., Kali bich. as gargles or by spray when indicated (H). Brom. 3j-Sj glycerin, mixed with water as gargle or paint for throat (R). Alcohol, applied by brush or atomizer (R); with water the only admissible application (Von G). Solvents, only when membrane very fetid, by lime-water or glycerin, or hot steam inhalations (H). Tracheotomy, only in extremis (R). Diet and Hygiene. No food at first, except water; then very low diet (Teste). A teasp. of glycerin every 3 or 4 hours, plenty of good soup and wine, nutritive enemata, are necessary to sustain sys- tem. Moist inhalations. Temp, of room 68° Fah. (R). Removal from the house wherein attacked is advisable. Ice very grateful to the patient (H). DOSE-LIST, Names of Drugs, except those of which no doses are indicated, are placed in tk genitive case. This, it is believed, will be of great service to practitioners who are not accustomed to writing Latin prescriptions. It will be noticed that the expression " Extracti Fluidi," and similar ones, are placed after the name of the drug, for convenient reference. The name of the drug should be placed between the words descriptive of the preparation, thus: " Extracti Cimicifugse Fluidi." Common Names are given in their proper order, but the dose will be found only under the technical name. For acids not under "Acidi" see the names of drugs from which they are derived. The Doses given are for adults; for children the following rule (Young's) will be found the most convenient. Add 12 to the age, and divide by the age to get the denominator of the fraction, the numerator of which is 1. Thus, for a child two years old,2"1"12 = 7, and the dose is l-7th of that for an adult. Of powerful narcotics scarcely more than one-half of this proportion should be used. Of mild cathartics, two or even three times the proportion may be employed. For Hypodermic Injection, the dose should be %ths of that used by the mouth; by rectum 5-4ths of the same. Pronunciation.—Attention is particularly directed to the accentuation of words commonly mispronounced; as for example, acetas, atropa, chimaphila (kima), chlo- ridum, codeia, conium, enema, iodidum, radicis, ricinus, sinapis, syrupus, 6ezema, umbilicus, abdomen, bromidum. The English pronunciation of Latin has been followed in marking this list: a as in fate, a as in fat, a as in far, c as in cat, ? as in cent, e as in mete, 6 as in met, i as in pine, i as in pin, 6 as note, 6 as in not, u as in mute, u as in tub, ch as in chord. Absinthii, Wormwood, Pulveris, gr. xv-lx. Acidi Gallici from Nut-gall, gr. v-xx. '' Olei Essentialis n% iv-viij. Acacia?, Gum Arabic, Pulveris. 1' Mucilago, as vehicle. 1' Syrupus, '' Aceti, Vinegar, 5j-iv. Acidi Acetici Diluti, 5j. " Arseniosi, Arsenic, gr. 1-30 to 1-10. " Carbolici, from Coal-tar, gr. 1-30 to 1-10. " " Aquse, 5J-Siv. " " Glyceriti, rr% v-x. " " Suppositoria, 1 = gr. j. " " Unguentum, 3j in Sj. •' Citrici, gr. v-3ss. " " Syriipi, 3j-iv. 49~For Metric Doses, see the table at the Glyceriti, 115 xx-5i. ' Hydrocyanici Diluti (2 per cent), "Sj-vj. 1 Lactici, wt! xv-3ss. ' Muriatici Diluti, inj v-xx. ' Nitrici Diluti, trj v-xxv. ' Nitro-muriatici Diluti, irg V-3SS, 1 Oxalici, gr. i^-j. Phosphorici Diluti, 15 v-3j. ' Salicylici, gr. vij-jj. Sodii Salicylatis.gr. xv-sj' Sulphurici Diluti, Vitriol, n v-xx. '' Aromatici, ttj v-xxv. Sulphurosi, 115 V-5J. Sodii Hyposulphatis, gr. v-3ss. end of the book. Sodii Sulphltis, gr. v-xx. Potassii Sulphltis, gr. ij-x. Acidi Tannici, Tannin, gr. j-xx. " " Glyceriti, "5 x-5j. " " Suppositoria, 1 = gr. ij. " " Ungu6ntum, 1 in 16. '' Tartarici, gr. x-xl. Aconiti, Monkshood, Extracti, gr. %-l. 1' Radicis Tinctiirae, 115 y-v]. " " " Fleming's,^-"! ■ '' Emplastrum, sj = Sj of root. '' Linimentum, Sj = Sj of root. Aconitia, for external use only. Adhesive Plaster; see Rcsina. Adipis TJnguentum, Lard 4, Yellow Wax 1 '' Ceratum, Lard 2, White Wax 1. -Etheris Fortioris, Ether, t^ v-3j. " Comp. Spt., Hoffman's Anodyne, 5ss-ij. ' Nitrosi Spt., Sweet Spt. of Nitre, 5ss-iv. Alcohol is, Alcohol, Rectified Spirit of Wine, sp. gr. 0.835. '' Diluti, Alcohol and Water, partes sequales. " Fortii, sp. gr. 0.817. " in Spiritus Frumenti, Whiskey, 48-56 per cent. '' in Spiritus Vini Gallici, Brandy, 48-56 per cent. '' in Vinum Port6nse, Port Wine, 30-40 per cent. " in Vinum X6rricum, Sherry, 20 p. ct. Alcohol Amylicum, Fusil Oil. Allii, Garlic, 5ss-j. " Syriipi, 3j-ij. Almond, Amygdala. Allspice, Pimenla. Aloes Socotrinse, gr. ss-v. '' Pilulae, Aloes and Soap, aa gr. ij in each pill. '' et Asafcetidae Pil., aa with soap, gr. \y in each. '' et Mastiches Pil., aa with rose, gr. ij in each. " et Myrrhee Pil., aloes gr. ij, myrrh gr. ss, in each. '' et Canellae Pulvis, aloes iv. canellaj. " Tincuirae, 3J—ij - '' et Myrrhse Tincturae, 3ss-j. " Vini, 3j. LIST. 69 Aloe's Suppositoria, 1 = gr. ij Althaeae, Ext. Fl., Marshmallow, 5j-ij. Aluminis, Alum, gr. v-5ss. Alumen Exsiccatum, external use. Aluminii et Potas. Sulphatis, gr. v-5ss. '' Sulphatis, external use. Amber Oil, Oleum Succini. Ammoniaci, Ammoniac Gum, gr. x-5ss. '' Misturae, Sss-j. '' Emplastrum. '' cum Hydrargyro, Emplas. Ammoniae Aquas, gtt. x-xxx. " " fortioris (26 per cent), external use. '' Linimentum. '' Spiritus, rrg x-3j. 1' Aromat. Spt., 3ss-ij. '' Acetatis Liquoris, Sj—Sj. Ammonii Benzoatis, gr. v-xv. '' Carbonatis, gr. ij-x. '' Chloridi Purificati, gr. j-3ss. '' Valerianate, gr. j-v. Amygdalae Amaraa Aquae, Bitter Almond Water, gij-iv. " oiei, n y6-y. . '' Mistura, as vehicle. '' Syriipi, 5j-iv. '' Olei Expressi, 5j-iv. Amyl Nitrltis, inhalation, gtt. j-x. " " internal, ttjj j-iij. Amyli Pulvis, Starch, external use. '' Glyceritum, " " Augustiirae, gr. x-5ss. " Infusi, 3ss-j. Anlsi, gr. x-5ss. '' Olei, "5 i-v. '' Spiritus, 3i-ij. Anthemidis, Chamomile, jss-j. '' Olei (best preparation), ttj ij-viij. " Infusi, sj-ij- Antimonii et Potassii Tartratis, Tartar Emetic, gr. 1-12—ij. " Vini(Sj=gr. ij), rijv-5J. " Oxidi, gr. j-iij. '' Oxysulphureti, gr. ss-ij. '' Sulphurati, gr. j-v. '' Emplastrum, 1 part in 4. '' TJnguentum, 1 part in 4. " Compositae Pil., Calomel and A. Sulphuratum, aa gr. ss. Apiol; see Petroselinum. *S"For Metric Doses, sec the table at the end of the book. 70 DOSE-LIST. Apomorphia: see Opium. Argenti Oxidi, gr. ss-j. " Nitratis, gr. %-j. '' Nitras Fusa, external use. Arnigae Tincturae, m; v-xv. '' Extracti, gr. ij-v. '' Emplastrum, y3 part extract. Arrow-root, Maranta. Arsenigi, Arsenic, Acidi Arseniosi, gr. 1-30 to 1-10. '' Iodidi, gr. 1-20 to 1-10. '' Chloridi Liquoris, ini v-x. '' et Hydrargyri Iodidi Liq..Donovan's Solution, ityj-x. Arseniatis Sodii Liquoris, Pearson's Solu- tion, ujiij-x. Asafcetidae, gr. v-xv. 1' Misturae (Milk of A.), gss-j. " Tincturae, 5ss-j. '' Pilulae, each gr. iij. '' Suppositoria, each gr. v. '' Emplastrum. Atrdpiae Sulphatis, gr. 1-200 to 1-50. Aurantii Amari Cort. Orange Peel, Tinct., Sj—ij - '' Corticis Confectio, as vehicle. " " Syrupus, '' ': Florum Aqua, '' " " Syrupus, '' Auri Chloridi, gr. 1-30 to 1-15. '' et Sodii Chloridi, gr. 1-60 to 1-10. Avenae Farina, Oatmeal. Azedarach Decocti, Sss-j. Balsami Peruviani, external use, 5ss. " '' internally, rr% ij-x. Barii Chloridi, gr. j-x. " Liquoris, hr v-3ss. Barley, Hordeum. Basilicon Ointment; see Resina. Bay Rum, Spiritus Myrcix. Bear-berry, Uva Ursi. Bead-tree, Azedarach. Bebeeru-bark, Nectandra. Belladonnae, Deadly Nightshade,Tmctui&, irg v-xxx. '' Extracti, gr. 14-y. " " Alcoholici, gr. y~y. '' Suppositoria, in each gr. ss of Alco- holic Extract. '' TJnguentum. '' Radicis, Extracti Fluidi, nj i-v. «5-For Metric Doses, see the table at Belladonnae, Emplastrum. Belae Extracti Fluidi, 5j-5ss. Benzoici Acidi, gr. v-xv. Benzoini, Benzoin, Tincturae, sss-j. '' Tincturae Compositae, 3ss-j. '' Unguentum, 5J of tinct. to Sj. Bismiithi Citratis (soluble), gr. x-3j. '' subcarbonatis, gr. x-3j. '' subnitriitis, gr. x-5j. Bitter-sweet, Dulcamara. Blackberry, Rubus. Black-drop, Opii Acetas. Blue Mass, Pilula Hydrargyri. Bloodroot, Sanguinaria. Boneset, Eupatorium. Borax, Sodii Boras. Brayerae, Kousso, in powder, sss-j. Brominii, Bromine, wj j-iij. Bromidi Ammonii, gr. v-xx. " Potassii, gr. v-5j. '' Sodii, gr. v-5j. Broom, Scoparius. Bryoniae Albae Tincturae, ^ j-iij. Biichu Extracti Fluidi, 5ss-j. " Infusi, gj—ij. Butternut, Juglans. Cadmii Sulphas, external use. Cafleinae, gr. ss-ij. " Citratis, gr. ss-ij. Calabar Bean, Physostigma. Calcii Chloridi Liquoris, 1T5XXX-5J. '' Phosphatis Praecipitatae, gr. x-xxx. oj c Carbonatis Praecip., gr. x-si. | Cretae Praecip., Chalk, gr. v-xv. £ J " Trochisgi, 1 = gr. iv. ° I " Misturae, sss. ■g I Testa? Praeparatae, Oyster Shell, gr. o L v-xv. Calcis Liquoris, 3J-iv. '' Chlorinatae (in Sol.), gr. iij-vj. '' Linimentum. Liq. Calcis, 8; Olei Lini, 7. Calomel, Hydrargyri Chloridum Mite. Calx, Quicklime, Escharotic. Calumbae Extracti Fluidi, 115 v-xxx. '' Infusi, sss-ij. " Tincturae, 5j-ij. Camphorae, Camphor, gr. iij-x. " Olei, "S j-iij. '' Aquae, 5ij-3j. '' Spiritus, Ttjx-sj. ie end of the book. DOSE-LIST. 71 Camphorae, Linimentum. Olive Oil, 4; Camph. 1. Canellae, gr. xv-xxv. '' et Aloe's Pulveris, gr. x-xx. Cannabis Americanae Extracti, gr. ss-ij. " " Tinctura;, fljv-xx. '' Indicae, Indian Hemp, Ext.,gr.^-J^. " " Tincturae, M v-xx. Cantharidis, Spanish Fly, Tinct., nj ij-v. '' Ceratum, for blistering. '' Charta, blistering paper. '' Linimentum, 5j in sj. '' TJnguentum, j in iv. Coll odium cum Cantharide, for blister. Emplastrum Picis cum Canth. "Warm- ing Plaster." Capsigi, Cayenne Pepper, gr. j-v. '' Infusi, 5ij-Sss. " Oleo-resinae, ur ss-j. '' Tincturae, rrg v-xxx. Carbonis Animalis Purificati, as antidote, jss or more. Carbonis Ligni, Wood-charcoal, 3j-Sj. Cardamomi Tincturae, sj—ij. 1' Compositae Tincturae 5j-iv. Cari Olei, Oil of Caraway, irj ss-v. Caryophylli Olei, Oil of Cloves, nyj-v. " Infusi, sss-ij. Cascarillae Infusi, Sss-ij. Cassiae Fistulae, Purging Cassia, 3j-ij. Confectionis Sennae, 3j-ij. Castor Oil, Oleum Ricini. Castorei, Castor, Tincturae, 3ss-ij. Catarise, Catnip, Infusi, Sj-SJ- Catnip, Cataria. Catechu, gr. x-3ss. '' Infusi Compositi, gj —ij. " Tincturae, 5ss-ij. Cayenne Pepper, Capsicum. Cera Flava, Yellow Wax. Cera Alba, Bleached Wax. Ceratum, Wax 1, Lard 2. Cerii Oxalatis, gr. j-iij. Cetacei Cerati, Spermaceti 1, White Wax . 3, Olive Oil 5. Cetrarias, Iceland Moss, Decocti, Sss-ij Chalk, Greta; see Calcium. Chamomile, Anthemis, also Matricaria. Chelidonii Tincturaj, nj v-xx. Chenopodii', Worm-seed, Olei, "IJiij-x for child. 4®-For Metric Doses, see the table at the end of the book. Chimaphilae Decocti, Sj-iv. '' Extracti Fluidi, tt|j x-sss. Chirettae, in powder, gr. xv-xxx. " Infusi, Sj-ij. Tinct. 3ss-ij. Chloralis, Hydrate of Chloral, gr. v-xl. Croton-Chloralis, gr. ij—vj. Chlorinii Aquae. 5j-sss. Liquoris Soda; Chlorinatae, Labarra- que's Solution, 3ss-j. Chloroformum Venale, Commercial Chlor. Chloroformum Purificatum, Purified Chlor. Chloroformi Misturae, Sss. '' Spiritus (1 to 6), rrp xx-3J. '' Linimentum, 3 to 4. Chondri, Irish Moss, Decocti, (Sij-Oj), Sj-iv. Cimicifugae, Black Snake Root, Extr. Flu. 5ss-j- Cinchonas Flavae, in powder, gr. v-xx. '' Sulphatis, gr. j-xxx. '' Tincturae, 5ss-ij. '' Ext. Fluid, ny, v-xv. " Extracti, gr. ij-xv. " Flavae Decocti, gj-ij. " " Infusi, Sj-ij. Quiniae Sulphatis, Quinine, gr. j-xxv. " " Pilulae, gr. j each. '' Valerianate, gr. j-xx. Cinchonas Pallidas, in powder, gr. v-xx. " Rubrae, Infusi, gj-ij. " " Decocti, sj-ij. " Tincturae Compositae, Huxman's Tincture, 5J-ij. Quinidiae Sulphas, equals Quiniae Sulphas. Cinnabar, Hydrargyri Sulphuretum Ru- brum. Cinnamomi, Cinnamon, Olei, irj;j-ij. " Tincturae, sj-ij. " Spiritus, 5j-ij. Citrine Ointment, Unguentum Hydrargyri Nitrairis. Clove, Carophyllum. Cocci, Cochineal, for an infant, gr. %-j. Cocculi Tincturae, v^ ij-x. Picrotoxinae, gr. 1-65 to 1-12. Codeia; see Opium Cod-liver Oil, Oleum Morrhuee. Colchici Radicis, Extracti Flu., no ij-x. " " Vini, W v-xxx. •' Extracti Acetici, gr. ss-ij. 72 DOSE Colchici, Tincturae nj v-xxx. " Seminis, Extr. Flu., itr ij-x. " " Vini, its v-xxx. Cold Cream, Unguentum Aqux'Rosx. Collodium, Collodion, for external use. '' cum. Cantharide, " " " Flexile, " " Colocynthidis, Extr. Compos. (Coloe Ex. Aloes, Res. Scam.), gr. ij-x. Pilulae Catharticae Compositae, 1-3 pills. Conii Fructus Extracti Flu., tj v-xxv. Coniae (is very active), gr. 1-300 to 1-60. Copaibas Olei, sss-j. '' Pilulae, gr. 4 and 4-5 in each. '' Reslnae, gr. ij-v. Coptis, Gold-thread, in powder, gr.x-xxv Coriandri, in powder, gr. x-Sj. Cornus Florida? Dog-wood, Decocti, Sss-ij. " " Ext. Fluidi, 5ss-j. Corrosive Sublimate, Hydrargyri Chlori- dum Corrosivum. Cotton, Gossypium. Cranesbill, Geranium. Cream of Tartar, Potassii Bitartras. Creosoti (from wood-tar), 115 j-ij. 1' Aquae, Sj-iv. '' TJnguentum, 1 to 16. Creta, Chalk; see Calcium. Croci, Saffron, as coloring agent, gr. x- XXX. Croton Oil, Oleum Tiglii. Cubebae, in powder, 3ss-j. '' Extracti Fluidi, sss-ij. '' Oleoresinae, rn> v-xx. '' Olei, nj v-xx. " Tincturae, sss-ij. '' Trochisgi, gtt. j of Ol-res. in each. Cupri Sulphatis, gr. %-ss. Curare, hypodermically, gr. 1-10. '' Ammoniati, gr. %-}. Dandelion, Taraxacum. Deshler's Salve; see Resina. Digitalis, Fox-glove, in powder, gr. j-v. '' Extracti, gr. %-j. '' Extracti Fluidi, 115 j-x. '' Tincturae (8115=] gr.), 115 iv-5ss. '' Infusi (S)=7y gr.), sj-Sss. Digitallni, gr. 1-60 to 1-30. Dogwood, Cornus Florida. Donovan's Solution; see Arsenic. Dover's Powder, Pulv. Ipec Co.; see Opium. MS^For Metric Doses, see the table at Dulcamara?, Bitter-sweet, Decocti, Sj-ij. '' Extracti, gr. x-xx. " " Fluidi, sss-ij. Elder, Sambucus. Elaterii, Cucumber, gr. 1-16 to J» . '' Clutterbuck's, gr. y. Elaterini, gr. 1-16. Epsom Salts, Magnesii Sulphas. Ergotae, Ergot, Spurred Rye, 3SS-J- " Ext. Fluidi, 3ss-j. '' Vini, 5ij-iv. '' Extracti (Squibb's), gr. j=gr. v of Ergot. Ergotini, Bonjean's Extract, gr. v-x. Erigerontis Canadensis Olei, n% v-x. " " Extracti Flu., 3J, Eserine; see Physostigma. Eucalypti Globuli Tincturae, 3ss-ij. " " Ext. Fluidi, sj-ij. '' Olei, Eucalyptol, tij y xx. Eupatorii, Boneset, Infusi, sj-ij. Euphrasiae Tincturae, 115 i-v. Fennel, Fozniculum. Fermenti, Yeast, Oj a day has been given. Ferri Redacti, gr. ss-iij. '' Carbonatis Pilulae, gr. x-xx. '' Chloridi, gr. iij-v. " " Liquoris, 115 ij-x. " " Tincturae, 115 v-3ss. '' Citratis, gr. ij-v. '' Liquoris, 115 ij=gr. j. '' et Ammonii Sulphatis, gr. j-ij. '' Citratis, gr. ij-v. '' Tartratis, gr. v-x. '' et Potassii Tartratis, gr. v-x. '' et Quinise Citratis (gr. v=Quin. Cit j), gr. v-x. '' et Strychnia? Citratis (Strych. 1 per cent.), gr. ij-v. '' Ferrocyanidi, Prus. Blue, gr. iij-v. '' Lactate, gr. ij-x. '' Oxalate, gr. ij-v. '' Phosphate, gr. ij-v. '' Pyrophosphate, gr. ij-v. '' Subcarbonate, gr. v-xv. Trochisci, l=gr. v. '' Misturae Compositae, Sss. '' Pilulifi '' j-vj pills. '' Sulphatis, gr. ss-iij. the end of the book. DOSE-LIST. 73 Ferri Sulphatis, Exsic, gr. ss-ij. '' Iodidi Pilulae, 1-3 pills. " " Syrupus (sj=gr. vij), in>x-5ss. '' Nitrate Liquoris, in; ij-x. '' Subsulphatis Liq. Monsel's Solution, "Sj-vj. " Dyalysatus Liq., Wyeth's, nj xx-5j. " Oxidi Hydrati, as antidote, Sss fre- quently repeated. '' Emplastrum. Filicis, Male Fern, Oleoreslnae, gr. x-xxx. Flax Seed, Linum. Flea-bane, Erigeron. Foeniculi, Fennel, Olei, 115 ij_x. '' Aquae (Oil tni xv-Oj), 3j-Sss, Fox-glove, Digitalis. Galbani, gr. x-xx. '' Pilulae Compositae, l=gr. jss. '' Emplastrum Compositum. Gallae, Nutgall, Tincturae, 5j-ij. '' TJnguentum, 1 in 8. Gambdgiae, gr. j-iij. Garlic, Allium. Gaultheriae Olei, uj ij-v. Gelsemii Extracti Fluidi, itjj-xv. Gentianae, Gentian, Extracti, gr. ij-x. '' Extracti Fluidi, nj x-xx. " Tincturae Compositae, sj-ij. '' Infusi Compositi, Sj-ij. Geranii Extracti Fluidi, 3ss-j. Ginger, Zingiber. Glauber's Salts, /Sodii Sulphas. Glonolni (Sol. 1 per ct. in alcohol), nj j. Glycerinae, Glycerin, itj x-sj. Glycyrrhiza, Licorice, powder as excipi ent, for pills. Glycyrrhiza? Extractum, for flavoring. " Flu., *' Gold-thread, Coplis. Gossypium, Cotton. Granati Fructus Cortex, Pomegranate Rind. Grey Powder, Hydrargyrum cum Creta. Guaiagi, Guaiac, Resinae. gr. x-xxx. ' '• Tincturae, 3ss-jss. " " Ammoniatae, 5ss-jss. Gum Arabic, Acacia. Gutta-perchae Liquor, external use. Hamamelis, Witch hazel, Tincturae, njjij-x. Haematoxyli, Logwood, Extracti, gr.x-xx. " Decocti, sj-ij- Hedeomae, Pennyroyal, Olei, nj ij-v. Hellebore, Helleborus, Veratrum. Hellebori Extracti, gr. j-v. '' Tincturae, try v-3ss. Hemid^smi Syrupi, sj—ij. Hemlock, Conium. Hemp, Cannabis. Henbane, Hyoscyamus. Hoffman's Anodyne; see JEther. Honey, Mel. Hops, Humulus. Hordei, Barley, Decocti, q. s. Horehound, Marrubium. Horse-mint, Monarda. Humuli, Hops, Infusi, q. s. " Tincturae, sij-iv. Lupuli nae,/ro?ft Hops, gr. v-xv. '' Tincturae, Sj-ij; '' Extracti Fluidi, 5ss-j. '' Oleo-reslnse, gr. j-v. Hydrargyri cum Creta, Grey Powder, (Hydr. 37 per cent.) gr. v-xxv. '' Pilulae (Hydr. y), Blue Mass, each gr. iij. Dose 1 to 2 pills. '' Chloridi Mitis, Calomel, gr. ss-xx. " " Corrosivi, Corrosive Subli- mate, gr. 1-30 to 1-10. '' Iodidi Viridis, gr. 1-5 to 1. Rubri, gr. 1-30 to 1-10. '' Cyanidi, gr. 1-20 to 1-8. '' Sulphatis Flavae, Turpeth, Emetic, gr. ij-iv. '' Sulphureti Rubri, Cinnabar, as fu- migation. Pil. Antimonii Compos; see Antimony. Pil. Catharticae Compos., 1 to3 pills. (Calomel, Ext. Jalap, aa gr. j, Ext. Coloe. Co. gr. iy, Gam- boge, gr. y.) Emplastrum Ammoniaci cum ") Hydrargyro. " Hydrargyri. TJnguentum Hydrargyri. Hydrargyrum Ammoniatum. Unguent. Hydrargyri Ammoni- ati, gr. xl-jj. Hydrargyri Oleatum, 6 and 10 per cent, (Squibb's). " Oxidum Rubrum. Unguent. Hydr. Oxidi Rubri, 1 in a. *3 H 49~For Metric Doses, see the table at the end of the book. \ 74 d Hydrargyri Oxidum Flavum. "j ^ Unguentum Hydr. Oxidi Flavi, 1 in 8. " Hydr. Iodidi Rubri, gr. xvi-gj. Liq. Hydrargyri Nitrate, Caustic. Unguent. Hydrargyri Nitrate Citrine Oint. Hydrastis Extracti Fluidi, sss-ij. Hydrastin, gr. ss-ij. Hyoscyami, Henbane, Extracti, gr. %-ij. '' Extracti Alcoholici, gr. %-ij. '' Extracti Fluidi, nfl v-sss. " Tincturae, sss-ij. Hyoscyamiae, gr. %-}. Iceland Moss, Cetraria. Ichthyocolla, Isinglass, as food, ad lib. Ignatiae Extracti, gr. y~y. " Tincturae, ni!j-x. Ibdinii, Iodine, gr. ss-j. '' Tincturae Compositae, nfl ij-x. ' • Liquoris Comp., Lugol's Sol, wj iij-x. '' Tinctura (jj in Oj) external use. " Unguentum (Iod., Pot. Iod., Lard), external use. '' Unguentum Compositum (Iod.,Pot. Iod., Lard), external use. Iodoformi, gr. j-iij. Ammonii Iodidi, gr. v-xx. Potassii Iodidi, gr. v-3j. Ipecacuanha?, in powder, gr. j-3ss. '' Extracti Fluidi, m j-5ss. '' Pulveris Compositi, gr. x-xv. " Syrupi, ntxv-3ij. " Vini, Tt^xv-Sij. '' Trochisci, 1 = gr. y. Iridis, Blue Flag, Tinct. Radlcis, njj-x. Irish Moss, Chondrus. Iron, Ferrum. Isinglass, Ichthyocolla. Jaborandi Infusi, Sj-ij. Jalapae, Jalap, Pulveris, gr. v-xv. " Tincturae, Sss-j. '' Reslnae, gr. ij-iv. " Pulveris Compositae (J. 1, Pot. Bi- tart. 2), gr. x-xxx. Jasmine, Gelsemium. Juglandis, Butternut, Extracti, gr. v-3ss. Juniperi, Juniper, Infusi, Sij-viij. " Olei, n5 ij-v. " Spiritus, 3ss-j. 4®~For Metric Doses, see the table at Juniperi Spiritus Compositae, 5j-iv. Kamala, Rottlera. Kino, in powder, gr. v-xx. '' Tincturae, 5ss-ij. Kousso, Bray era. Krameriae, Rhatany, gr. x-xx. " Tincturae, Sss-ij. '' Extracti, gr. ij-v. " " Fluidi, «£ v-3ss. '' Syrupi, sss-ij. " Infusi, Sss-ij. Lactucarii, Lettuce-opium, gr. x-3j. " Syrupi, Sss. Lard, Adeps. Laudanum, Opii Tinctura. Laurocerasi Aquae, ttjj v-xxx. Lavandulae, Lavender, Olei, itj j-v. " Spiritus, 3ss-j- '' Spiritus Compositi, 5j-iv. Lemon, Limo, Lemon-peel, Limonis Cor- tex, Lemon-juice, Limonis Suceus. Leptandras, gr. x-3j. '' Extracti Fluidi, ini x-3j. Lettuce-opium, Lactucarium. Licorice, Glycyrrhiza. Limonis, Lemon, Oleum, for flavoring. '' Spiritus, '' '' Suceus, Syrupus Acidi Citrici, as vehicle. '' Limo nis, '' Mis. Potassii Citratis, neutral, sss-ij. Llni, Flaxseed, Infusi Compositi, ad lib. '' Oleum, Linseed Oil. '' Farina?, Linseed Meal. Sj-ij. Linimentum Calcis, external use. Linseed, Linum. Litharge, Plumbi Oxidum. Lithii Citratis, gr. v-x. '' Carbonate, gr. ij-x. Lobelia?, Indian Tobacco, Aceti, n];v-xxi '' Tincturae, ttj v-xxx. Lobelinae, gr. ss-j. Logwood, Hxmatoxylon. Lupuline; see Humulus. Lycopodium, external use. Mace, Macis. Macidis, Mace, in powder, gr. x-xv. Magnesias, Calcined, 5ss-ij. " Trochis<,-i, l=gr. iij. '' Citratis Liquoris, Sij-xij. Magnesii Carbonate, 3ss-Sj. the end of the book. 75 Magnesii Sulphatis, Epsom Salts, 5ij-Sj. Male Fern, Filix Mas. Manganesii Oxidi Nigri, gr. ij-x. '' Sulphatis, gr. ij-x. Potassii Permanganate, gr. ss-ij. Liq. Potassii Permang., 3j-ij. Mannas, Manna, sj—ij. Maranta, Arrowroot, as food, ad libitum. Marjoram, Origanum. Marrdbii, Horehound, Decocti, Sss-ij. Marsh-mallow, Althxa. Marsh Rosemary, Statice. Mastic, Mastiche; see Aloes. Matico (tee) Extracti Fluidi, sss-j. Matricarias, Chamomile, Sss-j. May-apple, Podophyllum. Mel, Honey, Despumatum, as vehicle. Mentha Piperita, Peppermint. Menthae Piperitae Aqua, as vehicle. " " Olei, in! i-vj. " " Spiritus, itn v-xx. " " Troehisci, l="s % Olei. Mentha Viridis, Spearmint. M6nthae Viridis, Aqua, as vehicle. " " Olei, "j j-v. " " Spiritus, nj v-3ss. Mercury, Hydrargyrum. Mezerei Extracti Fluidi, inj v-xxx. '' Unguentum, Fl. Ext. 2, Lard 7, Wax 1. Mindereri Spiritus, Liq. Amm. Acet., 3j-3j. Monardae, Horsemint, Olei, nj j-ij. Monsel's Solution; see Ferrum. Morphia; see Opium. Moschi, Musk, gr. v-3ss. Mustard, Sinapis. Myristicas, Nutmeg, in powder, gr. v-xv. '' Spiritus, 3ss-3j. " Olei, us j-ij. Myrrhae, Myrrh, in powder, gr. x-3ss. '' Tincturae, Sss-j. See Aloes. Narceia; see Opium. Nightshade Deadly, Belladonna. Nitre, Potassii Nitras. Nutgall, Galla. Nutmeg, Myristica. Nucis Vomicae, NuxVomica, Tinct., n%ij-x.. " " Extracti, gr. y to y. Strychniee and S. Sulphatis, gr. 1-100 to 1-20. Oatmeal, Avenx Farina. Olei Cajeputi, Cajeput Oil, nj; ij-x. Olei Morrhuae, Cod-liver Oil, 3j-Sss. Olei Olivae, Olive Oil, Sj-Sj. Olei Ricini, Castor Oil, 5ij-Sj. OleiSuccini, Oilof Amber, Rectif., fljv-xv. Olei Theobromae, Cacao Butter, for sup positories. Olei Thymi, Oil of Thyme, external use, Olei Tiglii, Croton Oil, ntss-j. Opii, from Papaver Somniferum, gr. ss-ij. '' Aceti, Black Drop, '' Vini, '' Tincturae, Laudanum, \ "5 x-xx. " " Acetatae, " " Deodoratae, " " Camphoratae, Paregoric, Sj-ij. '' Extracti, gr. ss-j. '' Pilulae, pil. j = gr. j Opii. '' Confectionis, 3ss. 1' Suppositoriae (Ext. gr. ss), No. 1. '' et Plumbi Suppositoriae, No. 1. Pilulae Saponis Compositae, gr. v. Pulveris Ipecac. Co., Dover's Powder (O. 1, I. 1, Pot. Sulph. 8) gr. x. Troehisci Glycerrhizae et Opii, gr. x. Emplastrum Opii, Ext. Opii 1 in 16. [ Morphias Acetatis, Muriate, vel Sul- phatis, gr. ye-y. Liq. Morphiae Sulphatis (gr. i-sj), 3J- Troehisci Morphiae et Ipecacuanhae, 1 = gr. 1-40. Suppositoria Morphia? (Sulphatis), ■{ I = gr. ss. Codeia? and C. Sulphatis, gr. y~y. Narceia. S | Narcotinae Muriatis, gr. ij-x. o Papaverinas. ^ | Apomorphiae. Dose hypodermically, I gr. 1-10 to 1-16. Orange, Aurantium. Origani, Marjoram, Olei, rrjj j—iij. Paregoric, Tinctura Opii Camphorata. Pareirae Extracti Fluidi, Sss-j. '' Infusi, sss-ij. Parsley, Petroselinum. Partridge-Berry, Gaultheria. Pearson's Solution; see Arsenicum. Pennyroyal, Hedeoma. Peponis, Pumpkin Seed, Sj-ij. j«»*For Metric Doses, see the table at the end of the book. 76 DOSE-LIST. Pepper, Piper, Capsicum. Peppermint, Mentha Piperita. Petrosellni Parsley, Infusi, sss-j Apiol (capsules each gr. iv), 1-3 caps. Phosphori, gr. 1-50 to 1-20. '' Tinct., Thompson, 5j=gr. 1-20 about. Zinci Phosphidi, gr. 1-12 to y. Calcii "\ Sodii „ , Potassii \ HyP°PnosPwtls' gr-v-xx. Ferri j Phenic Acid, Phenol, Carbolic Acid Physostigmatis, Calabar Bean, Extracti, gr. 1-16 to y. Eserinae Sulphatis, gr. 1-60 to 1-10. Picrotoxine; see Cocculus. Pil. Cath. Comp.; see Colocynthis, and Hydrargyrum. Pimentae, Allspice, in powder, gr. v-3ss. ;' Olei, ttjj-iij. Piperis, Black Pepper, gr. j-x. '' Oleo-resinae, n? ss-ij. Pipsissewa, Chimaphila. Pilch, Pix. Pix Burgundica vel Canadensis, Pitch. Pix Liquida, Tar. Emplastrum Picis Burgundica?. '' Picis cum Cantharide. '' Picis Canadensis. Infusi Picis Liquidae, gss-j. Glyceriti Picis Liquida?, sss-ij. Unguentum" " y Tar. Plumbi Acetate, Sugar of Lead, gr. ss-v. " Suppositoria, 1 = gr. iij. '' et Opii Suppositoria, 1 = gr. iij -*- Opii gr. j. Plumbi Subacetatis Liquor, Goulard's > Extract. " " Liq. Dilutus, 5iij-Oj " " Ceratum, Goulard's, 1 of Liq. to 6. " " Linimentum, Liq. 2, 01. Oliv. 3. '' Carbonas, White Lead. ' Carbonatis Unguentum, 1 in 8 '' Nitras. '' Iodidum. " I6didiUnguentum.gr. 60 in 3j. '' Oxidum, Litharge. '' Emplastrum, Lead Plaster. J Podophylli, May Apple, Extracti, gr. v-x Podophylli Reslna?, gr. 1-12 to y. Pomegranate, Granatum. Potassa, Caustic Potash, Caustic. Potassa cum Calce, Potassse Liquoris (3J to Oj), ny. v-xx. Potassii Acetate, gr. x-3j. 1' Carbonatis, gr. v-3ss. " " Puras, gr. v-3ss. " Bicarbonate, gr. x-sj. '' Bichromate, gr. %-y. '' Bromidi, gr. v-5j- " Iodidi, gr. v-5J. " Tartrate, gr. x-5j. '' Bitartratis, Cream Tartar, gr. v-3ij. '' et Sodii Tartratis, Rochelle Salt, 3j-3j. '' Chlorate, gr. v- 5ss. " " Troehisci, l=gr. v. '' Citratis, gr. v-5ss. " " Liquoris (Cit. Ac. Sss, Pot Bicarb, gr. 330, Aq. Oss.), Sss, " Citratis Misturae (Lemon-juice sss. sat. with Pot. Bicarb.), sss. " Permanganate; see Manganesium. '' Nitiatis, Nitre, gr. v-xx. '' Sulphatis, in Dover's Powder, sj-3ss. '' Sulphltis, gr. ij-x. 1' Sulphureti, gr.j-v. Pruni Virginianae, Wild Cherry, Extracti Fluidi, 5ss-j. " Virginianae Infusi, Sj-Sij. " " Syrupi, as vehicle. Pulsatillae Tincturae, irj; 1-10 to v. Pumpkin, Pepo. Pyrethri Tinctura, external use. Quassias Extracti, gr. ss-iij. '' Infusi, Sss-ij. '' Tincturae m; xv-3j- Quercus Alba?, White Oak Bark, Decocti Sss-ij. Quinine, Quinix Sulphas; see Cinchona. Red Saunders, Santalum. Resinas, Resin. '' Ceratrum, Basilicon Ointment. " Compos., Deshler's Salve. '' Emplastrum, Adhesive Plaster. Rhei, Rhubarb, in powder, gr. j-sj. " Extracti, gr. v-xv. '' Fluidi, nfl v-xxx. '' Tincturae, Sj-iv. '' et Senna? Tine. Warner's Gout Cor- dial, 3ss-j. j83"For Metric Doses, see the table at the end of the book. DOSE-LIST. 77 Rhei Infusi, sij-iv. " Syrupi, Sss-j. " " Aromatici, Sss-j- " Vini, 3j-iv. " Pilulae, 1=3 gr. 1-5 pills. " Pil. Compos. (R. gr. ij. Aloes gr. jss), 1-4 pills, gr. x-xxx. '' Pulveris Compos. (Ginger 1, R. 2, Magnes. 6), Sss. Rhubarb, Rheum. Rhus; see Toxicodendron Rochelle Salts, Potass, et Sodii Tartras. Rosae Oleum, From Rosa | Flavoring '' Aqua, I Centifolia \ Vehicle. '' Unguent. Aq. j Pale Rose. [ColdCr'm '' Confectio | From Rosa Gal- \ Vehicle. " Mel, f lica, Red Rose.\ " Syrupus Rosae Gallicas, '' Infusum Rosae Compositum, '' Rosmarini, Rosemary, Olei, njj-v. Rottlerae Pulveris, Sj-ij Rubi, Blackberry, Extr. Fluidi sss-j. " Syrupi, 5j-ij. Rue, Ruta, gr. x-xxx. Rutae Olei, nj j-v. Sabadilla, Veratria. Sabinae, Savin, gr. v-xv. '' Olei, m; j-v. '' Extracti Fluidi, 115 v-xv. '' Ceratum Extracti Fluidi, 1 to 4. Saccharum Lactis, Sugar of Milk, vehicle. Saffron, Crocus. Sage, Salvia. Sago, Pith of Sagus Rumphii, as food. Sal-ammoniac, Ammonii Chloridum Puri- ficatum. Salt, Sodii Chloridum. Salicinas, Salicin, gr. v-sj. Salvias, Sage, Infusi, as gargle, sss-ij. Sambuci, Elder, Decocti, Sj-ij. Sanguinaria?, Bloodroot, Tinct. m xv-3ss. '' Aceti, 115 xv-3ss. Santalum, Red Saunders, coloring agent. Santali, Sandalwood, Olei, m; v. Santonini, Santonica, gr. j-v. '' Troehisci, l=gr. ss, No. v-x. Sapo, Soap made with Soda and Olive Oil. Saponis Ceratum. '' Emplastrum. 1' Linimentum, vehicle for Liniments. 1 Pilulae Compositae, gr. v=opn gr. j 49-For Metric Doses, see the table at the end of the book. Sarsaparillas Extracti Fluidi, Sss j. Comp., sj. '' Syrupi Compositae, sij-iv. " Decocti " Sss-j. Sassafras Olei, m j-v. '' Medullas Mucilaginis, as collyrium and drink. Savin, Sabina. Scammonii, gr. v-x. '' Resinae, gr. ij-x. Scillas, Squill, gr. ss-ij. '' Aceti, ttj! v-xx. " Tinctura?, irj V-5SS. " Syrupi, Sss-j. '' Syrupi Compositae (Tartar Emetic, gr. j in Sj), tj v-5ss. '' Extracti Fluidi, 115 ss-ij. '' Pilulae Compositae, 1-3 pills. Scoparii, Broom, Decocti, Sss-iij. '' Succi, Sj—iij- Seidlitz Powder; see Soda. Senegae Extracti, gr. j-v. '' Extracti Fluidi, ttjj x-xxv. " Syrupi, Sj-ij. " Decocti, sss-j. S6nnae Confectionis, 3j-ij. " Extracti Fluidi, 3ss-ij. " Infusi, sss-ij. Serpentariae, Snakeroot, Ext. Fl., Sss-j. " Tincturae, 5j-ij. " Infusi, Sss-ij. SinApis Charta, Mustard Plaster, 4 in. sq. Slippery Elm, Ulmus. Snakeroot, Cimicifuga, Serpentaria. Soap, Sapo. Soda, Caustic Soda, Caustic. Soda? Liquoris (5 7-10 p. ct. Soda), itflv-xv. Sodii Carbonatis, gr. v-x. '' Bicarbonatis, gr. v-3ss. Pulveres Effervescentes, Soda Powder. Pulveres Effervescentes Aperientes, Seidlilz Powders. (White paper, 36 gr. Acid Tart.; Blue, 40 gr. Sodii Bicarb.and 120 grs. Rochelle Salts.) Dose 1-2. Troehisci Sodii Bicarbonatis. Sodii Acetatis, gr. x-sj. " Boratis, Borax, gr. v-3ss. Mel Sodii Boratis, 1-8, external use. Glyceritum Sodii Borate, 1-4 '' '' Bromidi, gr. v-5j. 78 DOSE-LIST. Sodii Chloridi, Salt, as emetic, sss-ij. '' Phosphate, gr. x-Sij. " Sulphatis, Glauber's Salts, Sss-j. '' Hyposulphatis, gr. v-5ss. '' Sulphitis, gr. v-xx. Spearmint, Mentha Viridis. Spermaceti, Cetaceum. Spigeliae, Pinkroot, sss-ij. '' Extracti Fluidi, 3ss-ij. '' et Sennas Extracti Fluidi, 3ij-Sss. '' Infusi (for child), sij-Sss. Squill, Scilla. Starch, Amylum. Staphisagria? Tinctura?, 115 v-xx. Statice, Marsh Rosemary, Infus. as gargle Stillingi3s, Yan, gr. x-5ss. '' Extracti Fluidi, tiflx-sss. Storax, Styrax. Stramonii Tinctura?, "5 v-xx. '' Foliorum Extracti, gr. %-]. '' Seminis, gr. %~y '' Unguentum, Sj of Ext. in sj. Strychnia; see Nux Vomica. Styrax, Storax, used in Tr. Benzoini Comp. Suet, Sevum. Sugar, Saccharum. Sugar of Lead, Plumbi Acetas. Sulphur Sublimatum, Flowers of Sulphur. Sulphuris Loti, Washed Sulphur, 3j-ij. '' Prascipitati, Milk of Sulphur, 5J-iij. '' Iodidi Unguenti, 3ss-gj. '' Unguentum, S. Sub. 1, Lard 2. Sumbuli Tincturae, nj x-sj. Sweet Spirits of Nitre, Spts JEtheris Nitrosi. Tabaci Tobacco, Infusi, as enema, Sss-ij. 1' Vini, UR v-xxx. '' Unguentum, Watery Extract of Sss of Leaves to Lard 5j. Tamarindus, used in Confectio Sennas. Tapioca, Fee-ula of root of Janipha Manihot, as food. Tar, Pix Liquida. Taraxaci, Dandelion, Extracti, gr. xx-Sj. '' Extracti Fluidi, 5j-ij. '' Succi, 53-iv. '' Infusi, Sj-iv. Tartar Emetic, Antimonii et Potassii Tart. Terebinthina?, Turpentine, Olei, nflx-sij. '' Linimentum. Thorough-wort, Eupatorium. Thuja Occidentalis Tincturae, HJXV-3J. j8S~For Metric Doses, see the table at the end of the book. Tolutani Syrupi, Sss-j. " Tinctura?, 3 j -ij - Toxicodendri, Poison Sumach, Tinctura?, mi %-v. Tragacanthae Pulvis, as vehicle. '' Mucilago, Turpentine, Terebinthina. Turpeth Mineral, Hydrargyri Sulphas. Ulmus, Slippery Elm, as cataplasm. Ulmi Mucilago, as drink. Uva Passa, Raisins. Uva? Ursi, Bear-berry, Ext. Fluidi, Sj—ij. " " Decocti. sss-ij. Valerianae Olei, nflij-v. '' Extracti, gr. x-xxx. " " Fluidi, sss-j. " Tinctura?, Sj -11 j. " " Ammoniatae, sj-ij. '' Infusi, 3ss-iv. Acidi Valerianici (oily), gr. j-iv. Vanilla, as flavoring in Troches. Veratria? Unguenti, gr. xx-3j. Veratri Viridis, American Hellebore, Ex- tracti Fluidi, n j_v. " " Tincturae, rrg ij-x. Verdigris, Cupri Acetas. Vinegar, Acetum. Viola? Odoratas, Violet, Syrupi, 3j-ij. Vitriol, Cupri Sulphas. White Vitriol, Zinci Sulphas. Warner's Gout Cordial; see Rheum. Wax, Cera. White Lead, Plumbi Carbonas. White Oak, Qutrcus Alba. Witch Hazel, Hamamelis. Wild Cherry, Prunus Virginiana. Winter-green, Chimaphila. Gaultheria. Worm-seed, Chenopodium. Wormwood, Absinthium. Yan, Stillingia. Yeast, Fermentum. Zinci Oxidi, gr. j-v. " Sulphatis. White Vitriol, Emetic, gr. x-\x. '' Valerianate, gr. ss-ij '' Acetas, Astringent. '' Chloridum, '' and Caustic. '' Chloridi Liquor, external use. '' Oxidi Unguentum, gr. 80 in sj- 1' Carbonatis Ceratum, gr. 80 iu Sj. Zingiberis, Ginger, gr. v-xv. DOSE-LIST. 79 Kingiberis Oleoreslnae, nss-ij. j Zingiberis Syrupus, as vehicle " Extracti Fluidi, nj v-xv. " Infusi, sss-ij. " Tincturae, "I! xx-5j. I " Troehisci, l-nj ij of Tincture. *9rFor Metric Doses, see the table at the end of the book. Note.—I have followed Thomas in preference to Dunglison in marking the pronunciation of iodidum and bromidum. Chloridum should follow the same rule, but I have marked it in conformity with the usage of all the lexicographers. S. P. Incompatibility gives rise to many dangers which may in a great measure be avoided by the use of the utmost simplicity in prescribing. "The tendency of the present age is toward mono- rather than poly-pharmacy, and prescriptions with the orthodox adjuvans and corrigens are less frequently seen than formerly" (P). This subject can be only glanced at here. The following simple rules may help the burdened memory of the practitioner: (1) Never use more than one remedy at a time, if one will serve the purpose. (2) Never use strong mineral acids in combination with other agents, unless you know exactly what reaction will ensue. They decompose salts of the weaker acids and form ethers with alcohol. (3) Select the simplest solvent, diluent, or excipient you know of, remembering that the solvent power of alcohol and water for their particular substances decreases in proportion to the quantity of the other added. (4) Never combine free acids with hydrates or carbonates. (5) Generally do not combine two or more soluble salts. (6) The following more or less insoluble salts will be formed whenever the materials of which they are composed are brought together in solutions; the hydrates, carbonates, phosphates, borates, arseniates, and tannates of most earthy and heavy metals and alkaloids, and the metallic sulphides; the sulphates of calcium, of lead, and of the subsalts of mercury; the chlorides, iodides, and bromides of bismuth, silver, lead, and subsalts of mercury; the iodides of quinia, morphia, and most alkaloids (Mann). (7) Alkalies precipitate the alkaloids and the soluble non-alkaline metallic salts (W); and (as also metallic hydrates and carbonates) neutralize free acids. (8) Silver nitrate, Lead acetate, Corrosive sublimate, Potassium iodide, should nearly always be prescribed alone (W). The first with Creosote forms an explosive com- pound. Aconite should never be given in any vehicle except water (P). Silver Nitrate, and Lead acetate and subacetale, although incompatible with almost everything, may be combined with opium; the latter forming with opium a com- pound which, although insoluble, is therapeutically active as a lotion (W). Corrosive sublimate is incompatible with almost everything, and should be given in simple syrup; even the compound syrup of sarsapanlla is said to decompose it(W). (9; Tannic acid, and substances containing it, are incompatible with albumen and gelatin. Tannic acid, Iodine, and the soluble iodieles are incompatible with the alkaloids and substances containing them, and with most soluble metallic salts. Vegetable infusions are generally incompatible with metallic salts. (10) Glueosides, such as santonin and colocynthin, should not be prescribed with free acids or emulsin (W). (11) Dangerous compounds, because poisonous, are: Potassic iodide with potassic chlorate- hydrocyanic acid or potassium cyanide with metallic hydrates, carbonates, sub-nitrates, or sub-chlorides, as bismuth carbonate, or nitrate, or calomel (Mann). 80 HOMCEOPATHIC DOSE-LIST. A HOMCEOPATHIC DOSE-LIST, This list includes all medicines mentioned by Ruddock, or Hughes, and nearly all enumerated in Hale's " New Remedies." Nomenclature.—The homoeopathic nomenclature follows that of the German Pharmacopoeia mainly, the chemical salts being named by putting the acid into the adjectival form. The latest chemical nomenclature is a return to this style. The terminations used are as follows: -icus, -ica, -icum, corresponding to ate salts, and ic acids. -osus, -osa, -osum, corresponding to ite salts, and ous acids. -atus, -ata, -atum, corresponding to ide salts. Following the three systems mentioned below, the following table shows the differences between the styles of nomenclature: U. S. Pharmacopoeia. Homoeopathic. ^Chemical. Hydrargyri Sulphas. Hydrargyri Sulphis. Hydrargyri Sulphuretum. Mercurius Sulphuricus. Mereurius Sulph urosus.' Mercurius Sulphuratus. Mercuric Sulphate. Mercuric Sulphite. Mercuric Sulphide. The Latin of the U. S. Pharmacopoeia is more technical than correct, and medical writers do not always use correct terminology. "Such terms as 'Kali bromidum' for Kali bromalum (Iodide of Potassium), ' Kali bichromatum' for Kali bichromicum (Bichromate of Potassium), and ' Natrum chloratum' for Natrum cMori- cum (Chlorate of Sodium), as well as others occasionally seen in medical literature, are meaningless jargon" (L. Sherman). Pharmacology.—Juicy vegetable substances are prepared by expressing the juice of the whole plant, and mixing it with alcohol in which the residue has been steeped for some hours. When the plant can only be procured in the dry state, or when little juice is obtainable by pressure, a tincture is made from it by percolation (Hughes). The resulting tincture in each case is called the " mother tincture," and is represented in the literature of the school by the Greek or 9. By some homoeo- pathic pharmaceutists this tincture is regarded as the basis or unit of attenuation. Hahnemann's method, and that of the best pharmaceutists, is to regard the crude drug, or original substance, as the basis; using a sufficient quantity of the tincture to make the 1* attenuation represent one part of the original substance to nine of vehicle, and so on through the various dilutions and triturations. Attenuations are made on two scales: (a) the Hahnemannic, or centesimal, represented by simple figures (thus—3, 6), in which each contains one part of the preceding to ninty-nine of vehicle; and (b) the Heringic or decimal, denoted by figures followed by * (thus—3*, 6*), in which each contains one part of the preceding to nine of vehicle. Soluble mineral substances, and the mineral acids, are diluted with water. Insoluble substances (such as the metals, their insoluble salts, some alkaloids, etc.) are attenuated by the Hahnemannic process of trituration with sugar of milk, as high as the 6*. after which the further attenuation is generally carried on by solution to the 8* with water or dilute alcohol, above the 8* with alcohol. Globules of cane sugar are "medicated" by being moistened with a few drops of such a dilution, and are the preparations usually sold to the laity; physicians usually preferring triturations and dilutions. HOMCEOPATHIC DOSE-LIST. 81 High Potencies are preparations which, first introduced into homceopathy by a Sarmatian count (Korsakoff) and a German horse-jockey (Jenichen), have been, and are the bete noir of the system. The highest potencies mentioned by Hahnemann are the 50th (once), the 60th (once), and the 300th (once); practically his highest was the 30th. Korsakoff went up to the 1500th by the process of " infection;" Jenichen's highest was the 60,000th. The modern believers in this quackery pretend by various mechanical ("fluxion") processes, to carry the attenuation to the 500,000,000th (DMM) of the centesimal scale, and use as medicinal (!) agents such materials as Sugar of milk (Sach. lac). Colostrum, Skim-milk (Lac defloratd), Bitch's milk (Lac caninum), Sunlight (Sol.), Moonlight (Luna), etc. In the literature of the school, these " poten- cies" are often designated by the name of the manufacturer, thus—" Hepar sulph. M (Tafel),1' "Puis. 800th (Jenichen)." In the majority of cases, they have been put forth in a secret manner, apparently for mercenary purposes, and have received the unqualified condemnation of intelligent homoeopathists, from Hahnemann down. Pronunciation.—The English pronunciation of Latin has been followed in marking this list: a as in fate, a as in fat, a as in far, c as in cat, <; as in cent, e as in mete, 6 as in met, 1 as in pine, \ as in pin, 6 as in note, 6 as in not, u as in mute, u as in tub, ch as in chord. Signs.—O signifies the crude drug, or original substance. signifies the strongest tincture or officinal dilution, made directly from the original substance. The usual dose of all liquid remedies is one drop. Inf. signifies a watery infusion of the plant. Figures alone signify the attenuations on the centesimal scale; followed by an *, the attenuations on the decimal scale. The variation in the type is used to distinguish the most important drugs from those less so. The medicines of first rank are in Black Type, those of second rank in Small-Ca.ps, those of less importance in lower-case. Name and Synonym. ATTENUATIONS, ETC., mentioned by Abbrevia-tion. •si o 3 1 3 Abies can.... Ac. fluor...... Ac. gall........ Ac.hydrobro Ac. hydrocy. Ac. oxal..... Ac. pic......... Ac. salic...... Ac. sulph..... Ac. sulphs... Ac. tann..... 3x, 2 lx, 2x 3x, 3 1, 3x lx, 1,3 lx,l,3x,3 3x, 3 lx,l,3x,3 1, 6, 12 lx lx lx, 3x, 6 3 1-3 5x 1, 3x, 8* lx,2x lx,30 2 lx 2x lx,3x,30 * 2x-6x lx,6,12 4>,U,6 6,10 O, 1, 3 Acidum fluoricum, Fluoric acid.............. Acidum hydrobromicum, Hydrobromic ac Acidum hydrocyanicum, Prussic acid..... Acidum phosphoricum, Phosphoric acid... Acidum picricum, Picric acid................ Acidum sulphuricum, Sulphuric acid........ Acidum sulphurosum, Sulphurous acid..... 82 HOMCEOPATHIC DOSE-LIST. Actaea......... iEscul. gla... £scul. hip.... ^Ethus......... Agar. mus... Agnus......... Ailan........... Alet............. All. cep........ All. sat......... Alnus........... Aloe's........... Alst. const... Alum........... Alumina...... Amb. gris..... Ammoniac... Amm. benz.. Amm. brom Amm. carb.. Amm. iod.... Amm. mur... Amm. pic... Amm. val.... Amyl. nit.... Anac........... Angus........ Ant. ars....... Ant. cru...... Ant. iod...... Ant. tart...... Apis.......... Apoc and... Apoc. can... Apomor...... Aralia......... Aranea....... Arc. lap...... Arg............. Arg. nit....... Arn.............. Ars.............. Ars. iod........ Artem........, Arum dra..... Arum triph., Asaf............ Asar............ Asclep. incar Asclep. syr Actaea; see Cimicifuga............................ jEsculus glabra, Buckeye.......................... ^Esculus Hippocastanum, Horse-chestnut. ^Ethusa Cynapium, Garden hemlock......... Agaricus muscarius, Fly agaric.............. Agnus castus, Chaste tree......................... Ailanthus glandulosa, Tree of Heaven..... Aletris farinosa, Colic-root....................... Allium Cepa, Onion................................ Allium sativum, Garlic........................... Alnus rubra, Alder................................. Aloe Socotrina, Aloes.............................. Alstonia constricta, Bitter bark................ Alumen, Al. et Amnion. Sulph................. Alumina, Aluminium oxide...................... Ambragrisea, Ambergris......................... Ammoiriacum, Gum Ammoniac.............. Ammonium benzo'icum, Amm. benzoate.. Ammonium bromatum, Amm. bromide.... Ammonium carbonicum, Sal-volatile....... Ammonium iodatum, Ammonium iodide.. Ammonium muriaticum, Sal-Ammoniac Ammonium picricum, Amm. picrate...... Ammonium valerianicum, Amm. val'ate.. Amylum nitrosum, Amyl nitrite...... Anacardium, Malacca bean.............. Angustura vera, True Angustura..... Antimonium arsenicosum, Antim. arscnite Antimonium crudum, Antim. tcrsulphuret Antimonium iodatum, Antimony tcriodide Ant. et Kali tartaricum, Tartar emetic..... Apis mellifica, Bee-poison....................... Apocynum androsaemifblium, Dog's-bane Apocynum cannabinum, Indian hemp... Apomorphlnum, Apomorphia................. Aralia racemosa, Spikenard..................... Aranea Diadema, Spider.......................... Arctium Lappa, Burdock.......................... Arg6ntum, Metallic silver.......................... Arg6ntum nitricum, Silver nitrate............ Arnica montana, Leopard's banc.............. Ars6nicum album, Arsenious acid............ Arsenicum iodatum, Arsenious iodide...... Artemisia vulgaris, Mug-wort................. Arum Dracontium, Green dragon............ Arum triphyllum, Indian turnip............. Asafcetida, Asafcetida.............................. Asarum Canadense, Asarabacca............... Asclepias incarnata, Pleurisy-root............ Asclepias Syrtaca, Milk-weed................... R. H. 1,3^ 3 6 .3-6 6 lx,l lx 6 lx,l,6 1-6,200 3x,3 6,12 , 3 lx lx,l lx lx,3x,30 3x lx,l,3 3,12 1 3,5 6 l,3x,5 2x >,lx,3 3x, 6, 12 4>,U 3x,6 l,3x,3 1x3x3,6 l,3x,12 l,3x lx,3x 0,12 1-12 1x3x6,121, 12, 30 -2 lx,3x HOMCEOPATHIC DOSE-LIST. 83 Asclep. tub.. Aster, rub..... Atrop........... Aur.............. Aur. ars........ Aur. mur..... Aur.mur.nat Bad............. Bals. peru.... Bapt............ Baros........... Bary. acet.... Bary. carb... Bary. iod Bary. mur... Bell............. Bell, per...... Berb............ Bism............ Bor.............. Bov............. Brom........... Bry............... Bufo............ Cact............ Cad. iod...... Caff.............. Caff, hydro- bro. Calc. acet..... Calc. brom... Calc. carb..... Calc. caust... Calc. iod..... Calc. mur.... Calc. phos... Calc. hypop Calend........ Camph........ Camph.brom Cann. ind..... Cann. sat.... Canth.......... Caps............ Carbo an...... Carbo sulph. Carbo veg.... Card, mar.... Cast, ves...... R. ,U l,3x l,3x,6 1,3*,3 0, lx, 3' 3x, 6, 12 lx, 3x, 3 0-12 <*>, lx, 3x 1 lx, 3x, 6 Asclepias tuberosa, Pleurisy-root.............. Asterias rubens, Star-fish......................... Atroplnum, Atropia................................. Aurum, Gold.......................................... Aurum arseniosum, Aurum arsenile......... Aurum muriaticum, Aurum chloride......... Aurum muriaticum natronatum, Aurum and Sodium Chloride............................. Badiaga, Fresh-water Sponge.................... Balsamum Peruvianum, Balsam of Peru.. Baptisia tinctoria, Wild indigo................. Barosma crenata, Buchu.......................... Baryta acetica, Baric acetate.................... Baryta carbonica, Baric carbonate............ Baryta iodata, Baric iodide...................... Baryta muriatica, Baric chloride.............. Belladonna, Deadly nightshade................. Bellis perinnis, Daisy.............................. Berberis Aquifolium, Barberry................. Bismuthum, Bismuth subnitrate..............'O, lx, 3 Borax, Sodic biborate................................'lx, 1, 3 Bovista, Puff-ball.................................... 3x,12 Bromium, Bromine........................ Bryonia alba, Whilebryony........... Bufo, Toad-poison....................................[ ...... Cactus grandiflorus, Night-blooming Cereus|<£,lx 3* 6 Cadmium iodatum, Cadmic iodide.... Caffeinum, Caffcin.......................... Caffeinumhydrobromicum, .Bro?noA2/drafe of Caffein........................................ Calciiria acetica, Calcic acetate........... Calcaria bromata, Calcic bromide........ Calcaria carbonica, Oyster shell........... Calcaria caustica, Slacked lime............ Calcaria iodata, Calciciodide............ Calcaria muriatica Calcic chloride...... Calcaria phosphorica, Calcic phosphate Calcaria hypophosphorosa, Cal. hypo'phite Calendula, Marigold.............................. Camphora (or Camphora1!, Gum-camphor Camphora bromata, C. monobromide...... Cannabis Indica, Hasheesh..................... Cannabis sativa, Hemp........................... Cantharis, Spanishfly............................ Capsicum annuum, Cayenne pepper....... Carbo animalis, Animal charcoal..............11x3x6,30 Carbo sulphuratus, Caroo bisulphide........'' ...... Carbo vegetabilis, Vegetable charcoal.........lx,3x,30 Carduus Marianus, Mary's thistle..............| Castiinea vesca, Chestnut..........................j 3x,6, 12 lx,l lx,3x,3 , 1", 3 , lx, 3 lx,l, 3: lx,3x,3 H. Ha. lx,2x lx,2x 6,12 2s4 * * gr- v, 2 lx gr. v 6 3x,3 1^-12 ,12 30,200 Ung. 3x 2x lx 0-6x 3-30 lx lx 1-3,30 * * 0-6x 2 2x,6,, 3 3x 84 HOMCEOPATHIC DOSE-LIST. Caul......... Caust.......... Cean. virg... Cedr........... Ceras. virg . Cer. oxal..... Cham.......... Chel........... Chelon....... Chimaph.... China.......... Chin, ars..... Chin, brom.. Chin, sulph Chi on. virg.. Chlor. hyd... Cicut.......... Cimicif......... Cina........... Cinchona.... Cistuscan... Clem........... Coca............ Cocc. ind..... Cocc. cac... Codein........ Coff............ Colch......... Collin........ Coloe......... Comoc....... Coni........... Copaib....... Corall......... Corn, cir..... Corn. flor.... Coryd......... Cotyl........... Creos. Kreas Crocus........ Crotal......... Croton tig.... Cucur......... Cund.......... Cupk.......... Cupr. ars..... Curare......... Cyclam...... Caulophyllum thalictroides, Squaw-root Blue cohosh........................................... Causticum, Caustic Potash...................... Ceanothus Virginiana Red-root.............. Cedron, Cedron..................................... C6rasus Virginiana, Wild cherry.............. Cerium oxalicum, Cerium oxalate........... Chamomilla, Chamomile......................... Chelidonium majus, Celandine................ Chelone glabra. Snake-head..................... Chimaphila umbellata, Prince'spine....... China, Peruvian bark............................. Chininum arsenicosum, Quinia arsenite.. Chininum bromatum, Quinia bromide___ Chininum sulphuricum, Quinia sulphate, Quinine.............................................. Chionanthus Virginicus, Fringe-tree......., Chloralum hydricum, Hydrate of chloral. Cicuta virosa, Water hemlock................... Cimicifuga racemosa, Black snake-root.... Cina, Worm-seed..................................... (See China). Cistus Canandensis, Rock-rose................. Clematis erecta, Virgin's bower............... Coca (Erythroxylon C), Coca leaves........ Cocculus Indicus, Indian berries............. Coccus Cacti, Cochineal......................... Codeinum, Codeia................................ Coffea criida, Raw Mocha coffee................ Colchicum autumnale, Meadow saffron. ... Collinsonia Canadensis, Stone-root....... Colocynthis, Bitter cucumber... ........... Comocladia dentata, Guao.................. Conium maculatum, Spotted hemlock... Copaiba, Balsam of Copaiva............... Corallium riibrum, Red coral.............. Cornus circinata, Green osier.............,. Cornus florida, Dog-wood..................... Corydalis formosa, Stagger-weed......... Cotyledon umbilicus, Navel-wort......... Creosotum, Creosote........................... Crocus sativus, Saffron......................... Crotalus horridus, Rattlesnake-poison.... Croton Tiglium, Croton Oil................... Cuciirbita Pepo, Pumpkin-seed............. Cundurango, Condor-plant................... Cuprum, Metallic copper....................... Cuprum arsenicosum, Cupric arsenite.. Curare, Woorara................................. Cyclamen, Sow-bread........................ R. lx,3x,6 l,3x,6 lx,3x 3x,6,12 lx,3x,3 , lx, 3 lx gr%lx6 lx l,3x }>, lx, 3^ lx,3x,6 lx,l lx,l,3x 1 3x,3,6 (j>, lx, 3^ lx,3 <#>,3x 3,6 ,! 12,30 2,12,24 3 3x,6 6,12 3,12 15-x HOMCEOPATHIC DOSE-LIST. 85 Cyprip......... Digit............ Dig............. Dios........... Dros............ Dulc........... Elaps........... Elat............. Epig. rep..... Equis........... Erecth......... Ergot........... Erig. can..... Eriod........... Eryng.......... Eucalyp...... Euon........... Eup. arom... Eup. FERF.... Eup. pur...... Euphorb.cor Euphor.hyp. Euph........... Ferr........... Ferr. ars...... Ferr. brom... Ferr. mur..... Ferr. phos... Filix mas..... Form........... Fucus ves..... Galium........ Gamb........... Gels............. Gent............ Geran........... Glon............ Gnaph......... Gossyp........ Graph.......... Grat............ Grind........... Guaco ......... Gtiaiac......... Gummi gutti Gymnoc ... Ham......... Hecla........ Hedeoma.. Cypripedium, Lady's slipper.................... iDigitalinum, Digitalin............................ Digitalis purpurea, Foxglove.................... Dioscorea villosa, Wild yam, Colic-root...... Drosera rotundifblia, Sundew................... Dulcamara, Bittersweet............................. Elaps corallinus, Cobra-venom................. Elaterium, Wild cucumber...................... Epigaea repens, Trailing arbutus.............. Equisetum hyemale, Scouring-rush.......... Erecthites, Fire-weed............................ Ergotinum, Ergotin................................ Erigeron Canadense, Fleabane................ Eriodictyon, Yerba santa........................ Eryngium, Button snake-root.................... Eucalyptus globulus, Fever-tree............... Euonymus, Wahoo.................................. Eupatorium aromaticum, Wild snake-root.. Eupat. perfoliatum, Boneset, Ague-weed... Eupat. purpureum, Queen of the meadow... Euphorbia corollata, Spurge.................... Euphorbia hypericifolia, Spotted spurge... Euphrasia, Eyebright................................ Ferrum, Reduced iron.............................. Ferrum arsenicicum, Ferric arseniate...... Ferrum bromatum, Ferric bromide........... Ferrum muriaticum, Ferric chloride........ Ferrum phosphoricum, Ferric phosphate.. Filix mas, Male fern............................... Formica nifa, Red ant............................. Fucus vesiculosus, Sea-wrack, or Kelp...... Galium Aparine, Goose-grass.................. Gambogia, Gamboge............................... Gelsemium sempervirens, Yellow jessa- mine, Woodbine.................................... Gentiana lutea, Yellow gentian............... Geranium maculatum. Crancsbill.......... Glonoiuum, Nitro-glycerin....................... Gnaphalium polycephalum, Everlasting... Gossypium, Cotton-root........................... Graphites, Plumbago............................... Gratiola, Hedge-hyssop............................ Grindelia robusta, Grindelia................... Guaco (MikaniaG.), Guaco...................... Guaiacum, Lignum vitx........................... (See Gambogia). Gymnocladus Canadensis, Coffee-tree....... Hamamelis Virginlca, Witch-hazel.......... Hecla Lava, Hecla Lava......................- Hedeoma, Pennyroyal........................... 4>, lx, 3-i lx,l,3x 3x , lx, 3n , lx, 3> 0,lx,3 lx,3x,3 7 or 8 l,3x lx,3*,6 i>, ix-3- l,3-< 4>, lx. 3: 3x,3 2,6,12 >, lx, 3 H. 2x <^,lx lx 1 3 0,3 2 *,3x 2x 2x 2 0-3 3x,6 0,12 * lx,2 86 HOMCEOPATHIC DOSE-LIST. Hell............Helleborus nlger, Christmas rose.......... Helon..........Heloniajs dioica, False unicorn............. Hepar sulph...! Hepar sulphuris calcarium, Calcic-sulphide Hepat..........Hepatica triloba, Liver-wort................ Hydras........j Hydrastis Canadensis, Golden seal....... Hydroc........Hydrocotyle, Indian penny-wort.......... Hyoscyamus niger, Henbane.................. Hyp6ricum perforatum, St. John's wort.. Iberis amara, Candy-tuft........................ Ignatia amara, St. Ignatius' bean............ Ilex Aquifolium, Holly.......................... Indigo, Indigo....................................... lodium, Iodine...................................... Ipecacuanha, Dysentery-root.................. Iris versicolor, Blue-flag........'................ Jaborandi, Pilocarpus pinnatus.............. Juglans cinerea, Butternut..................... Juniperus communis, Juniper............... Kali bichromicum, Potassic bichromate... Kali bromatum, Potassic bromide........... Kali carbonicum, Potassic carbonate....... Kali chloricum, Potassic chlorate............ Kali cyanatum, Potassic cyanide............ Kali ferrocyanatum, Potassic ferro-cyanide Kali hypophosphorosum, Potassium hypo phosphite.............................................. Kali iodatum, Potassic iodide.................. Kali nitricum, Saltpetre, Nitre.............. Kali permanganicum, Pot. permanganate Kiilmia latifblia, Mountain laurel............. Kaolin, White clay, Alumina silicate........ Kino, Red-gum..................................... (See Creosotum). Lachesis, Viper-poison............................ Lachnanthes tinctoria, Red-root.............. Lactiica virosa, Wildlettuce.................... Lapis albus, Gneiss................................. Lauro-cerasus, Cherry-laurel.................... Ledum palustre, Wild rosemary............... Leptandra Virginica, Black-root............... Lilium tigrinum, Tiger-lily..................... Lithium bromatum, Lithic bromide.......... Lithium carbonicum, Lithic carbonate...... Lobelia syphilitica, Blue lobelia............... Lobelia inflata, Indian tobacco................. Lycopodium clavatum, Club-moss............ Lycopus Virginicus, Bugle-weed............... Macrotin, from Cimicifuga........................ Magnesia carbonica, Magnesic carbonate.. Magnesia muriatica, Magnesic chloride..... R. lx,3 0,lx l,3x,6 0,lx,3 0,lx,3 lx 0,lx-6 l,3x , lx, 3 , lx, 3: lx,3x 1-48 aq 0, lx, 3: 6,12 , 1,, 3x l,3x i>, 1-S 3 0, lx, 3s ix,3-30 H. 0,3,6 0,lx lx,3x 0,1" 6 lx,3x 6 3x,6x lx,2^ lx 3,1,6 1.2 lx 6,12 6,12 1 3,30 3,6 HOMCEOPATHIC DOSE-LIST. 87 Mang. ox.... Mang. acet.. Mel............. Menyan...... Meph.......... Merc biniod, Merc. brom. Merc. corr. ... Merc. cyan.. Merc, dul..... Merc, iod..... Merc.-Kali iod. Merc, protos. Merc, sol...... Merc, viv....... Mez............. Mill............. Mitchel........ Mosch......... Mur............. Mygale........ Myos............ Myrica......... Myrt............ Naja............ Natr. brom... Natr. carb.... Natr. mur..... Natr. salic.... Natr. sulph... Nic. brom.... Nic. sulph.... Nuphar........ Nuxjug....... Nux mosch.. Nux vom....... Nymph........ CEnan.......... CEnoth......... Olean........... 01. cajep...... 01. jec. asel.. 01. ric.......... 01. sant........ Opi.............. Manganum oxygenatum, Oxide of mang... Manganum aceticum, Manganous acetate. Melilotus, Sweet clover............................. Menyanthes trifoliata, Marsh trefoil......... Mephitis, Skunk-secretion......................... Mercurius biniodatus, Red iodide of mere. Mercurius bromatus, Mercurous bromide Mercurius corrosivus, Corrosive sublimate, Mercuric chloride............................. Mercurius cyanatus, Mercuric cyanide Mercurius dulcis, Mercurous chloride, Calomel......................................., Mercurius iodatus, Mercurous iodide. Mercurius iodatus, cum Kali iodatum, Iodo-hydrargyret of Potassium............... Merc, protosulphuratus, Ethiops mineral.. Merc, solubilis, Ammonio-nitrate of Mcrcu ric protoxide, Pharmaceutical preparation Mercurius vivus, Grey powder, Me talli mercury............................................... Mezereum, Spurge olive.......................... Millefolium, Yarrow............................... Mitchella repens, Partridge-berry............ Moschus, Musk....................................... Murex purpurea, from a shell-fish............. Mygale, Spider-poison............................. Myositis, Blackroot................................ Myrica cerifera, Bay-berry..................... Myrtus communis, Myrtle....................... Naja tripudians, Cobra-poison................. Natrum bromatum, Sodicbromide........... Natrum. carbonicum, Sodic carbonate....... Natrum muriaticum, Sodic chloride......... Natrum salicylicum, Sodic salicylate....... Natrum sulphuricum, Glauber's salts....... Niccolum bromatum, Nickel bromide....... Niccolum sulphuratum, Nickel sulphide... Nuphar luteum, Yellow pond-lily............. Nux Juglandis, Walnut........................... Nux moschata, Nutmeg........................... Nux vomica, Poison-nut......................... Nymphaea odorata. Water-lily................ CEnanthe crocata, Water hemlock............. (Enothera biennis, Evening primrose....... Oleander, Laurel-rose............................. Oleum Cajeputi, Cajeput-oil.................... Oleum jecoris Aselli, Cod-liver oil........... Oleum Ricini, Castor-oil........................ Oleum Santali, Sandal-wood oil............... Opium, Opium........................................ R. H. Ha. lx,3x,3 3x l,3x 3x l,3x,3 3x,3 3,6 l,3x 12 l,3x,6 3x,6, l,3x,6 3x,6x lx,3x lx,3x 0,lx 0,lx Inf. 0,lx,6 2x 3 4,6 0,lx 3 6 3 0-6 6,12 6,12 30 lx,2,6 2x,4x 2x lx,3x 1,6. 2x,3x 1,3 3x 2 0-6 0-30 0-6 0, lx, 3x 6 lx 0-3x O-lx 0-2x lx,3x,30 10-30 Oth. lx-3 0-3 3x 6-30 2-30 HOMCEOPATHIC DOSE-LIST. Opun...........Opuntia vulgaris, Prickly-pear. Orig............ Osm............ Paeonia......... Paris............ Paull............ Penth. sed... Petrol........... Petros.......... Phell............ Phor............ Phos............ Physos......... Phyto........... Piper meth... Plan............ Plat............. Plumb......... Plumb, iod.. Pod............. Polyg.......... Polym........ Polyp, off... Polyp, pin.... Pop.......... Potass....., Ptelea...... Puis......... Puis, nutt Queb........ Quin........ Ranunc... Ratan....... Rheum..... Rhod....... Rhusgla.... Rhus.......... Rhus ven... Ric. com.... Rob........... Rumex...... Ruta.......... Sabad........ Sab............ Sacch. alb.. Sacch. lac.. Samb......... Sang. nit. Origanum vulgare, Wild marjoram... Osmium, Osmic acid........................ Paeonia, Peony................................. Paris quadrifolia, Herb paris............ Paullinia sorbilis, Guarana............. Penthorum sediiides, Stone-crop....... Petroleum, Coal oil........................ Petroselinum, Parsley.................... Phellandrium, Water hemlock......... Phoradendron, Mistletoe.................. Phosphorus, Phosphorus.................. Physostigma venenosum, Calabar bean. ... Phytolacca decandra, Poke................ Piper Methysticum, Kava kava......... Plantago major, Plantain.................. Platinum, Platina.............................. Plumbum, Metallic lead..................... Plumbum iodatum, Plumbic iodide..... Podophyllum peltatum, May-apple..... Polygonum punctatum, Smartweed..... Polymnia Uvedalia, Bear's foot.......... Polyporus officinalis, Larch fungus..... Polyporus pinicola, Pine fungus......... Populus tremuloides, Aspen............... Potassium (see Kali). Ptelea trifoliata, Wafer-ash................ Pulsatilla nigricans, Meaelow anemone Pulsatilla Nuttalliana, Pasque flower.. Quebracho, a Brazilian plant............. Quinia (see Chininum sulph). Ranunculus bulbosus, Crowfoot......... Ratanhia, Krameria-root.................... Rheum, Rhubarb............................... Rhododendron Chrysanthemum, Siberian rose, Golden rhododendron.................... Rhus glabra, Sumach.............................. Rhus Toxicodendron, Poison-ivy............ Rhus venenata, Varnish sumach.............. Ricinus communis, Castor-oilplant........ Robinia, Locust...................................... Rumex crispus, Yellow dock.................... Ruta graveolens, Rue............................. Sabadilla, Indian barley.......................... Sabina, Savin......................................... Saccharum album, White cane-sugar....... Saccharum lactis, Sugar of milk.............. Sambucus nigra, Elder........................... Sanguinaria Canadensis, Blood-root........ Sanguinarinum nitricum, Sang, nitrate... R. H Ha. Oth. lx-3 3 3x,30 3-6 1,3 3x30 0-2x 0-2« 3x 3x Inf. 0-3 0-3 3x,3,6 2-12 3x 2x,3x 0, lx.:;- 4> 0, lx, 12 <*> 0, lx, 2* 3x,6,12 2,3 3x,3,5 3x-3 0;lx,3x 3 0,3x6,30 0,lx <*> lx,3x 3x-3 0,1x3x6 0-12 0,2x 0,2x lx 0,lx,3 1-3 l,3x lx,2 l,3x l,3x,3 2 6 lx,2x * lx,3x,3 1-12 lx 0, IX, 3-X 0,1 6-30 3-30 l,3x 2,12 0,lx-3 3x 0-3x 2x,3x 0-3 0,lx lx-3x lx,2x,6 3x HOMCEOPATHIC DOSE-LIST. 89 Sant............ Sarrac......... Sars............. Scil.............. Scut............ Sec............... Sel............... Semp........... Senec........... Seneg........... Sep.............. Sil............... Silph............ Sod.............. Solan........... Spig............. Spong.......... Stan............. Staph........... Sticta........... Still............. Stram........... Strych......... Strych. ars... Sulph............ Sulph. iod.... Sumbul........ Tabac.......... Tam.com..... Tanac.......... Tarant......... Tarax.......... Tell.............. Tereb........... Teuc............ Thasp. ........ Ther............ Thlaspi bur- Thuja.......... Thymol........ Trifol. pra.... Trifol. rep. ... Trill............ Trios............ Turn............ Uran. nit...... Urt. ur......... Ustil............ Uvaur......... Santonlnum, Santoninic acid................... Sarracenia purpurea, Pitcher-plant.......... Sarsaparilla, Smilax................................ Seilla maritima, Squills.......................... Scutellaria lateriflora, Scull-cap............... Secale cornutum, Ergot of rye................. Selenium, Metallic selenium..................... Sempervlvum tectdrum, House-leek......... Senecio aureus, Wild valerian................. Senega, Seneca snake-root........................ Sepia, Cuttle-fish juice.............................. Silicia, Silica, Silex................................. Silphium, Rosin-weed............................. Sodium, (see Natrum). Solanum nigrum, Nightshade.................. Spigelia anthelmia, Worm-grass.............. Spongia tosta, Toasted sponge................... Stannum, Tin......................................... Staphisagria, Stavesacre.......................... Sticta pulmonaeea, Lung-wort................. Stillingia, Yaw-root................................ Stramonium, Thornapple......................... Strychninum, Strychnia.......................... Strychninum arseniosum, Strych. arsenite. Sulphur, Brimstone................................. Sulphur iodatum, Sulphur iodide............. Sumbulus moschatus, Musk-root............. Tabacum, Tobacco................................... Tamus communis, Black bryony............... Tanacetum vulgare, Tansy..................... Tarantula, Spanish spider........................ Taraxacum, Dandelion........................... Tellurium, Metallic tellurium.................... Terebinthina, Turpentine......................... Teucrium, Cat thyme................................ Thaspium aureum, Meadow parsnip......... Theridion, a Spider.................................. Thlaspi Bursa-pastoris, Shepherd's-purse... Thuja occidentalis. Arbor vitx............. Thymol, a 10-carbon phenol................. Trifolium pratense, Red-clover............. Trifolium repens, While-clover............ Trillium p6ndulum, Cough-root........... Triosteum perforatum, Fever-root....... Turnera aphrodisiaca, Damiana......... Uranium nitricum, Uranic nitrate........ Urtica urens, Stinging-nettle................ Ustilago Maidis, Corn-smut.................. Uva Ursi, Bear-berry............................ Val..............Valeriana, Valerian. R. lx,l 0-3x 0-3 0,3x 0-3-X 3x-12 3x-12 lx-6 lx-3 3x-12 lx-6 0-3x 0-3 1-6 0-12 3x-6 4> 3-30 0-3x lx-3x lx-3x 0,1 0-3x 0,lx H. 1 lx,3 6,12 1,3 lx,6,12 3,6 2 12 6,30 2,12 lx,2x 3x-6 6-30 3-6 0-6 3-30 lx,3x 90 INDEX OF Ver. alb......... Ver. vir........ Verbas......... Verb, has..... Vib. op........ Vib. prun..... Vinca........... Viola od...... Viola trie..... Vise, alb...... Weythia...... Xanthox..... Zinc............ Zinc, brom... Zinc Zinc, val Veratrum album, White hellebore.......... Veratrum viride, Green hellebore........... Verbascum, Mullein............................. Verbena hastiita, Vervain..................... Viburnum Opulus, Cramp-bark........... Viburnum prunifolium, Black-haw....... Vinca minor, Winter-green, Periwinkle- Viola, odorata, Sweet Violet................... Viola tricolor, Pansy........................... Viscum album, Mistletoe...................... Weythia helenioides, Poison-weed........ Xanthoxylum fraxineum, Prickly ash.. Zincum, Metallic zinc............................ Zincum bromatum. Zinc bromide........ Zincum phosphoratum, Zinc phosphide. Zincum valerianicum, Zinc valerianate. R. H. Ha. Oth. lx-3 lx-30 lx-3 lx 0,12 0-3 Inf. 0-3X 0-3x lx 0-3x 1,12 0-3x ]x,2x 0-3 10x 0-3x lx,3x 0-3x 3x,5 lx,3x 0,3,6 3 l,3x 0-2x DEOPSY. (Compare Ascites, Hydrocele, Hydrometra, Hydrothorax, etc) Arsenic, in dropsy from feebleness of heart, and in old age (B); swelled feet from debility (R). Digitalis, one of the best remedies, esp. in renal dropsy from acute desq. nephritis. The infusion in doses of Sss (B). The fresh infusion best for heart disease, esp. when tricuspid regurgitation (R). In- duces striking effects in cardiac dropsy, when scanty urine and venous engorge- ment. Has high rank as a diuretic (P). Apocynum Cannabinum, active diuretic (P). Bryonia, as a drastic purgative and diu- retic, care necessary as it depresses the heart. The infusion best (P). Hellebore, the tinct. in doses of gtt. v-xv, every 2 or 3 hours, very successful in dropsical effusions, especially in general anasarca after scarlatina (P). Senega, as a diuretic when dependent on kidney disease; has been praised (P). Chimaphila, is useful as diuretic in renal d. esp. when with loss of appetite and debility (P); may be substituted for sco- parius (B). Juniper, largely used as a diuretic in car- diac and renal d. (B); esteemed in post- scarlatinal dropsy (R). Ars. a low trit. as diuretic in cardiac dropsy and oedema of lungs (H); in oedema of face, hands and feet; in ana- sarca from cardiac disease, and in ascites from enlarged liver or spleen. Debility, emaciation, depression, suffocative sen- sation, red tongue, burning thirst (R). Dig. in cardiac, removes irregular heart action; has no diuretic effect (H); valu- able in almost every variety. 0 on a com- press over kidneys, or in desperate cases it gr. extract hypoder. in same region (R). This treatment antipathic, homoe- opathic promises nothing better in car- diac dropsy (H). Apocy. cann. has remarkable virtues in many forms (II). Restores the urinary secretion rapidly. Alt. with Cact. Tinct. concent, or an infusion best in cardiac or portal dropsy (R). Infus. 5i-ij doses, esp. in renal dropsy. Has made many brilliant cures (Ha). Bry. osdematous swellings of joints; asso- ciated with chest or liver symptoms (R). Helleb. 0, in many forms, post-scarlatinal, hydrocephalus, hydrothorax, eic.(R,H). Senega, with liver-symptoms, from peri- tonitis or abdominal tumors (R). comparative therapeutics. 91 Iron, purgative chalybeate waters (B). Turpentine, controls dropsy with albumin- ous urine, from non-desq. renal disease. Gtt. ss every 2 to 4 hours (P). Colchicum, as a hydragogue in hepatic and cardiac dropsy when patient is vig- orous, also in post-scarlatinal dropsy. R Vini seminis colehici, Sss; sol. am- nion, acetat. Sijss; inf. petroselin. Sv. M. Sig.—A teasp. every 4 hours (B). Scoparius, esteemed by English physi- cians (B); is most useful in cardiac drop- sy. Cullen found it the most certain diuretic. Diluents should be freely used with it(P). Squill, in cardiac dropsy; cautiously if from kidney-disease. R Infus. digital. Siijss; acet. scillae, Sss. M. Sig.— A tablesp. 2 or 3 times a day. If anaemic add iron (B, R). Taraxacum, is occasionally used as a diu- retic, with limited utility (B). Copaiba, gives good results, especially in Ascites, which see for formula (B). Potassic Bitartrate, and Acetate, are very certain as diuretics when largely dilu- ted with water. "Cream-of-tartar lem- onade." Indicated in desq. nephritis, and general dropsy from valvular di- sease of the heart (B, R). Elatcrium, of unquestionable value as de- rivative in many passive forms of drop- sy; though many fear it (P). Acupuncture, or better still, incisions from % to an inch long, one over each external malleolus generally sufficient. A hot sponge, moist with weak carbolic acid kept to incisions (R). Aliment, dry diet is of advantage in dropsy of serous cavities (B). I Chim. the infusion in post-scarlatinal and other forms of renal dropsy (Ha). Junip. the oil in many forms (Ha). Ferr. functional oedema, anaemic or chlo- rotic females, constipation (R). Tereb. post-scarlatinal dropsy with in- flam'n; urine smelling of violets (R). Aeon, recent febrile dropsy (R,H); alt. with Dig. when palpitation or organic cardiac disease (R). Apis, l-3x when complicated with strang- ury, or other urinary troubles. Acute febrile dropsy from chill (R); after peri- tonitis and pleurisy has been frequently curative; is credited with unbounded virtues. Not useful in serous dropsies, but is valuable in unabsorbed effusion remaining after serous inflam'n (H,Hpl). Absence of thirst, and suddenness of oedema are valuable indications (Hpl). Aur. in ascites of scrofulous patients de- pending on disease of liver, has cured when all other remedies failed; also in anasarca after fever and ague, and after scarlatina (Hpl). China, in dropsy from exhausting dis- charges, hemorrhages, diarrhoea, etc., (R); after intermittent fever (Hpl). Phos., Ant. tart, have brilliant power in oedema pulmorum (H). Sulph. ©edematous swellings following skin affections, or suppressed eruptions (R). Diet. Should be light in acute dropsies; in chronic, nourishing. Water not inju- rious but beneficial as drink. Warm baths, Hollands gin in small doses, tap- ping, for alleviation in incurable cases. A moderately warm, dry atmosphere (R). Skim-milk diet said to be of very great value in renal dropsy (H). DUODENITIS. (Compare Jaundice.) Arsenic, has been used with success in jaundice from catarrh of bile-ducts after duodenal catarrh (B). Podophyllum, in catarrhal and malarial(B). Nitro-muriatic acid, in mucous duodeni- tis; also as bath to right hypochondrium, (Siij-gall. j), temp, of bath 96° (B). Aliment. No starches or fats; milk, eggs, oysters, beef-broth, broiled or raw beef- steak, whitefish (B). Ars. the chief remedy in duodenitis and resulting dyspepsia (H). Pod. when Ars. is resisted; jaundice (H). Kali bich. acts locally, esp. " duodenal dyspepsia" of authors, bitter taste, thick- ly coated tongue, pale stools (H); vomit- ing of pinkish, glairy fluid, dull pain in right hypochondrium (L). Diet. Should be exclusively animal, in order to let the stomach deal with it(JT). 92 INDE X OF DYSENTERY. (Compare D Aconite, fever and cutting pains (P). Mercury, in minute doses for the ileo-coli- tis of children. Gr. 1-20 to 1-12 of calo- mel, or hydr. cum creta every half hour (B). Gr. 1-100 of the bichloride hourly or every 2 hours, in acute or chronic dysen- tery if stools are slimy or bloody (R). Ipecacuanha, is par excellence the remedy for acute dysentery of the ordinary type; large doses, gr. xxv-xxx(P); gr. xv in milk (B;. Valuable in acute or epidem- ic, also in summer dysentery of child- ren, with greenish stools, mucus and blood. Gr. ii-v every 2 hours in milk (B). Dysenteric diarrhcea of children especially with vomiting, will often yield to hourly drop doses of ipec. wine (R). Hamamelis, discharges contain much blood (R). Nux Vomica, in epidemic dysentery (P); prune-juice stools, much gas, vital de- pression (B). Arsenic. Fowler's sol. gtt. ij. with gtt. v of opium often benefits (Bj. Quinia, when periodic (B); in malarial subjects is as successful as ipecac, in dysentery of the ordinary type (P). Gamboge; gr. % in 24 hours, exceedingly valuable, esp. in young persons (P). Castor Oil, as a mild cathartic, is very val- uable in appropriate cases (Wa). Arnica, when vital powers are greatly de- pressed, is highly extolled (Wa). Saline Purgatives. Epsom salts the best treatment for acute dysentery. R Magn. sulph. q. s. to saturate Sviii aquae; ac. sulph. dil. Si. A tablesp. every hour or two in a wineglassful of water till it operates (B). Silver Nitrate, in pill, gr. if-j, with opium, in acute dysentery after subsidence of acute symptoms. Also as enema be- yond the sigmoid flexure (gr. x-xx ad Oj aquae). Also as escharotic through speculum to ulcer of rectum (B). Opium, as enema, with starch and milk, after canal is emptied by salines. Indis- pensable in chronic dysentery (B). For the purging (B). Grape-cure, is used with success (B). arrhcea, Enteritis, Feces.) Aeon. 0, alt. Merc. corr. 3x; Aeon, in early stage, febrile symptoms (.ft); no better remedy in inflammatory dys. (Hpl). Merc. corr. 3x, the most brilliant remedy (H); bloody, mucous evacuations, se- vere tenesmus after stool, tenesmus of bladder, suppressed urine (R). Ipecac, nausea, vomiting, tenesmus, col- ic; mucous, greenish stools (ft); quiets tenesmus. Inefficient as antidysenteric in small doses; the dose in India is gr. xx-xxx, with rest and a little opium to settle it (H). Ham. lx.mueh blood (R); dark blood(fld), Nux Vom. the fiist remedy after allopathic drugging; evacuations small, frequent violent tenesmus, pain in back. Also prophylactic (R). For tormina and ten- esmus (H). Arsen. great thirst, weakness, burning in rectum, chronic dysentery, extreme prostration (R). Chin. Sulph. periodic dysentery (R,Hpl). Gummi gutti, watery stools, colic, burning tenesmus, prolapsus ani; stools copious, "all at once" (L). Ricinus com. (castor oil), in small doses (table or teasp.-lx), has made brilliant cures in chronic dysentery (Ha). Arn. valuable when tormina, tenesmus and much hemorrhage (H); discharges slimy and purulent, tenesmus of the bladder (Hpl). Coloe much colic(iJ); rarely indicated(ff). Podoph. prolapse of bowel (R,Ha); in- flammatory irritation of rectum, best for children (II). Aloes, l-3x, rectal dysentery, tenesmus se- vere, with faintness (H); with hem- orrhoids (R). Sulph. autumnal, worse at night and early in morning (H); chronic (ft). Collins, rectal dysentery (H). sEscut. when from hemorrhoidal irrita- tion; confined to rectum (L). Ailanthus, in China and Japan a favorite remedy in malignant dysentery (Ha). Asclep. tub. 0 or lx in children, catarrhal, with rheumatic pains all over (Ha). Dioscorca, catarrhal, mucous dys. (Ha). COMPARATIVE THERAPEUTICS. 93 Glycerin, with infusion of flaxseed (1 to 4), to allay tenesmus (B). Lead, Acetate, as enemata in acute and chronic dysentery. IJ Plumbi acetat. gr. iv; morph. acetat. gr. ss; aq. fervid. Si, to allay tenesmus (B). Sulphuric Acid, with saline purgatives(B). Copper Sulphate, useful in acute dysentery; in chronic, the most valuable astringent (B). Gr. x-xx ad Oj aquae (R). Ergot, in chronic, after acute; Siijss of ext. to sss tinct. opii deodor., a tea- spoonful ter die (B). Iron Pemitrate, sometimes in chronic (army) dysentery (B). Calumba, is of great value in chronic, with ulceration of colon (P). Diet is of prime importance (B). Gels, spasmodic, colic and tenesmus (Ha). Leptan chronic dysenteric diarrhcea(fld). Xanlhox. spasmodic tenesmus, intestinal spasms, prostration (Ha). Rhus tox. involuntary nocturnal dis- charges, constant urging to stool (R). Bapt. lx, passive dysentery (R). Dulc. when caused by damp or cold (R). Hydras, as cerate locally, promptly cures ulceration of rectum following dys.(Ha). Phyto. has rendered service in same (Ha). Phos., Ac. nit., Sulph.. China, Calc carb., Vcrat., Ac. phos., the chief remedies in chronic dysentery (ft). Injections of mucilaginous enemata (as flaxseed) are of great value (R). Diet. Avoid animal food and stimulants. Liquid foods best; all cold (ft). DYSMENOKEHtEA. Aconite, congestive, in plethoric subjects; see Ergot (B). Belladonna, when neuralgic, may perma- nently remove. R Ext. bellad. gr. iv; ext. stram., ext. hyoscy., uagr. v; quin. sulph. 3ij. M. ft. pil. no. xx. One ter die. If anaemic, add iron to above (B). In neuralgic or spasmodic (P). Gelsemium,relieves pain. Fluid extract rrjj v-x every two hours (B). Pulsatilla, in functional, is of much bene- fit, when discharge scanty, or profuse, black, and clotted. Should be perse- vered in for two months or more (P). Cimicifuga, relieves the pain, if of conges- tive variety (B); useful (P); is worthy of trial (Wa). Borax, in membranous (Bennet); com- bined with ext. belladonnas, has been given with advantage (Wa). Amyl Nitrite, inhaled in neuralgic dys. (B). Ergot, in congestive, when the molimen begins. 9 Ext. ergot, fl. Svij; tinct. gels. con. 5j; tinct. aeon. rad. gtt. xvj. M. Sig._A teasp. every 2, 3, or 4 hours (B). Ammonium Acetate. Liq. amm. acet. Sss; ipecac, gr. y-, every 2 or 3 hours, to keep up action of skin (E). Camphor, is Dewees' favorite; gr. x, with mucilage and cinnamon-water; repeat dose in an hour or two, if necessary (B). Aeon. alt. Bell, during pain (R). Aeon. congestive dysm., bright-red blood, san- guine patient (if). Bell, inflammatory dysm., red face, con- fusion of sight (R). Gels, lx, in water, a most excellent pallia- tive at the time, in spasmodic form(iE, H). Puis, congestive dysm., blood scanty, dark, clotted; patient lymphatic tem- perament. Sepia or Sabina in intervals (H,R). Cimicif. 2x, in rheumatic cases, pain under the left breast, severe headache. Is best in intervals between periods (R). Borax, gr. v ter die in membranous dys- menorrhcea(ft). Also Ustilago j; aquae rosae, Siv. M. Sig—Lotion. Excellent (B). Oxide and carbonate as dusting powders (R). Hamamclis, locally, as anti-pruritic (Pf). Iris Versicolor, chronic, gouty patients (P). Anacardium Orientate, (oil of Cashew), as ointment in patches of indolent chronic eczema (Pf). Bismuth, locally (B); the nitrate or car- bonate (R). Glycerin, locally, at night when caustic lotions used (R). Electricity, has cured obstinate cases (B). Milk Cure, when acid indigestion (B). OF Rhus Tox. in simple eczema is exquisitely homoeopathic, and rapidly curative (Js, H); locally also (R). Merc. corr. in eczema impetiginodes of scrofulous children, and in eczema rub- rum. Of much value (H). Merc, prce- cip. rubri gr. j ad Sj axungiae, locally for crusts and cracks behind ears (ft). Ars. lx, an excellent remedy in chronic eczema, when vesicles become crusts(fl'). Sulph. great itching, tendency to spread, chiefly on head or vulva (R). Valuable to prevent relapse (R). Viola trie, eczema impetiginodes, milk- crust of scrofulous children; exudation of yellow, viscous pus; swollen cervical glands (L). Croton tig. rivals Rhus esp. when itching severe (B,H); eczema scroti (H). Ant. cru. the most suitable remedy in ec- zema impetiginodes, when on face or genitals (H). Ant. tart., red areola around vesicles, which are chiefly about the nose, eyes, ears, neck and shoulders. Rattling cough, nausea (ft). Dulc vesicular eruption on face and ex- tremities, oozing of watery fluid, worse in the cold, or in evening (ft). Conium, eruption on face, arms and mom veneris, especially in the old, with gluey discharge forming hard crusts (ft). Hydroc in chronic eczema impetig. (H). Graph, excellent in chronic eczema(ft,fl'); also when eczema on palms of hands(H). Bov. when on dorsum of hands, or from washing (II). Olean. when behind the ears (H). Mez. in many forms of skin affections is a useful remedy (H). Diet should be largely vegetable, esp. such as is eaten uncooked. Cod-liver oil as a supplemental article of diet (R). Local Applications are necessary fre- quently. After frequent washings with soft water and soft soap, glycerin and water, or croton oil 3x or 3. Oils to soften scabs. Cleanliness important. An oint- ment of benzoated zinc of value (R). Soaps. Petroleum, cade, or carbolic (R). COMPARATIVE THERAPEUTICS. 99 ELEPHANTIASIS. Anacardium Orientate, (oil of Cashew), has been much lauded. Investigation es- tablished that much of its success was due to hygienic measures and use of fresh meat as food (P). Arsenic, with 5 or 6 times the quantity of black pepper, in esteem in India (Wa). Sarsaparilla, as tonic and alterative, val- uable (P). Gurjun (Wood Oil), as ointment and emulsion, has been used with success in alleviating the disease, by Dr. Dougall, Port Blair, Andaman Islands. The ulcers of 24 lepers healed thereby. Lime Phosphate, is especially useful in chronic wasting disease (R). Arsenic, is used by cattle-breeders to fat- ten oxen, etc., quickly (Tr). Iodine, improves the appetite and diges- tion, and gives strength and plumpness to the body (Wa). Cinchona, in small doses improves the ap- petite, and the general tone (Wa). Iron Salts, cause marked gain in flesh and color (Wa); remarkably promote appe- tite and digestion (B). Belladonna, when emissions, genitalia re- laxed, atonic state (B). Camphor, fails as often as it succeeds (P). Potassic Bromide, exercises special influ- ence as a sedative in irritable states of the genito-urinary organs (Wa). Cimicifuga, as tonic to the nervous system, removes irritation and melancholy, pro- cures sound and refreshing sleep (Wa, P). Lupuline, useful to check emissions (P); gr. v-x, or xv, to keep penis at rest (Wa). Ruta, in small doses to limit discharge (P). Anac. orien. 6, has given remarkable re- sults (Sircar). Ars. the principal remedy; in low tritura- tion for a long time (R). Hydroc. an esteemed native remedy (H). Hydras. 0, int. and the lx locally remark- ably successful in ulcerative stage (Js). Ant. cru. foul - smelling, pus - secreting sores, gastric derangement (R). Merc, syphilitic symptoms, coppery hue of skin under the scales (R). Diet. Nutritious food, cleanliness, baths, will do much to prevent the manifesta- tions of the disease (R). Calc. carb. has a wide sphere, including affections depending on defective assim- ilation and nutrition, with loss of flesh, debility, etc. (R). Ars. is especially indicated by prostration and emaciation (ft). Iod. general emaciation, with colliqua- tive sweats and diarrhoea (-R). China, exhausting discharges, or loss of animal fluids; hectic (R). Ferr. anaemic, chlorotic subjects (R). Mere, Kali iod., Phos., Ac. phos. (R). Bell., Camph. pills, Aeon., Gels., for spas- modic erections (R). Kali brom., nocturnal emissions, with amorous dreams and erections (ft). Ac.phos., Lye, or Nuph., feeble and pain- ful erections (R). Iris vers., emissions, with amorous dreams (ft, Ha). Cann. ind., emissions and erections, al- ways with amorous dreams (Ha). Ac. picric, violent, long-lasting erections followed by profuse emissions (£). EMACIATION. (Compare Atrophy, etc.) EMISSIONS AND EEECTIONS. (Compare Chordee, Spermatorrhcea.) 100 INDEX OF EMPHYSEMA. (Comp Arsenic, when connected with recession of a rash is esp. useful (R). Long-con- tinued it ameliorates (B). Lobelia, allays the dyspnoea which ac- companies capillary bronchitis in em- physema (R). Senega, often acts beneficially (P). Cod-liver Oil, continued long time (B, R). Hypophosphites, are useful (B). Chalybeates, the phosphate of iron, quinia and strychnia (B). Grindelia, for asthmatic breathing and bronchitis (B). Chloral, for the short breath in such pa- tients brought on by catching cold. If obstructed circulation, caution re- quired (R). Bleeding and purging, have been used with great success in many emphysema- tous conditions (R). Iodine, the undiluted tincture thrown in with benefit or to wash out the cavity. R Liq. iodinii compos. Sj; aquae Siv. (B). Solution to be injected after tapping (R). Carbolic Acid, to correct fetor (B); a weak solution to be injected after evacuation of pus (R). Carbolate of Iodine, has been injected with advantage (B). Chlorine, or Quinia, solutions, to wash out the cavity (R). Aconite, should be given early in all in- flammations of serous membranes (P, Wa); gtt. y or less, frequently (R). Spigelia Anthelmia, useful in rheumatic endo-carditis (P). Bryonia, fully equals any remedy that exists (P). Opium, in inflammations of serous mem- branes (B). Quinia may suppress (B). [See Peri-car- ditis. ] Salicylic Acid, to prevent (B). ire Asthma, Dyspncea.) Ars. a steady course when slight bron- chorrhcea, with glairy, white-of-egg ex- pectoration (II); the 12, in asthma with transitory emphysema (Js). Lobel. excellent for the pseudo-asthmatic attacks (H); is more adapted to emphy- sema than to asthma (B). Brom. after inflam'n of the lungs (Hpl); gasping for breath, wheezing, spasmodic closure of glottis, sense of pressure in the stomach (L). Ant. tart, for the bronchial catarrh (H); difficult expiration (L). Lye for incidental catarrh of intestines, flatulence and constipation (H). Dig., Phos., when a weak heart adds to the dyspncea (H). Carbo veg. attendant bronchorrhcea, with more profuse mucus (B, H); cold hands and feet, cold breath (L). Silica, a solution injected into the cavity of the pleura, also internally to prevent re-formation after evacuation of pus(il). Merc, to check the purulent change (B) Hcpar-sulph. to promote absorption of the pus (B). China, for the hectic excited by drain of pus (II). Evacuation of the fluid best; it is doubt- ful whether anything can be done with- out it (H). jmpare Peri-carditis.) Aeon, and Spig. the great remedies (H, R). Spig. a powerful anti-rheumatic. Has been repeatedly used in endo-c. with the best results (Fleishman, Russell, Bayes). Ars. valuable in many organic heart diseases (H). Lach. in ulcerative endo-carditis (H). Naja, acute attack (R); with irritating, sympathetic cough (Russell). Cact. grand, endo-carditis after acute ar- ticular rheumatism (Js); pain and con- striction of the heart (L). EMPYEMA. ENDO-CAEDITIS. comparative therapeutics. 101 ENDOMETEITIS. (Compare Uterine Congestion.) Ustilago Maydis, has effects similar to those of Ergot (Pf). See Ergot below. Carbolic Acid, undiluted, on cotton- wrapped probe; no better method of treating uterine catarrh (B). Iodine, the most valuable of all remedies (E). See Glycerin. Iodoform, as suppository in rectum (B); in pencils to uterine canal. Iodo-tannin, locally in chronic cases (B). See Uterine Diseases for formula. Chromic Acid, gr. xv-5j of hot water in- jected into uterus (B). Nitric Acid (fuming) to uterine cavity through intrauterine speculum (Athill). Ergot, or better Ergotinc, gr. j, subcuta- neously, for the train of uterine disorders depending on passive congestion of the organ (P). Glycerin, as a local application introduced by Sims, is of great value; esp. as vehi- cle for impure carbolic acid, iodine, on cotton, or oakum (E). Hot Water injections in large quantity about the os uteri, are of great value (E). Ustil. May. is very efficient in hypertrophy of the uterus from chronic congestion ; oozing of dark blood (Ha). Ars. the surest remedy, esp. when men- orrhagia a prominent symptom (H). Ars. iod. corrosive discharge, ulceration of os, frequent and profuse menses (Ha). Senccio, found very serviceable (Ha). Calc. carb. fleshy women of light com- plexion, with early and profuse menses, cold and damp feet (Hpl). Sepia, sensation as if she must cross her limbs to prevent procidentia, stitching pains in neck of uterus, cold feet, menses late and scanty, little sexual desire, mel- ancholy (L). Gels, should be curative, low (Ha). Conium, Puis, are recommended (R). Helon. consciousness of a womb, drag- ging weakness in sacral region, sore and heavy sensation in womb (L). Local applications are deemed neces- sary by many, perhaps most homoeo- pathic gynaecologists. When used they are the same as in " regular " practice. ENEMATA. Enemata.— For an infant Sss-j; child 2 to 5 years, jij-vj; 5 to 15 years, svj-Oj adult, Oj-1 quart. Formula.—Enema Aloes, R Aloes 3ij; potasii carbonat. gr. xv mucil. amyli, vel decoct, hordei Sx (B):—Enema Magnes. Sulph., IJ Magnesii sulphat. Sj; ol. olivae sj; mucil. amyli vel decoct, hordei Sxv. Dissolve the magn sulph. in the mucilage, then add the oil (B):—Enema Terebinthinx.—IJ 01. tereb Sj; mucil. amyli vel decoct, hordei gxv (B):—Enema 01. Ricini et Tereb., R 01 tereb. Sss; ol. ricini. Sjss; ovi, j; decoc. hordei vel aq. fervid, sxiv. A simple, domes tic enema consists of soapsuds, with a little common salt; or a pint of cold water (B). Simple warm water or gruel sometimes; or to one or the other of these, add soap, turpentine or castor oil, with soap or gruel to suspend the two latter. Very cold water may be used without inconvenience. Starch, boiled or raw, of cream consistence, temp. 100°, with a few drops of tinct. opii, in extreme cases of chol- eraic diarrhcea, or that of phthisis, or typhoid fever (R). Enemata Nutrient, should contain materials for artificial digestion, as the rectum is not an organ of digestion; and to secure rapid osmosis should have an acid reac- tion. A suitable formula is: beef tea (properly prepared), Siv; acid hydrochloric rn;x; Scheffer's glycerole of pepsin 5ij. If rectum irritable, add x to xx drops tinct. opii. Inject slowly and not frequently, 5 times in 24 hours should be the maximum. Defibrinated blood has also been used as a rectal injection with good results, being completely absorbed (B). Should not exceed 3 or 4 ounces of bland material, injected slowly, after ascertaining that the rectum is not filled with feces (R) 202 INDEX OF ENTEEITIS. (Compare Cholera, Duodenitis, Dysentery, Peritonitis, Typhlitis.) Aconite, of great utility in acute inflam-11 mation with high temp, sthenic condi- tion, resisting pulse (B,R,P). Arsenic, surprisingly curative; small doses, with opium (B). Podophyllum, with occasional doses of aconite, will often allay the vomiting and diarrhoea (P). Ricinus Communis, is employed with great advantage (P). Opium, of great value to control inflam- mation and quiet intestines (B). Skim-milk, is of the highest value as sole diet in acute inflammations of digestive organs (B). Water. Cold and hot, principally cold; or ice, of unquestionable advantage (B). Poultices, linseed; large and hot (Wa). ENTJ] Belladonna, no single remedy so uniform- ly successful. Children require large doses. A solution of atropia, best, gr. 1-120 to 1-60 (B). The best remedy for children; gtt. x-xx of the tinct. 3 times a day. If unsuccessful, and no worms or other irritation exist, try strychnia, cantharides, turpentine, santonin or gal- vanism (R). Small doses useless (P). Santonin, enuresis from worms (P). Cantharides, one or two drops of the tinct. three or four times a day in middle-aged women or the aged, even when due to paralysis; sometimes also in children, but for them belladonna is generally better (R). Chloral hydrate, enuresis in children (R). Strychnia, may succeed when above rem- edies fail (B); sometimes useful for old people with paralysis of bladder, also for children (R,P). Buchu, often successful in chronic (P). Turpentine, small doses sometimes re- move (B). Lupuline, said to be useful (P). Aeon, the best remedy; is sufficient in all true enteritis (H). Ars. severe burning pain around navel, vomiting, excessive prostration (R). Podoph. small intestines involved, diar- rhcea, stools changing appearance(il,ft). Ricinus, is remarkably curative (Ha). Merc. corr. large intestine involved (H); urging to stool constant, tenesmus, evac- uations of mucus and blood (R). Coloe much colic, rectum involved (H)\ abdomen distended, bilious nausea oi vomiting (ft). Water; hot fomentations constantly; fol- lowed by a wet compress. Perfect quiet in bed. Ice or cold water freely swal- lowed. No food until inflammation sub- sides, then beef-tea, milk (R). ■ESIS. Bell, requires large doses; 10-20 drops ol 0. Children peculiarly insusceptible to any disturbing influence thereby (H). Sant. or Cina, when traceable to worms (H,R); has cured many forms (Ha). Canth. Chlor. hyd. nocturnal in children (ft) Strych. 3x, a few doses often cure prompt- ly, when due to atonic bladder (Hei). Ac. benz. intensified urinary odor, and high color, children and the aged(iT.ft). Ferr. phos. diurnal only (.ft). Caust. has given best results; is thorough- ly homoeopathic; esp. with cough (H). Sulph. 30, should begin every case(/); I have often done so with success (H). Gels, of the old, from weak sphincter(IT). Podoph. in women with sensation of uter- ine prolapsus (R). Kali brom. has cured (H, Ha). Ars. when caused by iron (R). Verbas. and Equis. are highly praised (H). Plantago, in children from lax sphincter vesicae (Ha). Ac. nit. fetid urine, purulent discharge, esp. at night, has proved useful (Hpl). COMPARATIVE THERAPEUTICS. 103 Collodion, painted to form a cap over end of prepuce (R). Ergot, when from paralytic state of sphincter (B); said to be useful (R). Iron Iodide, the syrup, nj xv-xx, well diluted with water, ter die, in pale, deli- cate, strumous children (B); sometimes useful even when no worms (R). Lye specific when red sand in urine (H). Cliam. nocturnal, urine watery, straw colored (Hpl). Habits. Children to be taught to retain water as long as possible during the day. Little salt to be eaten. Abstinence from fluids not necessary; bland fluids dimin- ish acridity (R). EPIDIDYMITIS. (Compare Orchitis.) Aconite, alternately with Pulsatilla, the latter in very small doses, a few drops of tinct. in a glass of water, a teasp. every 2 or 3 hours, produces the happiest effects (Pf, St). Tobacco, with linseed-meal as poultice. Cautiously (Pf). Mercury and Morphia, locally, a 20 per cent, oleate by inunction, in cases of syphilitic origin (R). Silver Nitrate, 3iv ad Siv aq. destil. freely applied to the scrotum will sometimes abort an epididymitis (W). Aeon, much fever, and high arterial ex- citement (H). Puis, the great remedy; has an especial affinity for the testicles (H, J). Bell, neuralgic pain, sensitiveness of the nervous system (H). Ham. is also local in its action, and is highly praised (H, Js). Ver vir. often acts magically; if imflam- mation traumatic, alternate with Arn. or Ham.: ifgonorrhceal, with Puis., Clem., or Erig., and Ham. topically (Ha). Strapping and suspensory bandage (R). EPILEPSY. (Compare Convulsions.) Glonoinum, ur 1-100, slower and more en- during than amyl nitrite (Pf). Amyl Nitrite, inhaled at the beginning of the aura will prevent an attack (B); or "x ij-v in mucilage, when fits are very- frequent (R). Ignatia, convulsions unattended with cer- ebral congestion (P). Par excellence the controller of functional phenomena of the cerebro-spinal axis (Pf). Belladonna, in petit mal and nocturnal ep. in pale anaemic subjects, should be given for a year or more (B, Tr); extr. and leaves, 1-5 of each in pill, every day at same hour, one additional pill every month (Tr). Useful, esp. when from fright (P). Atropia better, drop doses of a one per cent, solution of the neutral sulphate in white brandy (Tr). Arsenic, in epileptiform vertigo from stom- ach disorder (B); sometimes useful (R). Glon. for the fit, an effective antipathic palliative ; the lx touched to the tongue may ward off the attack (H). Amyl nit. inhaled when face pale at in- ception of attack ; antipathic (H); is clearly homoeopathic (Hpl). Ign. recent epilepsy in children, and when from emotional disturbance; quiet, morbid subjects (H). Bell, holds a high place in chronic epi- lepsy, esp. in young and sanguine pa- tients (fl-); cerebral congestion; in recent ep. may ward off an attack (ft); esp. useful in peripheral, testicular and hys- terical forms (Hpl); see Calc. carb. Ars. when depending on irritation of abdominal ganglia, with symptoms of mental derangement (Hpl); may occa- sionally find a place (H). Cocculus, is homoeopathic; has made sev- eral undoubted cures (//). 104 index of Picrotoxine, anaemic subjects, attacks oc- curring at night, 1-60 to 1-20 of a grain hypoderrn., or 1-30 to 1-15 by stomach (B). Benefits cases resulting from onan- ism (P). Copper Salts, may be useful in cases ori- ginating from stomach ; formerly much used (B); the nitrate or oxide often given with benefit (R). Strychnia, idiopathic ; injurious in symp- tomatic. Benefits when bromide of po- tassium fails. Cerebral anaemia ; noc- turnal epilepsy (B, S, Pf). Sodic Bromide, gr. xx ter die will arrest epilepsy without producing the cerebral symptoms of bromism (Clymer). Potassic Bromide, gr. xl ter die before meals, double dose at bedtime, for two or more years after all epileptic indica- tions have ceased. Is generally useful, esp. in daytime seizures and grand mal, of sexual origin ; also for infantile con- vulsions (B); esp. in convulsive form; but often powerless (R). Quinia, when of malarial origin (P); often useful in intermittent epilepsy (Ros). Ferric Bromide, in weak and anaemic sub- jects, iron often cures alone. R Pot. brom. Sj; ferri brom. gr. iv; aquae, sij; syrup, simplicis, svi. M. Sig.—A ta- blesp. bis die (B). Lithic Bromide, 5ss-j daily, acts in some cases after pot. brom. has failed, and is generally efficient in about one-half the dose of the latter salt (S. Weir Mitchell). Zinc Oxide, probably useful only in cases originating from stomach. Much said for and against it (B, R). Turpentine, has long been used, when due to reflex impression of intestinal parasites (B). Conium, not equal to the bromides (B). Not of much value (P). Valerian, has been used with some ad- vantage (R). Bryonia, has ancient reputation (P). Rue, may benefit when seminal emis- sions (P). Anxsthetics, are rarely called for (W). Fats and Oils, esp. cod-liver oil when faulty assimilation exists (B). Galvanism, only in idiopathic epilepsy (B). Cuprum, the best remedy (Bayes, Js, B); violent convulsions, pale face (R); the higher attenuations (H). Cupr. acet. 3x, ter die for six weeks acted magically in a case where every usual remedy had failed; no return of the attacks for fifteen years (R). Strych. in large doses has made remark- able cures (H). Nux vom. 3x, cured one striking case of sixteen years' standing; no return in four years (R). Natr. brom., preferable in nearly all cases to Kali brom. (Ha). Kali brom. palliative; largely prescribed by homoeopaths, with good results not more frequent than from Bell., Opi., etc. (JS); should not be used except when fits so frequent as to affect life or reason (H); will modify congenital or syphilitic forms, and has cured recent epilepsy in many cases (13a). Chin, sulph. periodical attacks (Hpl). Ac-hydrocy. exquisitely homoeopathic; the 3x, or 1, gtt. iij-v, three or four times a day; has cured several cases of recent form (H); may prove useful in cerebral or idiopathic form (Hpl). Arg. nit. lx, 2-x, has effected permanent cures (Hpl); especially when from moral causes, as impassioned lay preaching; impulses crowding, or mind perfectly apathetic; erroneous perceptions as to time and velocity of gait (/. F. Gray). Calc. carb. women and children, corpu- lent and unhealthy; required to rein- force Bell. (H). Stann. no more potent anti-epileptic (H). Artem. in powder of the root until perspi- ration is excited, a favorite remedy in Germany (Hpl). Opium, from fright; fits in sleep (ft, H). Plumb, chronic, similar to epilepsy of lead poisoning; colic and wrist-drop (I?). Silie, has a place, but undefined (H). Stram. recent from fright (H). Phos., Ac. phos., C'.iin., Ferr., Ac. sulph., from onanism, sexual excess, etc. (ft). Cicut. in the ganglionic form (Hpl). Thasp. 3x, cured two genuine cases (H). Cham, epilepsy in irritable children, at- tacks preceded by colicky pains redness of one cheek, and paleness of other (ft). COMPARATIVE THERAPEUTICS. 105 EPISTAXIS. Aconite, has been used with the best re- sults (P); small, frequent doses quickly check epistaxis, in children and ple- thoric people (R). Arnica, is of great service, when from mechanical violence (P). Belladonna, when of congestive origin (P). Ipecacuanha, has been highly praised (R). Hamamelis, venous hemorrhage (Pf, R). Ergot, 5ss-5j of fresh powdered ergot, or 5j-5ij of flu. ext. every half hour or hour, necessary in urgent cases (B). Alum, injected or snuffed up in powder(R). Iron Spray, in obstinate cases liq. ferri sulph. 3j-3viij aquae. The tinct. of the chloride also useful (B). Tannic Acid, R Ac. gallici, 3j; ergotine (aq. ext.), digital., aa 3j. M. ft. pil. xx. Sig.—One every four hours (B). Digitalis, is of undoubted benefit (B); the infusion best (R). Turpentine, R 01. tereb. 5iij: ext. digital. fl. 5j; mucil. acaciae. sss; aquae menthae pip. Sj. M. Sig.—A tablesp. every 3 hours, esp. in debilitated conditions (B). Transfusion, when death from exhaus- tion is apparently imminent (B). Facial Artery, compression of (R). Sundry. Keep head elevated and cool; warm the feet and hands by plunging into hot water; apply ice over the nose; resort at once to the tampon, if bleeding becomes alarming. I Aconite, no more useful agent in idio- pathic erysipelas, especially facial, and cases of sthenic reaction; see Bell. (B). At commencement, often at once cuts short the attack. Very useful after vac- cination (R). Very valuable in sthenic cases (P). Especially valuable in trau- matic erysipelas (Tr). Belladonna, similar indications, also ady- namia; when with much fever, combine with digitalis or aconite; much depres- sion, with quinia (B). Int. and ext.; may be used with aconite (R^. When Aeon, full pulse in the plethoric (R, H); from arterial excitement, or passion (R). Arn. from a blow (H); or fall, or physical exertion (R). Bell, flowing freely, with cerebral conges- tion (R, H). Ipec. from a blow(i2); holds high rank(il). Ham. hemorrhagic diathesis (H); dark, fluid, frequent; venous hemorrhage (R). Secale, during fevers, etc., weakness,cold sweat, blueness of skin (R). Nux vom., Bry. cerebral congestion (H). Nux vom. in the plethoric, when epis- taxis with piles, constipation and dys- pepsia (ft). Mill, lx, China, frequently recurrent (.ft); Mill, dark blood, no apparent cause (JS). Amm. carb. nose bleeds in the morning when washing the face; when with pressure in forehead, and sensation of the brain being forced outward (Hpl). Ferr. phos. lx, old people, no apparent cause existing (H). Croc dark, stringy blood (ft). Carbo veg. recommended (H); aged per- sons, bleeding profuse and persistent (JS). Phos. ecchymoses on the body (ft). Podoph. or Puis, when vicarious of the menses (JS). China, after the bleeding, if it has been excessive; also in anaemic and weak (ft). Melilot. 0, has cured many cases from acute congestion (Ha). Aeon. alt. Bell, early in the case (ft); phlegmonous form, either smooth or vesicular (H). Singly administered has often cured the most intense forms of erysipelatous inflammation (Hpl). Bell, intense dermatitis, high fever, bright- red skin; also when brain affected (H). Non-vesicular eruption, violent head- ache, delirium, thirst, constipation (R). Phlegmonous, of various parts, disposed to "strike in" and invade an inner tissue (Hpl). Bell., Rhus., or Apis, either of the three in erysipelas aurium (H). EEYSIPELAS. 106 INDEX OF superficial, non-vesicular, also in cry. of brain this drug has astonishing power. Gtt. v of tincture in water every hour for 5 or 6 doses; also locally (P). See Mr. Liston, in Lancet of April 16, 1836. Rhus toxicodendron, a very useful remedy in vesicular form (P). Tartar Emetic, minute doses (gr. 1-16), fre- quently repeated, of great service (B). Ammonium Carbonate, feeble circulation, cyanosis, and delirium (B). Collodion, a thick coating relieves (B); cracks frequently (R). Oil, inunctions are very grateful (B). Quinia, only large doses (gr. v-xx every 4 hours) arc useful (B). Silver Nitrate, Higginbotham's method in traumatic erysipelas (B). Grs. lxxx of stick to 5iv of water, to be painted 2 or 3 times to inflamed surface, and beyond, after careful washing and drying (R). Digitalis, the infusion locally (R). Large doses may produce an exanthem (P). Iodine, painted over affected and circum- jacent parts, to prevent spreading (R). Sulphurous Acid, equal parts of B. P. acid and glycerin (R). Turpentine, in traumatic erysipelas (B). Iron, large doses (ttj x-5j every 4 hours) of tinct. of the chloride general, but questionable (B, R); successful (P). Hot Fomentations, when limb is exten- sively affected (R). Rhus tox. simple vesicular (R); cedema, purplish color of skin (II). Apis, smooth, with acute cedema (H); esp. erysipelas of the scalp, with ten- dency to metastasis to the face (Hpl). Ars. malignant, with enormous swelling of inflamed part, excessive burning, ten- dency to gangrene (Hpl). Ars., Lach., much prostration, typhoid type (ft, II). Canth. externally in vesicular (IT); also when erysipelas from use of Arnica (ft). Hepar sulph. followed by Silic to promote suppuration, if threatening (ft). Ver. vir. cellulitis (II); vesicular, with cerebral disturbances; also 0 ext. (Ha,R). Stram. for cerebral symptoms, when Rhus indicated for erysipelas (H). Graph, wandering erysipelas (B, J). Lye, Hepar sulph., without fever (B). Bry. if joints affected (ft); even when attended with vesicular eruptions (Hpl). Sulph. chronic or declining (R). Local Measures, not needed, but harm- ful in mild forms. Dry flour or starch powdered and dusted over skin when great heat and irritability. Warm fo- mentations, in severe cases. Moderate pressure when much cedema. If sup- purative, incisions, poultices, and then bandages. Circumscribing part with ring of Iodine or Nitrate of Silver said to prevent spreading. Lotion of Ac. carbol. and milk (gtt. xxx-Oj) gives relief (ft). EEYTHEMA. (Compare Flushing.) Belladonna, useful in cases resisting ordi- nary treatment (B). Quinia, the most valued remedy in erythe- ma nodosum (B). Rhus Toxicodendron, valuable remedy (P). Zinc R Aluminis, aj; zinci. sulphat. gr. x; glycerini, Sj; aquae rosae, jiv. M. Sig.—Lotion (B). Bismuth, dusted over erythema about genitals of infants soothes pain and pro- motes healing (B). Mineral Acids, nitric and nitro-hydro- chloric, have been advantageously used when from imperfect digestion (B) Bell, erythema of the face, or the upper parts of the body (71). Chin, sulph. has specific influence on ery- thema nodosum (H). Rhus tox. 3x, highly recommended in erythema nodosum, also in vesicular form (ft). Rhus, Apis, Am., in ery. nodosum (H). Aeon, febrile disturbance, and flushing from excitement (R). Nux vom. flushing after food (JB). Faradization, or the local use of styptic colloid may be required in obstinate cases (R). COMPARATIVE THERAPEUTICS. 107 ETHICS. The Hippocratic Oath.—I swear by Apollo, the physician, and ^Esculapius, and Health, and All-heal, and all the gods and goddesses, that, according to my ability and judgment, I will keep this oath and this stipulation:—to reckon him who taught me this Art equally dear to me as my parents, to share my substance with him and relieve his necessities if required; to look upon his offspring in the same footing as my own brothers, and to teach them this Art, should they wish to learn it, without fee or stipulation; and that by precept, lecture, and every other mode of instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers, and to disciples bound by a stipulation and oath, acccording to the law of medicine, but to none others. I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from what is deleterious and mischievous. I will give no deadly medicine to any one, if asked, nor suggest any such counsel; and in like manner I will not give to a women a pessary to produce abortion. With purity and holiness I will pass my life, and practice my Art. I will not cut persons laboring under the stone, but will leave this to be done by men who are practitioners of this work. Into whatever houses I enter, I will go into them for the benefit of the sick, and will abstain from every voluntary act of mischief and corruption; and further, from the seduction of females or males, of freemen and slaves. Whatever, in connection with my professional practice, or not in connection with it, I see or hear in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret. While I continue to keep this oath unviolated, may it be granted me to enjoy life and the practice of the Art, respected by all men, in all times! But, should I trespass and violate this oath, may the reverse be my lot! [Adams' Genuine Works of Hippocrates, Sydenham Society, London, 1849.] Extracts from the Codes of the National Societies. Consultations should be promoted in difficult cases. During them no jealousy or rivalship should be indulged. Candor, probity, and all due respect should be exercised towards the physician in charge. The attending physician should first question the patient, the consulting one afterwards putting such other questions as may seem fit to further elucidate the case. The discussion should take place in a private place, and no opinions delivered which are not the result of concurrence. In discussion, the attendant delivers his opinion first, the others in the order in which they have been called. A regular medical education fur- nishes the only presumptive evidence of professional abilities and acquirements, and ought to be the only acknowledged right of an individual to the exercise and honors of his profession. No one can be considered a fit associate in consultation, whose practice is based on an exclusive dogma, to the rejection of the accumula- ted experience of the profession. [Ameri- can Medical Association.] A complete medical education, of which the diploma of a medical college is the formal voucher, furnishes the only presumptive evidence of professional ac- quirements and abilities. No tests of orthodoxy in medical practice should be applied to limit freedom of consultations. No difference in views on objects of medi- cal principles or practice should influence against consultation with a fellow practi- tioner. [Am. Institute of Homoeopathy.] Punctuality should especially mark the keeping of these engagements; if one of the parties be delayed, the other should wait a reasonable time, and then, if the attendant, prescribe; if the consulting, he should retire, unless the case is urgent or he be called from a distance, when he should either prescribe for the 108 INDEX OF emergency or leave a written opinion under seal. All theoretical discussions should be avoided. Should diversity of opinion prevail, the majority should rule; should the numbers be equal on each side, the decision should rest with the attending physician. The consulting physician should always justify, as far as may be consistent with truth, the course pursued by the attending one, and no hint impair- ing confidence in liim, or his reputation, should be thrown out. A double fee should be expected in all consultations. Interference.—A physician should not visit or prescribe for a patient who has been under the care of another for the same malady, unless in, 1st, a case of emergency; 2nd, of consultation; 3rd, of relinquishment, by the physician, of the case; 4th, or a regular notification to him that his services are not longer desired. When the case is assumed by another, he should indulge in no insinuations against the former attendant. If called because the family physician is not at hand, or is sick, he should resign the case to him on his arrival. In case several physicians arc simultaneously called, as in accidents, the first arriving should take full charge of the case, unless the family attendant be present, when he should assume the charge; if not present, he should be sent for, and the further treatment resigned to his hands. Miscellaneous.—A case should never be abandoned because it is supposed to be a hopeless one. Contumelious and sarcastic remarks relative to the Faculty, as a body, should always be avoided. It is heid unprofessional to resort to "public" advertising, hold a patent upon an instrument, or to dispense or prescribe a secret nostrum. Gratuitous services should be given to an afflicted brother practitioner. If compelled to temporarily suspend his practice, on account of sickness, the physician who has been invited to take charge of his cases should turn the accruing fees over to the sick one, save in surgical or obstetrical cases. EXHAUSTION. (Compare Myalgia.) Arnica, a few drops internally for aching of the muscles (R). Phosphorus, for physical or mental ex- haustion; also in depression from over- work (R). Calcic Phosphate, combined with Calcic Carbonate and Ferric Phosphate, gr. j of each for a dose (R). Potassic Bromide, when insomnia, bad dreams and irritability (R). Opium, gtt. j of laudanum with 2 or 3 of tinct. nucis vomicae, 3 or 4 times a day, for headaches with flushing and dys- pepsia (R). Ammonia, int.; influence is but brief (R). Coffee or Tea, in hot or cold climates (R). Cimicifuga, for headache from over study or excessive fatigue (R). Wet Sheet, dripping, cold, as & restora- tive, and prevent aching of muscles(R). Sea Bathing, is also valuable (R). Arn. the great remedy in muscular or physical exhaustion; gtt. xx-xxxinOj aquae as application by bath to wearied muscles. Also internally (JS). Phos. a low dilution after food twice or thrice daily, as food to brain (ft); Ac. phos. impaired virility, cold or profuse night-sweats; exhaustion from loss of animal fluids [also China], nervous sys- tem debilitated, perfect indifference (ft). Nux vom. 0, constipation headache, bili- ous derangement, irritability of temper; lean, dark patients, wishing to be alone, hypochondriac mood (R). Ign. excitement alternating with depres- sion, insomnia, tears slightest cause (ft). Gels., lx or 0, Ruta, Rhus, Hydras., Glon., Strych. phos., Sil., Anac, Staph., Zinc, Iris, may be indicated (JS). Habits. Change of occupation better than absolute rest (R). comparative therapeutics. 109 EXOPHTHALMOS. Belladonna, nsv. of tinct. hourly, of great service (R). Chalybeate Waters, decidedly ameliorate(B) Digitaline, young subjects, ameliorates(B). Galvanism, of the cervical sympathetic and pneumogastric, and eyes and thy- roid gland (B). Potassic Iodide, may promote absorption when recent; also friction with oint- ment of Mercury or Iodine (D). Aconite, was used by Stiirck (P). Mercury, a moderate course of mercurials may be effectual, when exostoses due to a blow or from syphilis (D). Exostoses of clavicles in children almost always disappear themselves (D). (See Amaurosis, Asthenopia, Cat Ectropium, Eyelids, Iritis, Ki Photophobia, i Belladonna, locally and internally in iritis, conjunctivitis and other inflammations. Atropia, in iritis, locally; hypodermically in glaucoma (R). Euphrasia, had an extended reputation in Germany, is a mild astringent, and of service in catarrhal conjunctivitis (P). Pulsatilla, as lotion in inflammations and ophthalmic cases (P). Ruta, m. j doses, night and morning, in dimness of vision depending on func- tional amaurotic condition, produces good results (P). Physostigma, topically, to contract pupils; to reduce excessive atropinization. Stim- ulates the third nerve (P). Strychnia, hypodermically in muscular asthenopia, amblyopia, amaurosis, and in progressive nerve-atrophy not depend- ent on intercranial disease (R). Ergot, useful in many eye affections (Wa). Bell, the remedy (Js, H); congestion of head, violently palpitating heart (L). Ferr. in substantial doses when much an- aemia (H). Amyl Nitrite, by olfaction, eyes pro- truded, staring, flushes of heat, cardiac oppression (L). [ Kali iod. int.with Iod. locally, in exostoses j of the ear (H). Merc, iod., Sil., Aur. mur. 3x, 6 (ft). Mez. esp. when of shin-bones; the part feels sore, aggravated by touching (ft). Phos. exostosis, esp. of the skull, with tearing pains, worse at night (L). Calc. carb. extremities; Bell, forehead; Aur. with severe bone-pains (L). caract, Conjunctivitis, Glaucoma, eratitis, Myopia, Ophthalmia, Strabismus, etc.) Bell, or Aeon, burning pain in eyeballs, frontal headache, inflammations from cold or foreign bodies (JS). A prime rem- edy in inflammations, and exophthalmic goitre (H). Euph. 0 one of the chief eye-medicines, esp. in simple acute conjunctivitis, early in strumous ophthalmia,sclerotitis, iritis, etc. (H). Puis, in ophthalmia neonatorum,and stru- mous oph., when discharge profuse and bland, and not much photophobia (H). Ruta, in dimness of vision and pain from over-exertion (H). Physos. for acquired myopia from ciliary spasm, 3x, four times a day (H). Nux vom. painful eyes from over-use (R); in photophobia (H). Sant. for deep-seated affections has proved very useful; cataracts, amaurosis, iritis, hyperaemic conditions, etc. (H). EXOSTOSIS. EYE-DISEASES. 110 :nde Chloroform, vapor, close to a photophobic eye, relieves (R). Oleate of Mercury and Morphia, outside the eye in palpebral conjunctivitis, and stye; also in syphilitic iritis (R). Silver Nitrate, Copper and Zinc Salts, are much used (B). [See Conjunctivitis, etc. ] Calomel, locally, or brown citrine oint- ment, as application in many diseases (B) Mercury and Morphia, the 20 per cent, oint- ment with lard, outside lid, for stye (R). Pulsatilla, internally, and externally as wash, in ophthalmic cases and inflam- mations (P). Cadmium, much esteemed as collyrium, gr. ij of sulphate to sj aquae rosae (R). Zinc and Copper Sulphates, are esteemed applications (B). [See Conjunctivitis for formulae]. Ergot, an aqueous infusion, as a colly- rium, in ptosis and paralysis of the eye- lids (Wa). Tannin, a strong solution (1 to 3 aquae), locally; or a weaker solution (1 to 20, 30 or 50 aquae), is much employed. Also used in pomade, or as fine powder (Wa). Amyl Nitrite, ™l 1-10 to y, for flushing of face, or sensation of flushing, with cold feet and hands, and great prostration, chiefly in women at change of life (R). Curare, effective in facial spasm, when other remedies failed (P). Blisters, behind the ear, in facial palsy, followed by warm covering to part (H). Tartar Emetic, combined with small doses of opium, together with external fomen- tations, where evidence of congestion (L). Opiates, to allay uterine irritation, after rectifying any derangement of bowels (L). - Opium is valuable, having specific action on uterine muscular fibres, relax- ing some, stimulating others (Wa). : of Cimicif. or Macrot. in asthenopia, photo- phobia, hyperaemia due to prolonged ex- ertion of myopic or hypermet. eyes (A). ^4rn. or Ham. externally, for black eyes. Gels, pain in eyes with dizziness (ft); ex- treme heaviness of the eyelids, intense periodical congestion (JTa). Merc, in many forms of ophthalmia (H, JS). Merc, and Merc. iod. int. and as oint- ment, for stye (ft). Puis, a few doses generally arrest a stye (H); also for recurring stye (A & N). Also for agglutination of lids, profuse laehrymation, etc. (H). No better rem- edy for quivering lids with dazzling of sight. Codeia has also removed it (H). Frequently cured by applying the proper glasses, when indicative of defective re- fraction (^4). Merc. ext. and int., Calc. carb., Thuja, for tumors of eyelids (H). Staph, the best remedy for recurring stye (H). Amm. brom. lx, in swollen eyes and in- flammation of meibomian glands (Ha). Gels, extreme heaviness of lids (Ha). Amyl nit. for flushing of face, esp. of wo- men at climacteric (B). Bell, scarlet-red face, with swelling (ft). Nux vom. flushing after meals (JS). Aeon, in facial palsy, when of "rheu- matic" origin. Caust. when of long standing (H). Apis, puffy swelling of face (R). Cimicif. when of rheumatic origin (Ha). Cham, generally checks (H). Secale, gtt. j, after each, when truly uterine (H). Caul, is also suitable (H); the 0 to 3x, on pellets, the lx in simple syrup, or as granules. Mitigates and often prevents false pains altogether (Ha). EYELIDS. (See Blepharitis, Ophthalmia, etc.) FACE. (Compare Neuralgia, Toothache, Tic-douloureux.) FALSE PAINS. COMPARATIVE therapeutics. 11] FECES. (Compare Constipation, Diarrhcea, Dysentery, Enemata.) Croton Oil, the most efficient cathartic when simple impaction without inflam- mation. Gtt. i-ij. (B); when feces blackened (R). Podophyllum, the most generally used ca- thartic when secretion deficient (B). Nux Vomica, esp. useful when great fecal accumulations from torpor of bowel. [See Constipation for formulae.] Mercury, slimy, bloody stools, pain and straining (P). [See Diarrhcea, Dysen- tery. ] Ipecacuanha, greenish stools, mucus and blood (B). Silver Nitrate, white, pasty, offensive (B). Hamamelis, bloody discharges (R). Castor Oil, a very mild but efficient ca- thartic (R). Cocculus, hard, lumpy motions, colon distended with flatus (P). Purgation, as usually practiced, is very injurious. (See Lancet editorial Oct. 1, 1870). The best agents are confectio sennae; pil. rhei compos; pil. aloe's; comp. cathartic pill; podophyllum and belladonna (B); castor oil (Wa). Mechanical. A tube may be passed through the mass to the sigmoid flexure, or even higher, when hardened feces blockade the rectum, as in diabetes. Or two or three fingers may be introduced into the rectum (R). Irrigation of bowel is resorted to for the removal of the im- pacted feces (B). GENERAL PRACTICE. Visit when family physician......8 1 to 8 2 When first visit requires minute examination........................... 3 " 10 Each hour of detention.............. 1 Prescription to another member of family................................. 1 Visit at night............................. 2" 4 Croton tig. yellow, watery feces, expelled with force, and suddenly (JS). Pod. profuse, watery, prolapsus ani (JS). Nux vom?, Collin lx, hard, large, expelled only after frequent effort (JS). Merc, pale and costive subjects, with de- pressed spirits; feces dark-green, slimy, frothy or bloody (ft). Ipec. grass-green, mucous, fermented (ft). Arg. nit. green, flaky, bloody, brown, fetid discharge (Hpl). Ham. lx, contain much dark blood (JS). Bry. very large, hard and dry (ft). Plumb, dark, hard, small balls (ft). Opi. dark and knotty, with great torpor of the bowels (JS). Alum, soft, but difficult stool (ft). Calc. carb., Dig. stools white or ash- colored (ft). Graph, hard and knotty, united by mu- cous threads (JS). Ars. dark-green, mucous or watery (ft). Lepl. black, tar-like, very fetid (JS). Sulph. knotty, hard, with piles (JS). Phos. long, narrow, hard, difficult to ex- pel; like a dog's (L). Ver. alb. greenish, blackish, watery (ft). Rheum, green or brown, fermented, sour- smelling (ft). Chel., Plumb., Ruta, like sheep's dung(JS). China, Ars., Ferr. stools containing undi- gested food (ft). Sec, Phos., Ac. phos., involuntarily (JS). Puis., Cham., Caps., Merc, mucous (JS). Single visit, when not family physician................................$ 3 to? 5 First visit as consulting physician 3 " 10 Each subsequent visit as such.... 2 " 4 If consultation at night.............. 4 " 10 Remaining all night (not obstet.) 10 " 20 Rising at night and prescribing.. 2 " 5 Examination of insane person... 5 " 10 Surgical visits............................ 3" 5 FEES. [From the Fee-bill of the N. J. State Medical Society, and the Detroit Schedule.] 112 INDE Ordinary midwifery.................810 to 830 Difficult midwifery..................., 15" 50 Mileage when above two miles.........50c. Caesarean section............................8250 All subsequent visits to be charged as ordinary visits. OFFICE PRACTICE. Advice, no prospective treatm't.S 3to8 5 Ditto, when family physician.... 1 " 2 Advice when minute examina- tion required.......................... 3 " 10 Subsequent advice for same malady................................... 1 " 2 Written advice or opinion......... 2 " 20 Certificate of health.................. 1" 2 Gonorrhoea, in advance............... 5 " 20 Syphilis, " " .............. 10 "50 Vaccination.............................. 1 " 3 Fitting truss.............................. 5 " 10 Life-insurance examination..... 4 SURGERY. Anaesthetic, administration of... 8 10 Abscess or sinus, opening.........$ 1 to 5 Amputation, arm or leg............ 10 " 50 " finger or toe......... 10 " hip-joint............... 250 " shoulder-joint...... 200 thigh...................100 " 500 Cataract or Iridectomy............ 25 " 100 Enucleation of eye..................100 " 150 Foreign bodies in ear, nose, or throat................................... 5" 50 Fractures, reduction and first dressing...............................815to8 50 Subsequent visits, regular charge. Harelip.................................... 20 Hemorrhoids........................... Hernia, by manipulation........ 3 " by operation............... 20 Hydrocele, palliative............... " radical operation...... Ligation of arteries.................. 10 Lithotomy................................ Mammarygland, extirpation of 50 Naevus...................................... Necrosis.................................. 25 Paracentesis............................. 10 Paraphimosis and phimosis...... 5 " 30 Pessary, introduction of............ 5 Plastic operations.................... 25 " 100 Polypus, uterine or rectal.........25 " 100 " noseorear................. 5 " 50 Post-mortem........................... 10 " 25 Resection, large bones or joints 150 ■' small do................. 50 Stricture, urethral, division of. 10 " 30 " nasal duct................. 25 " 50 Stomach pump........................ 5 " 25 Staphylorraphy...................... 50 " 200 Talipes.................................... 50 " 200 Tenotomy.......................... ..... 5" 25 Testicle, extirpation................. 50 " 200 Tonsil, excision........................ 5" 50 Tracheotomy........................... 25 " 100 Trephining.............................. 25 " 100 Tumors, removal of................. 50 " 250 Uterus, inverted, reduction...... 25 " 100 Uvula, excision of................... 5" 50 FEET. Arsenic, swelled feet of old or weak per- sons (JS); cedema of feet and ankles in the old, from feebleness of the heart (B). Lead, as ointment of equal parts of emp. plumb, and linseed oil spread on linen and wrapped round the feet when they sweat—to be renewed every third day for nine days (JS). Potassium Permang. gr. j—Sj, as wash, will remove fetor of feet (B). Sodium Bicarbonate, a solution freely ap- plied will remove fetor (B). Belladonna.-wiU. check fetid secretions (R). Ars. ©edematous, with emaciation (ft). Arn. int and ext. as bath for sore feet from over-walking (ft). Canth. burning in soles of feet at night, in hysterical subjects (ft). Carbo veg. burning tender feet, cannot bear boots, or walk (JS). Sulph. coldness of feet, with hot hands and face (JS). Bry. Led. rheumatic or gouty pains, with oil frictions (ft). Sil. suppressed or excessive prespiration of feet; fetor (JS, H). COMPARATIVE THERAPEUTICS. 113 Salicylic Acid, in solution with borax, the most agreeable and efficient deodorant for fetid perspirations (B). Ice, to the spine, or heat and cold al- ternately, to equalize the circulation, has been strongly advocated (Wa). FEVEK, GI (See also the various fevers in th( Aconite, has the highest value in the erup- tive fevers, also in all hyperpyrexia (B). Always indicated in early stage of sim- ple inflammatory fevers, pneumonia, and in most acute congestions (P). Has marvellous power over sthenic fevers. Thermometer should go hand in hand with Aconite (R). Veratrum Viride, possesses considerable power as an anti-pyretic; useful in rheu- matism, pneumonia (P); in delirium ferox of fevers it is of value (B). Strong- ly recommended in both sthenic and asthenic fevers (R). Belladonna, in the eruptive fevers, esp. scarlatina (B). In typhus, with delir- ium, insomnia, painful sensitiveness to light and sound. In all hyperaemic states of brain and spinal cord (P). Is prophylactic often against scarlet fever (P, Pf). In delirium; also excellent in typhus (R). Gelsemium, in remittent and typho-mala- rial, of real benefit. Is anti-pyretic (B). In bilious-remittent of value (Pf). Arsenic, in prostrating acute fevers to strengthen pulse and invigorate patient. Except quinia, no drug subdues inter- mittents so well (R). In malarial, esp. typho-malarial, it is of great value (B). Cinchona. Quinia in the eruptive, and all malarial, remittent, and intermittent; as apyretic, less effective and more danger- ous than cold baths. Useless in typhus and typhoid, except for hyperpyrexia (B). Is anti-miasmatic, antiseptic, and antiphlogistic; of great value in inter- mittent, septicaemic, and hectic fevers (P). Large doses at night to reduce temp, in typhoid and other fevers strong- ly urged in Germany. Cinchonia best as prophylactic against ague (R). China, cedema with simple debility (ft). Ferr. cedema, with anaemia (ft). Ham. 0, exter., painful swelling of the great toe (ft). China, Sulph. weakness of feet (JS). Oil frictions, in many conditions (JS). ir respective alphabetical order). Aeon, synochal (inflammatory) fever; pulse hard, small, wiry, very quick; tongue yellow or white; high temp., ten- sion of nervous and arterial systems, thirst, anxiety. In most acute fevers of sthenic form (H, Ha, R). Verat. vir. pulse hard, full, bounding, in- compressible; tongue yellow at sides with red streak; erethism of brain and spinal cord (H, Ha). In ephemeral, yellow, typhoid, remittent etc., (Ha). Bell, cerebral hyperaemia, heat with throbbing, little thirst, pyrexia with in- flammation of throat, mucous and cuta- neous surfaces, kidneys, eyes, etc. (H). Gels, pulse large, full, quick, not very hard; tongue pale, red or yellow-white; remittent fevers esp. of children. Op- pressions with dull pains in head, back and limbs (H). Ars. typhoid and chronic intermittents; malignant fevers, gastro-enteric, and hectic. Much prostration, extreme thirst, burning pains (H). China, hectic and intermittents when re- cent; debility from drain of exhausting discharges. Large doses necessary in agues (II). Arn. typhus and typhoid; brown tongue, stupor, indifference, involuntary dis- charges (L). Camph. primary symptoms (ft); after a chill, shooting pains, heat, trembling, stupor (L): though cold to touch will not be covered (H). Merc, in the great exanthemata, meas- les, scarlet fever, small-pox; also in en- teric lesions of typhoid (H); the proto- sulphide (ethiop mineral) in typhoid, and as prophylactic (-Ha). Rhus, in typhus and typhoid, and scar- latina rheumatica, or dengue (H). 114 INDEX OF Arnica, antipyretic, full dose in sthenic, small (n? v of tinct.) in asthenic. Large and small doses produce different re- sults (B). In rheumatic and typhoid is highly extolled (P). Camphor, subdues reflex excitability; praised as stimulant in adynamic fevers (P). In adynamic fevers and where there is delirium (R). Mercury, large doses of calomel, the Ger- man "specific" treatment of typhoid (B). Small doses in typhoid at commence- ment; has marked effect on tonsils in scarlatina (R). Rhus Toxicodendron, in rheumatic fever after aconite, and in scarlatina with ty- phoid symptoms, is invaluable (P). Opium- much less used than formerly. Useful in delirium, and with quinia in remittents and intermittents (B). For delirium, noisy or muttering, with pick- ing of bedclothes (R). Hypoder. (P). Turpentine, in typhoid, puerperal, and yel- low, as a stimulant to vaso-motor ner- vous system (mi x-3ss) (B); as enema (nj 30-60 in starch mucilage with rrjj x of liq. opii if pain) invaluable when in ty- phoid hemorrhage with tympauitis(P,R). Tartar Emetic, minute doses (gr. 1-16) fre- quently repeated, and with opium, are of great value in many acute febrile diseases (B); as a diaphoretic; in ague; in large doses to abort specific fevers (R). Muriatic Acid, very useful in all forms, esp. in typhoid and the exanthemata; relieving dryness of the mouth and fau- ces, increase digestion, and restrain the diarrhoea (B). Acid Drinks, such as raspberry vinegar, citric, very grateful and useful (R, B). Salicylic Acid, or salicylate of soda, near- ly equal to quinia as antipyretic. Very useful in all forms with high temp, and in intermittents. Esp. in septicaemia, pyaemia erysipelas and surgical f. (B, R). Digitalis, the German antipyretic. Very useful in scarlet fever, rheumatic, and pneumonia (B); esp. in typhoid (R). Cimicif uga, as substitute for digitalis, but less effective; good in hectic (B). Hydrastia, intermittents, typhoid with copious sweats (P). Opium, acute fevers, with stupor, snoring with mouth open, half-jerking limbs, burning heat, perspiring body (Hah'n). Tereb. for tympanites of typhoid and pu- erperal, well-nigh specific (II): great prostration, brown, dry tongue, emacia- tion; hemor. from nose and anus (L). Ant. tart, in soporous intermittents when long continued sweats; also in pneumo- nia, bronchitic complications (II, L, ft). Ac. mur. in typhoid of great service, also in sequela? of scarlet fever, etc. (H). Bapt. typhoid; pulse quick, full, irregu- lar, compressible; tongue dark red or brown; continued fevers, without erup- tion, with diarrhoea; typlioid during "gastric" period (H). Ac. phos. low fevers of mild type (JT). Bry. intermittents, chill predominating (JS); in low fevers, especially relapsing; also for first stage ot typhoid (JT). Agar, ataxic typhus, with twitchings (H). Eup. perfol. in intermittents and bilious fever, esp. when "bone-pains" (JT, JTo). Hyoscy. in typhus, for head symptoms(U). Natr. mur. chronic intermittents (II). Orotal. in yellow fever, bilious remittents, typhus icterodes, malignant purpuric form of cerebro-spinal meningitis (II). Lach. in yellow, purpuric states of ty- phus, variola, and cerebro-spinal; also malignant, scarlet and pyaemic (H). Puis, intermittents with gastric and bili- ous disturbance (JT). Ailantus, in adynamic, typhoid and erup- tive, of malignant character (JTa). Podoph. in enteric, gastric, (high), In- termittent, remittent, bilious, infantile fevers (JTa). Iris, Chel., in bilious, gastric, typhoid; esp. when liver complications (JTa). Lcptan. in bilious and typhoid, intermit- tents, remittents (infantile), and yellow; a valuable intercurrent remedy (JTa). Solanum, in pucrpural, typhoid and erup- tive; a valuable substitute for Bell. (Ha). Amm. pic. has been used with much suc- cess to arrest paroxysms of intermittent fever, also as prophylactic (Ha). Many other drugs are used for particular indications. Ant. cru„ Apis, Calc. carb., Carbo veg., Caust., Cham., Cin., Cocc, COMPARATIVE Cocculus, for tympanitis of typhoid (P). Ammonia, the acetate as a diaphoretic, and in simple forms, as catarrhal; the carbonate in scarlet fever and measles(R). Purgation, by castor oil, sulphate of mag- nesia, etc., before exhaustion (R). Mustard Bath, on recession of rash in eruptive fevers (R). Aliment, milk and beef-tea alternately, every 3 hours. Milk only, in fevers and inflammations of the digestive tract (B). Alcohol, in low conditions is useful when causes improvement in symptoms, which may become worse (B, R). Coffee bet- ter than alcohol (P). FEVEK, Aconite, in small repeated doses the best remedy for febricula, etc. (B); in ordi- nary febrile conditions, If given early, will abate fever and induce free perspi ■ ration; may be administered in conjunc- tion with any other remedy indicated(JS) Veratrum Viride, in small doses, as anti- pyretic (P, R). Hyoscyamus or Belladonna, very useful in febricula, especially for head-symptoms and constipation (P). Gelsemium, with remittent, or bilious symptoms (P, B). Arsenic, if typho-malarial symptoms (B). Valerian, when nervous excitability (P). Lemon-juic", as "lemonade," or with bi- carbonate of potass., as mild diaphoretic and diuretic (P). Pomegranate-juice, very grateful (P). Baths, warm, in simple fevers of child- ren (R). Aliment, milk and beef-tea alternately, every 3 hours; the most useful (B). Piper Nigrum, the confectio as gentle stimulant in anal fistula (P). Sanguinaria, as injection, has cured (P). Capsicum, the weak infusion, a useful stimulant in fistulous ulcerations (P). niERAPEUTICS. 115 Con., Dig., Ferr., Hep.sulph., Ign., Ipec, Kalibich., Lye, Mag. carb., Nit.ac, Nux vom., Phos., Sep., Silic, Staph., Sulph., are all fever remedies when indicated. [Compare the various fevers]. Water is a valuable adjunct to remedies in the treatment of fevers. Warm baths, the wet pack, hot and cold compresses, fomentations, moist inhalations, etc., have great value. See various fevers (JS). Water, a most important agent. Cold baths or cold wet pack to reduce temp. (B); cold affusion, baths, packing, ice, and ice-bag; hot affusion and sponging, I all of great value in every form (R). SIMPLE. Aeon, the only remedy required in febri- cula (H); full, bounding, quick pulse, aching pains in the limbs, without brain symptoms (JS). Ver. vir. indications same as for Aeon., with gastric and brain disturbance (ft). Hyos. praised for cerebral symptoms (JT). Bell, brain disturbance, red face, throb- bing temples, moderate pulse (JS). Gels, "inward fever," with remittency, or passing off without perspiration (JS). Ars. prolonged cases, occurring in feeble patients, much prostration; symptoms have a periodic character (JS). Bapt. a true specific for gastric form "running into typhoid," diarrhcea, ton- gue brown and dry (JT). In simple con- tinued fever, Bapt. should be given ear- ly, esp. when Aeon, does little good (JS). Bry. heavy stupifying headache, aggra- vated by movement; shooting pains in the limbs, yellow-coated tongue, nausea, constipation, irascibility (JS). Ac nil. has cured anal fistula (JT). Ac. fluor. in lachrymal and dental (JT). Calend. and Hydras, locally, with Calc. phos., Causl., Nux, Sulph., int. have cured fistula in ano (H,R); also Lye (JS). FISTULA. 116 INDI Surgical. Division of sphincter in anal fistula, by knife or ligature, the best treatment (D). In fistula lachrymalis, dilatation of passage by probing the canaliculus, or slitting the canaliculus up (D). In vesico-vaginal, or recto-vagi- nal, surgical methods best. Nux Vomica, will remove flatulence and intestinal indigestion (B); when consti- pation, heartburn, weight on head (R). Charcoal, gr. v, or x, soon after or just before meals (R). Chloroform, pure.in drop doses,benefits(R). Carbolic Acid, when no acidity present(R). Turpentine, gtt. iij-v, on sugar, will quick- ly relieve (B). Asafcetida or Valerian, quickly relieves the flatulence of hypochondriasis (B, P). Asaf. 5j of tinct. to Oy water, give 3j, useful for children (R). Mercury, when with clayey stools (R). Calumba, an effective remedy for flatulent disposition is ah infusion of Sss each of calumba and ginger, 5j of senna, hot water Oj, a wineglassful ter die (B, P). Potassium Permang. in flatulence atten- dant on obesity (B). Physostigma, flatulence of women at cli- macteric (B). Nux Vomica, tinct. with small doses of laudanum in hysterical of the middle- aged, with flatulence, weight on head, and perspirations (R). Nitrite of Amyl, n 1-10 to y in 30 times its volume of rectified spirits. Effective for flushing of face, or sensation of flushing, followed by coldness, with cold feet and hands and great prostration, occurring at climacteric chiefly (R). Potassium Bromide, at climacteric (R). Zinc Valerianate, or Valerian, flushings at climacteric (R). ;x of Sil. in lachrymal, several cases (H). Phyto. probably locally and int. has cures of fistula lachrymalis claimed for it (JTa). Calc. hypophos. 1 to 3, should benefit (JTa). Diet should be nourishing and digestible; fresh air and general good hygienie con- ditions are necessary (JS). >are Colic ,Dyspepsia.) Nux Vom. sedentary habits, use of alcohol, tendency to piles (JS); pressure under short ribs, oppression of the chest, worse mornings, after meals (L). Carbo veg. excellent when distention of stomach and small intestines (JT). Chloroform, drop doses for flatulent disten- tion of the stomach (JS). Lye when in colon, with constipation(ff) Arg. nit. flat.rising through cesophagus(JT) Puis, flatulent colic in evening, oppres- sion upper abdomen, hypochondria (L). Nux mos. flatulent dyspepsia of women and children (JT). Sulphate of Anilin, excessive flatulence, from fruits and vegetables (L). Diet. Abstain from sugar, starchy food and tea; eat little, slowly and regularly; as a general rule abstain from alcoholic drinks and vegetables, especially cab- bage. Pepsin [or Ingluvin] after meals, to promote digestion (JS). Nux vom. in the face after meals (ft). Amyl nit. especially at climacteric (JT); is homoeopathic to flushings like those from mental emotions (JTa). Aeon, or Bell, when from excitement (ft). Jabor. with sudden perspirations (H). Lach. 6 or 12, will rarely fail in heats of climacteric (JT). Sang, has been found useful (JT, JTa). Sumbul, is homoeopathic to the flushings of change of life (JTa). Amyl nit., Lach., Sang., Sepia, flushes at the critical age (L). FLATULENCE. (Comi FLUSHING; HEATS. comparative therapeutics. 117 FOEEIGN BODIES. In the Eye.—Remove by bathing, or wiping towards the lower inner corner with soft, moistened handkerchief, or a bent bristle, the two ends being held in the fingers. Use tepid solution of vinegar (3ss-3j) for removing lime, tepid water for powder. Then apply a weak Arnica lotion on linen or lint, covered to prevent evaporation. In the Ear.—Examine carefully with speculum before removal; first syringe with warm water, or a drop of sweet oil to drive out insects, before using forceps; apply Arnica lotion (gtt. vj of 0 or decoction-3j aquae) and cover with oiled silk. In the Nose.—A current of tepid salt water, forced up one nostril, may force down the body through the other, if the mouth be held open. In the _Larynx or Pharynx. - If water can be swallowed, the obstruction is in the trachea. Never push a body down. Remove by curved forceps or blunt hook. If passed into the stomach, use solid diet to imbed the article. If all fail and the case be urgent, resort to catheterism or tracheotomy. In the Flesh;—Remove at once by forceps, or sponge and water. FEAOTUEES AND DISLOCATIONS. Arnica, excellent to neutralize ill effects of mechanical injuries. "R v-x in a wineglassful of water every 2 or 3 hours. Certainly has power of uniting surfaces very rapidly. Infusion best exter. (P). Aconite, quickly and repeatedly if feverish symptoms ensue (P). Iodine, int. and frictions, occasionally use- ful in ununited fractures (Wa). Lime Phosphate, promotes formation of callus (Wa). Opium useless in surgical fever, and may do harm (CI); for nervousness or muscu- lar spasms after dressing gr. y of mor- phia hypodermically as anodyne (Ag). Iodine, the tinct. or glycerite, locally (B). Potassic Carbonate. Useful lotion is: R Potass, carbonat. giij; sodii chloridi, 5ij; aquae rosae, Jviij; aquae auran. flor. 3ij (B). Benzoin, the compound tinct. with water, as cosmetic to remove freckles (P). Sodium Borate, a saturated solution of borax to remove freckles (B). Lime-water, and olive oil, equal parts, with a little liq. ammoniae, as liniment (Wa). Arn. ext. and int. after reduction (JS). Aeon., Bell., if inflammation (JS). Iod. to promote adhesion in scrofulous cases (II). Ruta, in cachectic subjects (JT); also Symph. (H, R, J). Calc. phos. stimulates osseous production (Hg). Scrofulous subjects (JT). Hyos. if insomnia ensues (JS). Ign., Cupr. met., muscular spasms (JS). Cham, fainting and twitching (JS). Mez., Ac. phos., Rhod., bone-pains (JS). Ruta, specific action on periosteum (JT). Calendula lotion to part, with perfectly quiescent state after reduction (JS). Diet, should be very simple (R). Iod. and other weak stimulating lotions recommended (JS). Kali. nit. Nitre, powdered and moistened with water, locally night and morning, will soon remove them (ft). Chlorine water, as above, useful (R). Phos., Graph., Sulph., Ac nit., Sepia., Natr. mur., Canth. (ft). Carbo veg., Caust., from exposure to heat (L) Sepia, Conium, during pregnancy (L). Phos. on nose; Ac. nit. on facc(L). FEECKLES. 118 INDEX OP GANGLION. Iodine, as paint, after emptying by thumb- pressure, puncturing directly, or by sub-cutaneous incision into sac. Pres- sure should then be kept up by a com- press and bandage (D, Wa); cautiously when ganglion of flexors of wrist (D). Ac. benz. locally, rubbed in, will often disperse (JT, R); also int., high (JT). Ruta, has often dispersed (JT, R). Arn., Sil., Calc. carb., Hep. sulph., Mez., Phyto.; also Jlfcrc. biniod. or Hep. sulph., as ointments (JS). GANGEENE. Salicylic Acid, pure in powder locally (B). Cinchona, or better quinine, or the hydro- chlorate has often proved itself of value (P); generally decoc. cinchona best (Wa). Turpentine, locally, after removal of gan- grenous part, a most efficient applica- tion (B^; by stomach and inhalation from hot water in gangrene of lungs; the oil locally in dry and chronic gangrene (P). Sanguinaria, has been recommended (P). Oxygen, as gaseous bath in senile g. (R). Charcoal, as poultice; value doubtful (R). Citric Add, lemon-juice dropped into wound, which is then covered with lint steeped in a solution of chlorine. Very effective in hospital gangrene, in Paris- ian hospitals [Lancet, Oct., 1879]. Escharotics, Bromine, best for hospital g.; Nitric Acid, probably best (B). Salicylic acid, or better, Sodium Salicylate, as spray, in gangrene of lungs (Ha). China, Ac. carbol., int. and ext. (ft). China has made many cures (Hpl). Ars. is homoeopathic to gangrenous in- flammation, and is successfully used in many forms of gangrene (Hpl). Eucalyptus, in pulmonary gangrene, has been employed with much success by Bucquoy, of Paris, who used an alco- holate, Sss daily, with water, gum syrup, etc. (JTa). Lach. in traumatic gangrene, has a high reputation (Dake, F, JT). Secale, in senile gangrene (Js, JT). Ars., Lach., Carboveg.,gang.of lungs(ft), Carbo veg. senile gangrene, with coldness and purple color of the parts (Hpl). Poultices of yeast or carrot (R). GASTEALGIA AND GASTEODYNIA. Nux Vomica, gtt. v-x of tinct. ter die be- fore meals, an excellent stomach tonic (B); gtt. j-ij every 2 hours, in many forms, chronic catarrh, flatulence, indi- gestion, heartburn. Also Strychnia, hypodermically (R). In very small doses (strych. sulph. gr. 1-100 to 1-32, 2 or 3 times a day) a successful remedy (P). Arsenic, sometimes surprisingly dissipates (B); a drop of liq. arsen. before food iu irritative dyspepsia and gastralgia with heartburn (R). Hydrocyanic Acid, often cures rapidly when from nervous derangement. R Ac. hydrocy. dil. gij; aquae lauro-cerasi Siv. M. S.—Teasp. every 4 hrs. (B). May check vomiting, as well as relieve pain (R). Laurel-water a useful remedy (P). Nux vom. spasmodic pain, constipation, intellectual workers, drinkers of wine and coffee, robust wiry patients, will cure in nine-tenths of such cases (JT), Ars. has been very satisfactory in delicate persons, when neuralgic (JT); burning pain and vomiting after food (ft). Ac. hydroc. has cured permanently; "sink- ing," pain relieved by food (JT). Bism. with stomach-cough (JT); pain soon after eating (JTa). Puis, from fatty food indigestion, heart- burn, frequent loose evacuations (ft). Atrop, Kafka cured several cases of hy- peraesthetic form, in doses of 1-180 gr. of the sulphate (JT, JTa). Arg. nit. much heartburn (H); dull pains in stomach, sensitive to pressure (Hpl). comparative therapeutics. 119 Bismuth, when from irritation of mucous membrane. R Bismuth! subnit. 5ij; ac. hydrocy. dil. 5ss; mucil. acacias, aq. menth. pip. aa Sij. M Sig.—A tablesp. ter die. Or a combination of arsenic and bismuth in more chronic states (B). Pulsatilla, is good in many cases (P). Atropia, often happily relieves. R Atrop. sulphat. gr. j; zinci sulph. 5ss; aquae dest. SJ. M. Sig.^Gtt. iij-v bis vel ter in die(B). Silver Nitrate, solution, to check pain (R). Chloroform, 115 ij-v, on sugar, will often relieve (B). Pepsin, when from indigestion (B). Zinc Oxide, an excellent remedy, when gastralgia after food. Gr. v-x, with aro- matic powd. and morph. before meals(B). Morphia, relieves almost any form. Sub- cutaneously in epigastric region very efficient; or with bismuth and milk be- fore each meal (B, R). Of great value (P). Creosote, checks pain after food (R). Alum, often affords relief (B). Ergot, in visceral neuralgias, of value (P). Milk-cure, has been very efficacious in obstinate cases (B). Aqua-puncture, has produced extra- ordinary relief (B). Galvanism, of the pneumogastric, and locally to the organ (B). Ac. sulph. has cured chronic form (JT). Bry. 0, contractive pain in stomach, soreness of the epigastric region (Hpl). Cina, gastralgia of empty stomach (H). Lobel. when of nervous origin (JT); in low dilution for bilious gastralgia (JTa). Ver. alb. heartburn, pain after food, cold hands and face (JT). Ver. vir. 3, or 6th, is considered better than Ver. alb. (Ha). China, may be of great use; abnormal taste, drowsiness and oppression after eating, qualmishness (Hpl). Aur. mur. natr. nervous dyspepsia, pain on left side of stomach (JTa). Dios. of use for gastralgia of pregnancy, or during the menses (JTa). Iris, one of my favorite remedies (JTa). Ptelea, found very useful; has many symp- toms in common with Nux vom. (Ha). Diet, of the greatest importance. Food should be easily digestible, varied and plainly cooked. Sedentary livers should abstain from much animal food. Meals should be regular and frequent, eating little at a time, and that slowly. Alco- holic beverages as a rule do harm; may benefit particular cases. Eat in as agree- able a frame of mind as possible, and rest for a time after a meal (ft). GASTEITIS. (Compare Dyspepsia, Gastralgia, etc.) Arsenic, sometimes surprisingly curative; for the vomiting gtt. j-ij of Fowler's So- lution before meals (B). Pulsatilla, in subacute gastritis of phlegm- atic temperaments, white tongue, heart- burn, nausea, flatulency, little or no taste (P). Hydrastis, gtt. v-xv of tinct., or fl. ext, daily before meals, esp. for gastric ca- tarrh of acute alcoholism (B). Nux Vomica, gtt. j of tinct. every 5 or 10 min. for 8 or 10 doses in acute gastric ca- tarrh, with headache or sick-h. (R). Cinchona, to promote healthy state of mu- cous membrane, the infusion best with mineral acids, or quinia; the red bark in gastric catarrh of drunkards (B). Ars. 6, 12, the principal remedy in acute; hardly any other needed (JT). Burning, agonizing distress, thirst, quick pulse(ft). Puis, chronic, heartburn, white tongue, no severe pain, sour eructations (JT). Hydras, the most promising remedy for chronic gastric catarrh, tongue coated, much mucus formed and vomited (JT). Nux vom. in many forms, a prime stomach remedy. Nux vom., Phos.. for cases of long standing, when induration of sub- mucous tissues, narrow pylorus, and distention (JT). China, may be very successful (Hpl). [See ante, Gastralgia.] Ipec. acute gast. catarrh, gast. vomit'g(JT). Kali bich. rough,yellow, furred tongue(JT). 120 indi Ipecacuanha, for nausea and vomiting (R, B, P). Opium, or morphia, to quell pain in chron- ic gastritis from alcoholic excess (R). Eucalyptus, a most useful stomachic, not to be used in inflammatory states (B). Atropia, very effective in chronic. [See Gastralgia.] (B). Calumba, and other bitters are useful (B). Ammonium Chloriele, in high repute in Germany (B). Caffein, especially when associated with migraine (B). Lead Acetate, in chronic, with gastralgia and pyrosis, may be combined with morphia beneficially (B). Alum, when vomiting of glairy mucus. IJ. Aluminis, 3ij; ext. gentian, Sss; ft. pil. no. xxx. Sig.—Two bis in die (B). Silver Oxide and Nitrate, extremely useful (B ; to check pain and vomiting (R). Tannic Acid, is useful. Gr. iv-gtt. j glyc- erini. Make a pill (B). Aliment, such as will be digested in the small intestines; requires careful atten- tion. The milk-cure has been very effec- tive in bad cases; malt liquors are harmful (B). ^4con. simple gastritis, from cold (JT, ft); a specific remedy if muscular coat of stomach is attacked (Hpl). Ant. cru. thickly-coated milky-white tongue, nausea, eructations with taste of food (ft). Merc. corr. 6, 12, distension and soreness of epigastrium, in chronic gastritis (JT). Ac. oxal. in grain doses, uniformly suc- cessful (JT). Iris, is eminently homoeopathic to many forms of mucous gastritis (JT). Ars. may prove homoeopathic; has many symptoms of the disease, especially mu- cous gastritis (Hpl). Iod. has proved curative (JT). Phos. in degeneration of peptic glands, mistaken for cancer, is curative (JT). Sanguin. 6, 30, in acute; no remedy more decidedly homoeopathic; lower dilutions in chronic (JTa). Diet and general habits very important in chronic gastritis. [See Gastralgia, etc.] Kumyss very agreeable, and toler- ant to stomach; the milk-cure and but- termilk have been very efficacious. The farinaceous vegetables, rice, tapioca, arrowroot, aerated bread (JS). GASTEIC ULCEE. (Compare Hematemesis.) Arsenic, small doses very beneficial (B,R). Atropia, to relieve the pain (B). Silver Nitrate, in solution, to check pain and vomiting (R). Next in value to bismuth. The oxide best. R Arg. oxidi gr. v; ext. hyoscyami gr. v. M. ft. pil. no. x. One ter die before meals (B). Charcoal, is said to ease the pain (R). Bismuth, relieves pain and vomiting (B, R). [See Gastralgia.] Turpentine, 5-10 drops frequently repeat- ed, in hemorrhage from chron. ulc. (R). Opium or Morphia, to quell pain and re- lieve vomiting (B, R). [See Gastralgia . ] Mercury. Hydrarg. chlor. corr. gr. 1-30 to 1-60 ter die before meals, effective (B). Lead Acetate (gr. ss-v), in vomiting of blood, and to allay pain, very useful (B). Pepsin, by facilitating digestion, useful in many ways (B). Ars. when ulcer at pyloric end, allays pain and checks vomiting (JT). Atrop. sulph. has cured; relieves pain (H). Arg. nit. when tendency to chlorosis (IT). Kali bich. when ulcer at cardiac end (JT), Uran. nit. to arrest tendency to recur (JT); helps the healing process (JTa). Ipec. hemorrhage (JT); bright-red blood, pale face, nausea, short cough (R). Ham. venous hemorrhage (ft, JT). China, debility consequent on hemor- rhage, feeble pulse, cold extremities (JS). Eucalyptus, has been used with very great benefit (JTa). Sanguin. ought to be useful (JTa). Diet, of unirritating character, with rest, and hot or cold compresses to epigas- trium, leaves little for medicine (JT). Ice swallowed. In bad cases nutrient enemata may be required, so as to give COMPARATIVE Ice-bag, to epigastrium, for pain, vomit- ing, etc. (R). Nutrient Enemata, to rest the stomach; Beef-tea Siv; ac. hydrochloric ttj x; gly- cerole of pepsin (Scheffer's) 5ij. Tinct. opii gtt. x-xx, if rectum irritable. Brandy may be added (B). Ammonium Carbonate, in water, hourly, as concentrated as can be swallowed, followed by an opiate (Wa). Carbolic Acid, and the Sulphites, as sodic sulphite, are most worthy of trial (H). Creosote, or Carbolic Acid, in glycerin, lo- cally (H, Wa); or dilute chlorinated soda, and lime-water (H). Iodine and Iodides, no remedy more effi- cient, when simple hypertrophic. Use- less with all other medicines when case- ation or suppuration has set in. Iodine injected into cystic and glandular growths of neck. Syrup of the iodine of iron occupies an important place (B). The iod. of potass, for mamma and tes- ticle, but especially for thyroid (R). Sulphides, esp. the Blue Lick water (B). Calcic Sulphide, for hard, swollen glands behind angle of jaw, with deep-seated suppuration (R). Mercury, useful in acute inflammatory states, tonsillitis, parotitis, etc. Hydr. chlor. corr. gr. 1-20 or hydr. cum creta, gr. 1-5, every 2 hours (B). The oleate of mercury and morphia in obstinate and painful tonsillitis, and inflammation of lymphatic glands (R). Belladonna, especially in tonsillitis (P). Valerian, Vfith Guaiacum, in strumous enlargement (P). Hydrastis, frequently controls (P). Carbolic Acid Injections, a 2 per c. sol. (B). THERAPEUTICS. 121 stomach complete rest. In any case farinaceous vegetables, rice, arrow-root, etc., such food as is chiefly digested in the small intestine (JS). Rectal Alimentation. Injections of 3 to 6 ounces of defibrinated blood (B). Milk-cure, has succeeded admirably (B). Kali bich. exquisitely homoeopathic to the respiratory, (esp. the nasal) and cutane- ous affections; has cured in horse (JT). Merc, purulent tendency pronounced, lymphatic glands primarily affected( JT). Crotal. or Lach. when malignant symp- toms, as black bullae, tendency to gang- rene, etc., appear (JT). Iod., Kali iod., Merc, biniod., Bary. iod., and Calc. iod. are all valuable in treat- ment of strumous adenitis. Locally to obtain specific action more rapidly (JT). Bary. iod. for hypertrophy with indura- tion, has proved excellent (J3a). Calc. iod. has no odor, leaves no stain; one part to ten of Cosmoline, a very valuable ointment (JTa). Hepar sulph. suppuration threatens (R). Merc, inflam'n of salivary glands (JT). Bell., Bary. carb., Rhus., in acute glandu- lar swellings (JS). Bell, when much in- flam'n., esp inguinal and cervical (L). Bary. carb. when induration (B, J). Rhus. 2, the primary remedy for strumous glandular affections, followed by Merc. and Sulph. (Teste) Clem, the favorite remedy at Vienna for enlarged lymphatics (JT). Dulc. when from damp; rare (JT). Conium, if from contusion; rare (JT). Phyto. is highly esteemed; analagous in action to Kali iod.; has special affinity for mammary glands (JTa). GLANDEES. GLANDULAE ENLAEGEMENTS. (Compare Bubo, Goitre, Tabes mesenterica, Tonsillitis, Parotitis ) 122 INDEX OF GLAUCOMA. Atropia, gr. 1-60 hypoderm., beneficial (Anstie); imprudently used has caused the disease (Von Graefe, Scelberg Wells). Eserine, lowers intra-ocular tension (B). Iridectomy, the only remedy for the dis- ease, medicine being worse than useless. The operation should be performed as soon as a state exists which can be called glaucomatous. Even when vision is lost, the operation will best relieve the pain (C). Drainage of Eye, by gold wire or cat- gut, has had success (Von Wecker). Bell, of great value to relieve severe pains (A & N); in premonitory stage, with much local disturbance (JT). Phos., Ars., Coloe, Spig., Cocc, Sulph., according to symptomatic indicat'ns(H). Aur. excessive tension, with horizontal hemiopia(.4 & N). Merc, hepatic,uterine or hemorrhoidal complications (ft, A). Kali iod. congestion and inflammation of the choroid (R, A). Iridectomy, almost a certain cure in early stages; in later, nearly always pal- liative; often curative (A). GLEET. (Compare Gonorrhosa.) Cantharides, in drop doses, when frequent desire and pain in region of prostate (R); benefits in subjects of relaxed fibre and feeble circulation (B). Blisters, to the perinaeum, of undoubted benefit (B, R). Piper Methysticum, has cured obstinate gleet (Switzer). Iron, in anaemic subjects. R Tinct. ferri chloridi 5vj; tinct. catharidis 5ij, M. Sig.—Gtt xv in water ter die (B, St). Turpentine, in moderate doses, when due to relaxed condition (B, R). Cupric Sulphate, a solution as injection (R). Astringent injections may be used with benefit (Wa). Copaiba, smeared on a bougie, and intro- duced into the urethra, will sometimes cause gleet to yield (Wa). Juniper, the oil, in similar condition (B). Zinc, Sulphate or Chloride, injection (R). Oil of Sandalwood, rrjj xv ter die (R). Glycerin of Tannin, with equal quantity of olive oil or mucilage, as injection, 5ij enough. Persevere 8 or 10 days after discharge ceased, and do not use at bedtime (R). Balsams of Peru and Tola, Buchu, Canada Balsam, Copaiba, Mastic, and Tannin, are used with advantage (P, R). Often kept up by over-treatment. Will some time or other come to an end (St). Canth. when urinary complications, as tenesmus vesicae, pain about prostate, mucus or pus in urine (R). Thuja, is especially serviceable when prostate is affected (JT). Ac. nit. after Thuja, may be useful (JT). Nux vom. with nervous exhaustion, de- pressed spirits, impaired digestion, con- stipation (ft). Kali iod. 3*, highly curative (F). Matico lx, recommended by Kafka (JT,ft). Hydras, in obstinate gleet (JTa); the infu- sion of the powdered root gj-Oj aqua?, as injection, v/ithSulph., Nuxvom., or Ferr., for general health (JT). Petros. in sub-acute gleet (JT). Petrol. 2 or 3, cured many old cases (ft). Kali permang. as injection, will cure; may aggravate at first (Burnett). Erecth. discharge bloody, scanty (JTa). Erig. has been very highly praised; some prefer it to any other remedy (Ha). Silph. is considered curative (JTa). Sulph. constant desire to urinate, redness of meatus, itching in canal (ft). Injections, are advantageous. Liq. plumbi subacet. (3ss ad Sj); Silver nitrate, Lime-water, Hydrastis (R). Diet and Habits important. Stimulants, both solid and liquid, should be rigidly avoided, also coffee. Frequent ablu- tions, fresh air, good nourishment (ft). COMPARATIVE THERAPEUTICS. 123 GLOSSITIS. Bismuth, gr. xx of subnit. with sj of glyc- erin and Svij of water, as lotion, for ery- thematous inflammation of tongue (A). Purgatives, with gargles, leeches, anti- phlogistic regimen generally (D). Incisions, along superior sunace, fol- lowed by vapor of hot water, may in- stantly relieve congestion (A). Tracheotomy, or Laryngotomy, if suf- focation is imminent (A). Emetics,non-depressing, cedema slight (A). Inhalations of steam with benzoin, or co- nium, of great service (A). Scarification, by laryngeal lancet, of paramount value (A). Tracheotomy, if the above fail (A). GOITEE. (Compare 1 Iodine, ext. and int. cures, when simple hypertrophy. One of the best remedies for true goitre is unguent, hydrarg. io- didi rubri. Deep injection of tinct. (B). Mercuric Biniodide, as ointment, assisted by sun's rays, remarkably successful in India (R). Spongia Usta, formerly considered a sov- ereign remedy (Wa). Potassic Iodide, ext. as oint., also int. (R). Electrolysis, has sometimes cured (B). Aconite, a drop of tinct. each hour in the acute stage (R); when inflam'n. (Pf.St). Gelsemium, serviceable, acute stage (Pf). Cannabis Sativa, after acute symptoms subside, a few drops 3 or 4 times a day; is fully as effectual as copaiba or sandal, and infinitely more pleasant to take (Pf). Cannabis Indica, relieves pain, diminishes discharge (P); occasionally useful (R). Mercury, excellent results from corrosive sublimate (Pf). Hydrastis, useful (B); the infusion best for injection; Si of root to Sviij aquae (Pf). Aeon. alt. Merc. fromcold(JS); ^4con. (JTpi). Bell. 3, Merc. 5, alternately every hour cured one very severe case promptly (JT). Apis, acute cedema of tongue (JT); burn- ing, stinging pain in throat (JTpi). Canth. if from a burn or scald (JT). Ac. oxal. has been found useful (JT). Arum triph. oedema of tongue (R); prick- ing, stinging pains, sudden swelling, burning discharge (JTa). Dmpare Croup, Laryngitis.) Apis, trustworthy (H); the remedy (JTpi). Sang, lx, expiration easier than inspira- tion; bad case cured by Dr. Nichol (JTa). Arum, swelling, pricking pains (Ha). Apis, China, Stram., Ars., Arum, Ign., Lach., Staph. (L). XOPHTHALMIC GOITRE.) Iod. homoeopathic in all recent and soft goitres, in which small, even infinitesi- mal doses may succeed; when hard, in larger doses, or exter. as ointment (JT). Merc, biniod. as ointment with heat (JT). Spongia, 3, 6, 12, also locally, has cured many cases (JT, Js). Calc. iod. and Bary. iod., effective (JTa). Calc. carb. excellent in hypertrophies(JT). Urtica, said to have removed (Ha). Phyto. has specific effect on thyroid (JTa). pare Gleet, Orchitis. ) Aeon, or Gels, inflammatory symptoms (JT); Aeon. , burning pains, inability to urinate, hemorrhage from urethra; esp. indicated if agonizing distress from sud- den suppression of discharge (Hpl). Gels. , gtt. ij-v. Often no other remedy required when inflammation, scanty dis- charge, fever, etc. (Ha). Cann. sat. , steadily, after inflammatory symptoms subside (JT). Cann. ind. may often be substituted (JTa). Merc. sol. early, followed by JTep. sulph., a longer cure, but more radical (B). GLOTTIS, CEDEMA OF. GONOEEHCEA. (Com 124 INDEX of Cantharides, drop doses may be used (R). Pulsatilla, in sub-acute, and gonorrhceal ophthalmia (P). Copaiba, especially adapted to gonorrhoea (B); pour upon half a wineglassful of wa- ter to which add some bitter tincture(P). Sandalwood Oil, valuable in sub-acute (P); a good quality difficult to obtain (Pf). Best internal remedy; Copaiba ncxt(St). Silver Nitrate, a weak solution (gr. j-v-3j) as injection. In vaginal gon. a strong solution (5j-sj) through speculum to ev- ery part of canal (B). As abortive injec- tion is useless and dangerous (St). Cubcba, unlike copaiba, given with good effect in acute stage; best results from mixture of both. R Copaiba pulv. cubebae, aa Sij; aluminis Sj; opii gr. v. M. Sig.—Sj-ij night and morning (B). Alkalies. Citrates or bicarbonates to make urine alkaline (R). Zinc Salts, a weak injection frequently re- peated is probably the best treatment(B). The best injections are those of the sul- phate or acetate (gr. viij - xij ad Siv aquae), after inflam'n subsides (St). Injections of Tannin, Plumbic Acetate, Bis- muth, Cupric Sulphate, Iron, Cadmium, Brandy-and-water, and 1000 others(B,R). Colchicum, has frequently cured (B). Turpentine, when parts relaxed, moderate doses of great benefit (B). Balsams of Peru., Tolu, Buchu, (B, R). Uva Ursi, Chimaphila, Pareira, etc. (P). Alcohol, as beverage, or any other stim- ulant, to be entirely avoided (R). Wrappings of many folds of cotton is heating; dirty, and may cause balanitis, etc. Pin a false front to the shirt for a covering (St). GOUT. (Compare E Aconite, may certainly relieve pain (P). Belladonna, the best remedy to effectually and speedily soothe pain; also in gout of the stomach, 5-nj doses efficacious (P). Potassic Iodide, especially when pain is worse at night (R). Colchicum, 5j of wine often removes the severest pain in an hour or two (R); acts directly on the pain and inflammation Merc. corr. 3*, alt. Aeon, the first week, (Yeldham), also as weak injection (Js). Hydrastis, the infusion (3j-Oj) as injection will disperse if given early (R); also in- ternally in sub-acute stage (JJa). Canth. painful erections, chordee, inflam- mation extending to the bladder (JJ). Puis, thick, yellow, green discharge, gon- orrhoea ophthalmia, orchitis (L). Copaiba, is perfectly homoeopathic (JT). Oleum santal. valuable in very many cases; drop doses of the pure oil, or a few grains of the 1* trit. every 4 or 6 hours, when discharge is copious, pain- less, thick, yellow or green (JTa). Arg. nit. acts homoeopathically. Iu high attenuation for chronic urethritis; a weak injection (gr. v ad Sj aquae) frequently in acute (JJpi). Aeon., Cann. sat., Merc- sol., Thuja (Mg). Thuja, especially when prostatitis (II). Sepia, the best remedy for females (JT); in the 6th has prevented or modified the disease (Mg). Erecth. has been successful (Ha). Erig. has been very highly praised, many preferring it to any other remedy, it is said to have cured cases resisting the or- dinary treatment (Ha). Eucalyp. is remarkably beneficial (JTa). Agnus cast, in "old sinners" who have no sexual desire, or erections; esp. when discharge yellow and purulent (Hpl). Piper methys. has cured an old-standing, severe case in 40-drop doses bis die (Ha). Senec. useful in advanced stages (Ha). Stillin. 12 or 30, may prove as useful as Canth. or Thuja (Ha.) Silph. is considered curative, high dilu- tions in acute, low in chronic (JTa). ;heumatic Arthritis.) Aeon, chills, restlessness, high temp. (H) Bell, erysipelatous redness, swelling, burn- ing, throbbing pains, worse 3 P. M. (J). Kali iod. Sj-ij-3vj aquae locally (H); for chronic gout in y-% gr. doses (Hirschel). Colch. fully homoeopathic (JT, ft); 5-drop doses of every 4 hours (JT); other drugs have not proved very useful (JT). The in drop doses promptly relieves comparative therapeutics. 125 of acute gout (P); esp. useful in acute and rheumatic. R Colchiciae gr. j; ext. colocynth. com. 3ss; quiniae sulph. 5j. M. ft. pil. no. lx. One every four hours (B). Useful in bronchitis, asthma, urticaria, dyspepsia of gouty subjects (R). Is not specific (P). Veratria, as ointment to painful joints (R). Sulphides, as baths in chronic gout, or fumigation with sulphurous acid, and bed-clothes exposed to strong fumes (R); also sulphur-waters certainly benefit (B). Iodine, painted around joints, chronic(R). Strychnia, hypodermically for later stage of gout paralysis (R). Arsenic, very serviceable in a form of chronic arthritis allied to neuralgia (B). Lithium, the bromide internally and a strong solution of lithia to the joints (B); the carbonate (grs. v to the s) on lint around gouty enlargements, joints (R). Manganese, syrup, ferri et mang. iodidi (rrg x-3ss) for the cachectic state (B). Alkalies, to relieve indigestion, especially lithia salts. Alkaline mineral waters have long had a deserved reputation (B). Turkish Baths, are useful in chronic gout(B, R). Aliment. Farinaceous vegetables and acid fruits. Avoid animal or saccharine food. Milk-cure has improved cases, and apparently removed the diathesis (B). Cod-liver-oil in chronic gout(B, R). Myrrh, the tincture for spongy and ulcer- ated gums (P). Pomegranate, the bark as basis of gar- gle for relaxed gums(P). Alum, for spongy and ill-conditioned gums, tending to recede from the teeth. A useful application is: 1$ Aluminis, Sj; vini, Oj; tinct. cinchonae, Sss; tinct. myrrhae, 3ij; mel rosae, Sij. Gargle (B). Rosemary, encourages growth of hair, mitigates baldness, supposed to prevent uncurling in a damp atmosphere (P). pain (ft). Sympathetic irritation, threat- ened metastasis to the inner organs, esp. the heart (JTpi). Ver. vir. , as paint, covered with hot, moist lint (JS). Sulph. for the diathesis, with appropriate diet and regimen (JT). Nux vom. or Puis, will be found indicated during the "forming" stage (JT). Arn. gout follows mechanical injury (JT). Bry. c/>, drop doses relieve pain (R). Ac. benz. symptoms from right to left; a remedy to be prized in gout (Hg). Ledum, sub-acute g. in hands or feet (H). Nux mosch. has some reputation for "gout in the stomach" (JT). Puis, flying pains, digestion deranged, specific in rheumatic gout (JT). Podoph. lx, 2-grain doses, morning and night, for chronic (JS). Useful after acute symptoms subside; or to ward off im- pending attack (JTa). Diet, in acute attacks should be farina- ceous and milk, water ad libitum; en- tire abstinence from alcoholic beverages best; the worst wines are port, sherry, madeira (JS). Local Measures. The affected limb should be raised, and surrounded with hot, moist flannels. Wrap the hands in flannel dripping with water, and cover with water-proof bag, to dissolve gouty deposits (JS). Aeon. 1, Bell. 1, repeated doses to cut short a gum-boil (JT, R). Phos. subdues irritation from gum-boil, prevents recurrence (JT). Mere, Sil., or JTep. sulph. suppurative stage (JS). Merc. corr., Ac nit., Kali chlor., Carbo veg., Ars., Sulph., Staph., for gum-scurvy. Also a carbolic acid wash (R). Ac. phos. for baldness after fevers (JT). Aloes 6, falling of hair in adults (JT). Sarz. changes red hair to flaxen (JT). GUMS. (Compare Scurvy, Teeth.) HAIR. (Compare Alopecia. ) 126 INDEX OF HAY-FEVEE. (Compa Arsenic, cigarettes, 2 or 3 a day, [See Asthma for formula (B). Euphrasia, of decided benefit (Pf). Quinia, very useful after more acute symp- toms subside (B). Injected into the nares checks catarrhal discharge and spasmodic symptoms (P). Ipecacuanha, in hay asthma (R), is of great value, though in some people the smallest dose causes similar sympt's. (P). Iodides, are serviceable. R Potas. iodidi, Sj; liq. potas. arsenit. Sj; aquae Siv. M. Sig. — A teasp. every 4 or 6 hours. Lo- cally at same time to nares and fauces, this: R Tinct. iodinii, 5j; ac. carbol. gtt. x; aquas destil. Siv. M. Apply with post-nasal syringe (B). Aconite, in true hay fever, better than arsenic (R); has been used with best results (P). Coffee, black, is well spoken of (P). HEADACHE, Aconite, to reduce the circulation (R). Veratrum Viride, at menstrual periods (R). Belladonna, relieves cerebral congestion, and distress from light and sound (P); pain over brows and in eyeballs—often due to stomach or uterine derangements —especially in young women, ttjj iij of tinct. every three hours (R). Potassic Bromide, a large dose (gr. xv-xx) in ordinary or sick headaches (R). Potassic Iodide, throbbing, intolerance of light, pain passing from back of neck over vertex to brow, nocturnal, tender scalp, almost unbearable, 10-gr. doses ter die will cure (R). Hydrastis, when constipated bowels (P). Amyl Nitrite, for headaches with severe flushing heats at menstruation or cli- macteric, ir$> 1-30 a sufficient dose (R). Mustard, in hot foot bath, or as poultice to nape of neck in various forms of headache (R). Water. Cold water poured gently over forehead, sometimes warm water better (R). A very hot foot bath often effectu- ally relieves (Wa). re Catarrh, Influenza.) Ars. 2 or 3, is in most favor; with it and Binz's solution of quinine locally, good results are obtained. Ars. iod. discharge thin and acrid (JT). Euph., Gels., profuse lachrymation (ft). Quinia, gr. j ad Sj aquae, injected into the nostrils three or four times daily (R); see Ars., above. Ipec. is strikingly homoeopathic; should be of service, especially where asthmatic symptoms are prominent (H). Sabad. is highly recommended, especially when sneezing is excessive (JT). Kali chlor. 6, in gouty and hemorrhoidal subjects, very beneficial (Js). Kali bich , Sabad., Ars., prophylactic (ft). Ac. carbol. with short, dry cough, dysp- noea, watery eyes, profuse discharge (ft). Baths, cold or tepid, shower, Turkish; removal to coast, or barren country (ft). Salt and Water, sniffed into nostrils (ft). CONGESTIVE. Aeon, arterial tension, excited circula- tion throughout the body (H); with plethora, also Ver. vir. (TS); the latter best remedy for congestive headaches (JTa). Bell, hypersemia of head and neck, flush- ed face, burning of eyes (JJ); throbbing arteries, sensitive to light and noise (ft). Bry., Nux vom., dyspepsia and constipa- tion, pain increased by motion and stooping. Bry. pain in forehead, with giddiness. Nux, pain occipital, aggra- vated by mental exertion (JT. R). Glon. active congestion, much throbbing (JT); headache in the morning (ft). Gels, or Opium, passive congestion. Gels. giddiness; Opium, sleepiness (JT). Gels., Cad. aching eyeballs, giddiness (ft). Quinine, 1-3, continuous, with tendency to deafness and noise in ears (JT). Chin. sulph. when periodical (JS). Sang, frontal headache in females (ft). Cimicif. pulsative headache (R). Hell, at night; occipital, nape of neck (JS). FeiT., Sulph., Sep., Calc. carb. maybe in- dicated by the general condition of the patient (JT). comparative HEADACHE, NEEVOUS. Belladonna, "5 iij of tinct. every 3 hours, when pain over brows and in eyeballs, esp. when at menstrual periods; also when from over-study or fatigue (R). Nux Vomica, if with gastric symptoms(R). Silver Nitrate, y-gr. doses with minute doses of pil. coloe. comp., invaluable in headaches of hysterical women, and esp. stomach headaches of delicate and literary men (Wa). Ignatia, removes clavus hystericus (Pf). "Ammonia, the aromatic spirits (5ss-5ij) or the carbonate (gr. v-x) in nervous head- ache (B); the hydrochlorate (gr. x-xx) in bilious and hysterical headaches, esp. in hard-worked and delicate young women (Wa). Amyl Nitrite, inhaled, pallor of face(B). Arsenic, throbbing supra-orbital (R). Cimicifuga, in nervous or hysterical wom- en, esp. at menstrual periods (R); in rheumatic headaches and menstrual (P). Coffee and Tea, when from nervousness or exhaustion (R); coffee esp. useful (P). Guarana, a very effective palliative, gr. xx every yi hour for 3 doses (P). Cannabis Indica, in neuralgic headache, \i to y gr. doses of extract, 2 or 3 times a day (P). Cajeput oil, well rubbed in bis die (P). Potassium Cyanide, in reflex headaches, as gastric, cardiac, pulmonary, men- strual. Bi Pot. cyanidi, gr. x-3j; aquae lauro-cerasi, Siv. M. Sig.—Apply a com- press, moistened with the solution, to seat of pain for ytoy&n hour (B). Valerian, is of great value in excitable persons (P). Camphor, a saturated solution in eau de cologne rubbed on head, when of uter- ine origin (R); in hysterical females, in- ternally, with magnesic carbonate (P). Podophyllum, purgative doses often give relief when near menstrual periods, with constipation and dark stools (R). Zinc Oxide, 2 to 5-gr. doses useful (R). Ether Spray, for frontal headache after acute illness or fatigue (R). Chloroform, ftp xv-xxx of the spirit in- ternally, often effective (Wa). THERAPEUTICS. 127 , (Compare Hemicrania.) Bell, for women and children (JT); red face, throbbing arteries, sensitive to noise, light, etc. (R); right-sided head- ache, aggravated by motion, jarring(JTpi) Nux vom. best for men(JT); persons of sedentary habits, who study much (ft). Sensation as if skull would split, worse during motion or stooping (L). Arg. nit. dull, chronic headache of liter- ary and business men (JT). Ignatia, "clavus" (JT); monthly or bi- monthly, weight at back of head (R); periodical, pains press from inside out- wards (L). Amm. carb. aggravated by closing the teeth (JT); sensation of looseness of the brain, it falling as one leans (L). Amyl nit. crescendo decrescendo head- ache, face pale (L). Ars. periodical, in forehead and orbits (JS). Cimicif. climacteric, aching eyeballs (JTa). Coffee, with insomnia (JS); nervousness and exaltation of senses (L). Paullinia y, Iris 3*, Caffein 2*. Coffea 30, Ars. 30, Coloe 3, Atropine 3, Cham. 3*, Zinc. val. 2*, Val. 6, Champagne wine(JToicom6e) Solanum, headache in one spot, as if nail being driven in (JS). Aloes, heavy, dull, frontal pain (JT). Gels, with giddiness (JS); occipital (L). Chin, sulph. 2*, periodical (JS); better from moving up and down (L). China, Ac. phos., Ferr. headache from de- bilitating discharges (R). Hell, stunning, stupefying headache (R). Phos. eyes implicated (JS); brain-fag (L). Bov. head feels as if swelling (JT). Cact. constrictive sensation, vertex h. (JT). Piper methys. headache relieved when thinking of something else (L). Amm. pic. 2*, headache from intellectual effort, periodical. Requires long-con- tinuous use (JTa). Ar?'cc. brom. 2*, 4*, periodical and neural- gic headaches; bruised aching, with heaviness, vertigo when rising (JTa). Cyprip. as palliative, when insomnia, cerebral hyperaesthesia (JTa). Nice sulph. y, a remedy of considerable power in nervous and sick h. (Holcombe). 128 index of HEADACHE, BILIOUS-SICK Nux Vomica, gtt. j of tinct. frequently, when acute gastric catarrh, with head- ache and nausea (R). Iris, blinding headache in right supra- orbital region, nausea, vomiting, usually the result of hepatic derangement, njj every half-hour for 3 doses. Usually relieves promptly (Pf). Bryonia, ordinary bilious, with vomit'g (P). Picrotoxine, gr. 1-20 by stomach, in peri- odical (B). Chamomile, a popular remedy (R). Podophyllum, in sick headache, with dark, bilious diarrhcea, or constipation with dark motions (R). Sanguinaria, when due to stomach de- rangement; a few doses relieve (P). Hydrastis, from constipated bowels (P). Mercury, as " blue pill," to prevent or mitigate; or gr. 1-100 of bichloride when with light-colored diarrhcea (R). Sodic Phosphate, a useful laxative in so- called "bilious-sick-headache" (B). Potassic Bromide, a large dose in ordi- nary, or sick-headaches (R). Ginger, in paste, as counter-irritant (P). Water, as cold or hot effusion, or ice- bag to head; hot sometimes best. The purgative waters (as Friedrichshall) be- fore breakfast in a cup of hot water (R). Capsicum, in atonic dyspepsia, with heart- burn and diarrhoea (P). Nux Vomica, of the highest possible value in atonic dyspepsia with heartburn, hic- cough, regurgitation, etc. An excellent combination is: R Tinct. nucis vom. it); v-x; acidi nit. dil. 115 xv. M. Sig.— One dose (P). Pulsatilla, a good medicine in heart-burn of dyspepsia in phlegmatic subjects (P). Podophyllin, gr. 1-10 night and morning in obstinate heartburn, with liver de- rangement (P). Almonds, six or eight blanched, said to Telieve heartburn (P). Nux vom. 2*, every 2 hours, followed by Bell, after a few times, to shorten attacks (ft); valuable (JT); nervous and sick headache with constipation (ft). Iris, a sheet-anchor,especially when attack begins with blur before the eyes (JT); much vomiting of bile (JS). Bry. very useful in headache increased by stooping, relieved by pressure (JT); worse with every movement, vomiting bitter fluids (R). Cocc. when nausea, flushed face (R). Cham, in women, from cold or worry (JS). Podoph. bilious headache, alternating with diarrhcea (L). Gels, blinding headache, giddiness (JS). Chelid. 3, clearly of hepatic origin (JT). Ipec. intense sickness, much retching (R). Nice sulph. bi-monthly headache, worse at root of nose, nausea, distress (R). Ver. alb. pain in eye-ball, coldness of skin, prostration (R). Aeon, vomiting of bile, from cold (JS). Sulph. 12, Cimicif., Lach., climacteric (JS). Cimicif. pain in eye-balls (R). Stann. attaining a climax and then de- creasing (JS); crescendo decrescendo (H). Lach. pale face, nervous, sick (JT). Naja, temporo-frontal, dull pain (JT); a very valuable remedy (Holcombe). Caps. $, at the time of suffering (JT). Nux vom. heartburn with acidity, in dark, bilious, sedentary subjects (R). Puis. , with diarrhcea and acidity (R); taken regularly between paroxysms (JT). Puis., Caps, the most useful; especially in pregnancy, when heartburn without acidity (H). Bism. 3* trit, Iris, Bry., Ver. alb. lx, Car- bo veg. 12, Calc. carb. 12-30 (R). Calc. if with acidity in pregnancy (JT). Rob. with chronic acidity (JS). Diet, lemon-juice, aerated bread, plain biscuit, etc.; but avoid new bread, much vegetable food, and pastry (R). HEAET-BUEN. (Compare Acidity, Dyspepsia.) COMPARATIVE THERAPEUTICS. 129 HEAET ] (Compare Angina Pectoris, Drops Aconite, in the highest degree serviceable to diminish excitement or irritability. Is more a remedy for functional de- rangement than for organic disease (Wa). In pericarditis (R). Nervous palpitations and hypertrophy (B, P). The heart sel- dom affected in rheumatic fever, if aco- nite be used from the start (P). Veratrum Viride, as cardiac depressant (B). Cimicifuga, safer than digitalis in fatty heart (B). Its action is strongly stimu- lating and tonic; it relieves excessive dyspnoea when weak heart (P). Arsenic, for dyspnoea from weak heart (R). Digitalis, acts as a stimulant tonic (P); small doses for its sedative action; tonic or physiological doses to create hyper- trophy in dilatation (Tr); irregularity of pulse its best indication (R). Irritable heart (Da Costa). The freshly-made in- fusion the best preparation (B). Strychnia, in medicinal doses, said to strengthen heart-beats (R). Blisters, flying, over praecordial region, to stimulate action in extreme weakness(R). Alcohol. Brandy when heart suddenly en- feebled by fright, loss of blood, etc. (R). Iron, useful in various forms; esp. anaemic and palpitation. Also in dilatation and fatty heart, and mitral regurgitation (B). Hyoscyamus, in functional derangement from emotion, is specially indicated; re- quires large doses (nj xl-lx), or gr. 1-48 of hyoscyamiae sulph. hypoderm. (Wa). Amyl nitrite, relieves heart-pains resisting all other treatment (W). Digitalis, where much dilatation, and hy- pertrophy of left ventricle without valvu- lar disease. Is not contraindicated when aortic disease (R); physiological doses (Tr). In simple dilatation, gives most favorable results (W). Very useful (P). Morphia, hypoder. gr. y~y 2 or 3 times a week in dilated heart with dyspncea (B). Amyl Nitrite, dyspnoea from dilatation (R). E ', Endocarditis, Pericarditis, etc.) Aeon, a great, if not our greatest remedy in rheumatism of the heart, large doses (lower attenuations) necessary. A use- ful palliative in organic heart disease (Hpl); also in palpitations, spasms, in- flammations (JT, JS, JJpi). Ver. vir. in cardiac debility, with diar- rhcea, faintness and collapse (JS); minute doses (3x), large ones exercise very de- pressing action. Has action similar to Aeon., without the anxiety. Of value in hypertrophy with dilatation, and for in- tense pressure of blood in head (here c/>) from hypertrophy with enlargem't (JTa). Cimicif. rheumatic heart (JT). Ars. in chronic organic disease (JT); in carditis cerosa, and scorbutica, and fatty degeneration (Hpl). Dig. heart weak, painful; cyanosis (JT). [See the various articles on the Heart.] Cact. for all over-actions (H); in cardiac spasm, sensation as if heart is tightly grasped (JS), or as though a band of iron compressing it (Hpl). Apoc. cann., Apis, dropsical effusion within the heart's sac (JTpO- Camph., Mosch. various paroxysmal suf- ferings (JS). Mosch. hysterical (JT). Lach., Naja., nervous irregularities (H). Lycop. in functional diseases (II). Spong. valvular diseases, sense of suf- focation (JT). Merc biniod. in valvular disease (JT). Sumbul, has many cardiac symptoms of unique character, and should prove a valuable remedy in many forms (JTa). Dig. , 1*, 2x, continuously (JT); irregular pulse, dilatation (ft); in hypertrophy with dilatation, weak heart, etc. (JTa). Gels, patient fears every movement (JTa). Tabae sleeplessness coexisting (JT). Cerasus, a valuable palliative (JTa). Ver. vir. has done good service (JTa). Iron, acts dietetically, is a suitable ad- junct to nourishing regimen (JT). HEAET DILATED. 130 INDEX OF HEAET, Iron. The tinct. ferri perchlor. in small doses for a long time, has been of re- markable benefit (Wa). Cimicifuga, safer than digitalis (B); the latter should not be used (Wa). Strychnia, often the first remedy to do good. Unduly pushed, will produce nervous worry, and be injurious (P). Ergot, occasional doses have been given with apparent benefit (Wa). HEAET, HYP! Aconite, often better than digitalis (R); dangerous in hypertrophy of left side, with diseased valves, but useful in sim- ple hypertrophy (P); for over-action, with hypertrophy (B). Digitalis, very useful in pure hypertrophy due to valvular disease, or excessive muscular exertion (R). The primary ac- tion (small doses) required, as it creates hypertrophy when given in physiologi- cal or tonic doses (Tr). Veratrum Viride, as a cardiac depressant (gtt. v ter in die) will relieve in simple hypertrophy, and irritable heart from abuse of tobacco, etc. Inadmissible when valvular lesions exist (B). Lead Acetate, for violent palpitations, in some instances (Wa). Amyl Nitrite, in dyspncea, syncope (R). Ergot, in enlarged heart, may be com- bined with digitalis. R Ext. ergotee fl. Siijss; tinct. digitalis, Sss. M. Sig.—A teasp. ter die (B). Potassic Iodide, small doses long con- tinued, benefit some cases (Wa). Camphor, in doses of gr. iij-xij daily for tumultuous palpitations, and dyspncea of hypertrophy with dilatation (Wa). Aconite, for "fluttering" of nervous per- sons, and nervous palpitations (R); for over-action, with hypertrophy (B); for palpitation with simple hypertrophy (P). Hydrocyanic Acid, when from dyspepsia (P). FATTY. Ferr,, Dig., may be given to strengthen the muscle when fat is deposited upon the organ (JT). Ars., Ac. phos., are the remedies most suitable, especially the former (JT). Phos. seems likely to take first place (JT). Arn. for the attending dyspncea (JT). Diet and mode of life should be regulat- ed so as to avoid obesity, in the form mentioned above under Ferr. (JT). Aeon, for acute palpitations, relieves the spasms and permanent distress (JT, JS); in congestion, with hypertrophy from rheumatic inflam., valvular disease(JTpi) Dig. 6, for pure hypertrophy (JTa); strong action, with contractive pain, sense of oppression (R). Dig., Iberis, Lycop. with dilatation (JTa). Ver. vir. has done good service, as a con- tinuous remedy in hypertrophy with dilatation (JTa). Plumb, acet. stitches during inspiration, anguish, palpitation, rush of blood to the heart during a rapid walk (JS). Cactus, hy. with enlargement, constricted pain as though grasped (JTa). Lycopus, , from worms (JT); stabbing pain(JS). EETEOPHLED. COMPARATIVE Spigelia Anthelmia, when due to mitral and aortic disease, with much dyspncea (P). Digitalis, in small doses as sedative (Tr); combined with iron in palpitations with valvular disease, or alone in very severe cases (Wa). Camphor, recommended in nervous pal- pitations (R). Veratria, as ointment to chest, when rapid, irregular pulse, hurried breathing, drop- sy and lividity, palpitation, inability to lie down (R). Bromides, in "fluttering" heart (B). Hyoscyamus, in nervous, and violent pal- pitations from excited state of the brain (P); in large doses, for functional dis- turbance arising from emotion (Wa). Valerian, nervous, with dyspnoea (P). Eucalyptus, palpitation and weak heart(B). Galvanization, of cervical sympathetic, and pneumogastric, for palpitation (B). Hot Foot-bath relieves palpitations (R). Milk-cure, has been beneficial in irregu- lar action (B). HEAET, VALVULAE DISEAS! Aconite, useful for the palpitation, but dangerous in hypertrophy of left side with diseased valves (P). Digitalis, in aortic regurgitation (R); most effective in mitral insufficiency (P); in rapid action with low arterial tension; and in mitral disease. Infusion best, tablesp. doses bis die. Or with anaemia; IJ Pulv. digital. (English) 3ij; ferri. re- dacti, quiniae sulph,, iiaSj. M. ft. pil. no. xx. Sig.—One bis vel ter in die (B). Morphia, hypodermically for dyspnoea, better in mitral than in aortic disease (R). Purging, with jalap, etc., in engorgement of right side of heart (R). Quinine, large doses, gr. xv-xx daily, if stomach and intestines don't rebel (P). Prunus Virginiana, the bark has been found useful, esp. when irritable cough (P). Lime Phosphate, is especially useful (R). Calumba, excellent for tonic effects (P). THERAPEUTICS. 131 Dig. irregularity of action, great distress. The infusion best (JS). Palpitations from sexual excess (B). Camph. various paroxysmal sufferings(JS); in nervous palpitations (JT). Ver. vir., China, Ac. phos., Ferr., palpita- tions from debility (ft). Aeon., Cact., plethoric cases; Spig., Puis., anaemic ones (JT). Ac. phos. from sexual excess (JT). Mosch. the best remedy for nervous and functional palpitations; also in those of hysteria (JT). Coff. when from psychical causes, unless a coffee-drinker, then Nux vom. (JT). Iod. nervous system depressed, melan- choly, hypocondriasis (JT). Nux mosch. in cardiac disturbances of hysteria (II). Lil.tig. reflex from uterine disorders (TT, JS). Sulph. very useful in gouty cases (B). China, when from tea-drinking (JT). Tabac is useful in non-smokers (JT). Atrop. simple nervous palpitation (JT). 5 OF. (Compare Endocarditis.) Aeon, during convalescence from endo- carditis, especially when in children, and at aortic orifice (Js). Naja, also rec- ommended here, also Spongia, when starting from sleep with fear of suffoca- tion (II). Aeon., Camph. relieve acute paroxysmal attacks (JT). Digitalin, in mitral insufficiency, aortic constriction, and many valvular diseas- es with cardiac debility (JTa). Ars., Plumb, when idiopathic (JT). Cact. much excited action of heart (H); palliates unless disease is advanced (JTa). Spig. steadily, if much pain (JT). China, the great anti-hectic, esp. with de- bility, from drain on system (JT). Cerasus virgin, a valuable palliative in hectic of phthisis (JTa). Ars. in hectic of phthisis, and of febrile marasmus of children (H). HECTIC FEVEE. (Compare Perspiration.) 132 1NDE Digitalis, tinct. 5iij; tinct. ferri chloridi 5 v. M. Sig.—15 drops 3 or 4 times a day; will abate temp, and sweats (B). Iron, the mistura ferri composita has ob- tained great celebrity, esp. when much debility and anaemia (Wa). Ipecacuanha. A few grains of Dover's powder at bedtime, will stop the profuse perspirations (Wa). Salicin, for profuse perspirations (Wa). Gels, arrests paroxysms for long time (JTa). Bals. peruv. from suppuration (JTa). Ac hydrocy. tendency to sudden and ex- hausting flashes of heat, followed by perspiration (Hpl). Ac. phos. modifies if does not cure the sweat, suppuration, and fever (Hpl). Aeon, when profuse and debilitating night-sweats, may prove excellent (JJpi). Bapt., Calc. carb., hectic of phthisis(JTpi). HEMATEMESIS. Ipecacuanha, is decidedly effective in small doses, also when hematemesis is vicarious of menstruation (P,Wa). Hamamelis, ttr j—ij of tinct. every 2 or 3 hours (R); effective from its tannin (B). Alum, serviceable in passive hemorrhage; iron better (B). Turpentine, esp. in passive hemorrhage with debility. R 01. tereb. 5iij; ext. digital, fl. Sj; mucil. acaciae, Sss; aquae menthae pip. sj. M Sig.—A teasp. ev- ery three hours (B, R). Ergot, has often cured when other means failed (P); most valuable. In urgent cases ergotine in 2 to 5-gr. doses hypo- dermically (R). Iron, the subsulphate (Monsel's sol.) or pemitrate, the best remedies. Gtt. j-ij frequently, diluted with ice-water (B). Lead Acetate, especially in gastric ulcer, gr. ss-gr. v (B). Tannic Acid, gr. x-aj, when from gastric ulcer or obstructive disease of liver (B). Ipec. to check, deserves the preference (H); bright-red blood, with sickness (ft) Ham. also excellent (JT); venous blood (R); from damaged liver or spleen (JTa). Am. if from mechanical injury (H, Hpl); dark blood (JS). Ars. dyspnoea, burning heat, thirst (JS). Aeon, flushed face, full pulse, and in plethoric persons (R); may arrest (JTpi). Ac. sulph. preferable when from ulcera- tion, from stomach, or local causes (JTa). Ac. nit. chronic; black,fluidblood,mucus, pain and burning in the stomach (JTpi). China, debility from hemorrhage (ft). Sang., Trillium., are useful (JTa). Uran. nit. when from gastric ulcer (JTa). Ice, small pieces swallowed a most useful agent, with perfect res*; for stomach; when hematemesis liom thaf -, gtt. xx during 24 hours, to pre- vent the hemorrhagic congestion, with absolute rest in the horizontal posture, during next period, to prevent recur- rence (Js). COMPARATIVE THERAPEUTICS. ?33 HEMATUEIA. Turpentine, when with constitutional de- bility (B), in very small doses (R); often is very efficacious (P). [See ante, Hemate- mesis, for formula], Hamamelis, has arrested severe cases (R). Chimaphila, controls hematuria (P). Gallic Acid, the most uniformly successful remedy. R Acidi gallici, Sss; ac. sulph. dil. 5j; tinct. opii deod. 5j; infus. rosae comp. siv. M. Sig.—A tablesp. every 4 hours or oftener (B). Quinia, large doses necessary; cures when intermittent or from malarial infection (B); useful in some cases of intermittent hematuria (R). Ergot. R Ext. ergotae fl., tinct. krameriae aa Sij. M. Sig.—A teasp. every hour or so. Or ergot with gallic acid (B). Iron. Tinct. ferri perchlor. uj x-xx several times daily; the best form of iron for internal use (Wa). Ipecacuanha, exercises a powerful influ- ence (Wa). [See ante, Hematemesis.] HEMEEALOPIA A Strychnia, night-blindness; small doses, gradually increased, of service (Wa). Mercury. Hydrarg. chlor. corr. gr. ij ad aquae Sj, dropped into the eye twice daily, with blister on each temple, and mild aperients, cured hemeralopia(Wa). Quinia, in as large doses as can be borne, after cathartic and emetic, for night and day-blindness (Wa). Blisters, small, iy inches in diam., close to external canthus of the eye (Wa). Electricity, occasionally useful (Wa). HEMICEANIA. Belladonna, when due to vaso-motor spasm, pallor of face. R Atropiae sulph. gr. ss; chinoidin 5J. M. ft. pil. no. lx. Sig.—One pill twice or thrice a day (B). Iris, in blinding form, from hepatic trouble, right supra-orbital region; 115j every half-hour for 3 doses, usually re- lieves promptly (Pf). Tereb. takes the first place; gtt. j ter die; a valuable remedy (JT). Ham. (JS); frequently indicated (JT); the 1st has acted promptly (Js). Chimaph, has been found useful in severe hematuria (JS); when passive; symp- tomatic form (JTa). Ac. gall. 1", grain doses gives good effects in hemorrhages of kidneys after scar- latina, in Bright's disease, and after injuries (Ha). Phos. 6, with Ham. dilute, injected into bladder ter die, cured a severe case (Id). Bell, may be all that is required in renal hyper3emia,from cold,scarlatina, etc.(JT). Millefol. <)>, in y-dwp doses (H); has been used successfully (Hg). Erig. lx, or 3* trit. of the oil, valuable (JTa). Erecth. for passive hematuria (JTa). Equis. an old domestic remedy; the in- fusion drank ad libitum (JJa). Urt. ur., Thlaspi, have been used with advantage (JTa). SD NYCTALOPIA. Bell, has often relieved hemeralopia(JTpi): has cured hem. several times (JT). Lye is spoken of very highly (JT;. Tabae hemeralopia, in non-smokers (JT). Aeon., Mere, Sil,, Sulph., sudden nyc. (L). Rest, protection of eyes from bright light, constitutional remedies, as indicated by state of general health,change of climate, speedily cures hemeralopia (.4). It is sometimes merely a symptom of pig- mentary degeneration of the retina, or a feature of scurvy (JT). Bell. 3 to 6, generally best in recent (JT); face red, eyes hot and feeling large (JS). Iris, bilious vomit., blur before eyes(JT, JS). Ars. periodic, burning pains, left side in- creased at night, or during rest (R); emi- nently adapted as a curative agent (Hpl). Aeon, from cold, anxiety; pain severe, paroxysmal, worse at night (ft). •e Headache, Neuralgia.) 134 INDEX OF Arsenic, for cerebral congestion and hemi- crania (B); for throbbing pain in one brow (R); often has the best effect. Watson believed that gtt. iv-vj of liq. arsen. 3 or 4 times a day, with due atten- tion to the bowels, would cure 9 out of every 10 cases (Wa). Aconite or Veratria, oint. over brow (R). Phosphorus, is strongly recommended (R). Amyl Nitrite, by inhalation, in migraine, with pallor of face (B, R). Sanguinaria, a few doses very successful, when m. due to stomach derange't (P). Ignatia, removes clavus hystericus (Pf). Nux Vomica, when of gastric origin (R). Cimicifuga, is strongly recommended (P). Guarana, is useful (B); a very effective palliative; gr. xx every %-hour, for 3 hours (P); efficacy diminishes by degrees, attacks usually become longer (Tr). Caffein, in typical migraine; gr. j ad trp xxv-xxx aquae, hypoder. (P); is espe- cially adapted when chronic gastric catarrh, gr. j every %-hour (B). The citrate in grain doses every hour, for some time before a paroxysm (Wa). Valerian, of especial value when in ex- citable temperaments; after profuse or painful menstruation (P). Ammonium Chloride, is exceptionally ser- viceable; seldom fails to cut short an attack (Austin) x-xv gr. doses (B, R). Podophyllin or Mercury, bilious origin (R). Bromieles, for true migraine. Raspail's eau sedatif locally, gives great relief (B). When due to uterine disorder (R). Pot. Brom. very serviceable in the parox- ysm, also in continuous form (R). Eucalyptus, in cerebral anaemia (B). Digitalin, granules (gr. 1-60 bis die), for congestive hemicrania (B). Ergot, if due to miliary aneurisms of intercranialarterioles; also in congestive migraine, and in nearly all kinds (B). Cannabis Indica, in pill with iron or aloes, useful when attacks become frequent(R). Croton-Chloral, in milder forms, without severe vomiting, headache predominat- ing. Bromides useful afterwards (R). Camplwr, gr. iij-v, with xx or xxx-graiu dose of magnesic carbonate, is very use- ful, especially in hysterical females (P). Ver. alb. sensation of icy coldness in part affected (R). Phos. nervous debility, overwork (R). Amyl nit. nearly unbearable, gradually in- creasing and decreasing, temporal ar- teries beating, especially left side (L). Sang. 12, especially suitable to women at the climacteric (JT). Ign. in form known as "clavus;" nervous, depressed subjects, face pale during paroxysm, clonic spasms, diuresis (JT). Nux vom. thin, slender persons, of seden- tary habits, constipation, dyspepsia (JT). Cimicif. climacteric, aching eye-balls (Ha). Guarana, very effectively used (JTa); esp. for persons using tea and coffee to ex- cess; flushed face after eating; patients of sedentary habits (L). Caffein 3*, has been found curative (JTa).. Coffea 12, may be of eminent use (JTpi). Siann. a favorite of mine; pains crescendo decrescendo (H). China, from malaria, loss of blood or other animal fluids (R). Chin sulph. par- oxysmal, every or every other day (Hpl). Calc acet. radical for chronic cases, esp. in lymphatic subjects, coldness of head, acid eructations and vomiting (JT). Sepia, as radical remedy has the largest testimony, chronic in women with leu- corrhoea, hepatic and abdominal con- gestion, florid complexion (JT). 4c. carbol. pain above right eye (JT). Asaf. hysteric hemicrania, with flushed face, heat in the head, dryness of the eyes, and gastric derangements (JTpi). Bry. rheumatic, arthritic or nervous form, aggravated by movement (JTpi). Silica, pain ascending from nape into head (JT); cerebral congestion, sensitive- ness of scalp, alopecia, perspiration pro- fuse on hairy scalp (B). Aur. mur. hysteric hemicrania, with con- gestion of brain, stitching pain in left side of head (Hpl). Calc. earb. hysterical, with eructations, nausea, cold sensation in head (JTpi). Sticta, has proved curative (J,). Zinc, valer. used very successfully (JTa). Hepar sulph. perodical, boring pain (JTpi). Verbas. , when with sympathetic ear affection (JT). COMPARATIVE THERAPEUTICS. 135 HEMIOPIA. When established, hemiopia offers little hope of cure, though it has no tendency to progress. In hemiopia scintillans, Potassic Bromide gr. xl-lx daily, or band of such metal as idiosyncrasy of the patient may decide, with stimulants to ward off the aura; Quinine, Iron, Hydropathy, when Potas. Brom. fails (De Wecker). Aur., Dig., upper half of obj ects invisible; have caused hemiopia (JT). Cycl., Lith. carb., Lye, have produced it, with right half obscured (JT). Bov., Calc, Lobel., Ac. mur., Natr. mur., Quin., Viola odor., possible remedies for vertical hemiopia, either half being invisible (A & N). HEMIPLEGIA. (Compare Paralysis.) Strychnia, is most useful when members are relaxed; hypodermically, when pa- ralysis incomplete, and the muscles flaccid but not wasted (B). [See Paraly- sis for formula.] Potassic Iodide, gr. x-xviij daily, occa- sionally proves effectual (Wa). Galvanism, constant current to the brain or cord, faradic to the muscles opposite those contracted (Hammond, B). Nux vom. 4>, Bary. carb., Lye, right side (R). Rhus, creeping numbness in left arm and leg, rheumatic paralysis (JS). Caust. from exposure or suppression of an eruption, shifting or rheumatic pains (Hpl); the first remedy in post-apoplectic hem.(B, J); then Zinc, Cupr., Plumb. (B). Cocc. is also in repute here (JT). Aeon., Atrop., hemiplegia of the tongue, bladder, etc. (R). HEMOPTYSIS. Hamamelis, "Sj-ij of tinct. every 2 or 3 hours (R); "8 ij-x of fresh tinct. several times a day (Pf). Ipecacuanha, has been highly praised (R); in emetic doses (Tr); arrests, as emetic (B); arrests, though in poisonous doses producing hemoptysis (P). Ferric Acetate, a little added to water so as to taste, this constantly sipped (R). Iron spray will often arrest (B). Digitalis, has undoubted power over he- moptysis (B). Small doses daily (P). Infusion in large doses (R). Arnica, ofgreat service, if from violence (P). Aconite, employed with best results (P). Gallic Acid, fy Acidi gallici Sj; ergotine (aq. ext.), digitalis, aa 3j. M. ft. pil. no. xx. Sig.—One every 4 hours (B). Is often exceedingly effective (P); often acts beneficially (Wa). Opium, should be freely used for the at- tending excitement (W). Turpentine, 5j as dose every 3 hours (R); has frequently checked (P); after other hemostatics fail, is deserving of trial (Wa;. Ham. a precious remedy when blood is black (Js); reliable, when flow is pas- sive, from venous hemorrhage (JT); by some is considered almost specific; esp. useful when hem. is vicarious from sup- pressed menses (Ha). Ipec. with cough, tickling behind the sternum; holds high rank(JT); sensation of bubbling in the chest. Low dilutions alternately with Millef. (Js). Ferr. acet. 1", a favorite remedy (JT). esp. when hemorrhage is laryngeal or tra- cheal, with frequent tickling cough (JS). Dig. from mechanical embarrassment of the circulation (II); blood black (Js). Arn. , 6, abundant^ blackish blood with clots; great sadness. Esp. useful when with heart disease or traumatism (Js); from violence (JT). Aeon, indispensable in some sthenic cases (JT); blood red, frothy, incessant cough, hot chest, anxiety, red face. Low dilu- tions, repeated very often (Js). Ac. gall. 1* trit. gr. ij every hour in severe hemop. from ulceration of artery (JS). 136 INDI Ergot. R Ext. ergotae fl. jiij; ext. ipecac. fl., tinct. opii deodor. aa Sss. M. Sig.— A teasp. every %-hour (B); or ergotine in 2 to 5-grain doses, hypodermically, in urgent cases (R, P). Alum. R; Aluminis 5j; sacch. alb. sss; pulv. ipec. comp. 3J. M. ft. pulv. no. vj. Sig.—One powder every 2 hours (B): serviceable in purely atonic hem. (Wa). Lead Acetate, most useful. 'R Plumbi acet. 3ij; pulv. digitalis 3j; pulv. opii gr. x. M. ft. pil. xx. One every 4 hours (B); proves signally useful (Wa). Sodic Chloride, half a teasp. of common salt taken dry, repeated till nausea (R). Sulphuric Acid, the dilute acid a useful adjunct to other treatment (Wa). Spinal Hot-Water Bag, to cervical or upper dorsal vertebrae (R). Auxiliaries.—Cold externally, acidula- ted drinks, perfect rest, and antiphlo- gistic diet (Wa). Hamamelis, njj-ij of tinct. every 2 or 3 hours, effective in many forms -(R). Ipecacuanha, produces hem. in poisonous doses, yet has great energy in arresting it(P); exercises a powerful influence on internal hem. generally, and in exhaus- tion therefrom; gr. j-ij every 14-hour (Wa). In emetic doses serviceable (Tr). Arnica, from mechanical violence (P). Turpentine, few agents more useful in the passive forms (B); small doses in hema- turia (R); for seri*us hemoptysis, and hemorrhage of typhoid (P). Belladonna, hem. from rectal ulcers (P). Digitalis, in uterine, and many other forms, of great value (P); with resto- ratives has undoubted power in the hem. diathesis (B). [See Hemoptysis.] Chimaphila, controls hematuria (P). Gallic and Tannic Acid, in all passive hem., esp., in that of the bladder (P). £ OF Morphia, small doses subcutaneously, exert prompt control over hemop. (ft). Mill'/, is most frequently prescribed; al- most always justifies its indications. Blood red, frothy, ejected without coughing (Js); esp. when with amenor- rhoea, or following suppressed lochia in puerperal state (Ld). Phos. the principal remedy when hemop. with dangerous cases of fever (Js); or with hemorrhagic diathesis (id); in- flammatory symptoms supervening (JT). Ledum, when abundant red and frothy blood; tickling in larynx and trach.(J*). Bry. when vicarious to menstruation (JT). Collins, with hemorrhoids, passive (JTa). Cact. if from overaction of heart (JT). Senecio, has a general curative effect (JTa). Lycop. has proved ofgreat value (JTa). Adjuncts. Rest, silence, cold (H). Ice swallowed, not sucked, and ice in blad- der on chest (ft). Ham. venous hem., also uterine (JT). Venous hemoptysis, without effort (L); hem. from deranged liver or spleen (JTa). Ipec. holds high rank; deserves the pref- erence in hematemesis (JT); bright-red blood, with sickness (JS). Arnica, dark blood, from mechanical injury (R, II). Tereb. takes the first place in hematuria; <£, gtt. j ter die, a valuable remedy (JT). Bell, in some uterine hemorrhages; also in epistaxis, plethoric patients, red face (L). In renal hyperaemia from cold, scarlatina (H). Digitalis, in hemoptysis from mechanical embarrassment of circulation (JT). Chim. in hematuria and passive hem.(JTa). Ac. gall, lx trit. gr. ij every hour in severe hemoptysis from ulceration of artery (ft). Ac. sulph. preferable in hematemesis from ulceration or other local causes (JTa). HEMOEEHAGE, HEMOEEHAGIC DIATHESIS. (Compare Dysentery, Epistaxis, Hematemesis, Hemoptysis, Hemor- 4 rhoids, Hematuria, Hemorrhage Post-partum,—Intestinal, Menorrhagia, Metrorrhagia, Purpura, Wounds, etc.) COMPARATIVE ' Acids. Sulphuric sometimes very effective in uterine hem. (B). Dilute Vinegar to leech-bites, piles, cuts, etc. (R). Aconite, in hemoptysis, epistaxis, etc. (P). Iron, when hem. diathesis due to anaemia; the tinct. of the chloride preferred (B). The tinct. ferri perchlor. as styptic (Wa); 1 or 2 teasp. of the concen. solution in a glass of water, an excellent hemostatic (Tr). The acetate, just enough to make water taste, in hemorrhage of lungs and kidneys (R). Cinchona, internally, very efficacious in some forms of hemorrhage (Tr). Ergot, in uterine hem. of any kind, and many forms of hem., ergot or ergotine of great value (P); not to be relied on alone (B). Cupric Sulphate, to arrest bleeding from small vessels (R). Alum, is sanctioned by high authority (B); dusted on in slight cases (R); in uterine and traumatic, small vessels open (Tr). Nux Vomica, in hem. diathesis,- esp. in anaemic subjects. R Ferri sulph. cxsic. 3ij; quiniae sulph. aj; strychniae sulph. gr. ss. M. ft. pil. no. xx. One ter die. Also the syrup of iron, quinia, and strychnia; no prescription more gen- erally useful (B). Rhatany, the extract, one of the most powerful hemostatics (Tr). Grape-cure, as tonic for convalescents (P). Alcohol, in hem. diathesis, to elevate the arterial tension (B); brandy, wine when heart suddenly enfeebled by hem. (R). Venesection, will promptly arrest pulmon- ary hemorrhage (B). Transfusion, when death imminent (B). Turpentine, should be used (B); esp. in typhoid (P). [See Hematemesis, for formula.] Belladonna, for irritable rectal ulcers (P). Iodine, in passive, gtt. j-ij of tinct. fre- quently repeated, of great service (B). Sulphuric Acid, is serviceable (B). 'HERAPEUTICS. 137 Aeon, in active hem. (JT); flushed face, full pulse, plethoric patients (R). Ferr. acet. 1*, a favorite remedy, esp. when from larynx or trachea, with fre- quent tickling cough (ft). Ferr. perchlor. used empirically in strong doses for copious, rebellious hem. (Js). China, hem. from atony of uterus (L); al- so for resulting debility from hemor- rhage of any kind (R, H). Secale, hem. from uterine inertia (JT). [See Hem. Post-partum]. Millefol. lx, acts well, is homoeopathic; the will aggravate (JT). Phos. undoubtedly the best remedy for the hemorrhagic diathesis (Id). Ac. phos. in passive hems. (JT); the 2d in hem. from womb, mouth, nose, rectum, with prostration of vital forces (Hpl). Collins, passive hem., with piles (JJa). Cactus, hem. from cardiac over-action(JT). Ledum, is capable of causing hemor- rhages; useful in hemoptysis (Js). Erecth., Erig. low in passive hemorrhages, above the 3* in active (JTa). Uran. nit., Sang, in hematemesis; the for- mer when from gastric ulcer (Ha). Trill, in small doses for passive hem.; in large, checks nearly all forms (JTa). Urt. ur., Thlaspi, in hematuria (JTa). Hemostatics, are never needed. Homoe- opathic medicines have undoubted con- trol over hemorrhage (JT). Ice, internally in wounds or hem. of lungs, or from stomach; small pieces frequently (R). Rest. Perfect rest often indispensable, esp. in hematemesis, in which nutrient enemata (R). [See Enemata.] Tereb. 2s, 3*, passive inflam. and ulcerat'n of intestinal mucous memb. curative (JT). Jpcc, Ham.f are active remedies (JT). Ham. dark blood, hemorrhoidal (Ha . Erecth., Erig., when bright-red blood; use none below 3*; passive hem. the 1* (JTa). Trillium, is very useful (JTa). HEMOEEHAGE, INTESTINAL. (Compare Hemorrhoids, Dysentery, Typhoid Fever.) 138 INDEX OP HEMOEEHAGE, Ergot, the fl. extr. best (B). [See Hemop- tysis for formula]. In all uterine hemor- rhages is of great value (P). Hamamelis, for persistent oozing (R). Ipecacuanha, in flooding after delivery (R) Iron, Monsel's solution, j-iij of water, strong enough and safe as injection (B); the perchloride diluted (R). Oimicifuga, will check post-partum hem. esp. when tediously prolonged (P). Digitalis, the infusion best; a tablesp. bis die, or in urgent cases every half hour for 4 doses (B). Nux Vomica, gtt. xx; ext. ergot, fl. gtt. xxx; each hour for 2 or 3 doses (B). Opium, the tinct. 5j, with brandy, in pro- fuse flooding (R). Ice, to abdomen, or within womb (B); into womb or rectum (R). Hot Water Injections, into uterus, ex- tremely successful. Temp, of water 110-112° F. (Dr. Cameron in Canada Med. and Surg. Journal, March, 1878, with record of 16 cases). Transfusion, of milk, collapse (Thomas). Hamamelis, by mouth, also lotion or in- jection in bleeding piles (R); is employed with satisfaction; WRij-x of tinct. several times a day; also enema or suppos'y (Pf). Nux Vomica, emphatically beneficial (P). Sulphur, gr. v-x, with 5j confec. senna?, as laxative (R). Exercises a most soothing influence (Wa). Sulphides, esp. Blue Lick waters (B). Podophyllum, as cathartic for hemorrhoids of recent formation, bleeding from stasis in portal circulation (B). Aloes, causes congestion of pelvic viscera, yet Fordyce Barker shows it to be cura- tive in piles (B); to greatly relieve bowels (R); cures by removing constipation (P). Hydrastis, as lotion or ointment to exter- nal piles, of great value; 115 v of tinct. ter die; internally at same time (P). Iron, a solution of the sub-sulphate as wash to bleeding piles, which should then be well oiled (B). POST-PAETUM. Secale, 6, when inertia in weak, relaxed women, esp. in tropical climates and multiparae (JT). Ham. passive, steady, slow, dark (L). Ipec. profuse, nausea, bright-red blood, gasping for breath (L). Ferrum, relieves quasi-congestive head symptoms following p. p. hem. (JT). Puis, inertia, Arn. fatigue of womb (JT). Cham, dark blood, intermittent gushes of bright-red blood, cold extremities (£). Bell, profuse, bright-red, hot blood, nau- sea, wave-like tremor all over body, full bounding pulse (L). China, relieves exhaustion from this cause (JT); hem. from atony of uterus (L); in desperate cases, clotted discharge (Johnson). Ign. uterus suddenly failing after rapid labor (JT). Sabina, plethoric cases, with habitual menorrhagia, bright-red blood (L). Pressure and Cold, "always found ef- fectual. My faith has not hitherto been robust enough to dispense" therewith (JT) Ham. 2, never fails in the idiopathic form, which is a true varicosis, the "bleeding piles" of popular language (JT); in excessive hemorrhage a certain remedy (Js); int. and ext. (R, Ha). Nux vom. alt. Sulph. full, " blind" piles, little bleeding; esp. when from abdom- inal plethora (JT); persons Of sedentary habits (TS). These two remedies dom- inate the rest, corresponding to the greater part of the general symptoms. Nux, 6 or 12 (Js). Sulph. chronic, with constipation (R); itching tenesmus, rush of blood to head, vertigo (Js). Hepar sulph. Podoph. if liver at fault, clay-colored stools (JT); portal conges- tion, chronic hepatic affections (JTa), Aloes, from pelvic congestion (H); exces- sive, bright blood, diarrhoea, much pain; in pregnancy (ft); painful in- flammation of the tumors (Js). HEM0EEH0LDS. COMPARATIVE Hyoscyamus or Stramonium, the bruised leaves or ointment, locally, for pain (P). Unguentum Gallx, very useful. I£ Pulv. gallae 9j; pulv. opii gr. x; unguent. plumbi subacet 3ij; unguent, simplicis 5j. M. Sig.—Ointment for piles (B, R). Ergot, with or without nux vomica, will often cure (B). [See Diarrhcea for formula.] Stillingia, will remove permanently when due to constipation, and temporarily when from hepatic obstruction (B). Senna, to procure soft and easy evacua- tions, -use the confectio sennae at bed- time, gr. cxx in a bolus (B). Iodo/orm,the oint., and in suppository (B). Nitric Acid, as caustic, followed by free use of olive oil (B, R); Sss or Sj-Oss of water as lotion for bleeding piles (R). Alum, to painful bleeding piles, a crystal trimmed and passed into rectum, or as an ointment (B). Ice, to painful, bleeding piles, or cold water injected daily (B); locally, for pain after operation (R). Leeches, directly to swollen, irreducible, and painful piles (B). Alkaline Mineral Waters, excellent (B). Carbolic Acid, 3 parts to 1 of olive oil, a few drops injected into the tumor. A favorite and successful treatment by itinerants (Andrews). Grape-cure, has been successful (B). Surgical. The knife, ligature, caustic. Prevention. Soft seats favor the pro- duction of piles, as also of uterine dis- orders, by pressure on the arteries as they emerge from the pelvis, and so tend to drive the blood into the interior of that cavity (Holden, Landmarks). Ammonium Chloride, grains xx, every 4 hours, is highly efficacious (Wa). Bryonia, worthy of commendation in many liver affections (P). Nux Vomica, has been found of much benefit. Dose should be small, gr. 1-100 to 1-32 twice or three times a day (P). THERAPEUTICS. 139 Hydras, int. with Podoph. also as enema at night, has some reputation (JTa). Ferr. piles in cachectic subjects (JS); the perchlor. 6, slight, frequent hemorrhages producing tendency to anaemia (Js). jEscuI. hip. obstinate constipation, with sharp pains and slight hemorrhages (H, Ha); almost specific (JT); pharyngo- laryngitis (Js). Also as cerate (R). Will not prove a good routine remedy (JTa). Collin. 3, piles from pelvic congestion, in pregnancy, with inertia of rectum; rivals Aloes (JT); constipation (JTa, F, etc); dysmenorrhea, pharyngo-laryn- gitis (Ld); cardiac complications, pru- ritus of vulva (Js); prolapsus ani (JTpi). Millrfol. profuse hemorrhages (Js). Caps, diarrhoea and tenesmus, mucus and blood in the stools (Js); has a popular reputation as a prophylactic (Ld). Ac. mur., Ac. phos., painful swelling of the tumors (Js); .4c. mvr. large piles (JT). Aeon. int. and ext. much inflammation (JT); also for the so-called "white piles," a discharge of mucus from the anus. Has arrested violent hemorrhage from the hemorrhoidal vessels (JTpi). Ars. chronic, in emaciated subjects (JS); tumors burn like fire, worse at night (Js). Phyto. has rendered good service (JTa). Zinc. val. has relieved many cases, when administered for other troubles (JTa). Diet, etc. Avoid stimulants, indigest- ible food and overeating; during an at- tack use little animal food. Petroleum soap when piles protrude, with cold or tepid water ablutions. Injections Oj cold or tepid water are very useful. Stool should be at> night. Surgical means rarely required (JS). Amm. mur. is found useful (JT). Bry. burning stinging pains; in rheumatic persons (JS, JTpi). Aeon, aching or shooting pains in liver after exposure (JS). Merc, dull pain; best for simple cases (R). Sabad. dull scraping sensation (R). HEPATALGIA. 140 index op HEPATIC CIEEHOSIS. Nitric Acid, in long standing diseases, as this, will augment flow of bile after liv- er has struck work from mercury (R). The mineral acids do not benefit (B). Arsenic, small doses perseveringly, give good results (B). Bryonia, of great value in many liver complaints (P). Iodides, the best remedies for first stage. R Ammon iodidi, 5j; liq. potassii arsen- itis, 5ss; tinct. calumbae, Sss; aquae, Sjss. M. A teasp. ter in die before meals (B). Stillingia and Alkaline Mineral Waters, are important in the first stage (B). Podophyllin, has a high reputation in a variety of liver diseases (P). Mercury. Mercurial purgatives for both deficiency and excess of bile; harmful in many forms of acute liver disease (B). Oint. of Red Iodide (gr. j ad 5v) in ma- larial enlargem't, gives best results (Wa). Leptandra, Iris, Podophyllum, Rhubarb, and other resinous purgatives (B). Chelidonium, powerfully affects liver (Pf). Sulphur. Sulphurous waters, prolonged, give excellent results in liver disease (B). Nitric Acid, with vegetable bitters, long continued, useful in waxy liver (Wa). Taraxacum is highly recommended in chronic affections esp. indolent enlarge- ments, and incipient scirrhus (Wa). Iodine, and Iodides, in waxy enlarge- ment, simple hypertrophy and chronic congestion, of great value (Wa); a few drops injected into hydatids (B). Sanguinaria,' of great value in hysteria from chronic hepatitis (P). Stillingia, for torpid liver and jaundice following ague. In first stage of cir- rhosis, and ascites from hep. changes (B). Alkaline Mineral Waters serviceable (B). Malt Liquors are harmful in all chronic affections, especially in fatty liver (B). Galvano-puncture, for hydatids, the negative needle into the hydatid (B). Ac. nit. when dropsy, esp. if previously treated with calomel and quinine (ft). Ars. severe chronic cases, extreme debil- ity, ascites (JS). Bry. alt. Merc. corr. in early stage (R). Phos. (JS); is homoeopathic, and highly esteemed by Indian homoeopaths (JT). Iod., Aur., Lye, the most promising rem- edies after Phos. (II). Aur. if of syphilitic origin (JT). Lye is highly recommended (B, J, JT). Croton tig. for ascites from cirrhosis (JS). Sulph., Hydroc, Magn. mur., should find place (JT). Merc, iod., Dig., Phyto. (ft). HEPATIC DISEASES. (See Biliousness, Calculi, Cancer, Hepatalgia, Hepatic Congestion. Hepatic Cirrhosis, Hepatitis, Jaundice, etc.) DISEASES. , Hepatalgia, Hepatic Congestion. spatitis, Jaundice, etc.) Podoph. or Leptan. functional derange- ment, with excess of bile (JT). Merc- or Chelid. functional derangement, with deficiency of bile. Merc, biniod. especially curative in pigmentary de- generation (JT). Chelid. has a high value as a hepatic rem- edy. In a severe case of fatty liver the 6th gave excellent results (JT). Iris vers, excites biliary secretion (JT). Sulph. chronic disease, old congestions( JT). Ac. nit. 2x, has cured enlargement, and in large doses a case of fungoid disorgani- zation (JTpi). Kali brom. in large doses said to kill the echinococci in hydatids of the liver (ft). Phos. the only promising remedy in acute atrophy; thoroughly homoeopathic to fatty degeneration; valuable in cirrhosis and hepatitis, and acute atrophy (JT). Calc. and Silic would promise best in amyloid degeneration due to chronic bone-disease or suppurations (JT). Arg. nit. for pigmentary degen. (JT). Hydras, the only chance for cancer of the liver (JT). Agar. mus. in enlargement from abuse of alcoholic stimulants; may cure (JTpi). Ars. may arrest fatty degeneration, and be of service in hepatictuberculosis(JTpi). Aur. may help in hypertrophy (Hpl). COMPARATIVE THERAPEUTICS. 141 HEPATIC CONGESTION. (Coi Bryonia, is worthy of commendation in liver affections of various kinds (P). Iris, really serviceable when stools clay- colored and skin jaundiced (B); is one of the best aperients in hepatic de- rangement (P). Mercury, valuable only as a purgative; its use restricted to cases where there is deficiency or excess of bile (B); a full calomel purgative is of utility (Wa). Podophyllum, the resin in congestion of the portal circulation, is especially use- ful (B); y&-% gr. doses every six hours will speedily relieve symptoms (P). Nitric Acid, in chronic congestion, will augment flow of bile after liver has struck work from excessive use of mercury (R). Nitro-Muriatic Acid, is found useful in India, with the acid bath (siij ad gall, j) to hypochondrium (B). Sulphur. Sulphates in purgative natural waters, small doses often repeated; potassic sulphate is occasionally poison- ous (R). Leptandra, as cholagogue (B). Chelidonium, as deobstruent (P); ener- getically affects the liver (Pf). Iodine, tinct. and unguent, locally for hepatic engorgement after malarial at- tack. The iod. of ammonium in mod- erate frequent doses in functional de- rangement, from malarial disease (B). Sanguinaria, gr. viij; podophyllin, gr. iij; soap, gr. viij; extr. hyoscyami, gr. iij in 20 pills, 2-1 every day of value in en- gorgement without organic disease (P). Colchicum, in hepatic congestion and dropsy. R- Elaterii gr. j; spr. etheris nitrosi sij; tinct. scillae, tinct. colchici, aa sss; syrup, simplicis gj. M. Sig.— A teasp. ter die (B). Ammonium Chloride, in passive con- gestion, and chronic torpidity, is well worthy of attention; gr. xx every 4 hours (Wa). Turpentine epithems, hot, often found very beneficial (Wa). Aliment. No starches or fats. Milk, eggs, oysters, beef broth, whitefish, etc. (B). npare Biliousness, Jaundice.) Bry. when sub-inflammatory, from cold; pain in right shoulder (JT); enlargement and hardness with burning pains, in- creased on pressure; and constipation. Often best alternated with Merc. (ft). Iris vers, excited liver, diarrhoea (JT); sick headache, vomiting, lassitude, pros- tration, lowness of spirits (JS). Merc, acute parenchymatous inflam'n, "torpid liver," dull pain; pale, offensive stools (JT). One of the best remedies in simple cases, unless patients have been dosed with mercury, in which case Hepar Sulph. especially when stools are clay-colored (JS). Podoph. relieves hepatic torpor; poly- cholia, active congestion, pronounced bilious symptoms (JT, JTa); diarrhoea, prolapsus ani, bitter taste, sallow com- plexion (JS). Ac. nit. a favorite remedy in India. Chronic congestion, with dropsy (ft). Ac. nitro-mur. preferred to Ac. nit. (JT). Sulph. passive congestion from portal en- gorgement, esp. when hemorrhoids (JT); also Hepar sulph.; see Merc, above. Leptan. sore head and eyeballs (JT, Ha). Chelid. chronic congestion, yellow tongue, nausea, dull headache, constipation, pain, fullness (JS); has a high value as a hepatic remedy (JT, JTa). Iod. next to Merc, in chronic disease (JT). Nux vom. active congestion from excess of stimulating food or alcohol (JT, R). Lye as under Sulph. esteemed very highly (Pope, JT); constipation with flat- ulence; after Nux vom. (R). Sepia, when at climacteric in women (JT). Magn. mur. chronic congestion in women; crumbling, hard stools, induration (JT). Ars. severe chronic cases, enlarged spleen, vomiting, debility, ascites (JS). Kali bich. chronic pain, whitish stools (JT). Lach. 2, cured a very severe case of chronic con., with pain, jaundice,etc.(Js) Aeon., Cham., for subacute congestion; Aeon, when from rheumatic exposure, Cham, when from a fit of anger (JTpi). Hygienic Rest and change, avoid all stimulants and excess in food (R). 142 INDEX OF i HEPATITIS. (Co Bryonia, worthy of commendation (P). Chelidonium, in acute and chronic (P). Tartar Emetic, gr. y-lA, every 2 or 3 hours, with opium, or calomel, as indi- cated; esp. early in acute attack (Wa). Leeches, to margin of anus, in acute (B). Nitro-Hydrochloric Acid,ini.,&.nc\ ext.(Wa). Surgical interference, rarely necessary in hepatic abscess; aspiration better (H). Opium, or morphia hypoder. to narcotism, i often obviates the necessity of an opera- tion in strangulated hernia (Wa). Chloroform, of evident benefit (Wa); in- haled, to assist reduction (R); has super- seded the use of tobacco and lobelia in strangulated hernia (P). Coffee, large doses, has certainly a re- markable influence in aiding or causing reduction of strangulated hernia (Wa). Oak Bark extract, as injection into the tissues, for a radical cure by stimulating the occlusion of the rings (Heaton's rad- ical cure). A similar operation was patented by a Dr. Gage in 1840, the oil of cloves being the injection used. Prof. Pancoast injected tinct. iodine for the same purpose. Operations for radical cure all unsatis- factory. A properly adjusted truss (Ag). Cupric Acetate, gr. x ad gj adipis, as oint- ment, is very effective (B). Sodic Hyposulphite, gj ad gxij aquae, lo- cally, used by Dr. Tilbury Fox (Wa). Mercury. Calomel oint. (5j ad gj) useful (B). Hydrarg. nitrat. as strong citrine oint. rubbed in twice daily, often effec- tual. Hydrarg. oxid. rubrum, as oint., often cures ringworm on body or limbs, when other remedies fail (Wa). Cocculus, oint., from kernels or decoc. (P). Iodine, liniment once applied (R); with oil of tar (1 to 4 of latter) locally, is excellent (Wa). Kamdla, used locally by the Hindoos (P). >mpare Jaundice.) Bry., Merc, sol., Hepar sulph., are the best remedies; the latter when suppuration is established (JT). Aeon, has many pathogenetic symptoms corresponding with hepatitis (JTpi). Aeon. alt. Bry. or Merc corr., Hepar sulph., (the two latter for threatened ab- scess). Hot fomentations (R). Phos. may be serviceable (JT). Opi. in incarceration; Aeon., Bell., Nux vom. in strangulation, frequently succeed in effecting spontaneous reduction (H). Aeon. alt. Nux vom., Bell. <\>, acute pain (JS); Aeon, and Nux, to remove the stricture and pave the way fbr an easy and natural reduction (JTpi). Lye inguinal hernia, especially when occurring on the right side (JT). Cocc, Nux vom., umbilical hernia (JT). Plumb, has proved very effectual in stran- gulated femoral hernia (JT). Nux vom., Calc, Sulph., are said to some- times cure hernia in infants (JT). Cham, inguinal hernia of children, esp. if caused by violent crying (Hpl). Nux vom. the most important remedy in strangulated hernia, esp. when bitter vomiting, and the Strang, results from errors in diet, or exposure to cold (Hel). Tell, cures it speedily; produces a very similar eruption (JT). .Ac. sulplis. as lotion; also int. in 4-drop doses of the acid thrice a day (Hpl). Phos., Tell, or Sepia (JT). Phos. herpes in persons with pulmonary difficulties, vesicles confluent, and in clusters (L). Sepia, itching and burning, worse by scratching; female complaints (L). Calc. carb., burning herpes, unhealthy skin, ulcerating easily (L). Calc. and Sulph. useful to procure a healthy state of the skin (ft). Iris 3x, also as cerate, esp. in children with acid diathesis (JTa). HEENIA. HEEPES CIEOINATUS. (Compare Tinea Circinata.) COMPARATIVE therapeutics. 143 Tar Ointment, is used with good effect (P). Acetic Acid, applied to cut it short (R). Cod-liver Oil, a powerful auxiliary in weakly and cachectic subjects (Wa). HEEPES ZOSTEE. Rhus Toxicodendron, very readily subdues, especially when burning or itching (P). Aconite and Opium, locally for pain (Wa). Morphia, oleate ext., without friction (R). Celandine, has been recommended (P). Dulcamara, has an old reputation (P). Silver Nitrate, painted on the warning patch of erythema, before or as soon as vesicles begin to form (R). As a local application, reported on favorably (Wa). Vcratria, as ointment; 3j-ij-3j, in neural- gia following shingles (R). Electricity, especially when referable to alteration of cutaneous nerves (B). Blisters, for subsequent neuralgia (R). Hot Fomentations, will often disperse (R). Nux Vomica, in 5 or 10-ng doses of tincture, with ttjj xv of dilute nitric acid; a short course frequently curative (P). Chloroform, combined with opium (R). Pepper, gr. ij-x, to stop hiccough (P). Laurel-water, a useful remedy, nj v (P). Morphia, hypoderm., often arrests (R). Camphor, has been recommended (R). Mustard, Sj infused in giv aq. fervid., has cured most obstinate cases (R). In mild cases deep inspirations, holding breath as long as possible; or a firm belt around epigastrium (T). Barium Chloride, in considerable doses (gr. j-ij) persevered in for a month, thought to be a most valuable remedy in scrofulous disease of joints (Wa). Sulphuric Acid, Sj ad gj adipis, as oint. persevered in, has resulted in great ben- efit. A powerful irritant (Wa). Counter-Irritation, by blisters around the hip, with perfect rest in the straight posture, cod-liver oil, etc. (D). Diet and Hygiene are important. Food should be nutritive and abundant, espe- cially animal fats. Daily baths, out-of- door exercise (JS). (Compare Eczema.) Rhus tox. relieves pain and itching, short- ens durat'n of erup., prevents sequelae(JT). Mez. better in old people (B, H). Ars. is forcibly suggested (JT). Staphis., Caust., ilfe.forensuingpains(JT). Canth. as lotion, locally for itching (JT, JS). Sepia, specific in recent shingles (H). Phyto. or Graph, burning pains, ulcerous conditions; also in old persons (ft). Mr re. much itching, great tendency to suppuration (ft). Zinc, neuralgic pains after removal of eruption (JS). Phos. consumptive patients (ft). Baths daily; exercise out of doors; abun- dant nutritious food (JS). Nux vom.simple spasm.in hard drinkers(JS) Chlor. hyd. gr. v, in solution, is palliative, often curative, other agents failing (JS). Caps, has been found useful (JT). Ac. sulph., Robinia, acid eructations (JS); Ac. sulph. obstinate hiccough (Hpl). Mosch. should be remembered (JT). Aeon., Ars., Bell., Ver. vir., Gels., Hyos., when in brain affections (JS). Nitric ether, a few drops on sugar (JS). Cact., Cupr., Bell., Atrop. sulph. (Kafka). Cicuta, Mosch., are useful, especially the latter when in exhaustion (JT). Coloe is very useful, relieves pain (JT). Aeon, for constitutional irritation (JT). Ac. phos. irritation of hectic type (JT). Puis., Apis., help, if from synovitis (JT). Merc. corr. ulceration of cartilages (JT). Calc. phos., Merc, Sil, if disease has com- menced in the bones (H). Arg, has cured.a severe case (JT). Diet should be nourishing and include cod-liver oil. Pure air, esp. sea air (R). HICCOUGH. HIP JOINT DISEASE. (Compare Abscess, Caries.) 144 INDEX of HOMCEOPATHY. (Compare Allopathy.) Homoeopathy is a system of therapeutics, the adherents of which constitute the chief of the existing medical protesting sects. The central principle of the homoeo- pathic school may easily be traced back through medical history to the time of Hippocrates; but its present position as the creed of a separate and influential body of practitioners is chiefly due to the persecution of Dr. Samuel Hahnemann (1796- 1843) by the medical authorities of his time and country. In its primary signifi- cance, it is the art of curing a morbid condition by the administration of a drug, the action of which upon the healthy body in a larger dose, has been ascertained to be similar to the condition to be cured. This rule of practice is applicable only to the class of diseases called dynamic; and is expressed by Hahnemann's formula, "similia similibus curenter—let likes be treated by likes" [often ignorantly and dog- matically quoted, "similia similibus curantur—likes are cured by likes"]. Necessary corollaries from this rule are: (1) the single remedy; (2) the small dose; (3) drug- provings on the healthy body, as the basis of their therapeutical application— which, with the law of similars, are now the scarcely-concealed principles of the "physiological school" in the ranks of regular therapeutists. The ostracism and persecution of Hahnemann by the medical profession of Germany, produced its usual results. The "Master" speedily advanced the most extreme and dogmatic tenets concerning the nature of disease, and the limit of attenuation of medicines. [Compare remarks on High Potencies, ante, page 81.] A few of his disciples followed his steps into the mystic realms of absurd speculation in which he dwelt during the years of his declining manhood. Two parties were thus formed in the school which he founded, whose present positions are well set forth in the following resolutions: ' 'Although firmly believing the principle, 1 similia similibus eurentur' to constitute the best general guide in the selection of remedies, this belief does not debar us from recognizing and making use of the results of any experience; and we shall exercise and defend the inviolable right of every educated physician to make practical use of any estab- lished principle in medical science, or of any therapeutical facts founded on experiments and verified by experience, so far as in his individual judgment they shall tend to pro- mote the welfare of those under his profes- sional care. " [Extracts from resolutions adopted Feb. 8th, 1878, by the Homoeopathic Medical Society of the County of New York; Feb. 12th, 1878, by the Homoeopathic Medical Society of the State of New York, and re- affirmed in March, 1878, by the first-named society.] '' We believe the Organon of Samuel Hahnemann to be the only reliable guide in therapeutics. This clearly teaches that ho- moeopathy consists in the law of similars, the totality of the symptoms, the single remedy, the minimum dose of the dynamized drug, and these not singly but collectively. '' Legitimate Hahnemannian homoeo- pathists should publicly disavow such in- novations [as]: (1) the mixing or alternating of two or more medicines; (2) medicated topical applications and mechanical appli- ances in non-surgical cases; (3) such treat- ment as suppresses symptoms by the tonic action of the drug." [Extracts from resolu- tions adopted by seven "friends of Hahne- mannian Homoeopathy," at a meeting held at Milwaukee, Wis., June 16th, 1880, in con- nection with the 37th annual session of the American Institute of Homoeopathy.] The Milwaukee Test. In 1878, the Milwaukee Academy of Medicine, recognizing the unscientific character of the evidence for the efficacy of the so-called "high potencies" (see ante, page 81), adopted a plan proposed by Dr. Lewis Sherman, to apply an experimentum crucis to the doctrine of dynamization. A vial containing sugar-pellets moistened with the 30th attenuation of a drug, placed undesignated with other vials containing pellets moistened with pure alcohol, in sets of 10 or 2 as desired, was to be given to the experimenter, who should, at the expiration of one COMPARATIVE THERAPEUTICS. 145 year, report to the society, and designate the vial which contained the attenuated medicine. The most important of the test conditions were as follows: (1) That the experi- menters should be believers in the efficacy of the 30th attenuation. (2) That the preparation of the attenuations should be done by a committee comprising repre- sentatives of both the believers and the unbelievers. (3) That the dispensing and recording be done, not by any member of the medical or pharmaceutical professions, but by a disinterested layman of unimpeachable character. (4) That each experi- menter should be permitted to select the drug with which he would experiment, as also the number of blanks which should accompany it. (5) That the sealed reports of the dispenser and experimenters should be opened and compared by the society, at a special public meeting, of which due notice should be given. The proposed experiment caused a great sensation in the school all over the world. It was endorsed by the leading journals, and by the New York State Homoeopathic Medical Society, which appointed a committee to cooperate with the Milwaukee Academy in carrying out-the test. It was at once bitterly opposed by the leaders of the self-styled "Hahnemannians" and their sycophants, who exhausted the vocabulary of abuse in denouncing the experiment and its adherents. The Kev. Geo. T. Ladd, Professor in Bowdoin College, Maine, accepted the trust of dispensing the test-pellets. The result was as follows: Sets of Test-pellets. 10-vial test. 2-vial test. 5-vial test. 25 9 0 47 1 1 1 Number on which reports were received........ Number in which medicated vial was found.. 0 0 The Allen Fiasco. At the meeting of the American Institute of Homceopathy, in 1879, Professor T. F. Allen, M. D., of New York, a representative high-potency practitioner and teacher, publicly challenged the Milwaukee delegates (Drs. L. Sherman and Sam'l Potter) to enter upon a similar test with him, stipulating that the medicines should not be prepared in Milwaukee, but in New York, by Messrs. Bcericke & Tafel, the well-known homoeopathic pharmaceutists, who deal largely in high-potencies. Dr. Allen expressed the utmost confidence in his ability, with such preparations, to select the medicated pellets. When Dr. Sherman insisted that the unbelievers be represented on the committee to prepare and dispense the remedies, Dr. Allen abandoned his test, although he had entered upon it as a part of the work of the bureau in the National Society of which he was a member, and had published a printed programme thereof. Experiments were, however, carried on, in acceptance of Dr. Allen's challenge, by Drs. Sherman and Potter, with the lower attenuations, under similar conditions, in 10-vial tests; resulting in their designating correctly the vials containing the attenuations of several drugs up to the 10th decimal, at which they failed. A full account of this first honest attempt at placing upon a scientific basis the question of drug efficacy in attenuated medicines, may be found in the Transactions of the American Institute of Homceopathy, 1879,1880; papers of the Bureau of Materia Medica, Pharmacy, and Provings, a reprint of which may be obtained from the Mil- waukee Homoeopathic Pharmacy, 171 Wisconsin Street, Milwaukee, Wis.; price 50c. The best examination of the homoeopathic tenets, and the most dispassionate history of its early methods and men, is found in Lectures on the Theory and Practice of Homceopathy, by R. E. Dudgeon, M. D., Manchester, H. Turner, 1854; a book which is one of the text-books in nearly all homoeopathic colleges. 146 INDEX OP HYDROCELE- (Compare Dropsy, Orchitis.) Iodine, injection of tincture (B); one part of tinct. to 2 aquae, 5j-ij injected (Wa). Ammonium Chloride, Sj; liq. am- nion, acet., spt. vini rectif. aa Sj; aquee giv, as discutient lotion to scrotum in hydrocele of children (Wa). Iron-wire Sutures, as radical cure (Wa). Galvano-puncture, a current of 20^10 elements by two needle electrodes, will invariably cure (B). Iodine, "eau iodee" injected with a capil- lary trocar (Js); has specific alterative influence upon serous walls of sac (H). Iod., Rhod., Puis., Graph. (R); have all frequently cured hydrocele (H). Kali iod. internally and locally, has caused the absorption of the fluid (H). Spong. the best for acute form (H). Aur. has done good service (II). Calc. carb. excellent in children (Hpl). HYDROCEPHALUS, ACUTE. Iodine lotions to scalp, or inunction of iodine oint. together with ferric iodide and cod-liver oil internally, offer the best chance of success, although most remedies often fail (Wa). Tartar Emetic, oint. as counter-irritant to scalp in tubercular meningitis (R); in large doses internally was formerly em- ployed (Wa). Croton Oil, is said to have removed the excess of fluid from the ventricles (R). Mercury. Hydrarg. chlor. corr. in doses of gr. 1-30 to 1-16 proved successful (Wa). Magnesic Carbonate, 5j-ij saturated with lemon-juice, every 2 or 3 hours, a useful purgative in hydrocephalus (Wa). Turpentine, ill doses of itjv-x with nj xx-xl of castor oil, or terebinthinate enemas, in incipient hydrocephalus(Wa). Purgatives, in small doses every 4 or 6 hours after having overcome the consti- pation, to maintain action for some days. A single full dose of calomel, followed up by magnesium sulphate at short in- tervals. Their value can hardly be overrated (Wa). Leeches, on crown of head rather than on temples, when much febrile action; in- admissible if patient is much debil- itated; sometimes serviceable (Wa). Iod., Hell., Dig., Sec, the most suitable; the former, gtt. j of in 200 grammes of water has perhaps arrested the disease in incipient stage (Js). Ant. tart, when metastatic from spontane- ous suppression of variola (Hpl). Kali brom. has airested many cases in in- cipient stage (Ha). Bell., Bry., Hell., Sulph., have general agreement as to their value in the in- cipient stage. Fully developed tuber- cular meningitis is incurable (II). Bell, lx, the sheet-anchor after vomiting sets in; premonitory cerebral symptoms; alt. with Aeon, if fever (H). Dig. has high repute (H); especially after effusion has set in (B). Ver. vir. has virtues of Aeon., Bell. (Ha, B). Bry. impending effusion (II, B). Helleb., Dig., completed effusion (H). Sulph. interposed (H); occasionally (R). Cupr. convul. (B); intensified sympt. (R). Ac carbol. lx, seems to have cured (H). Calc hypophos. 4> or lx, incipient (Ha); Calc. carb., Phos., the only remedies (/). Phos., Zinc, receive general approval in hydrocephaloid (J, H). Zinc. val. lx or 2x, as palliative in some stages of tubercular meningitis (Ha). Artem, 3, cured one severe case (Hpl). HYDROCEPHALUS, CHRONIC. (Compare Dropsy.) Mercury, holds a high place in the opinion of many. Calomel gr. y~y twice daily, with mercurial inunction to the shaved head, or the latter alone; child to wear a woolen cap. This treatment for 30 or 40 days (Wa). Sulph. and Calc. carb. accomplish almost incredible results (J); curative in a well- marked case (H). Ars. as adjunct to Calcaria (J, B, Js). Helleb. as intercurrent remedy (H); head enlarging rapidly (R). COMPARATIVE THERAPEUTICS. 147 Ferric Iodide, with cod-liver oil, always gives good results among the poor (Wa). Iodine, lotions. [See Hydrocephalus, ACUTE.] Potassic Iodide, may arrest progress. R Pot. iod. gr. iv; spt. ether, nit. 5j; liq. potass, "jxxiv; tinct. hyoscy. sj; syr. aurant. 5ij; aquse ad Sij. Dose Sj thrice daily for a child xt. 1 year (Wa); is of value certainly; appears to have power of promoting absorption (W). Cod-liver On., sometimes improves, esp. in scrofulous children (Wa). Belladonna, in all hyperaemic states of the brain and spinal cord, is one of the very best remedies (P). Glonoin, may be of benefit (Wa). Amyl Nitrite, should be fairly tried (B). Curare, is encouraging, grm. 0.02 injected, 7 doses in by hours, dispelled the symp- toms, but replaced them by paralysis of limbs continuing over 2 months (Ros). Morphia, chiefly palliative. For deep in- jection into the tetanized muscles (B). [See Tetanus.] Conia, is indicated; has not succeeded (B). Cauterization with hot iron or caustic potash after cleansing wound, which should be kept open by ung. basilic, for 5-6 weeks (Ros, A); with Silver Nitrate sharpened to a point, and applied freely to every sinuosity of the wound (Wa). Excision, the safer practice (Wa). Baths, w7arm and hot, produce calm(Ros). Digitalis, in purely dropsical form, also in passive pleuritic effusions; used as a diuretic (3j-ij night and morning, or oftener) is of great value (P). Elaterium, unquestionably of value as a derivative, though many fear it (P). Jaborandi, produces good results (B). Iodine, Sj of tinct. injected in returning hydrothorax (B). Sanguinaria, has been used with the best effects (Wa). Blisters, when effusion has taken place, certainly seem to stimulate the absorb- ents to action (Wa). Calc. phos. to promote ossification of cranial bones, curative; also in 6th to mother during pregnancy with Sulph. 6, to avert hydrocephalus (Von G). Dig. urine scanty, circulation feeble, children of drunkards (R). Apis, post-scarlatinal, urine scanty, cede- ma of throat (R); excellent (Hpl). Ars. iod. tubercular cachexiae, enlarged abdominal glands, inanition (R). JEthusa, most nearly covers the totality of the symptoms (Jenny). Diet. Nourishing food, fresh air (R). Bell, is thoroughly homoeopathic; has been esteemed for 100 years as prophy- lactic [always esteemed as a specific, (Hpl)], and has cured some cases. Large doses are necessary. Preferred when throat symptoms predominate (H). Stram. also homoeopathic; reputed spe- cific in China. When general nervous irritability and delirium extreme (H). Bell., Stram., Scutel., the likeliest reme- dies to prevent the development of the poison; one of them should be admin- istered in a low dilution directly after infection, and the patient kept under its influence for some time (-R). ^lc. carbol. to wound, after sucking to pro- mote bleeding (R). Ice, to be eaten, also to the upper part of the spine (H). Excision of bitten part, a duty of para- mount necessity (H). ' Dig., Ars., may improve when a dropsy from cardiac difficulty (H); Digitalin, in cardiac dropsy the remedy (Ha). Ars. may afford relief, esp. if idiopathic. When patient is of impoverished consti- tution, great dyspnoea, worse at night, face bloated, small pulse (Hpl). Apis, if from recent inflammation (H); of serous membranes. Absence of thirst, and suddenness of the cedema, valuable indications (Hpl). Sulph. $, the great remedy, when hydro- thorax is an inflam'y effusion (H). Dig., Bry., Ars., Hell. (R); Apis., Ars. (H). HYDROPHOBIA. HYDROTHORAX. (Compare Dropsy.) 148 INDEX of (Compare Melancholia.) HYPOCHONDRIASIS. Arsenic, in the aged. Ii Fowler's sol. gtt. ij; tinct. opii. gtt. iij-v, ter in die (B). Ignatia, is useful. Tinct. best (P). Cimicifuga, of singular value in puerperal hypochondria, and in that accompany- ing spermatorrhcea, etc. (P). Aurum. Chloride, gr. 1-20 to 1-30 ter die gives excellent results, when depres- sion, vertigo, cerebral anaemia (B). Valerian, quickly relieves flatulence (B). Asafoetida, with flatulence and gloom (B). Potassic Bromide, esp. among female town-dwellers, but also in male (R); ef- fects are variable, relieves some, not others (Wa). Hyoscyamus, when syphiliphobia (P). Opium, a stimulant dose of the tinct. (B). Caffein, the citrate (gr. j-v) has been used with advantage (B). Alcohol, in hypochon. gives temporary re- lief; should never be given for its narcotic stimulant effect in these cases (W). Turkish Baths, are useful for town dwellers, with soft flabby tissues, and mental depression (R). Ignatia, useful in many forms of hysteria, with feeling of suffocation, sensation as of a ball rising to the throat, convulsive crying, flatulence, etc., etc. (P). Camphor, in hysterical excitement (P). Musk, for many anomalous and distress- ing symptoms (R). Cimicifuga, in hysterical chorea rapidly curative (P); for the headache (R). Asafoetida, in hysterical convulsive affec- tions, with flatulence, and cough (P); arrests paroxysm, valuable for flatu- lence (B); removes headache, peculiar sensations in head, and flatulence (R). Valerian, has great value, sss doses of fl. ext. (B); useful in most cases, especially those of hysterical dyspepsia (P). Zinc Valerianate, especially at the climac- teric age, for hysterical symptoms which can be traced to no particular cause (R). Ars. burning pains, alt. with Merc. (H). Ign. semi-delirious mental distress (H). Cimic, Ign., Sep., Petrol., Plat., in uterine derangements, esp. at climacteric (R). Cimic. in hyp. of spermatorrhcea (H). Aur. male subjects, suicidal tendency (H). Valer. abates most of bad symptoms (H). Asaf. when traceable to torpor or irrita- tion of the biliary secretions; tightness of head, tickling in the larynx, cough, mucous expectoration (Hpl). Nux vom. when with dyspepsia (H, R); persons of sedentary habits, with con- stipation (L); followed best by Sulph. (H, L); esp. when from derangement of ab- dominal functions (L). Calc- followed by China, and Natr. mur. when from sexual abuse, exhausting discharges (L). Staph, when caused by long-continued depressing emotions (B). Natr. mur. cachexia, constipation (B). Coni. from forced sexual abstinence (B). Stann. severe abdominal pains, relieved by movement (B). Ign. is specific; removes many pains and spasmodic phenomena present; sensa- tion of a lump in throat; continued modifies the morbid impressionability,— emotional, sensory, and reflex (H). Camph. int. and by olfaction during pa- roxysm (R). Mosch. in lowest dilutions will sometimes arrest and always shorten paroxysm (H); tendency to fainting, headache, con- striction of chest, general chilliness (R). Cimif. when of uterine origin (H). Asaf. is useful (H); throat symptoms pre- dominating (R). Valer. produces marked benefit (H). Zinc val. considered by some to be the most valuable remedy (R). Nux vom. when constipation, flatulencefE). Tarant. equal to Ign. when of the convul- sive form (Js). COMPARATIVE THERAPEUTICS. 149 Nux Vomica, of great use in middle-aged subjects, with flatulence, weight on head, flushings and perspirations (R). Atropia, for hysterical aphonia, gr. 1-120 to 1-80 morning and evening (B). Ether, for the flatulence, and for the paroxysm in sudden seizures. IJ Spirit. etheris compos., tinct. valerian.ammon., aa Sj. M. Sig.—A teasp. in water every 15 minutes till relieved (B). Ammonia, the aromatic spirits for the acidity and eructations (B). Potassic Bromide, gives control, and pre- vents paroxysms. When verging on nymphomania large doses required (R). Iron, a course often useful, especially when anaemia or uterine obstructions(R). Phosphorus in hysterical paralysis (R). Arsenic, lessens mobility of nervous sys- tem, and improves nutrition (B). Opium, gtt. j of laudanum with gtt. ij of tinct. nucis vom. 3 or 4 times a day, for flushings, weight on head, depression(R). Ulmus. The decoction of elm bark has succeeded in curing (Wa). Zinc Oxide, the oint. or glycerin (Wa). Warm Baths, may generally be em- ployed with benefit (R). Arsenic, is very useful. [See Eczema.] The iodide in doses of gr. 1-10, has been employed with great success. Or Dono- van's Solution, w v-x (Wa). Nitric Acid, int. frequently benefits (Wa). Glycerite of Tannin, an excellent applica- tion (B); during day, with poultice at night to remove scabs (R). Quinia, Mineral Acids, when from imper- fect digestion (R, B). Zinc, the ointment of the oxide, after subsidence of inflammation (R). Sulphur, internally, serviceable (R). Calcic Chloride, gr. xv-xxx, daily, in some vegetable inf.,well spoken of (Wa). Mercury. Citrine ointment dilute locally, is an excellent application (Wa). Laurel-water, relieves itching (P). Grape-cure, has proved excellent (P). ^wr.with melancholy, menorrhagia, con- gestive headache (R); sometimes cures the vomiting (H). Cham., Ign., Arg., for hysterical pains in joints, the latter if of long standing (H). Coff. from worry, with insomnia (R); esp. adapted to elderly ladies (Ld). Plat, when with uterine derangements (H); depression of spirits, irritability (R). Gels., Bell., Macrot., Sang., in lowest po- tencies, chiefly to be relied on in cases at the climacteric (Ld). Electricity, for aphonia, paralysis and anaesthesia (H). Accessory Measures. Occupation of mind and body. Removal from influ- ence of friends. Complete abandon- ment of use of alcohol. The shower- bath, or cold bath, as an educator of the will, as well as to invigorate the body. Excitement to be avoided. The word "Hysteria" Should never be applied to the case in the patient's hearing (R). Ars., (Fowler's sol.); Phos., int. and ext., Iod., Aur., with warm fomentations, tonics and cleanliness (R); Ars. iod. (L). Cod-liver Oil, applied by friction with the hand, is promptly curative (Ha). Ars. is homoeopathic, and useful (H); black pustules, filled with black blood and fetid pus; better from warmth (L). Ac. nit. pustular eruption on face with large red margin, and heavy scabs (L). Viola trie, very effective in recent im- petigo of the face in adults (H). Ant. tart, cures a lingering form; very useful in imp. erysipelatodes (H). Ant. cru. best for chronic form(H); worse from bathing, better in open air(Z). Kali bich. in chronic, often effective (H). Coni. has cured imp. figurata (H); sero- purulent eruption in aged people (L). Hepar sulph. eruption after mercurialism, tendency to ulceration, humid scabs(L). Iris vers, impetigo capitis, with gastric complaints, nausea and vomiting (L). Sil. in impetigo capitis (H). ICTHYOSIS. IMPETIGO. (Compare Eczema, Porrigo Capitis.) 150 INDEX OF IMPOTENCE. (Compare 1 Phosphorus. No remedy more efficient. The pill of zinc phosphide the most convenient form (B). Phosphoric Acid, full doses, with gr. ss of pulv. cantharidis, an effective combina- tion, especially in imp. of old age (R). Chloride of Gold, prevents decline of sexual power (B). Cantharis, with iron, is beneficial (B). In large doses (gtt. xx-xxx), with iron and phosphoric acid or nux vomica (R). Of doubtful efficacy (Wa). Arseniate of Iron, often benefits. R Ferri arseniat. gr. v; ergotine (aq. ext.), Sss, M. ft. pil. no. xxx. Sig.—One night and morning (B). Oubebs, removes functional trouble (B). Nux Vomica. Drop doses of tinct. in atonic impotence (B). In large doses when spermatorrhoea (R). Sanguinaria, has decided aphrodisiac properties, but useful only in functional states. R; Tinct. sanguin. Siij; ext. stillingiae fl. 3v. M. Sig.—15-20 drops in water ter die (B). Serpentaria, in relaxation and feeble erec- tions, will often restore power. Sss doses of tinct. bis in die (B). Ergotine, hypoder. about the dorsal vein of penis, when its enlargement and too rapid emptying cause of impotence (B). Cannabis Indica, is a useful remedy (B). INFLAMMATION. (Se Aconite, especially in inflammation of respiratory organs, eruptive fevers, and all inflammatory states of high tempera- ture and sthenic reaction. Not in ady- namic states, or continued fevers, except for hyperpyrexiae. May be advantage- ously combined with opium (B). Gives most brilliant results in many forms (R). Always indicated in early stage of simple inflammatory fevers, in all inflam'n of serous membranes, pneumonia, tonsilli- tis, acute rheumatism, erysipelas, etc. Is especially adapted to the uses for which bleeding was employed (P). missions, Spermatorrhea.) Phos. seminal weakness the cause (L). Ac. phos. the most important remedy; when from over-indulgence sexually (H); sudden relaxation of penis during coition, debility, hypochondriasis (L). Aur. discharges of prostatic fluid from re- laxed penis, melancholy with suicidal tendency (L). Canth. nocturnal emissions, relaxed or- gans, consequences of onanism, pain in spermatic cord (L). Agnus castus,h&s cured simple impotence, is homoeopathic (H); impotence with gleet, in young persons from abuse of function, with apathy, etc (L). Bary. carb. 6, in premature senility (H). Coni. is homoeopathic in senility (H); atrophy of testicles (L). Arn., Hyper, if history shows impotence caused by a blow or fall (H). Ars. loss of power in ejaculatory and erectile functions (H). Kali brom., Selen. 6, sexual atony with cerebral depression (H). Camph. may be added to list (H); re- laxed testicles, want of desire (L). Iod. atrophy of testicles (R). Ac. picric has cured frequently (Couch). Kali iod. sexual desire diminished, atro- phied testes (L). China, impotence with lascivious fancies, resulting from seminal losses (Lj. Aeon, constitutes the back-bone of our materia medica (Hpl). "The homoeo- pathic lancet." "To enumerate the di- seases for which it is suitable would be to mention the acute inflammation of every possible organ and tissue of the body, and if it be not for these the sole remedy, it is almost always useful either previous to, or in alternation with anoth- er remedy which has, perhaps, a more specific relationship to the part affected" (Dudgeon). Pain, rapid strong pulse, dry hot skin, chills, scanty urine. Nota- bly in acute rheumatism, erysipelas, e also the several titles.) COMPARATIVE Arnica, is antipyretic, large doses (3ss of tinct.), in sthenic, small doses (t^x) in asthenic (B); in inflam'n of serous mem- branes, it has given good results (P). Belladonna, in many forms no remedy more useful; notably scarlet fever, ery- sipelas, low fevers. Inflammation of eyes, boils, carbuncles, etc., by atropia ext., belladonna internally. When much fever, may be combined with aconite. R Tinct. aeon. rad. 5j; tinct. belladon. Sij. M. Sig.—gtt. iv in water each hour (B); both locally and internally in in- flammation of the eye; is effectual in inflam'n which threatens to end in ab- scess (R). In erysipelas, inflam'y sore throat, encephalitis, gouty and rheu- matic infi'n. cystitis, pneumonia, etc.(P). Gelsemium, especially inflam'ns of lungs, pleurae, and in pneumonia, (ttj v-x of fl. extr. every 2 hours.) (B). In acute stage of acute gonorrhoea is valuable(P). Bryonia, exceedingly valuable in pleurisy and other serous inflam'ns esp. pericar- ditis. After the aconite stage (P). Veratrum Viride, when much delirium and arterial excitement, useful at beginning only, itj ij of extr. or tinct. (B). In pneu- monia, Veratrine is most valuable, also in acute rheumatism, and generally as an antipyretic (P). Tartar Emetic, in frequent minute doses, gr. 1-16, renders incontestable service (B). In pneumonia, tonsillitis, pleurisy, bron- chitis, and other inflam'ry affections (R). Pulsatilla, in acute and sub-acute inflam's with muco-purulent discharges, esp. of eyes, ears, nasal passages (P); also with aconite in epididimitis(Pf). Mercury, in acute glandular inflam'n of throat and neck, in ileo-colitis, iritis, syphilitic inflam'ns of serous mem- branes, laryngitis (B, R). Iodine, as liniment in vicinity of local in- flam'n to produce vesication (R). Sulphides, esp that of calcium, (doses 1-80 gr.) appear often to arrest suppuration. After formation of pus they hasten ma- turation and circumscribe inflam'n. In boils, abscesses, and deep-seated suppu- ration, they improve the condition and promote healing (R). THERAPEUTICS. 151 etc. (R). Useless when no increase of temperature, and when true inflamma- tory changes in a part have actually be- gun. But in rheumatic inflammation, pleurisy, croup, tonsillitis, it is a potent remedy (H). Arn. in inflam'n resulting from a mechan- ical injury, locally, also internally, re- lieves pain, antidotes results (H). Bell, in inflam'ns of a violent character, with stinging, burning pains, aggrava- ted by movement, swelling and shining redness of the affected parts. Intense congestion, esp. of brain, eye, ear, tes- ticle (R); throat, skin, kidneys, bladder, uterus, stomach, intestines, respiratory organs, eyes, etc (H). Gels, in congestive stage (Ha); in cerebro- spinal meningitis, acute bronchitis and pneumonia in first stage without excite- ment, calling for Aeon., dysentery, ur- ethritis, erysipelas or erythema with slight fever (R); oppressed symptoms, dull pains in head, back and limbs (H). Bry. in inflam'ns of serous membranes, rheumatism, worse on movement, (in rheumatic fever second only to Aeon.), pleurisy, peritonitis, bronchitis, pneu- monia, etc. (R, H). Resolves mastitis if given early. Is less useful in bron- chitis, and not at all in arachnitis (H). Ver. vir. congestion and inflam'n of brain, and organs controlled by par vagum. Inflam'ry conditions with stomach com-: plications (R). In pneumonia, with Phos., is better than Aeon. (Ha). Acts promptly if at all (R). Very good in erysipelas, internally and locally (Ha). Ani tart, catarrhal infl. of mucous mem- branes, lungs, skin. In catarrh, croup, bronchitis, pneumonia, variola, it has proved a most useful remedy (R). Puis, in sub-acute inflam'ns of eyes and ears, veins, synovial membranes, sex- ual organs, digestive canal (R). Merc, to check suppuration when impend - ing,and heal ulceration when extending, Specific in infi'n of mouth. In salivation, sub-acute glossitis, quinsy, cynanche maligna, dysentery, hepatitis, bronchi- tis, nephritis, peritonitis, periostitis, oph- thalmia, mastitis, strumous adenitis (R). :x op 152 INDE Quinine, in peritonitis (Tr). It is indi- cated in most acute forms, unless objec- tions occur (P). Has power to arrest inflam'n in formative stage. With mor- phia and in full doses (gr. xv-xx) may suppress many forms (B). Chloral, excellent when temp, is high, much delirium. Gr. v every 3 hours (B). Digitalis, the German antipyretic. Esp. useful in scarlet fever, rheumatic fever, pneumonia, bronchitis (B). Aconite safer and better (R). Opium, is important in most inflam'ns, but esp. those of serous membranes; a full dose (gr. ss of morphia) at first, smaller doses after. Is esp. curative in inflam'n of intestines and peritonaeum, and of cerebro-spinal meningitis, arach- nitis, etc. (B, R). Saline Purgatives, valuable as part of the denutrition treatment, and diminish arterial tension (B). Salicylic Acid, is antipyretic, esp. in sep- ticaemic inflam'n, and acute rheuma- tism, erysipelas, pneumonia(B). Salicy- late of soda more soluble (R). Ice, in small pieces in a bladder applied to inflamed part (R). Water, cold and hot baths and packing very useful in all inflammations (B). Alcohol, is constantly prescribed, and is of value in low states, if symptoms after its administration are ameliorated (B). [See Fever] Poultices, useful in many inflammatory states, but often abused (B). To check formation of pus, assist in maturation(R). Leeches, very useful in many forms where sthenic reaction and plethora. Value of blood-letting probably due to derivative and counter-irritanteffect(B); a remedy of great power for good or evil, now much neglected (Wa). Aliment, when not of digestive tract, use milk and beef-tea alternately every 3 hours. No starches or fats. In intesti- nal inflammation, milk, eggs, animal broths, oysters, fish, but must be used with great caution. Skim-milk treat- ment (B). Cod-liver-oil in many chronic inflammations, as of heart, lungs, kid- neys, etc. (R). Iod. joints, glands, goitre, inflammatory croup, laryngitis, chronic bronchitis, and pneumonia (R). Hepar sulph. will often check impending suppuration; better to promote speedy termination. In pneumonia, pleurisy, bronchitis, etc. (H). Sulphur, in chronic infi'n, esp. of skin, eyes, rectum; also in bronchitis of chronic type, in pleurisy and pneumonia (H). Acnit. inflammatory affections situated at junction of skin with mucous memb.(JS). Aloes, infl. of rectum, piles, dysentery (R). Apis, infi'n of mucous memb. of genital organs. Rapid acute cedema of various parts. Erysipelas, urticaria, etc. (R). Arg. nit. irritation of skin and mucous memb., infi'n of eyes, urethritis (R). Ars. infl'ns of mucous and serous mem- branes and skin, esp. when cedema, debility, burning, emaciation (R). Aur. inflam'n and ulceration of bone (R). Bary. carb. quinsy, infi'n of glands (R). Calend. topically to prevent suppuration in wounds; also in ulcers (R). Canth. acute infi'n of urinary organs (R). Colch. inflammatory affections of bowels, joints (R); rheumatic pericarditis (H). Coloe inflammation of rectum, colic with diarrhcea (R). Dig. inflam'n of stomach and colon (R). Euph. catarrhal inflammation of eyes (R). Ham. phlebitis, hemorrhoids, etc. (R). Kali iod.syphilitic iritis,periostitis,etc,(fi). Phos. pneumonia, inflammation of bone and periosteum, gastro-enteritis, ulcera- tion of stomach, chronic mastitis, with fistulous openings (R). Pod. enteritis, gastritis, bronchitis, etc.(R). Rhus tox. vesicular inflam'ns of skin (R). Sang, inflammations of respiratory organs and bowels, hemorrhoids (R). Silie promotes suppuration, and controls when excessive; whitlows, scrofulous ab- scesses and ulcers (R). Tereb. infl'ns and ulceration of mucous membrane of urinary organs (R). Urt. ur. vesicular inflammation of skin, urticaria recurring every year (R). Cold, by ice in bags, or cold water, a very useful agent. Heat, by hot water, fomen- tations, etc., often much better (R). COMPARATIVE THERAPEUTICS. 153 INFLUENZA. (Compar. Sulphurous Acid, by fumigation or inhala- tion, often controls (R). Tartar Emetic, has been recommended strongly, but is too depressant (Wa). Qumia.hasbeenusedbeneficiallythrough- out the disease, esp. after the acute stage, for neuralgic pains (Wa). Ammonia. The liq. ammon. acetatis, combined with nitric or chloric ether, is often ofgreat service (Wa). San<7MinaWa,used with much benefit (Wa). Cimicifuga, has been given with much success (R). Spiritus Etheris Nitrosi, in doses of 5j-jss, in any convenient vehicle, is a popular and efficacious remedy (Wa). Opium, best avoided in early stage, but later for the cough, with ipecac, gives great ease. Dover's powder, with nitre and lobelia, is a good form (Wa). Potassic Nitrate. Nitre, largely diluted, as lemonade, Sj-ij in the course of the day, proves highly useful (Wa). Turkish Baths, have been employed with marked advantage (Wa). Hot Fomentations, for headache (R). INSOMNIA. (Com Chloral, the best hypnotic (gr. xv-xx), quite unrivaled. Cautiously in delirium tremens, which see (B). In many forms (R). Croton Chloral, sj may be given (R). Potassic Bromide, when from cerebral overaction, gr. xv before each meal, and gr. xxx on retiring. Cumulative effect (B). It increases hypnotic effect of hyoscyamus, belladonna, cannabis in- dica, ether, and chloroform (R). Hyoscyamus, an effective substitute for opium in children, 5ij-3j of tinct. nec- essary, and without danger (B); when opium disagrees (R). Belladonna, hypnotic in some morbid states, esp. those marked by prostration, low arterial tension, contracted pupils. Atropia, gr. 1-120 to 1-60 (B). Ignatia, for sleeplessness from nervous er- ethism, better than morphia (Pf). 3 Catarrh, Hay-fever.) Sulph., Phos., tedious cases, with chest symptoms. Phos. (R), Camph. (Hpl), to abort, if given on first appearance (R). Ant. tart, bronchial complications, also Kali bich. esp. when cough (H). Ant. tart, should be given in lowest dilu- tions to act promptly (Hpl). Aeon, or Gels., in early stage (R). Aeon. chilliness, weariness, soreness (Hpl). Gels, chill up the back, remittent febrile symptoms (Ha). Ars. 6, severe fluent coryza, with head- ache, pain in limbs, and great prostra- tion; the essential features of influenza. Specific (H); esp. when epidemic (Hpl). Eup. per. bone-pains distressing (H); in- tense bronchial irritation (Ha). Iod. by olfaction, is useful (R). Bry. may be useful when pleuritic or pleuro-pneumonic symptoms,swelling of the nose, epistaxis (Hpl); for severe fron- tal headache (H). Ars. iod. as prophylactic; especially indi- cated when discharges irritating (Ha). Sticta, has great popularity in severe cases with rheumatic pains (Ha). pare Nervousness.) Chlor. hydr. gr. xv-xx, at bed-time, a favorite hypnotic (R); gr. ij for each year of age up to 20 years (Ha). Kali brom. gr. iij-v or more, every half hour [gr. x-xx (Ha).] better and less dangerous than chloral (R); esp. useful for insomnia of children with night-ter- rors. In insomnia from over-fulness of the cerebral vessels (Ha). Hyos. light sleep broken by dreams, ner- vous irritability, excitement with de- pression of spirits (R). Bell, insomnia, with heat and throbbing in head, pain in eyes (R). Ign. grief, care, depressing emotions (L). Gels. i>, gtt. i-ij, in simple cases (R). Coff. when from simple cerebral activity; the 6th and 12th better than lower dilu- tions (H); the 3x or 3 (R). Opi. stupid insomnia, acute hearing (L). 154 :nde Gelsemium, in simple wakefulness (B). Coffee, insomnia from lowering of ner- vous power, and chronic alcoholism (P). Opium, morphia the best form, gr. y~gr. ss, when pain (B). Codeia and Narceia, also hypnotic, should be given to act at natural time for sleeping (Jt). Sumbul, m xxx-xl of tinct. with a little chloric ether, very efficient in the insom- nia of chronic alcoholism (P). Tartar Emetic, and opium, very effective when due to cerebral congestion, and when opium stimulates (B). Ether or Chloroform, in a full dose (R). Phosphorus, nutrition inactive. Insomnia of the aged (B). Humulus, a hop-pillow effective (B, P). Tinct. lupulinae, sss-Sss, as cerebral sedative (B). Alcohol, if from cerebral anaemia, a full dose of whisky or brandy; or, in some a glass of ale or beer answers better (B). Water, a tepid bath just before retiring often effective. When head is hot, cold to it, and tepid bath to body (B). Cinchona. Quinia as prophylactic, gr. v-x each morning in black coffee; begin with gr. v, add gr. j each week. For acute ague, gr. x in sweating stage, and same 5 hours before next paroxysm, and gr. x-xv at the septenary periods, until the third has passed. In pernicious form, gr. xx-xl are required, by stomach, rec- tum or skin, to secure safety of patient. Best in combination with morphia, and with continuous administration of ar- senic during intermissions. May be given in solution by rectum, or hypo- dermically (B, R). Is almost specific in intermittents when uncomplicated, and of recent origin (Wa). Arsenic, the best remedy next to quinia, especially useful in long-standing agues, of quartan type(R). Useful as adjunct to quinia daily, to prevent relapse. Most important in chronic ague, with iron; also as prophylactic small doses of Fow- ler's solution. Bj Pil. ferri carbonat. Sj; : «»f China, emotional, weakess from exhaust- ing discharges (H); effects of tea (R). Nux. vom., Cham, when due to excessive use of coffee as beverage (H). Aeon, when vascular excitement, insom- nia of aged, and remittent fevers (H). Cimicif. bodily restlessness; children, when from dentition, etc. (H, Ha). Iod. when with palpitation (H). Puis, in early part of night (H); the Puis. nutt. in sleeplessness, melancholy (Ha). Ambra. nervous, hysterical cases (H). Amm. val. in insomnia from emotional excitement, hysteria, excessive use of green tea or coffee (Ha). Cyprip. (j>, gtt. a few, when from func- tional disorder of brain or nervous sys- tem, desire to talk, crowding of pleasant ideas, and restlessness of body (Ha). Calc. brom. the best remedy by far for children, may be given boldly, gr. j of crude drug for each year of age (Ha). Kumyss, when from nervous irritation, debility, or cerebral anaemia, no medi- cine so efficient (Ha). China. Quinia in recent ague (R, H); a full dose at commencement of apy- rexia, or gr. ij-iij of lx trit. during its continuance. Never in chronic form, or in malarious cachexia (H). The 3*, as prophylactic; 6th, 12th, during parox- ysm; in the apyrexia gr. j-ij every hour for 6 hours before paroxysm (Ha). Ars. chronic ague; burning heat, great thirst, extreme debility. Also in brow- ague and when quinia has been used to excess (R, H). In so-called "dumb- ague." Chill not well defined, heat in- tense, great restlessness (Hpl). Caps, sweat coincident with heat(H); ex- cessive shuddering and chilliness, pain in small of the back, thirst before and during chill (Hpl). Nux vom. has ancient repute, gastrointes- tinal symptoms, heat preceding or mingling with the chill. Alt. with Ipec. when impure intermittents in non-agu- ish districts. Chill predominating (H). INTERMITTENT FEVER. COMPARATIVE acidi arseniosi, gr. j. M. ft. pil. no. xx. Sig.—One ter die. R Quiniae sulph. 3ij; ferri sulph. exsic. 3j; ac. arsen. gr. j. M. ft. pil. no. xx. Sig.—One ter die (B). Capsicum, the resin of black and red pep- per, as adjuvants chiefly (B); promotes action of quinia, R Quin. sulph. gr. x; capsici, gr. v; opiigr. ss-j. M. (Pf). Nux Vomica, has been used with success, but now used as adjunct to quinia (B); good in convalescence (P); has antiperi- odic virtue not inferior to quinia. Strychniae gr. 1-40, equals gr. j of qui- niae sulphas. (Wa). Hydrastia, stands next after arsenic; same indications as quinia (B); gr. ij-ix, strongly recommended (P). Sodic Chloride, in large doses (Sviij-xij in sol) during apyrexia, may occasionally be useful (Wa). Chinoidine, may be used as a substitute for quinia, in doses twice as large (B). Chinoidin.(dissolved in alcohol), capsici, sulph. quin. aa gr. j to each pill, mixed with extract, gentianae. Useful formula. Cinchonia, Cinchonidia, Quinidia, the sul- phates of these alkaloids, although hith- erto little valued in medicine, are scarce- ly, if at all, inferior as therapeutical agents to quinine (Report of the Madras Commission, 1866). Average dose of each, about gr. x (Wa). Apiol, when prejudice exists against qui- nia. Gr. xv during an hour, in divided doses, 4 hours before paroxysm (B). Salicin, as substitute for quinia, but infe- rior (B); grs. x-lx, in mild cases (P). Chloroform, to prevent an impending par- oxysm; 5j-3ij given before the chill, or by inhalation (B). Opium. Morphia, gr. y hypoder. to abort paroxysm; also in pernicious variety. Is useful in combination with quinia(B). Narcotin, gr. ij-v ter die, is eminently antiperiodic. No drug (except quinine) cures intermittents so rapidly and sure- ly, or with more freedom from disagree- able effects (Wa); said to be superior to quinine (R). Nitric Acid, full doses every 4-6 hrs. (B). Carbolic Acid, hypodermatically (B). Eucalyptus, during convalescence (B). therapeutics. 155 Hydras, quotidian fevers, with gastric or hepatic disturbance in the cachectic (L). Natr. mur. 30, chronic; and recent when bilious vomiting, blistered lips, sores about the mouth (R, H); greyish-yellow look, spleen and liver enlarged (B); chill 11 A. M. (L). Ipec. nausea, vomiting, gastric symptoms; tongue thickly coated, yellow, moist fur (.R). Chill increased by external heat [relieved—Ign., Ars.] (L). Cedron. simple cases, paroxysms very regular (-R); numb sensation over body, hot climates (H); cerebral congestion (Ha); clock-like periodicity (L). Lye chill followed by sweat, without in- tervening heat. Attack 4-8 P. M. (L). Gels. , quotidian intermittents, Which it changes to tertian; hot head (Ha). Puis, highly esteemed, esp. when chloro- sis and hydraemia combined result from marsh-poisoning; requires Ign. to fol- low, in order to remove paroxysms (H). Ign. much chill, frequent paroxysms (J?); thirst during chill, none during heat; chill relieved by ext. heat [also Ars ] (2A. Ver. alb. severe and obstinate cases (R); chilliness with great desire for cold drinks, which increase chilliness (L). Ipec, Carbo veg., Cedr., Sulph. , for over- dosing with quinia and arsenic, dumb- ague^); Gels, after Ipec. for dumb-ague from quinine (Ha). Eup. per. bone-pains; Ac. phos. profuse sweats; Cina, vomiting and canine hun- ger; Amm. mur., Aran. diad. (H). Ars., Natr. mur., Sulph., cachexia(H). Ars., Nux, Puis., Ver. alb., Ign., Ipec, are Wurmb and Caspar's primary list (H). Ars., Nux, Ver., Ipec, Natr. mur., Arn.(B). Ipec, Caps., Nux vom., Ars. (Js). Cedr., Eup., Cimex, Ac. phos., Sulph. with the above, those mostly required (H). Classification of ague remedies. (1) Poisoners of low organisms, China, Gels., Eucal., Nux vom., Ars., Cedr. the chief remedies; require appreciable doses. (2) Eupat., Cornus, Salicin, Arn., Natr. mur., Hydras., which have not the pow- er referred to, but are useful in epidemic malarial fevers, esp. if of pernicious type. Chronic agues are cured by drugs 156 INDEX OF Mercury, uncalled for in ordinary cases; but hydr. cum creta, quinia and rhu- barb of service in obstinate intermit- tents of children, tropical regions (Wa). Sodic Hyposulphite, gr. xv-xx every two hours, is said to cure (R). Cascarilla, Chamomile, Quassia, used (R). Gentian, is valued chiefly as vehicle (P). Emetics, may cure many cases; one each morning will assist action of quinine. Ipecac, preferred to antimony (R); only at commencement, inadmissible if gas- tric irritation (Wa). in the dilutions from the 6th to the 1,000th, as also by "other dynamic for- ces," as hope, joy, excitement, mistake as to the time of day (Ha). Symptomatic Treatment, and minute dosage not satisfactory in recent agues (Hughes, Hale, Vincent, Sircar, Jousset, Jeanes, Holcombe, Ellis, Douglas, Marcy, Pulte, Bahr, Roth, Kafka, etc.) On the other hand Bayes, Lord, Wurmb, Caspar and many others, treated all cases symp- tomatically, and with minute even in- finitesimal doses (H, Ha). INTERTRIGO. Bismuth, nitrate or carbonate, as dusting powder (R, B). Tannin, the glycerite, excellent (R, P). Camphor, added to dusting powders, to allay heat and itching (R). Lime-water, to obviate irritating urine (R). Soap, free ablution with, when caused by acid secretions; use greasy applications afterwards (R). Bismuth, as powder, to prevent (R). Cham, is good in simple cases (H, R). Lye when chafing obstinately recurs, and seems constitutional (H). Merc, parts raw and painful (H). Sulph., Calc. carb., unhealthy cases (R). Calend. or Hydras, externally (R). Local treatment, necessity obvious (H); starch powder, or weak sol. of borax (R). INTESTINAL OBSTRUCTION. (Compare Constipation, Hernia.) Opium, even y-gr&in doses every 4 hours, for 2-4 days, arrests dangerous symp- toms, and brings a painless purgation (Brinton, P). Morphia, endermically(Wa). Belladonna, often successfully employed (P); gr. y~y every few hours, when from want of tone and partial spasm (Tr). Strychnia, occasionally beneficial; cau- tiously in acute cases (Wa). Mercury. A full dose of calomel, fol- lowed in a few hours by castor oil, and a turpentine enema, affords relief (Wa). Purgation, to be refrained from (Brinton). Opium, in simple cases, when from fecal accumulation (H, Js). Plumb, steadily, when no mechanical ob- struction, but partial spasm or paralysis; deserves confidence (Js, H). Bell-, Nux vom., Aeon., when with signs of local inflam'n (H). Bell, especially in inflammatory ileus, with heat in the bowels, tenderness to pressure, flushed and hot face, obstinate constipat'n (Hpl). Enemata, insufflation, electro-magnet- ism, and surgical methods, are often necessary (H). INTESTINAL ULCERATION. (Compare Typhoid Fever.) Mercury. Hydrarg. nit. oxid. gj ad sj ung. as oint. in flat ulcers of rectum (Wa). Carbonic Acid Gas.peranum, ad vised (Wa). Belladonna, extr. locally for ulcer of rectum (P). Silver Nitrate, locally for ulcer of rect. (B). Merc, corr.. Kali bich., Uran. nit., chronic catarrhal ulceration (H). Sulph. the first remedy (B); chronic (H). Phos. when ulcer in rectum (H). Kali bich. when following burns of surface (H). COMPARATIVE THERAPEUTICS. 157 INTUSSUSCEPTION. (Compare Hernia, Typhlitis.) Belladonna, gr. iv of extr. in an enema. has been successfully used (Wa). Opium, in full doses carried to narcotism, has been successful in many cases (Wa). Effervescent Enemata, have been employed with success (B). Tobacco Enema, may overcome, and has proved exceedingly effective, but is dangerous. Produces most depressing nausea. Not safe to use more than Siv of the officinal infusion; Sj-Oj (B). Irrigation, by hydrostatic pressure is re- sorted to with success. Requires care and gentleness (B). Hot water (Wa). Bell., Nux vom., Aeon., may help to cor- rect irregular and excessive peristalsis, and to obviate inflammation (H). Bell. great pain in ileo-ccecal region, cannot bear the slightest touch, not even the bedclothes; nausea and vomiting, high fever (L). Opi., Aeon., Mere, Plumb., are indicated by stercoraceous smell of vomit (L). Plumb, colic and fecal vomiting (L). Ver. alb. anguish, coldness, sinking (L). Inflation of intestines with air (Hippo- crates) seems the most reasonable me- chanical remedy (H). IRRITABILITY. (Compare Nervousness. Ignatia, in small doses diminishes, in large doses excites irrit. of cerebro-spinal axis. The remedy par excellence (Pf). Chloral, gr. v, 2 or 3 times a day, in irri- tability withnerv. and restlessness (R). Strychnia (B). [See Nervousness.] Ign. modifies morbid impressionabilityfH) Aeon, variable humor, excessive restless- ness, anxious impatience (R). Scut, in delicate, nervous subjects (Ha). Cyprip.<\>, gtt. x for adults, excellent in "fidgetiness" as a palliative (Ho). IRITIS. Belladonna, locally and int. (R); 115 v ev- ery 3 hours, also lotion (sj of extract to Siv aquae), is of great value (P). Atropia (solution gr. iv ad Sj) has a wide field of utility, as mydriatic (B); should never be omitted (C). Mercury, when of syphilitic origin, as it usually is (B); the bichloride is of great service (R). In plastic iritis of original severity, or in cases aggravated by im- proper treatment, mercury is imperative, gr. ij of blue pill twice a day, till blue line on gums (C). Duboisia, as substitute for atropia, is more rapid in effecting dilatation, less irrita- ting to the conjunctiva, and has less per- manent after-effects (B). Turpentine, in so-called "rheumatic iritis" is very successfully used; small repeated doses (P). Opium, when with much pain an indis- pensable adjuvant. Morphia, hypoder- mically (C). Bell. 1, for traumatic iritis; Atrop. locally to dilate pupils, in many forms (H, A). Bright redness and vascularity of the parts, feeling of heat in the eyes, in- tense pain, beating headache, photo- phobia (Hpl). Merc, esp. Merc. corr. a sheet-anchor in all forms (A. & N); esp. in rheumatic (H). Merc, iod., Kali iod. in syphilitic, gr. doses of the latter (R). Merc, in doses to saturate system in bad cases (H). Aur. if depending on mercurialismus, or when syphilitic taint (Hpl). Aeon., Arn. traumatic iritis, after opera- tion for cataract (H). Aeon, may be of very great value (Hpl); with Bry. in rheumatic iritis (H). Sant. simple, from over-use of eye, often with choroiditis (H). Euph. followed by Kali bich. in rheu- matic (H). Clem, in syphilitic, is trustworthy in most cases (H). 158 index of Irritants, astringents should never be employed (C). Surgical. Paracentesis when increased tension. Corelysis when only one or two adjacent adhesions. Iridectomy (C). Baths, Russian vapor, daily, give excel- lent results in rheumatic (R). Rest to the iris by use of atropine and a bandage. Confinement to the house, even to the bed, if the attack severe (.4). JAUNDICE. (Compare Hepatic Diseases, Calculi, etc.) Mercury, in attacks with depression, sick- ness and coated tongue, gr. %-y of powder taken at onset, and repeated 3 or 4 times a day, very valuable (R). As purgative in jaundice from both defi- ciency and excess of bile, singularly enough (B). Grey powder with ipecac. followed next morning by castor oil, is well adapted to the jaundice of infancy and childhood (Wa). Celandine, was formerly employed as de- obstruent (P); energetically affects the liver (Pf). Hydrastis, useful if continued for some time, in jaun. from catarrh of duct (B). Arsenic, has been used with success in jaundice from catarrh of bile-ducts after catarrh of duodenum. Better for jaun- dice of malarial origin (B). Nitro-Muriatic Acid, internally, and acid bath to right hypochondrium; temp, of bath 96°, Siij-gall. j (B); when jaundice depends on torpor of the liver, or is catarrhal in origin (W). Quinia, when due to malarial miasm, or when periodic (B). Euonymine. an hepatic stimulant of espe- cial power (B). Podophyllum, in catarrhal and malarial jaundice (B); when stools exhibit no trace of bile, one dose has cured (Wa). Sodic Phosphate, no remedy superior in jaundice from catarrh of gall-ducts; Sj doses every 4 hours for adults: gr. x-3j for children (B). Manganese, in jaundice from malarial origin, or catarrh of biliary passages (B). Aloes, for simple jaundice of an atonic kind (B); when hypochondriasis (P). Rhubarb, for above maladies in children; white or clay-colored pasty stools; skin jaundiced (B). Merc, generally quite sufficient when from extension of catarrhal process along bile-ducts (H); especially useful after Aeon. (R). Chelid. has often proved effective (H); when pain in liver and right shoulder (R); certainly cures jaundice from many causes, no better remedy in liver dis- orders (Ha). Bitter taste, tongue clean, of deep-red color, stool white, urine brown-red (Hpl). Hydras. . gtt. v (Ha); when from catarrh of bile-ducts (H). Ars. in malignant, typhoid symptoms, or great prostration. Also dyspepsia fol- lowing an acute attack; for jaundice from abuse of mercury, and in malarial subjects (R); especially valuable when from disorganization of the liver (Hpl). Ac. nitro-mur. lx, in chronic jaundice(R); Ac. nit. has afforded much relief in chronic jaundice from enlargement, and induration of the liver (Hpl). China, in malarial jaundice (JS); recurring form (L); sallow, dingy-yellow complex. spasmodic stitching pains in liver (Hpl). Euon. lx, in deficient, 3* in excessive se- cretion of bile; is successfully used (Ha). Phos. in malignant; hypochondriac pain and tenderness, acute hepatic atrophy; also in chronic jaundice (H). Cham, in high repute for recent form; from fright or anger, or gastro-duodenal catarrh (H, Js); passion in children (R). Aeon. , has cured some malignant cases (Js). When inflammatory symptoms, and local pain (R). Nux vom. when constipation; from seden. tary habits or alcoholic excess (R). Crot. 1, or 3, in malignant with hemor- rhage, when originating in the blood; typhus icterodes (H). comparative Ammonium Iodide, gr. j-iij in water every 2 or 3 hours in catarrh of bile-ducts and jaundice. Also Amm. Chloride, with fluid extract of taraxacum (B). The Chlo- ride, in 20-gr. doses every 4 hours, produces a decided change (Wa). Stillingia, relieves jaundice and torpid liver following intermittent fever (B). Dulcamara, employed with advantage (P). Iris, in malarial jaundice and that from duodenal catarrh (B). Alkaline Mineral Waters, especially in catarrh of duodenum or bile-ducts (B). Potassium Salts. The Chlorate in chronic or asthenic jaundice. The Sulphate the most useful saline purg. injaundice(Wa). Aliment. No starches or fats. Milk, eggs, oysters, beef-broth, broiled or raw beefsteak, or whitefish (B). Aconite, pains in inflamed joints (R). Mercury, the oleate in chronic inflamma- tion of the knee (R). Rhus Toxicodendron, internally and as lo- tion, is invaluable for sub-acute stiffness and aching of joints after acute rheu- matic fever (P). Iodine, 5iij-vj ad glycerini giij, aq. destil. Siv, in numerous obstinate cases of joint affections consequent on rheumatism (Wa). Ferric Iodide, with Iodine locally, in scrofulous affections of the bones and joints (Wa). Arsenic, often serviceable in rheumatoid arthritis and nodosity of joints. Large doses continued necessary (R). Alcohol, and water, equal parts, an excel- lent evaporating lotion (B). Silver Nitrate, a strong solution in nitrous ether the most efficient application to check inflam'n in small joints if applied early to adjacent vascular parts (B). Cod-liver Oil, in strumous subjects (R). Cold Douche, Galvanism, Turkish Baths, for stiff joints (R). therapeutics. 159 Berb. Inf. of inner bark of barberry-root, highly recommended in chronic (R). Iod. in chronic, with no apparent me- chanical obstruction to bile (H). Aur. is occasionally curative (H). Leptandrin lx, a very useful remedy (Ha). Bry. when from anger or disappointment chronic hepatitis (Hpl). Dig. has occasionally cured true jaundice (H); clean tongue, pulse slower than heart (Ha). Myrica, ashy stool, tongue dirty-yellow, catarrh of posterior nares; dull, aching liver (Ha). Carduus, has made many cures, is decid- edly homoeopathic (Ha). Diet. An abundance of green vegetables at every meal, cold water freely; avoid highly-seasoned food, and liquors (Gt). Aeon, rheumatic pains, and inflammation of the joints (Hpl). Merc. corr. ulceration of cartilages (H). Rhus. tox. pain and aching from strain. Rhus., Bry., Phyto. rheumatic joints(R). Iod. Kali iod., Bry., Canth. dropsy of joints (R). Arn. aching joints from over-exertion (R). Ac. benz. concretions in the joints, result- ing from rheumatism or gout (Hpl). Arg. met. in arthritis articularis, and con- gestions of the bones and cartilages(HpQ. in hysterical arthralgia (H). Calc. phos. in scrofulous ulceration of joints, very successfully used (Hpl). Pals, inflammation while recent (H). Silic in scrofulous affections, bursitis (H). Sticta, lx, has cured several cases of rheu- matism in small joints, when other rem- dies failed signally (Ha). Calc. carb., Ruta, Caust., Kali carb., Merc, Lye, Sulph., weak joints (R). Oil Frictions, are very useful in painful or stiff joints. Cod-liver or olive oil, after painting with Iod. (R). JOINTS, DISEASES OF. (Compare Bursitis, Gout, Hip-joint Disease, Rheumatic Arthritis, Rheumatism, Synovitis.) 160 index of KERATITIS. (Compare Corneal Opacities.) Atropia, renders great service by contract- ing vessels (B). Atropine by instillation, with enforced disuse, and a protective bandage, should be regarded as meas- ures of course (C). Mercuric and ferric perchlorides, with cod-liver oil, will accomplish all that medicine can do for interstitial keratitis in syphilitic subjects (C). Arsenic, Potassic Iodide or Bromide, Iron or Quinine, for constitutional effects in vascular keratitis. Also counter irrita- tion by iodine painted on the temples till soreness (C). Ferric Perchloride, successfully employed in panniform keratitis. A large drop of the solution dropped from a quill every second or third day (Wa). Eserine, lowers intra-ocular tension (B). Astringents or Irritants, (as alcohol in any form, zinc sulphate, silver nitrate, etc.) are entirely inadmissible (C). Iridectomy is often beneficial in severe vascular keratitis (C). Ergot, when uterine inertia, after first stage passed. Is dangerous if any ob- stacle in front. Danger to child in par- alysis of fcetal heart (B). Is best given when head has passed the brim of pelvis (Wa). Anaesthetics, in protracted and painful la- bor; cautiously with primiparae (B); in- crease the risk of post-partum hem- orrhage (W). Chloroform, not to complete anaesthesia, lest uterine action be interrupted. Usu- ally begin when os is dilated (Simpson). Chloral, of great value to relieve pain; does not interfere with the exhibition of chloroform. Should be given in 15-gr. doses every 14-hour till effect produced (Wa); for 3 doses (Playfair). Atropine, by instillation to relieve pain; if it causes increased irritation, replace by Bell. gr. v-x of extract in pure water (.4). Merc. corr., Aur. mur. in interstitial ker- atitis with hereditary syphilis(H); Merc. for keratitis, with Hepar sulph. is most frequently demanded (A). Ars. when ulceration threatens, patient feeble and cachectic (H). Aeon, internally, when sufficient reaction to warrant cold locally (A). Hepar sulph. in suppurative keratitis, and in abscess of cornea (H). Bell. Cham., Opi. as warm medicated fo- mentations, also internally, to relieve severe pain (A). Apis, specific in simple diffuse ker. (H). Pressure-Bandage, in severe suppura- tive forms, limits extent (A). Water, cold when inflammatory symp- toms marked; hot (90-100° F.) in non-in- flammatory form, to excite inflamma- tory reaction; should be discontinued when marked injection (A). Secale, as uterine excitant, in small, re- peated doses-, gtt. vj of saturated , or a less dose of the fl. extr. in water, or a teasp. of the infusion prepared from the fresh drug, either of these every 15 or 20 minutes (Mn). Sec, Morph. acet., Atrop. Ign., 3x, Caul,, may serve to remove rheumatic or neu- ralgic pains, and false pains (Mn). Chloroform or Chloral, as relaxing agents, the former probably the best (Mn). Chlo- roform the only anaesthetic worthy of confidence in labor. Is very valuable esp. when patient suffers from great fear or severe pain (Mn). Cimicif. , gtt. x every J^-hour after de- livery to induce uterine contractions (Ergot better); in atonic labors. , gtt. LABOR. [Compare Abortion, After-pains, False-pains, Hemorrhage Post- partum, Lactation, Puerperal Convulsions,—Mania, —Fever,—Disorders, etc.) COMPARATIVE Opium, facilitates dilatation, promotes expulsive power of uterus, lessens hem- orrhage, stimulates longitudinal and oblique fibres of uterus, and relaxes cir- cular fibres of the os (Wa). Cimicifuga, exercises special action, simi- lar to that of ergot; is less dangerous to life of child, soft parts of mother (Wa); for mental disturbance and suppressed lochia (R); as partus accelerator in lieu of ergot, also to allay nervous excite- ment after labor, and to check post- partum hemorrhage (P). Morphia, for relief of pains and after- pains, or painful complications (Wa). Hypoder. in rigid os and cervix (R). Belladonna, topically to uterus, of great service in long-protracted labors from rigidity of os and cervix (H). Gelsemium, quiets the "nagging" pains of the first stage; requires physiological doses (B). Quinia,to strengthen uterine contractions; used by many in place of ergot (R). Cannabis Indica, the tinct. gtt. xxx, as stimulant to uterine contractions, more prompt, less lasting, than ergot (Wa). Ipecacuanha, after delivery; to promote natural functions (R). Cotton-root, as excitant of uterine con- tractions may be more energetic than ergot (P). Althxa, the decoction, as vaginal in- jection in difficult labor (P). LACTATION. (Compare Abscess Belladonna, internally or externally or both in excessive lactation (R). Atropia gr. iv-Sj aq. rosae on lint around the breast, to arrest secretion of milk. Re- move when fauces become dry and pu- pils dilated (B). Lime Phosphate and Hypophosphite, in de- bility from over-lactation (R, Wa). Ammonium Chloride, for the inter- costal neuralgia of suckling women; gr. x-xx, every 3 or 4 hours (Wa). Quinia, Tannin, are used to arrest the secretion (R). Alcohol, as beer or porter, often useful in excessive lactation—not always (R). F THERAPEUTICS. 161 v-x every i^-hour, to arouse the torpid uterus, esp. when resulting from Ergot. In the 2nd, with warm fomentations to abdomen for suppressed lochia (Ha). The <)>, excellent for rigidity of the os (Mn). Cimicif. 4>, Caul. (Ha, Mn); Gels., Puis., taken for some weeks before term, to promote normal labor (R). The weight of evidence is in favor of Caul, for this purpose (Ha). Mitchclla repens used for the same purpose by the Indians (Ha). Morph. acet. lx, gr. j in repeated doses for spasmodic constriction (Mn). Bell, for rigid, undilatable os (Ha); for false pains (H); congestion of head (.Mn). Gels, <(>, gtt. j-v (x-xv, Ha), every 30 min. for dilatation of rigid os; no remedy comparable with it (Douglas, Ha); rigid perineum (Mn). China 18, uterine inertia, arising from the foetus being dead (Leadam); or when loss of blood cause of deficient pains (H). Coff., Cham., when nervous susceptibility of patient great (H). Caul. y-gr. doses every 15 minutes has dilated the os, when Bell., Puis., and Aeon, failed (Ha). Vibur., Xanth,, Cupr. ars., for spasmodic constriction (Mn). Ars. 2x, unusual quickness of pulse, hem- orrhage, septicaemic symptoms (Mn). Arn. as prophylactic against afterpains (H). <$>, internally, after labor, as pre- ventative of puerperal fever (Mn). s, Agalactia, Mastitis, Nipples.) Bell, or Aeon. alt. Bry. milk-fever (R). Bell, engorgement, redness of skin of mammae like erysipelas, headache. Few cases go on to suppuration where Bell, is perseveringly used (Mn). Bry. to relieve undue engorgement of breasts, at weaning or other times (H). Arn. to prevent milk-fever (Mn). Agnus, Asaf., Calc. milk late in appear- ing, or deficient in quantity (H). Sulph., Calc, Silie, Merc, milk rejected by child from deranged quality (II). Puis., Calc. to diminish flow of milk (H). China, against effects of over-lactatioi^H), Cham, abnormal lactation, from anger (R). 162 INDEX of LARYNGISMUS STRIDULUS. (Compare Croup, Laryngitis.) Aconite, checks the spasm and relieves the croupous breathing (R). Belladonna, promises to be of value (Wa). Bromides, when uncomplicated except with convulsions (R). Full doses will suspend an attack, and moderate doses steadily continued, will prevent recur- rence. R Potassii brom. sij; chloral. hydratis Sss; syrup, tolu. Sss; aquae, Sjss. M. Sig.—A teasp. every y2 hour(B). Ipecacuanha, an emetic dose to cut short an attack (B). Lobelia, has been employed (R). Chloroform, quickly cures, a few drops on a handkerchief sufficient (B); may often be used with advantage (W). Chloral, gr. v-xv to prevent or arrest (B). Quinia, given between attacks to prevent (B); a most valuable remedy, but in small, repeated doses (P). Emetics. Tartar emetic: mercuric sulphate (gr. iij-v) safer and better (B). Conia, is valuable, carried to a point of physiological effect (B). Water, wet pack to neck (B); cold spong- ing twice or thrice daily more success- ful than anything else, with out-of-door exercise. Cautiously if hoarse voice in- dicates laryngitis (R). Aeon, is eminently specific (Hpl); fre- quently cures alone, is of priceless val- ue. If any doubt of the character of the croup, alt. it with Spong. Spasm of larynx, dyspncea, febrile symptoms (R); when excited by cold, dry air(H); Aeon. alt. Sanib. during attack, dry cough (R). Bell, arterial excitement, cerebral con- gestion (H); red face, dilated pupils (R). Kali brom. often relieves promptly when at night, from teething or worms (Ha). Kali brom., Bell., Gels, convulsions(R); the latter in material doses (Ha); as re- serve medicine (R). Ipec. accumulation of mucus (R). Lobel. , 2x, a reliable remedy (Ha). Corall. rub. is the first remedy (Teste). Mosch. smelled, affords the most relief during paroxysms (II). Phos. during convalescence, cough, sore- ness of the chest (R). Spong. hard, dry cough; weak or hoarse voice between the attacks (R). Carbo veg., Hepar sulph. hoarseness, wheezing cough (R). Water, as warm bath, and warm fomen- tations to throat. Cold water dashed on face or chest (R). Cold sponging of the chest is useful (H). LARYNGITIS, ACUTE. (Compare Croup, Pharyngitis.) Aconite, very valuable (R); esp. indicated in inflammatory states of respiratory parts; gtt. ss-j every half-hour till an impression is made on the fever, then every hour or two (B). Iodine, inhaled, also as counter-irritant painted over neck (B). Morphia, small doses, to allay cough (A). Sulphurous Acid Spray, is vaunted (Wa). Leeches to throat are valuable auxiliaries to general treatment in sthenic cases; or cupping at the nape of the neck (Wa). Zinc or Copper Sulphates, as emetics, in large quantities of warm water, where cedema slight (A). Scarification, by Mackenzie's laryngeal lancet, of great service (A). Aeon. 1-6, (Hpl); indispensable at com- mencement, and often sufficient (H); larynx sensitive to inspired air (Hpl). Spong., Kali bich. have the largest experi- ence in their favor (H). Kali bich. tough, stringy expectorat'u(H). Brom. also of great value (H); husky, hoarse voice, provoking cough, scraped sensation in the throat (L). Hepar sulph. cough loose, hoarseness (H). Apis, in repeated doses, for cedema glotti- dis, the best chance of averting trache- otomy (H). Is highly recommended in this affection (Hpl). Caust., Brom., Selen., Aeon., in recent cases of laryngeal catarrh of professional singers; Carbo veg. in more chronic (H). COMPARATIVE THERAPEUTICS. 163 Heat, by poultices or fomentations (A). Hot-water stupes may succeed (Wa). Inhalations of hot steam, with benzoin, hops, or conium, of great service (A). Tracheotomy ought not to be delayed, if inhalations, leeches, and fomentations fail (A, Wa). Iodine, painted over neck as a counter- irritant, and inhalation of its vapor (B). Sulphur. Sulphurous acid as spray in syphilitic or tubercular laryngitis, or a solution of sodic sulphide (Sj to the oz) in water (B); by inhalation, spray, or fumigation (R). Silver Nitrate, powdered, or in solution to chronically inflamed larynx, as in phth- isis (R); a solution of gr. x or xx ad gj, applied with a brush by the aid of the laryngoscopic mirror (W). Formerly much used, but is objectionable (B). Ferric Perchloride, solution gr. lx-cxx ad gj glycerini as local application (A). Zinc Chloride, gr. xx-xxx ad gj, in gly- cerin. Alternation of topical applica- tions, of great value (A). Bismuth, the sub-nitrate by insufflation, is highly recommended in the worst forms of laryngitis, even in that accom- panying phthisis (Tr, Wa). Guaiacum, as lozenges, very useful in mucous laryngitis (A). Althxa, as pectoral lozenges to relieve laryngeal irritation (P) Benzoin, in strumous laryngitis (Wa); in chronic, benzoin on hot coals, or inhaled from boiling water, of great service (Tr). Tannin, in chronic catarrh and ulcera- tions, a solution (gr. x-3j-giv) applied by hand-ball or steam atomizer (B, A). Inhalations, or spray, of the best agents very grateful (B); air loaded with vapors of ammonium muriate, by inhaler, said to be used successfully (W). Insufflation, substances to be in small quantity, mixed with bland powder (B). Functional Rest of voice often requis- ite, especially in phthisical and syphi- litic laryngeal ulceration (A). Weythia, has been very useful (Ha). Sticta, greatly relieves the cough (Ha). Stillin. has specific affinity for larynx; has been used with success (Ha). Fomentations of larynx externally, with steam inhalations (R). Laryngotomy sometimes necessary (R). Iod., Kali iod. in chronic follicular laryn- gitis, also locally for speedy cure (H). Sulph. follicular, with eruptions on skin, the "herpetic" or' 'dartrous" diathesis(if) Hepar sulph. tough expectoration, un- healthy subjects (M). Ac. sulphs. spray for laryn. irritation (R). Arg. nit. int. and by spray in laryngeal phthisis, cases of long standing. [Also Iod., Ars.](M). Ant. tart, expectoration copious and easy in catarrhal form (M). Kali bich. glutinous expectoration (M). Kali iod., Mang., Acet., Phos. catarrhal, larynx dry and irritable (M). Mang. is of particular value (B). Caust. to restore power to the voice (M). Lach. to diminish irritability (M). Carbo veg. long-standing catarrhs of eld- erly people, or in persons of low vitality from insufficient nourishment (M). Sticta, greatly relieves the cough (Ha). Bell, chronic laryngitis, with sensitive-- ness of the larynx to pressure, dry cough, congestion of head (Hpl). Atrop. sulph. 1, for distressing cough from laryngeal ulceration (II). ^4c. nit., Natr. selen. 3x-6x, recent tuber- culous laryngitis. Also locally (If). .4c. nit. when from scrofulous or syphilitic element (Hpl); in laryngeal syphilis when mucous patches, condylomata(Af). Merc. corr. laryngeal syphilis, ulcers (M). Merc, biniod., Kali iod., Cinnab. 3x, terti- ary syphilis of larynx, the latter when skin is very eruptive (M). Stillin. valuable in syphilitic laryn. (Ha), Aur. 3, highly beneficial in syphilitic in- flam'n of larynx, when drawing pain in bones, ozoena, mental depression, and other symptoms indicating drug (Hpl). LARYNGITIS, CHRONIC. (Compare Cough.) 164 INDEX OF LARYNGOTOMY. (Compare Tracheotomy.) Laryngotomy is more quickly and easily performed on the adult than trache- otomy, being further from the lungs and less dangerous. It is usually directed to be performed by cutting longitudinally through the skin, then horizontally through the crico-thyroid membrane, which may be felt as a soft depression, an inch below the pomum Adami. In urgent cases, however, Prof. Wood recommends a narrow-bladed knife to be passed horizontally through both skin and membrane at once, and then to enlarge the opening laterally to the required extent. The advantage of having a horizontal incision in the skin is the greater openness of the wound when the patient throws up his head under a sense of dyspncea (D). In Laryngo-tracheotomy. the deep incision is carried downwards from the crico-thyroid membrane, through the cricoid cartilage and one or two of the Upper rings of the trachea (CI). LEUCOCYTKEMIA. Alkaline Hypophosphites, have been used with more or less benefit (Wa). Digitalis, in young subjects (B). Nitro-muriatic Bath, should not be neg- lected, with tonics and nutrients (A). Iron, is of little value (B). Galvanism, curative in uncomplicated cases (B). (Compare Endo-metritis, Ut Hydrastis, the fluid extr., undiluted topi- cally, quickly improves in uterine and vaginal leucorrhoea (B). 'Pulsatilla, 5-drop doses ter die for a few weeks; also a teasp. in a pint of cold or tepid water, as vaginal enema daily, when pain in loins, depression of spirits, loss of appetite, etc. (P). Balsam of Peru and Tolu, internally (P). Glycerin, is largely prescribed for vaginal leucorrhoea, and for erosions and ulcera- tions of the cervix uteri (B); the best vehicle for other agents (E). Cimicifuga, is said to be useful (P). Copaiba, has been used with success (P). Cocculus Indicus, when sero-purulent dis- charge, pain in lumbar region (P). Carbolic Acid, diluted, as injection (B); for vaginal leucorrhoea (R). [See Prurigo.] Borax, as injection; see Alum, below. Bismuth, with mucilage, as injection; or with cocoa-butter as suppository (B). (Compare Spleen.) Ac. picric, a promising remedy (H). Thuja, where gonorrhceal history ( VonG). Nux vom. alt. Ipec. patient very suscep- tible to cold and damp ( VonG). Natr. sulph. 3x, gtt. v, several times a day, the chief constitutional remedy (VonG). Natr. mur. shonld be studied in this connection (L). :rine Ulceration, Vaginitis.) Hydras, or Calend. in cold water, as vaginal injection daily, is of unquestionable ser- vice (H); int. and ext. when abrasion, ulceration, indigestion and debility (R); locally in vaginal, also in catarrhal leu- corrhoea of children, with Calc. carb. and Sepia, internally (Ha). Puis, is specific for morbid activity of cervical glands, simple mucous leucor- rhoea; also for vaginal in chlorotic sub- jects (H); wandering pains, flatulence (R). Puis. nutt. acts more promptly (Ha). Bals. peru. for muco-purulent discharge; inject'nsof theaq. in obstinateleuc.(Ha). Glycerin, on tampon inserted occasionally in cervical canal (Ld). Cimicif. locally and internally, of great benefit in all forms; low dilutions (Ha). Copaib. is of undoubted value (H). Cocc. ind. colic, flatulent distention (R). Ac. carbol. fe.tid, excoriating discharge (Hpl). Creos. same indications (H). LEUCORRH(EA. comparative therapeutics. 165 Iodo-Tannin, a capital application. R Iodoformi sj; ac. tannici gj. M. Sig.— A sufficient quantity to be packed dry around the cervix, in leuc., etc. (B). Alum, as injection is useful. R Alumi- nissj; zinci sulphat. Sss; sodii biborat. gr. iv; aquae rosae gviij. M. Sig.—Injec- tion (B); sj ad Oj aquae (R). Copper Sulphate, in solution, injection (R). Tannic Acid, in chronic cases serviceable as injection, gss of tannic acid in gviij of claret wine (B). If os ulcerated, a suppository' of tannin and cocoa butter to mouth of uterus (R). Belladonna, with tannin as bolus where neuralgia or ulceration of os. When disease due to over-secretion of mucous glands about the os, and much pain present, inject sodii bicarb. Sj; tinct. bel- lad. gij; aq. Oj (R). Potassic or Sodic Bicarbonate, Sj to Oj. aq. as injection, especially when discharge alkaline and copious (R). Pareira, Uva Ursi, successfully used (P). Sumbul, recommended in atonic form(P). Myrrh, with iron or aloes, beneficial (P). Ergot, said to be useful in some cases (R). Potassic Permang. has no special advan- tage; is used in solution (gr. ij-gj)(B). Iron, the iodide, int. and ext. has proved serviceable; the mistura ferri composita, when anaemia and general debility (Wa). The styptic preparations, locally (B). Phosphates, for the cachexia (B). The calcic phosphate, gr. j-ij several times daily, of great value in checking pro- fuse discharge (Wa). Injections, water at 60° F. to prevent re- currence (R). Hot water injections best tonic to pelvic vessels; to relieve venous congestion use with elevated hips (E). Bor. white, albuminous discharge, just between menstrual periods. Acne (Hpl). Alumina, has cured (H); profuse leuc. in the day-time, with constipation (R). Sepia, the chief remedy when debility with passive uterine congestion (H); al- so in vaginal leuc, the 1st or 2d (Js); discharge green and thick, or offensive, watery, and profuse. Sep. and Merc, the chief remedies in vaginal leuc. (H). Helon. has especial value as a uterine roborant(H); relaxation of uterus and its appendages (R). A uterine tonic (Ha). Mire, Iod. (low) after Puis., Sepia, in leuc. of long standing, with inflam'n and ulceration of cervical glands (H); purulent, itching (R). Calc. carb., Sil. vaginal, in scrofulous sub- jects; discharge white, but profuse. Calc. and cleanliness readily cure infan- tile leucorrhoea (H). Ars. titerine hyperaemia; thin, burning discharge (R); malignant ulcera'n(Hpl). Caust. profuse at night, with fetor (R). Ac. nit. chronic, cachectic subjects(H). Mag. mur. in leucorrhoea generally; esp. when hysterical cramps (H). Xanthox. with amenorrhcea, or dysmen- orrhcea (R); neuralgic element pre- dominating (Ha). China, for the resulting debility (R). Sulph. with other remedies, in chronic leucorrhoea (R). Calend. as lotion, by injection, in leucor- rhoea of children (R). Kali bich. yellow, stiff, ropy discharge; fat, light-haired persons (X). Injections of cold water daily, of value (H); except when pregnancy, then te- pid. The vaginal douche (R). Rest is of the utmost importance (R). LICHEN. (Compare Prurigo, Pruritus.) Arsenic, sometimes useful (R). Mercury. Calomel and nitrate of mere. oint. mixed (also tar oint. added), in patches of obstinate lichen (R). Silver Nitrate. The nitrous ether solution painted every day or two over patch (R). Baths, warm, or of sulphides (R). Ars. "baker's itch." chronic cases (R); is indispensable; the leading remedy (H). Sulph. simple lichen, in summer (R, H). Ant. cru. with digestion deranged (R). Apis, " prickly heat" (H); or Ledum (R). Baths daily, cold or tepid, with petrole- um soap (R). 166 index of Belladonna, and Ergot, highly recom- mended by Brown-Sequard (R). Silver Nitrate, when motor disturbances are very marked. Improved 1 in 20 (R). Physostigma, has proved beneficial (R). Phosphorus, useful, but may not cure (B). Hyoscyamia, ameliorative; gr. 1-32 gradu- ally to gr. 1-15 (B). Electricity, galvanic, relieves pain; fara- dic stops wasting of muscles (B); in stage of irritation the constant current (ascend- ing), through spinal column (R). Water, one of the most efficient agents. Friction with a cloth dipped in water of 60-65° F.; a cold compress to head; 4-8 minute bath of 70-75° gradually lowered to 60°, then shower-bath, frictions (R). Alkalies, in biliousness; also the continued use of alkaline waters rich in potassium salts, for solution of calculi (B). Acids. Hydro-chloric often of great ser- vice; also lactic acid, when faulty diges- tion and assimilation (B). Potassic Permanganate, prevents calculi by converting uric acid into urea (B). Lithium Salts. The carbonate is valuable internally, and as solvent injection (Wa). Buchu, combined with an alkali, has been a beneficial remedy (P). Colchicum, 15-n]j doses of the wine, twice or thrice daily; is very useful (Wa). Chimaphila, is believed to check the secre- tion of lithic acid (P). Aliment. Farinaceous vegetables and acid fruits are suitable (B). LUMBAGO. (Con Cimicifuga, said to be more effectual than any other remedy (R); has sometimes wonderful success. No indications can be given for it. 3ss-ij of fluid extract (B). Curative (P). Rhus Toxicodendron, in sub-acute muscu- lar or tendinous rheumatism, worse at night; completely relieves some (Pf). I ATAXIA. Bell, lx, is of striking analogy, and has cured. May be of especial service in incipient stage (H). Atropine, 3x, (R). Arg. nit. best in true paralysis of legs (H). Physos. stiff recti femoris, languor (L). Phos., Kalibrom., Arg. nit., Ars. (R). Alum, Sulph. (J); Angus., Bell, Cham.(Js). Zinc sulph., 6, has been of value (H). Ac. picric, painful sexual excitement (H). Gels, may be curative (Ha); when with paralysis of optic nerve (L). Alum, Nux vom., Sulph., Calc. carb., Carbo veg., Caust., Cocc, Natr. mur., Phos., -4c. phos., Ac. picric. (L). Bathing, of importance, esp. in sea wa- ter; or cold douche to spine, followed by steady friction (R). Alkalies, temporarily, especially in form of natural mineral waters (H). Acids. Lime-juice, as part of a corrected diet and mode of living (H). Lemon- juice, a teasp. to a tablesp. one or two hours after each meal (K). Lye the best remedy, esp. when con- nected with digestive derangement (H). Sepia, especially in female casts (H). Chin, sulph. when symptoms neuralgicfH^ Diet. Succulent vegetables and fruits, occasional abstinence from animal food. High living, alcoholic liquors, and sed- entary habits are injurious. Milk-diet, and frequent draughts of pure water also recommended. Removal to a locality where pure soft water can be procured is often alone curative (R). Cimicif. or lx, universally commended (H): excellent in most cases, especially if associated with sciatica (R); has made some surprising cures in chronic cases (Ha). Meicrot. 3x trit. preferred (Ld). Rhus tox. the chief remedy (J, H); pains worse at night, and on first moving the part (R). LITHIASIS. (Compare Calculi, Gout, Dyspepsia.) pare Rheumatism.) comparative therapeutics. 167 Veratrum Viride, the tincture, useful (R). Aconite, in y-mi doses of tinct. every 2 hours, with linim. aconiti locally (Wa). Iodides, if referable to syphilis, mercury, copper, tin, or lead poisoning (B). Morphia, hypoderm. to relieve pain(B, R). Belladonna, as plaster, very valuable for persistent 1. remaining in small spot (R). Capsicum, strong infusion on lint (R). Turpentine, in doses of njxx-xxx (care- fully, lest strangury and nephritis) of greatest value when the bowels regu- lar and urine clear and abundant (Wa). Ether Spray, ext. as freezing mixture (R). Guarana, xv-xl-gr. doses removed severe chronic(Rawson, in Irish Hosp. Gaz.,'74). Chloroform Liniment, affords relief (Wa). Canada Balsam, gr. v-xx, is useful, or Burgundy Pitch, as plaster (P). Acupuncture, occasionally gives instant relief (Bj. Not when high fever (R). Aquapuncture, has been employed with extraordinary success (B). Heat, by hot douche to seat of pain (B); or by very hot poultices for 3 hours, then the skin covered with flannel and oiled silk (R). Galvanism, the constant current (B); is highly useful (R); faradization almost as successful as acupuncture (R). Ver. vir. has specific action, especially when left side affected (Ha). Aeon, from exposure to cold and damp (H); soreness, lameness, rigidity (Hpl). Am. to help Rhus, when from sudden ex- ertion (H), the implicated muscles for- merly injured by sprain, exertion (R). Ant. tart. 2x, preferred to any remedy (B); acute pain on movement, inducing nausea, cold perspirat'ns and cramps (R). Bry. one of the principal remedies (L); pains aggravated by motion (Hpl). Nux vom. (Js); pains remittent (H). Phyto. excruciating pains, suggesting re- nal inflammation (R); in many forms of chronic rheu. of fibrous structures (Ha). Compresses, medicated with Aeon.,Rhus., Am., or these as liniments rubbed in before a fire, are very useful (R). Heat, by hot iron, a valuable application (R); by rubber hot-water bag. Silk, worn around the waist in a skein, as preventive (R). Rest, of great importance (R). Strapping from the thighs upwards, with layers of adhesive plaster which overlap each other. Nothing is so instantane- ously beneficial (R). Diet, should be generous and nutritive, Lemon-juice as beverage (R). Aeon, early in pulmonary congestion is sufficient (H); acute congestions (Hpl). Ver. vir. lx, congestions from chill, etc. (R); is of great value in irritative con- gestion, with full, hard, pulse (Ha). Phos. 3, Ant. tart., cedema pul. (H, B). Bell, Ferr., Nux vom., Sulph., chronic congestions of the lungs (H). Hepar sulph., Silic, in abscess of lungs (H). China, to sustain the strength (II). Ars. 2, chronic abscess, fetid sputa (-B). Ars., Sec, Creos., Lach., for gangrene. Disinfectant inhal'ns indispensable (H). Merc, iod., Kali iod., pul. syphilis (H). Solania, in paralysis of lungs of bronchi- tis, has done excellent service (H). Phos., Opi., Ant.tart., Bary. carb., Lach., for paraiysis of lungs (R). LUNG Dl (See Emphysema, Phthisis, Pneuj Aconite, is indicated in most acute con- gestions (P); is esp. indicated in inflam- matory states of resp. organs (R, B). Veratrum Viride, renders important service in acute parenchymatous congestions (B); gr. y of resin in pill when temp. and pulse are high. It tends to induce prostration, collapse, etc. (A). Creosote, as inhalation to obviate the fe- tor in gangrene of the lungs (R). Mineral Acids, esp. nitro-muriatic, with quinine, the main remedies in chronic pulmonary gangrene (A). Blisters. Flying blisters to chest, and perhaps along pneumogastric nerves in hypostatic congestion (R). Stimulants, as malt liquor, with tonics, in pulmonary gangrene (A). LUNG DISEASES. (See Emphysema, Phthisis, Pneumonia, Hemoptysis, Pleuritis, etc.) 168 INDEX OF LUPUS. Arsenic, in chronic cases, not of syphilit- ic origin (B). Arsenious acid as caustic (R). The best remedy in lupus of head and face (Wa). Iodine, useful whether syphilitic or scrof- ulous; the tinct. or a glycerin solution (B); as tinct. or liniment to edges and around (R). Mercury, ointments in erythematous lu- pus, calomel oint. in scrofulous and tu- bercular lupus of children (R). Calo- mel int. gr. j-ij increased to iv, will quickly check (Wa). Cod-liver Oil, internally and locally (B) Lead, liq. plumbi, with one or two parts of glycerin, applied warm after removal of crusts in milder forms (R). Carbolic Acid, as mild escharotic (B). Zinc Sulphate, dried, as caustic, freely dusted over surface, and a poultice to remove slough (B). Chromic Acid, an efficient local applica- tion. Gr. c-gj aquae destil. (B). Phosphorus, as substitute for arsenic (B). Silver Nitrate, a weak solution gradually strengthened, in superficial forms (R). Cauterization, with the actual cautery at white heat, after scraping out as much as possible of the diseased parts (Pf). Ars, 2, in the "exedens" form (H); the chief remedy; int. and ext. persevered with, has cured or greatly benefited the worst cases (R). Iod., Merc, biniod., Syrup.Ferr. iod., Kali iod., Sulph., are also useful (R). Cod-liver oil, has been very successful, in small as well as large doses (Ha). Hydras, has cured several advanced cases of lupus exedens (Js); has been found useful; may be used internally if indi- cated, aud patient is cachectic, also externally as a simple lotion, or glycer- ole, or cerate (Ha). Kali bich. 5x, in tubercular "non-exe- dens" form, has cured three cases (H). Apis., Hydroc, in tubercular form (H). Aur. ars. curative power established (Ha). Phyto. is useful (R); has cured (Ha). Guarea, is said to be curative (Ha). Hydroc. asiat. used by Dr. Boileau in 57 cases, arresting disease in all (Hel). Lye sufficient in lupus exedens, if recent, and has not penetrated far into the tissues; feeble patients, with sallow com- plexion (B). Aur., esp. Aur. mur., has sometimes a most surprising effect, esp. when lupus starts from Schneiderian membrane (B). LYMPHANGITIS. (Compare Bubo.) Belladonna, the extract softened with gly- cerin, freely applied, is of great service; when pain is severe a poultice may be placed over the extract for a few hours only (Wa). Lead, liq. plumbi. subacet. dil. ext. (Wa). Bell. alt. Merc, cover the whole mischief, when lymphatics of arm and axillary glands inflame after a poisoned wound (H, Js). Apis, intermittent form in women, with tearing pains, nodes, etc. (B). MANIA. (Compare Delirium, Puerperal Mania.) Stramonium, of value; allays irritation and induces tranquil sleep; wild and furious delirium, but intermittent; also in nymphomania (P). Many facts seem to confirm its reported value (Tr). Stram. the best remedy in acute mania, characterized by furious rage; esp. use- ful in puerperal and nymphomania(H); pupils dilated, furious aspect; or a dull besotted expression with convulsions, COMPARATIVE Belladonna, is useful, esp. in monomania, with fixed hallucination, though a large dose causes a temporary insanity (Tr); one of the very best remedies in all hy- peraemic conditions of the brain (P). Hyoscyamus, in violent intermittent forms, to procure sleep and calm violent deliri- um (R); delirium with hallucinations but not congestion; milder and less in- flammatory forms; also in hypochon- driacal monomania (P). Veratrum Viride, successfully combats the excitement in acute mania (B). Camphor, has been used successfully; its action is uncertain (P). Opium, and tartar emetic are satisfactory for many cases; also morphia hypoder- mically to induce sleep (R); narcotic effect of doubtful utility; better in in- sanity with depression (P). Cannabis Indica, Sj of tinct. with Sj of po- tassic bromide, is recommended (R). Chloral, as calmative, hypnotic, has in- duced mental improvement, gr. v-xx (B). Conia, most suitable to acute mania, quiets muscular action (njj^-iij, or hy- poder., commencing with irjl-10). Very successful with morphia conjointly in- jected (B, R). Digitalis, 5ss-5j of tinct., valuable in ac- ute and chronic mania, esp. when com- plicated with general paresis and epilep- sy. Caution! watch the pulse for any marked intermittence (B). Ergot, very useful in recurrent epileptic, or chronic mania with lucid intervals(B). Galvanism, distinct improvement by gal. of head and cervical sympathetics (B). Gelsemium, more useful than conium in mania with great motor excitement and wakefulness; large doses irj xv-xx (B). Ether, paroxysms of maniacal delir'm(B). Bromides, often fail without reason (B). Duboisia, in maniacal excitement (B). Iron, as restorative is often useful in chronic mania; tinct. chloride«£v-x(B). Physostigma, in chronic, useful (B). Croton Oil, purgative, my-1/* hourly(B). Water-Cure, best forms are warm bath and wet pack (B); the cold douche, pa- tient in warm bath during the applica- tion of the douche (R). therapeutics. 169 etc. (R); religious mania with pious looks (L). Bell, marked hyperemia of brain, sthenic and congestive delirium, mania-a-potu, acute maniacal delirium (H); head- ache, flushed face, dilated pupils, intol- erance of noise and light, hallucinations (R); desire to suicide by drowning (X). Hyos. in less active type, hallucinations but little or no congestion(H,R); twitch- ings, startings and muttering, melan- choly (R). A large dose (gr. j of Hyos- cyamia) in chronic mania to produce brain-effect (H). Ver. alb. has ancient reputation; marked anguish of mind (H); vertigo with ob- scured sight, collapse of pulse (R). Camph. occasionally useful (H); mania for disputation, over-sensitiveness (L); chronic mania, with paroxysmal fits of violence, also some forms of acute(flpi). Opi. furious mania, distortion of face, rage, fear, crying (L). Cann. ind. horror of darkness, fear of in- sanity (X.); spasmodic laughter, desire for constant motion (Hpl). Aur. suicidal, or religious mania, sexual excitement, hemiopia, great depression, congestion of head and liver (R); speaks continually in questions, quarrelsome(i) Aur. arsen. 3x-6x, suicidal mania, with great fear of death, and anxiety (Ha). Ac. phos. mental disorder from brain-fag, or sexual excess, with depression (R). Nux vom. giddiness, reeling, irascibility, constipation; men of sedentary habits, mental occupation, addicted to wine, coffee, tobacco (R); quarrelsomeness in- creasing to violence, obstinate (L). Iod. strumous patients, with anxiety and despondency, obscuration of vision (L). Anac rapid loss of self reliance, memory and mental vigor (R); stupid and child- ish actions, sensation of being possessed by two opposing wills (L). Merc, nervous irritability; peevish, irri- table temper, insomnia, apathy (R); great restlessness with fear, sensation as if head would burst (L). Removal from home and from surround- ings connected with origin of malady, a prime necessity (R). 170 INDEX OF MASTITIS. (Compare Abscess, Lactation.) Belladonna, atropia locally (see Lacta- tion), or combined with morphia and chloral, when much pain (B). Especi- ally as liniment to check secretion of milk when inflammation imminent (R); or when distended by milk (P). When inflammation has set in, continuous ap- plication of belladonna for 24 hours often arrests it. It is also useful when an abs- cess has formed. Fomentations useful in addition, but skin must be dried well before the belladonna is rubbed in (R). n? v-x of tinct. internally as well (P). Phytolacca, has power to arrest infi'n (B). Calcic Sulphide, internally in abscess, occasionally increases pain (R). Hyoscyamus, as plaster, to relieve painful distention from milk (P). Stramonium, fresh leaves as cataplasm to discuss indurated milk (P). Iodine, tinct. and ointments to remove induration of breasts after infi'n (B). Mercury and Morphia, the oleate locally in mammary abscess (R). Tobacco, leaves as poultice in abscess (R). Digitalis, the infusion locally as fomenta- tion in severe inflammation (R). Ammonium Chloride, Sj ad Oj spt. rosmarini, as lotion on linen rags, kept constantly to the part, esp. in indura- tion, after abscess has suppurated (Wa). Tartar Emetic, in small and frequent doses given early, is beneficial (Wa). Oil, frictions in first stage of inflammation of breasts, from circumference towards the nipple (L). Rest, by supporting mammae with strips of plaster, and bandaging the arm to the side, to prevent motion (T). Bell, shining red swelling (R); pulsating pain running from one centre in various directions, sensation of heaviness in breasts (Hpl). Phyto. lx, specific in all mammary en- gorgements, abscesses, etc. (Ha); if Bry. fails (H): if Bry. and Phos. fail (R). Hepar sulph. or Sil. torpidity, imperfect suppuratiou(iJ); suppuration seems near- ly inevitable (L). Bry. will resolve inflam'n, has selective action(H); for early symptoms of mam- mary abscess (R); when breasts are gorged with milk (Hpl); is specific for mastitis neonatorum, produced by efforts to squeeze milk from the breasts (II). Phos. phlegmonous inflam'n, breasts swol- len, hard knots, fistulous openings (L); int. and ext. during formation of ab- scess (R); chronic sinuses in gland (H). V, with Hyos. or others indicated, used at Avignon by Bechet, in 1846-7 (H). Ipec, Gels., Cupr. acet.. have been used with success (H). Apis, Cact. (Hpl). Crotal. when of spotted-fever form (H). Lachnan. mild cases; with stiff-neck (Ha). Zinc. val. lx, 2x, for consequent pains (Ha). Sil.,Sulph., for resulting deafness (Searle). Aeon, and Bry. should be useful; esp. the the latter when pain on movement. No recorded homoeopathic experience with this disease (H). Bell, or Ver. vir. in acute stage, with Strych. 6, as intercurrent remedy (Ha). Ac. oxal. is homoeopathic (H). Ipec. esp. if nausea present; holds high rank (H); bright-red blood (R). Sabina, bright-red discharge, hyperaemic uterus; will cure a larger number of simple cases than any other remedy (H). Ergotin. 1, gives satisfactory results (Ha). Secale, 6, atonic; thin cachectic subjects (H); gtt. v of as palliative (H). Ham. may be given with advantage in all uterine hemorrhages (H); profuse ven- ous (R); between periods midway (Ha). Ars. in material doses has proved curative in some obstinate cases (II). Cann. ind. is highly recommended (Ha). China, for the debility; also between pe- riods, to reinforce Croc. (H). Ferr. is recommended by Kidd (H). Ruta, has proved efficacious (H). Dig. when from stasis of blood in heart disease (B). Crocus, invaluable in functional form, black, lumpy discharge; best for young women and during periods, with China. between (H); patients with dim sight(R). MENINGITIS, SPINAL. mpare Metrorrhagia.) COMPARATIVE Digitalis, very useful esp. when from heart disease, in plethoric subjects (B, R); gj- jss of infusion as dose will arrest, when unconnected with any disease (P, R). Aloes, debilitated and relaxed subjects, with iron (B). Cimicifuga, passive, coagulated and dark (P); for accompanying headache (R). Gallic Acid, very efficacious. R Ac. gal- lici, S-ss; ac. sul. dil., tinct. opii deod., aa sj; inf. rosae comp. Siv. M. Sig.— Atablesp. every 4 hours or oftener(B,R). Bromides, usually arrest promptly (B). That of potassium most useful in young women if loss occur at natural period only; commence bromide a week before and discontinue when discharge ceases till a week before next time. If loss oc- curs every 2 or 3 weeks give bromide continuously, 10-gr. doses, but more when organic changes hi womb (R,Wa). Ammonium CIdoride, for headaches (R). Calcic Phosphate, in anaemia from exces- sive menstruation (R). Magnesic Sulphate, very small doses with a little dilute sulphuric acid and syrup, is exceedingly useful (Wa). Oil of Cinnamon, in drachm doses (R). Water, hot-water-bag to lower dorsal and lumbar vertebrae (R). MENSTEUAL (See also Amenorrhea, Dys: Aconite, gtt. j every y hour to hour promptly restores discharge, when sud- den suppression from chill (P, B, R, Wa); as emmenagogue (Tr.) Pulsatilla, often of the greatest value when menses scanty or delayed, or suppressed by fright or chill (P, B). Ignatia, in suppression of hysteria (P). Savin, a powerful uterine tonic; as em- menagogue, certain, powerful, safe (P). Ferrum, in anaemic subjects (B). Aloes, emmenagogue [VideAMENORRHCEA] Cocculus Indicus, for colicky pains and scanty discharge. Should be given for few days prior to and during period (P). Opium, in suppression from violent men- tal emotions, a valuable remedy (Wa). THERAPEUTICS. 175 Bell, symptoms like those of Sabina, with uterine tenesmus in addition (H). Calc. carb. mal-nutrition, period antici- pated or in excess (H). Cham, has undoubted control; esp. when from disturbing emotions, exalted sensi- bility; black, clotted discharge with pain in back (H). Ac. nit. distention of bowels, severe bear- ing down pain in back, hips, brownish or green leucorrhoeal discharge (Hpl). Coff. may have tendency to check (Hpl). Nuxvom. as adjunct to hygienic measures, in sedentary subjects (H). Phos. menses delaying but profuse, much debility and back-ache. In nursing women (B); mental and sexual excite- ment (R). Hyos. nervous and hysteric subjects (R). Plat, early, long-continued profuse men- ses, nymphomania and melancholia (H). Ustilago, 1, an important remedy (Ha). Gossypium, has cured cases (Ha). Helon. in passive or atonic, and when from active congestion (Ha). Trill, for active, no better remedy (Ha). Water. Cold sitz-bath, feet in warm water, especially valuable. 60°-65° Fah. for 5-15 min., patient then quickly dried and put to bed (R). DISOEDEES. IENORRH03A, MENORRHAGIA.) Aeon, suppression from chill or fright (H); also for delay of the first menses, when disturbed circulation (R). Puis, simple cases of delayed or scanty(-R). Ign. irregular, recurring too early, or last- ing too long; nervous subjects (R). Sabina, in ovario-uterine excitement, a valuable homoeop'c acting remedy (H). Ferr. (Leadam); Bry. (Dunham); Ham. for vicarious menstruation (H); for delay of first menses (R). Ustilago, an important remedy in irregu- lar menses, with menorrhagia (Ha). Senecio, Trillium, Cimicif. are valuable remedies. Vide Amenorrhea, etc. (Ha). Kali carb. for delayed first menses, and in suppression (II). 176 INDEX OF MENTAGEA. Mercury, the oleate or the bichloride gr. ij to sj water, applied as lotion after each epilation (R). Citrine oint. exten- sively employed (Wa). Sulphurous Acid, part j-j of glycerin Wa). Arsenic, has a powerful influence (Wa). Copper. R Cupri sulph. Sj; zinci sulph. gss; aquae lauro-cerasi Sjss; aquae destil. adSxvj. M. Sig.—Lotion (B). Aconite. [See Inflammation]. Opium, locally, in suppositories or en- ema, more effectual than int. (Wa). Turpentine Epithems, very useful (Wa). Leeches, to hypogastric region may be re- quired in patients of full habit (Wa). Heat, to the feet, and by large poultice to the abdomen. Also hot water vagi- nal injection literally for hours, if pos- sible; repeated at short intervals, from a Davidson syringe. The only means of aborting an attack of cellulitis (E). METEOEEHAGIA. (( Ipecacuanha, possesses considerable ener- gy in arresting flooding (P); in full emet- ic doses, gr. xx in evening, followed by an acidulated draught in morning (Wa). Hamamelis, persistent oozing (R). Ergot, the most valuable; full doses, re- peated every hour or so (R, P). Sabina, 5 to 10-drop doses of tinct. in cold water every y hour to 3 hours (P). Iron, styptic preparations as injections(B) [See Hemorrhage, Post-partum.] Cannabis Indica, often arrests, esp. when at climacteric: tinct. gtt. v-xx ter die (P); has had extraordinary success in number and rapidity of cures (Wa). Sulphuric Acid, sometimes very effective, esp. when due to fibroid or polypus. Ac. sulph. dil. gtt. v-xx, well diluted (B); long extensively prescribed (Wa). Cinnamon, is used with good effect (P); has a specific action on the uterus (T). Merc. sol. 3x, Merc. iod. int. and ext. (R). Ac. sulphs. or Ac carbol. dilute by spray, if of parasitic nature (R). Ant. tart: int and ext. the remedy found most curative(R); has cured; also Cicuta, Graph. (H). Ant. tart. gr. ss, aq. fervid. Sss, ad glycerini Sss; applied twice or thrice daily after washing and drying the part well (R). !» ACUTE. Aeon, speedily relieves burning, sting- ing pains, and purulent discharge (Hpl). Bell, from menstrual suppression, or after labor (Hpl); in hyperaemic conditions of the uterus, general inflam'y symp's (H). Nux vom. has produced astounding ef- fects, esp. after parturition (H). Sabina, most valuable, esp. when with rectal and vesical irritation (H). Aeon., Bell., Nux vom., Iod. (R). Ver. vir. when with high fever (Ha). Secale, may be homoeopathic (H). Ipec. bright-red blood, nausea (R); no very distinctive features present (II). Ham. passive, steady, venous hemor- rhage (L); dark, painless flow (H). Secale, painless flooding in feeble cachec- tic women, bearing-down pains (L). Sabina, when uterine congestion or in- flammation, patient robust and florid, discharge bright-colored (H). Sabina , Erig. , mixed or alt. (Von G); the former when menses very profuse and debilitating (L): the latter is inferior to no remedy in this affection (Ha). Ferr. loin-pains, and labor-like colic in weakly subjects (X). Cann. ind. hem. of pregnant women (Ha). Ac. sulph. tremulous sensation, without trembling, over the whole body (L). Bell, discharge imparting a sense of heat (L); throbbing headache and pain in uterine region (R). 'ompare Menorrhagia.) COMPARATIVE Ti Digitalis, in plethoric subjects. The in- fusion best, a tablesp. bis die (B, P); the effect is prompt and decided (Wa). Magnesic Sulphate, often succeeds (B). Senegine, (or rather Monesine) in 2-gr. doses, successfully employed (P). [Com- pare AmenokrhojaJ. Ice, to abdomen, or within the uterus(B); ice in every form first thing to try (Wa). Rest, absolutely necessary. Dry cup- ping over sacrum is found useful (R). Aconite, for the hyperpyrexia (R, P, B). Cooling Drinks, purgatives and anti-phlo- gistics, in mild cases; malignant ones occur, and are dangerous (A). Muses; v< Potassic Iodide, very effectual in curing muscae depending upon hepatic de- rangement (Wa). Valerian, often found curative (Wa). Musc^; Volitantes, are due to shadows cast on the retina by fibrillae floating in the vitreous body, which are most visi- ble to myopic persons. They do not merit attention unless very abundant, or steadily increasing (C). Arnica, the best for contused muscular fibre; also for shake, concussion, shock. ttj v-x every 2 or 3 hours in water (P); a few drops of tinct. int. removes stiffness, after packing with wet cold sheet (R). Cimicifuga, often succeeds wonderfully, as often fails; no indications for its use (B); general bruised sensation (R). Gelsemium, frequently cures. Large doses (nj v-xx fl. ext. every 3 h.) necessary(B). Ammonium Chloride, effective. R Ammo- nii muriat. Sj; ext. cimicif. fl. sij; syrup simplicis, aquae lauro-cerasi, aa sj- M. Sig.—A teasp. bis die (B, R); gr. x-xx, is the most efficient remedy (Anstie). Veratria, exter. Unguentum veratriae (B). Belladonna, liniment, often successful (R). BERAPEUTICS. 177 Apoc cann. 4>, in drop doses, has cured several cases (Mn). Vinca lx, passive, after climacteric (H); from fibroids; tangible doses (L). Trill, no better remedy, active hem. (Hix). Thlaspi , has frequently rendered good service in obstinate cases (Js). Ledum, Plat., Argen. when accompany- ing uterine fibroids (Js). Ac. nit. in prolonged, passive form fol- lowing abortions (Ld). Aeon, the fundamental remedy (H). Cactus, when oppression, anxietas, with praecordial pain and constriction (H). Jabor. very profuse sweating (H). Kali iod. useful in obstinate cases (R). Merc, China, Ac. nit. liver-disorder (R). Dig., Ver. alb. from heart disease (R). Phos., Tereb. from kidney disease (R). Mosch., Agar, with nervousness (R). Phos., Ac. phos. when sexual excess (R). Phos., China, with general debility (R). Rest of eye necessary. Neutral - tint glasses may be worn to render the mus- cae less visible, if troublesome (R). •are Pleurodynia.) Arn. the grand remedy for all forms, esp. when from injury or fatigue, and in a form of pain after food coming on im- mediately, even while swallowing (H); also as bath for general fatigue (R). Cimicif. , gtt. iij 4 times a day, has cured many obstinate cases of myalgia of the diaphragm. Is of especial service in women and nervous subjects, when not from fatigue (H, Ha). Gels, for acute myalgia, with feverishness (H, Ha); inflammation (R); deep-seated muscular pains (L). Amm. mur. myalgia from over-work; ach- ing, dragging pains in back and legs, worse in the morning and during move- ment (R). MILIAET FEVEE. MYALGIA. (Com, 178 INDE Opium, by frictions or poultices (R). Ioeline, ointment for pain and tender muscles of the chest, when skin may be pinched without pain (R). Xanthoxylum., ext. and int. has deserved reputation (B). Chloroform Liniment, with friction, often affords great relief (Wa). Firing, sometimes very beneficial (B). Packing, with dripping wet sheet (R). Counter-irritation, by firing, aquapunc- ture, acupuncture (B). Electricity, the constant current (B). Baths, Turkish, in aching muscles, from over exertion (R). Poultices, very hot, followed by appli- cation of lint and oilskin (R). Rest is the remedy of course (Wa). Belladonna, decidedly effective, esp. when brought on by external violence (P). Ergot, most successful; large doses (B). Electricity, in chronic, not in recent (B). Silver Nitrate, in chronic inflammations of the cord, one of the few remedies which are ever of service; gr. y~y (W). Phosphorus, of marked benefit in myelitic paraplegia from excessive venery (W). Water Cure, ice-bag to spine, feet in hot water; or better, hot douche to spine (B). Atropia, by daily instillation, systemati- cally, for the purpose of sacrificing eith- er the convergence or the accommoda- tion, in cases where failure of the inter- nal recti occurs, the disability assuming the form of muscular asthenopia (C). Ferric Perchloride, injected, is effectual; but dangerous when applied thus to naevi about the head (Wa). Creosote, pencilled over twice a day, may remove naevi (Wa). t OP Ver. vir. prostration of the muscular sys- tem, and muscular rheumatism (.K); pain renewed by damp, cold weather (L). Bry., Rhus. tox. with inflammation (R). Caul, uterine pains co-existing (Ha). Hydras, a general muscular tonic (Ha). Kali hypophos. myalgia whole body (Ha). Rest and support to weak muscles im- portant till they regain their tone; esp. in painful muscular affections following prolonged or excessive exertion, or in the soreness or stiffness which occur during convalescence from any long ill- ness, or accompanying general debility. These are generally better after repose, but increase with fatigue (R). Baths, simple warm baths or Turkish, afford great relief (R). Bell, followed by Merc. 3x, in recent cases (H); Bell, in chronic myelitis, esp. if caused by retrocession of eruption (Hpl). Secale,myelomeningitis,muscular twitch- ings begin in face and extend over the whole body (L). Ac. oxal., Ars. in more chronic cases; both are decidedly homoeopathic (H). Aeon, has many symptoms which point to this affection, or its consequences (Hpl). Gels, myelitis of the anterior horns (L). Physos. 2x, in acquired myopia from cili- ary spasm, been used successfully (H). Bell., Spig., Lith. carb., Macrot., Aeon, ir- ritation, congestion, or inflammation(JJ). Glasses, properly adjusted, should be worn from the commencement (JS). Ferr. perchlor. solution, applied daily(2J). ] Creos. , gtt. vj ad sj of water, locally, to produce excoriation, ulceration and ci- i catrization (H). Calc. carb. is also homoeopathic (R). MYELITIS. MYOPIA. NEVUS. comparative therapeutics. 179 Chromic Acid, as escharotic, or local ap- plication, gr. c-sj aq. destil. (B). Electrolysis, or galvano-cautery, to re- move naeyi (B). Nitric Acid, strong, as escharotic for small superficial naevi,followed by ol. olivae(B). Zinc Chlwidc, Iodide and Nitrate, locally, especially the first named (R). Liquor Potassx, a solution (sij-Sj) on cot- ton-wool in ingrowing toenail, to mar- gin of nail at ulcerated surface, to soft- en the nail (B). Glycerin, or Silver Nitrate, on a fold of lint, to the ulcerated surface (CI). Lead Carbonate, a piece softened between the fingers, and applied as plaster be- neath the fungous cushion, cures in a few days (Tr.) Thuja, ext. (R); the 12th has caused its rapid withering (H). Lye, Phos. should be remembered (H). Croton Oil, equally efficacious (R). Setons. Threads passed across the growth in various directions, to produce suppu- ration; when pus appears the threads should be removed (R). Hydras., Thuja, or Merc. corr. locally, with cotton plug or dry sponge pressed into ulcer under nail (R). Ferr. perchlor. a solution applied daily said to never fail (R). Paring the nail, after softening in warm water, and cutting a V-shaped incision in centre of nail; the ingrowing portion should not be cut (R). Boots should be broad-toed (R). Puis, in loss of smell, has cured chronic cases (H, R); also in acute catarrhal affections (R). Hydras, obstinate catarrhal inflammation (R); requires topical application (Ha). Bell, with or without Aeon., for acute in- flammation of nose (rhinitis) (H); esp. when in drunkards, or with extreme sensitiveness of smell (Hpl). Sulph. in same, chronic form (H). Aur. is homoeopathic to rhinitis, and has been very successful (H). Ac. fluor. has cured chronic rhinitis (H). Aeon, for recent loss of smell (R); valuable in acute inflammation of nose (Hpl). Merc, Puis., Sep., Calc. carb., Plumb., loss or perversion of smell (R). Ars., Merc, Graph., Sulph., Aur., are in- dicated in sore nose (R). Calc. carb. has effected many total or par- tial cures in many nasal affections (Hpl). NASAL AI (See Acne, Catarrh, Epistaxis, Polypus, ! Pulsatilla, int. and ext. in inflam'ns, may be employed (P); in acute inflam'n (B). Hydrastis, int. and ext. in chronic coryza, and nasal ulcer, of great value (P). Ammonia, inhalations, in pain and in- flam'ns of nose and frontal bones (R). Potassic Iodide, large doses (gr. xxx- Ixxv daily), valuable in syphilitic affec- tions of the nose (Wa). Glyceriteof Tannin, to excoriations of in- side of nose after measles, scarlatina, etc. Also for impetiginous eruptions of inside, most severe where hair grows, epilation sometimes needful. Also in discharge of greenish, black, stinking mucus (R). Glycerin of Starch, or Zinc oint. applied of- ten, good supplementary application (R). Cod-liver Oil, for chronic discharge (R). Injections, by nasal douche, are used with benefit in catarrhal states (Wa). NASAL APFECTIONS. (See Acne, Catarrh, Epistaxis, Hay-fever, Influenza, Oz^na, Polypus, Sneezing.) NAILS, INGEOWTNG. 180 INDEX OF NAUSEA. (Compare V Ipecacuanha, has no rival in sickness of pregnancy, scarcely less useful in that of chronic alcoholism. Very small doses gr. 1-32 equals m j of wine (P, R, B). Pulsatilla, in dyspeptic nausea, with coat- ed tongue, flatulence, sick headache (P). Cocculus Indicus, in cephalic nausea, vio- lent but ineffectual efforts at vomiting (P) Calumba, in nausea of languid stomach with flatulence, has reputation (P). Cinnamon or Cloves, will check nausea (P). Nutmeg, the simple powder, in wine (P). Pimcnta, Pepper, Peppermint, relieve (P). Tartaric Acid, as effervescing draught, with a few drops of tinct. opii, tinct. calumbae, or hydrocyanic acid added, when from morbid gastric irritation (Wa) omiting, Sea-sickness.) Ipec, Apomorphia 3, simple nausea (R). Puis., Ant. cru. from rich food (R). Cocc. ind. nausea from riding in a car- riage (R); chronic nausea, with flow of saliva, dizziness, headache (Hpl). Nux vom. nausea from alcohol (R). Creos. chronic nausea (R). Ars. 3x, Bism. or lx, chronic gastric ir- ritation, with pain and red tongue (R). Bell, nausea, and inclination to vomit, as if proceeding from the throat, with bit- ter eructations occasionally, in the eve- ning (Hpl); without vomiting (L). Ant. cru. nausea continuing after free vomiting, foul white tongue (R). Lobel., Iris., Tdbae maybe indicated(R). Cold Compress over the stomach (R). NECEOSIS. (Compare Caries.) Sarsaparilla, a very useful medicine in diseases of the bones (P). Rest, in a "Salter's swing" with poultices water dressing, or stimulating lotions, to aid work of repair (CI, Hilton). Surgical methods necessary (D). Aeon, in semi-material doses, internally and locally, to stay progress of the inflammation (H). Silica, as basis remedy during exfoliation of dead bone (H). Symph. aids detachment (H). NEPHEITIS, ACUTE. (See Albuminuria, Bright'sDis., Hematuria). Tereb. 3x, is well-nigh infallible in con- gestion ofkidneys(H); urine suppressed or scanty, smoky, thick, fetid, even bloody (R); in acute nephritis from cold, congestion predominating (H). Bell, may be the only remedy required in congestion of kidneys with hematuria and albuminuria (H). Aeon, recent, from cold, rapid anasarca; Solania also useful here (H). Canth. when desquamation considerable, uraemia threatening; also in most cases of post-scarlatinal nephritis; also in that of diphtheria, convulsions, coma (H). Camph. for renal congestion from use of Tereb., or from blistering (H). Ars. in desquamative; inflammations of serous membranes (R); the best remedy in most cases of post-scarlatinal n. (H). Aur. mur. when Ars. has failed (H). Apis, in many forms, when sudden swel- ling of any part(Hp?); a favorite in post- scarlatinal, and that of pregnancy (H). Turpentine, in drop or %-drop doses every 2 to 4 hours, controls the dropsy in a re- markable manner (P); hot turpentine epithems are serviceable, but may in- crease the action of the kidneys (Wa). Belladonna, has often proved useful (P): may be used with benefit (Wa). Aconite, should be given immediately on the appearance of the nephritis in scar- latina (R); as a diuretic, advocated (P). Cantharis, after subsidence of the acute stage, a one-minim dose every 3 hours will stop the hematuria (R, B). Digitalis, (infusion Sss) the best remedy in renal dropsy from acute desquama- tive nephritis (B); only diuretic as long as dropsy lasts (R). Cannabis Indica, as diuretic; is esp. useful when bloody urine (R). Eucalyptus, sometimes effective. Cau- tiously or it will aggravate symp's (B). Hyoscyamus, in irritable kidneys (P); may be substituted for belladonna (Wa). comparative therapeutics. 181 Gallic Acid, checks albuminuria (B). [See Albuminuria, for formula]. Jaborandi, is much used (Da Costa). Juniper, as diuretic; often aggravates(P). Poultices, large, of linseed meal, made light and soft as possible, beneficial (Wa). Cupping, in lumbar region, ameliorates acute desq. nephritis, and congestion of the kidney (B); cupping or leeches over the loins, with opiates freely, diluents, and demulcents, with rest and an anti- phlogistic regimen, often suffice (Wa). Aconite, gtt. j of tinct. at bed-time, repeat- ed if needful, for restlessness, and "fid- gets" of men as well as women (R). Ignatia, in small doses better than mor- phia for mental excitement and nervous erethism (P, Pf); for the nervous exalta- tion of cinchonism (Pf). Caffein, for the restlessness of great lower- ing of nervous power (P). Chamomile, lowers reflex excitability (P). Potassic Bromide, esp. for women who are despondent, irritable, and sleepless, from over-work, grief, worry, etc.; often con- nected with migraine (R). Strychnia, affords relief in functional irri- tability of the nervous system, manifes- ted by restlessness and wandering neu- ralgic pains (B). Valerian, extremely useful as a sedative to reflex excitability, calms nervousness, does much good in fevers where restless- ness, fidgets, anxiety, etc. (P). Musk, serviceable in nervous affections when from uterine derangement (Wa). Sumbul, often invaluable in restlessness of pregnancy; itjxxx-xl of tinct. with a little chloric ether as draught (P). Camphor, a powerful subduer of reflex excitability (P). Chloral, where restlessness, debility (R). Chloroform, spt. chlorof. internally (R). Hops, the hop-pillow is deserving of trial (P). Lupulin peculiarly useful when opium cannot be tolerated (Wa). Water. Warm sponging to induce sleep and calm restlessness in convalescence. Also cold sponging (R). Erig. copious albuminous discharge (R). Chcl. desquamative, lung complications (H); hepatic derangement (Ha). Helleb. may be useful in post-scarlatinal nephritis (H). Sabina, Scilla, may find place; the former in nephritis of pregnancy, the latter when acute renal dropsy (H). Arn. esp. useful when excretions irritate and wound the renal tubules (Hpl). Milk-diet, Diaphoresis, are useful ad- juvants, not to be despised (H). re Insomnia, Irritability.) Aeon, vascular excitement (H); restless- ness from anxiety, with palpitation (R); nervous tremor in feeble women (Hpl). Ign. from grief, care, depressing emotions (L); globus hystericus, extreme sensi- tiveness, pains, hemicrania (R). Coff. with insomnia(R); from simple cere- bral activity, the 6th and 12th (H). Cham, restlessness, without ideal disturb- ance, irritability (R); anxiety, with flashes of heat, and palpitations (Hpl). Kali brom. in general "nervous irritabil- ity," with insomnia (Ha). Nux vom., Aeon, nervousness from anxiety, night-watching; with palpitations (R). Val. hyperaesthesia of all the senses, rest- lessness, fear in the dark; is esp. suitable for women (R). Mosch. 2x, nervous palpitation (H). Sumbul, nervousness, with insomnia, spasms and catarrhal affections (Ha). Cimicif. bodily restlessness in children when from dentition, etc. (H); nervous tremors, apprehensive nervousness, ner- vous weakness and prostration, excite- ment followed by exhaustion (R). Cann. ind. mental excitement, with in- somnia, sleep disturbed by dreams (Ha). Scutel. a valuable nerve sedative (Ha). Cyprip. excellent as palliative in "fidgeti- ness," invaluable for reflex excitability of children, and cerebral hyperaesthesia before congestion or inflam'n set in. Aqueous lx or 2x for very young chil- dren, infusion for adults (Ha). Amm. val. emotional excitement (Ha). Ambra, Asaf. may be indicated (H). NEEVOUSNESS. (Compa 182 INDEX OF NEURALGIA. (Compare Gastralgia, Sciatica, Tic-Douloureux, etc.) Aconitia, very effective. Aconite, when arterial excitement (B); in congestive neuralgias, and acrodynic, at extremi- ties; has important role (P); as ointment or liniment, esp. when 5th nerve affect- ed ; also in neuralgic headache (R). A remedy ofgreat value (Wa). v Belladonna, must be persisted in with full doses; gr. 1-80 of atropia, or gr. 1-50 to 1-30 hypoder. in vicinity of nerve, has special utility in tic-douloureux and sciatica; also in peri-uterine and dys- menorrheal neuralgias (B). irjj of solu- tion of gr. j-Sij of water hypoder. (P). Spinal irritation, intercostal neuralgia. The liniment or oint. of atropia in facial (R). Gr. 0.15 of extr. every hour till giddiness, then lessen dose. Continue for several days (Tr). Veratrum Viride, tinct. said to be very use- ful (R). Veratria, the oint. for face and sciatica (R, B). Oint. (gr. viij-3j) fre- quently of much benefit (P). -- Arsenic, cures by its influence on bodily nutrition; directly so in neuralgias of malarial origin, though inferior to qui- nine (B). In various neuralgias, also in angina pectoris (R, Wa). Phosphorus, gr. 1-12 every few hours, has made very effective cures (Bj. Gr. 1-100 to 1-12 every 3 hours. Very useful in all forms, esp. when uncomplicated (R). Quinia, large doses (gr. v-xx, in sherry), just before attack in periodical neu., whether malarial or not. Useful also in small, frequently-repeated doses in other types, esp. of supra-orbital nerve (R, P). Nux Vomica, most useful in visceral. Gr. 1-100 to 1-12 bis vel ter in die, in gastral- gia, hepatalgia, etc. (P); see Zinc Valerian- ate, below (B). Strychnia, in restlessness and wandering neuralgic pains, affords relief (B). Cimicifuga, in neu. of 5th from cold, or ovarian neuralgia (B). Aeon., Bell., Spig-, Coloe, when of recent origin, in patients below middle age(H). Ars., Phos., Sulph., when inherited mor- bid nervous system; chronic neuralgia, beginning late in life (H). Aeon., Bell., as lotions locally, or by paint- ing along course of nerve (R). Aeon, neuralgias of 5th nerve, often in- cluding the ophthalmic; recent cases of congestive or rheumatic character; also (1st dil.) in thecal sciatica (II); facial neu., from cold, anxiety,or night-watch- ing; severe paroxysmal pains (-R); very effective (Hpl). Bell, following Aeon. Congestive cases, of sub-acute type, face flushed, cheeks hot, eyes red and watery (H); sensitiveness to light, noise, and movement; neuralgia of 5th and hemicrania; habit plethoric, strongly contrasting with Ars. (H). Atro- pia often better (Ha). Ver. vir. from cold (R). Ver. alb. 3, cured severe brachialgia (Js). Neuralgia of one side of face or head, with icy cold- ness of affected part (R). Ars. is facile princeps in pure nervous facial neu.; also in tic-doul. (H); burn- ing periodic pains, aggravated by cold, increased at night or during rest; anguish, debility, small pulse (R). Phos. from nervous debility, esp. when due to mental overwork,or with migraine (R); excellent in tic-doul. (Js, H). Quin. 3, supra-orbital, "brow ague" (H); when from malaria, loss of fluids (R); the least touch aggravates (H). Nux vom. right supra-orbital, malarial (Js). Cimicif. intercostal neu. esp. in women (R); neu. of the eyeballs (Hpl). Coff. nerve pains, with restlessness and insomnia (R). Chelid. periodic right supra-orbital (H, Ha). Sumbul <(>, severe facial, sciatic, ovarian, also in neu. of left hypochondrium, with palpitation. Often acts magically (Ha). COMPARATIVE Caffein, hypoder. been found useful (P). Chelidonium, has been employed (P). Sumbul, for certain types, of more value than any other remedy. Facial, sciatic, or ovarian, in women of nervous consti- tution, often yield to it at once (P). Gelsemium, successful in neuralgia of 5th (B). especially dental branches (R); of value in trigeminal, ovarian, etc. (W). Zinc Valerianate, extremely beneficial in neuralgia from reflex irritation of female pelvic organs. B> Zinci valerian. 3j; ext. gentianae, 3J; ext. nucis vom. gr. v. Ft. pil. xx. One 3 or 4 times a day (B). Spigelia Anthelmia, useful in facial (P). Ammonium Valerianate or Zinc Val. in neu- ralgia of face or head (R); the latter in nervous cases, and uterine (Wa). Chamomile, in neuralgia of 5th nerve (R). Staphisagria, int. and ext. often curative in obstinate facial and cervical neu. (P). -»Ignatia, in hysterical and intercostal neu. with nervous erethism. Valuable (P). Ergot, much employed in visceral forms, esp. gastralgia (P); said to be useful (R). Anaesthetics, to relieve pain (B). Chloro- form occasionally useful locally. As spray for neuralgia of uterus (R). Morphia, hypoder. in neighborhood of the affected nerve, the best treatment. Cau- tion; morphia-habit (B); gr. 1-16 to y of- ten relieves and frequently cures after a few repetitions (P). Codeia, recom'd (P), Cannabis Indica, y~y-gr. doses of ext. 2 or3 times a day; especially for neuralgic headache (P); found useful (R). Glonoin, has often afforded relief (Wa). Cod-liver Oil, when low nutritition, faulty assimilation (B, W). Iron, when from anaemia. Tinct. of chloride (mi xxx-xl ter die), also chaly- beate waters (B). Moderate doses only required (R). In chlorotic subjects, of whom nearly all will have neu. (Tr). Iodides, for neu of fifth, dependent oil syphiloma of the nervous system, pain nocturnal chiefly (B). Bromides, benefit some kinds, esp. ova- rian (B); potassic bromide occasionally relieves (R). Ammonium Chloride, half-drachm doses in facial and other neu. Much used (R). THERAPEUTICS. 183 Gels, curative in neuralgic headache, due to malarial or catarrhal influences, pains cramplike, drawing, tearing, aggravated by any exertion or study (Ha). Zinc. val. or Zinc.phos. lx, very useful (H); in many forms (Ho). Spig. in facial, deserves first place (B); rheumatic variety, anxiety at heart, great restlessness, jerking pain (H); peri- odic (Js); esp. when eyes affected, pain aggravated by stooping (R). Ammon. val. lx, in facial, pain insupport- able, face and extremities cold and pale, great nervous erethism (Ha). Cham, in sciatica (H); shooting, tearing, pulsating pains; sensation of torpor in affected parts; crying, irascibility (L). Staph, neu. of shoulder-joint and arms, crural neu. sweat at night (L). Ign. in sciatica (H); tearing pains, pale face, watery urine, worse after meals, and at night (L). Ergotin, valuable in obstinate cases (Ha). Chloroform, liniment, as local remedy (R). Morphia, hypodermically, a valuable pal- liative, often rendered unnecessary by homoeopathic treatment (R). Cann. ind. nervous temp., uterine disor- ders, exhausting disease (Hpl). Glon. 3, in paroxysmal neuralgia (H). Cod-liver Oil, int. and by inunction (Ha). Kali bich. 6, in facial, the most frequent form, often in supra-orbital (H). Stann. supra-orbital, crescendo - decres- cendo (H); the 3x, for intercostal, esp. on left side of chest (Ld). Iris, neu. of head, temples, eyes, begin- ning after breakfast, lasting hours(Ha). Coloe 3, from catarrhal exposure, rheu- matic-gouty subjects, also ovarian (H); cutting pains on left side of body, sud- den, violent, extending a distance (R). Cedron, facial, periodicity marked (Ha). Rhod. after Aeon, in recent, whole half of face aching. If it fails, Kalmia (H). Puis, after Aeon, in cases of long stand- ing, pains of jerking type (H). Sulph. in many forms (H); excellent in tic-douloureux (Js). Rhus, in chronic thecal sciatica (H, R). Thuja,3, alt.Cocc. 3, cured violent neu.(Js). Mezer. syphilitic or mercurial history (H). 184 INDE Amyl Nitrite, inhaled in dysmenorrhceal neu. (B); and when of 5th nerve (R). Carbonic Acid Gas, injected into vagina for neuralgia of uterus (R). Digitalis, is strongly recommended in sci- atica, also locally in earache (P). Valerian, serviceable in facial neuralgia of hysterical type (P). Bibiru Bark, in intermittent forms (P). Pyrethrum, root, chewed, facial neu. (P). Capsicum, a strong infusion on lint cov- ered with gutta-percha (R). Turpentine, has cured tic-doul. and sciat- ica (B); often of wonderful service (P). Potassic Chlorate, for facial neuralgia (B). Alcohol, with much volatile ether; care must be taken in prescribing it (R). Croton Chloral, very effective, esp. tic- douloureux and sciatica, gr. ij-v every hour till gr. xv are taken (B); in facial, that from carious teeth, that of neck and back of head, tic-douloureux, etc. (R). Chloral and Camphor, partes aequales, tritu- rated together, and painted over surface (B, R); also with morphia (B). Wet Pack, benefits, esp. in sciatica (B). Oil of Peppermint, painted over the part, in facial neuralgia (R); or Oil of Cloves. Aquapuncture, strangely relieves pain in a superficial nerve, so much so, that some hold the curative effects of morphia in- jections to be due to the water (B). Galvanism, of affected nerve (B). Counter-irritation. Mustard poultices in neuralgic pains (P). Blisters to a poste- rior branch of the spinal nerve-trunk from which painful nerve issues (Anstie). Potassic Bromide, in night-mare of adults; and children's attacks of night-scream- ing, often associated with squinting. Digestive organs may also require at- tention (R). Camphor-water, a teasp. or two the most suitable medicine (H). Sleep in abundance, may prevent (H). c OF Verbas. face red, pains readily excited, acid eructations, facial neuralgia (H). Plat, pain with numbness (H). Nice sulph. 3x, obstinate, periodic, resist- ing ordinary remedies (Ha). Natr. salicyl. lx, controls rheumatic (Ha). Piper methys. amelioration by change or diversion of mind (Ha). Phyto. relieves neu. of mammae (Ha). Kali cyan. 1, has cured several intense periodic neuralgias, with sudden severe paroxysms (Ha). Mel. 3, has proved very useful; removes subsequent soreness and lameness (Ha). Eucalyp. periodic, facial neu. (Ha). Ferr. et Strych. cit. 3, in trifacial neuralgia in young and hysterical women (Ld). Calc phos. trifacial neu., from prolonged lactation, or nursing when menses (Ld). Bry. intercostal neuralgia, pain increased by coughing, breathing and motion; re- lieved by lying on affected side (Js). Kalmia, neuralgia of the extremities (R). Vise. alb. violent neuralgic pains in lower extremities, simulating sciatica, rheu- matic (Ha). Xanthox. sciatica, crural neuralgia, and in neuralgic dysmenorrhcea (Ha). Wet-pack, benefits, esp. in sciatica (H). Diet. Animal fats necessary; cod-liver oil, butter, cream, olive oil, in as large quantities as can be digested. Puis. helps to correct aversion to fatty food (R). Rest often required, with protection from cold and damp, flannel clothing, bath- ing, shampooing, sometimes moderate exercise (R). Kali brom. useful (H); efficacious in the night-terrors of children (Ha). Chloral, in night-terrors of children from worms, teething, cerebral irritatiou(Hd). Nux vom., Puis, from indigestion (R). China, with oppression; Sulph., Aeon. with palpitation (R). Diet, light; avoid late meals (R). NIGHT-MAEE. comparative therapeutics. 185 NIPPLES, SOEE, FISSURED. Benzoin, admirable local application (P). Arnica, the cerate, or Glycerin of Starch, or glycerin 1 to 2 of eau de cologne (R). Silver Nit. touched lightly; effectual (Wa). Sulphurous Acid, solution neat or diluted, constantly applied, or with equal quan- tity of glycerin as lotion (R). Collodion, sometimes used (R); useful for protection (P); as coating (B). Alcohol, brandy and water as lotion, be- fore delivery and after each suckling to prevent cracking (R). Borax, saturated solution, beneficial (Wa). Iron, IJ Liq. ferri subsulphat. 3ij; glyce- rini, Svj. M. Sig.—Apply with camel's hair brush. An effective application to fissured nipples (B). Tannin, the glycerite, one of the best ap- , plications to fissured nipples (B). Lead Nitrate, in glycerin, or ointment Sj- Sj, in fissured nipples (B). Zinc Shield, constantly worn (R). Balsam of Peru or Tolu, valuable as ap- plication, with oil of almonds, gum ara- bic, and rosewater (P). Rhatany, as wash and cerate, has had great success in fissure (Tr); 1 part of extr. to 15 of cocoa butter (Wa). Mercury. The oleate of mercury and morphia externally; very valuable (R). Potassic Iodide, as ointment in conjunc- tion with internal use, in syphilitic nodes of children; also in non-syphilitic peri- osteal thickenings (R;. In syphilitic, holds the first place, esp. when pains worse at night, and by heat of bed (Wa). Stramonium leaves, locally, relieve (Wa). Potassic Bromide, when from plethora; not useful when relaxation, or from ce- rebral lesion (B); large doses required, at least gr. xx ter die (R); an abundance of evidence testifies to its value (W). Tobacco, to nausea, effectually cures, but horribly depressing (B). (Compare Lactation, Mastitis.) Benzoin, tinct., or Benzoic Acid lotion fre- quently applied, and not to be removed till next morning; the nipple to be washed before applying the child (R). Arnica, as lotion, or Arnicated Collodion (R); will often fail (Hpl). Arg. nit. touched to nipple when ulcerated, carefully and gently, sometimes exceed- ingly useful, and necessary to a cure. Wash with tepid milk and water (Hpl). Calend. an important application. Local applications necessary (H). Phell. said to remove pain in nipples after each application of child (H, R). Croton, pain of neuralgic type, shooting towards the scapula (H, R). Bry. 6, or 12, to prevent engorgement of the breast and abort mastitis, if taken sufficiently early (II); may be of service in indurated nipple (Hpl). Phyto. lx, hit, also lotion, on cloths ap- plied constantly, where soreness of nip- ples portends severe inflammation also in cracked and excoriated nipples, or fissures of syphilitic origin, and irritable mammae (Ha). Hydras, with glycerin, equal parts; con- sidered almost specific (R). Merc. Corr. 6x, tibial nodes (R). . Kali iod. for the genuine, hard, syphilitic node, with nocturnal pain. Is neither homoeopathic, nor useful in infinitesi- mal doses(H). Aurum, tried for this(H). Kali bich. soft nodes on scalp (H, R). Silica, good for either kind, but especially suitable to the soft (H). Colch. nodosities in gouty subjects (R). Kali brom. seems effective; antipathic(H). Hyos. desire to uncover the person (H). Stram. stands highest among remedies (H) Plat, when from ovarian irritation, is generally used, and much esteemed(H). Orig. has both caused and cured (H). Grat. often gives good results (H). NODES. (Compare Exostosis, Periostitis.) NYMPHOMANIA. 186 INDEX OF Camphor, in considerable doses said to control inordinate sexual desire (R); at present not much relied on (Wa). Lupulin, seems worthy of fair trial (Wa). Sulphur, or dilute sulphuric acid, inter- nally, when arising from hemorrhoidal congestion, not an infrequent cause (Wa). Bell, maybe required; is indicated by the cerebral and uterine symptoms (Hpl). Canth. in the last stage, with continual manifestations of sexual frenzy. Has cured, in material doses (Hpl). Coff. nymphomania of the lighter sort, with voluptuous itchings, etc. (Hpl). OBESITY. Banting System was the method of Hip- pocrates, avoiding all fats, starches, and sugars; in fact, all roots or vegetables grown underground (B). Alkalies. Solutions of oxides orbicarbon- ates (R); alk. min. waters, with exercise and dietary (B); serviceable (Wa). Liq. potassae Sss in milk, thrice daily, of es- tablished value (Wa); generally fails(R). Ammonium Bromide, sets up gastric ca- tarrh (B). Sulphurous Waters, esp. Blue Lick, siv before each meal (B). Potassic Permanganate, for attendant dys- pepsia and flatulence; also useful for the obesity; gr. y-\ ter die, in aq. dest. (B). Vinegar, only successful at expense of serious injury to the body (R). Banting Dietary is alone sufficient to improve the condition. Its chief feature is the exclusion of two elements—starch and sugar—from the food. Therefore bread (except toast, or the crust of a common loaf), potatoes, sweet roots, butter, sugar, cream, beer, port, and champagne, should be avoided. In one year, on this diet, Mr. Banting reduced his weight 46 lbs. and his girth about 12 inches; at the same time, his numerous corporeal infirmities were greatly miti- gated or altogether removed. Cannot be recommended indiscriminately (R). Ars-, Calc carb., Kali iod., Sulph., as auxiliaries to the diet (R). Exercise, daily, in the open air, is necessary (R). OBSTETEIOAL MEMOEANDA. (See also Abortion, After-pains, False-pains, Hemorrhage Post- partum, Labor, Lactation, Pregnancy, Puerperal Disorders, Vomiting of Pregnancy, etc.) Pregnancy. Duration about 275 days; usually reckoned as about 280 days from the first day of the last menstruation. The extremes of 405 cases at the Hotel Dieu were 6 months, and 11 months 8 days. Many rules for the calculation of the date when labor may be expected are given; as good a one as any is to count backward three calendar months from the last day of the last menstruation, then add 7 days to obtain the date of expected confinement (Naegel6). Evidences of pregnancy may include: suppression of the menses; nausea and vomiting, morning sickness; salivation; changes in the appearance of the breasts and nipples; changes in position of the uterus, which descends during the first two months, rising from the third month, until, at the fifth, its fundus is level with the umbilicus, at the eighth nearly to the sternum, settling down at the ninth month; cedema of limbs; neck of uterus becomes shortened, the os patulous. The most positive signs are; quickening, if the statements of the woman are creditable; ballotte- ment; and above all, the pulsations of the fatal heart. Labor. Preliminary Signs.—Abdominal tumor sinks lower, occasional uterine pains and contractions, freer respiration, discharge of glairy fluid from vagina, frequent desire to urinate, hemorrhoids, cedema of legs. comparative therapeutics. 187 Essential Signs.—Paroxysmal pains, at regular intervals; os uteri generally low, neck effaced, os affected by each pain (easily ascertained by keeping finger on it). Dilatation of os uteri, requiring longer to acquire the size of a half-dollar, than from thence to completion. Shiverings and vomiting, tremblings and fainting, especially at complete dilatation. Head Positions (4).—Right (1st), or left (2nd) occipito-anterior, forehead back- wards; right (3rd), or left (4th) occipito-posterior, forehead forwards. Order of their comparative frequency: 1st, 3rd, 2nd, 4th. The 3rd rotates into the 2nd, the 4th into the 1st Facial Positions (4).—Right (1st), or left (2nd) mento-posterior, forehead for- wards; right (3rd), or left (4th) mento-anterior, forehead backwards. The 2nd rotates into the 3rd, and the 1st into the 4th. Pelvic, or Breech Positions (4).—Left dorso-anterior (1st), left trochanter forwards; right dorso-anterior (2nd), right trochanter forwards; left dorso-posterior (3d), right trochanter forwards; right dorso-posterior (4th), left trochanter forwards. Order of their comparative frequency, 1st, 2nd, 4th, 3rd. Shoulder Positions.—Varieties (2): dorso-anterior, and dorso-posterior, the former occurring twice as often as the latter. In each variety the head may lie in either iliac fossa; the presenting shoulder being, in dorso-anterior position, the left if the head is in the right fossa; in dorso-posterior position, the left if the head is in the left fossa, and vice versa. Measurements. AVERAGE PELVIC DIAMETERS. Antero- posterior. Oblique. Transverse. Brim... Cavity. Outlet.. iy inches. 4.7 " 5.0 " 4.8 inches. 5.2 " 5.2 inches. m " 4.2 " Circumferential measurement of the brim—about 17 inches. DEVELOPMENT OF THE FCETUS. [Entries in the column headed " Month" refer to the end of each month.] Month. Name. Length in inches. Weight. Appearance. 1st 2nd 3rd Ovum Embryo one-twelfth 1.2 2y to zy 60 grains. 310 " Appears as a grey gelatinous mass. Extremities apparent: points of ossifica-tion appear. Neck, eyes, fingers, nails begin to form; sexes distinct. 4th 5th Foetus eytmy 8 to 10 9oz. 10 to 12 oz. Hair, fat; muscles capable of contraction. Eyebrows, skin, scrotum; nails nearly solid. 6th 7th " 11 to 12 \2y to 14 lib. 2% lbs. Pupillary membrane formed, lips closed. Eyelids open, testes begin to descend, foetus is viable. 8th ■ • 15 to 17 4 to 5 lbs. Skin red, smooth, covered with down. 9th " 19 to 24 7 to iy lbs. Testes near scrotum, left often therein. 188 INDEX of DIAMETERS OF THE FCETAL SKULL AT TERM. Diameter. Where measured. Inches. sy-vy 4^-5 zy Sub-occipito-bregmatic... Midway between occiput and foramen magnum Ant. margin of foram. mag. to centre of ant. font. Z%-A zy (ESOPHAGUS, DISOEDEES OF. (Compare Dysphagia.) Belladonna, the liniment with frictions to the sternum, often very useful as a pal- liative (Wa). Conium, in spasmodic contractions, with crampy pains of stomach, flatulence, and globus hystericus, has proved very serviceable (Wa). Hyoscyamus, or Conium, in stricture of oesophagus, if much irritability; with occasional leeching to relieve exacerba- tions of pain or spasm (D). Silver Nitrate, in stricture; a weak solu- tion on sponge probang (D). Anxsthetics, should be used only to meet temporary indications (W). Nutrient Enemata, in stricture, when swallowingimpossible(R); may, in some cases, even preserve life (Wa). [See Enemata.J Bougie Dilatation, in non-spasmodic, (structural) stricture, the only appropri- ate treatment (H). Bell, a prominent remedy in intense oesophagitis, with great pain and dis- tress (Hpl). Cocc. has many symptoms pointing to oesophagitis with intense burning in pharynx and oesophagus (Hpl). Phos. has cured oesophagitis induced by Gelsemium (H). Ign., Naja, the most effective remedies for spasmodic stricture of oesophagus(H). Ver. vir. in spasmodic stricture (R). Is homceop. to this and oesophagitis (Ha). Kali brom. causes and will cure a condi- tion in which choking occurs at every effort to drink fluids, though solids can be swallowed with impunity (Ha). Kali cyan, seems indicated in spasmodic states, inability to swallow fluids (Ha). Gels, in high dilutions for sudden para- lytic affections (Ha). 01. cajep. has caused and cured spasmod- ic stricture (Ha). ONYCHIA AND PAEONYOHIA. Silver Nitrate, a strong solution in nitrous ether, painted over the adjacent tissue, will abort if applied early (B); frequent- ly resolves (Wa). Lead Nitrate, dusted over night and morn- ing (R); relieves pain, and hastens heal- ing process (B). Mercury, as ointment, for 10 minutes in every hour; poultices in interim (R). Sil 3x, or Ac fluor. may often arrest; Sil. may prevent (J?); ofgreat value, espec- ially when bone is affected (H). Hepar sulph. persistently throughout course, to mitigate suffering (H). 4c. nit. fumes of the strong acid may abort when incipient (R). Phos. a solution painted over affected part to relieve pain (R). COMPARATIVE Tartar Emetic, will shorten course, and render it milder (R). Iodoform, oint. or powder dusted on (B). Chloral, a solution locally, as antiseptic, and to promote healing (B). Carbolic Acid, to benumb surface during incision (R), which should be carried freely down to the bone, especially in tendinous whitlow (D). Silver Nitrate, a strong solution (gr. xx ad Sj) in granular lids; cautiously when corneal ulcers exist (B); solid diluted with 2 to 4 parts of potassic nitrate, ap- plied lightly and quickly, or a solution (gr. ij-x ad Sj) painted over everted lids, which should be washed with a solution of common salt, and then with water be- fore being replaced (C). Alum, gr. viij ad sj aquae, applied every %oiy hour in purulent oph. of chil- dren; success depends on the frequency of the application (R); a crayon formed of a crystal of alum, a mild and occa- sionally useful application (C). Mercury, calomel dusted over membrane in phlyctenular oph.; or after detaching scales rub in brown citrine oint. every night for eczema of margin of lids (B). Pulsatilla, as lotion to conjunctiva 8 or 10 times in 24 hours, also internally (P); much used by homoeopaths (B). Spigelia, useful in rheumatic oph. (P). Antimony, tartar emetic, gr. 1-48 to 1-36, 3 or 4 times a day in strumous oph., with sharp purgation at commencement (R). Belladonna, or atropia, locally, of great service in strumous oph. to relieve pain; constitutional treatment also (Wa). Atro- pine, gr. ij of neutral sulphate to the 5 of aq. dest. twice or thrice daily, as sooth- ing application (C). Arsenic, invaluable in inveterate cases of strumous oph., esp. when complicated with cutaneous eruptions (Wa). Copper Sulphate.gr. j ad Sj aq. camph. as collyrium in purulent oph. of infants; in substance to inner part of lids in granular conjunctivitis (Wa). THERAPEUTICS. 189 Stram. relieves intolerable pain (jR). Sulph., Sil. when ulceration (R). Arn., Sulph., Hepar sulph., Ac. fiuor. ext. and int. are good remedies (R). Ledum, in traumatic whitlow (Teste). Ac. cit. the finger inserted into a lemon, night and day (R). Heat, by fomentations or poultices is very useful (R). Arg. nit. int. in catarrhal oph. which it promptly relieves (Hpl); also locally in purulent oph. of children (Dudgeon); strong (gr. j-xv ad sj) in gonorrhceal oph. when advancing (H); the 30th with a weak solution externally to aid it, the remedy par excellence for all forms of purulent oph. (A. & N). Solution gr. v ad Sj painted on (A). Alum, (gr. iv ad 3j aq.) as lotion ter die, by syringe, with ablutions as often as matter collects (R). Merc. corr. 1, gtt. xx ad Sij aquae, inject- into eye every 2 hours in purulent oph. (Js). Merc, corr., biniod., nit., int. and locally, highly praised in strumous oph., the former in gonorrhceal oph. when but one eye affected (H). Puis. in purulent, and oph. neonatorum, and in strumous, when discharge is pro- fuse and bland; in gonorrhceal, both eyes affected at same time (H). Spig., Aeon, in rheumatic, pain in and around ball, with crimson straight-lined injection of surface (H). Ant. tart., Coni., Apis, for photophobia, as intercurrent remedies (H). Bell, in very many forms, when vascu- larity of the parts, heat in eyes, severe pain esp. at night, beating, throbbing headache, lachrymation, photophobia, contraction or dilatation of pupils (Hpl). Ars. a great remedy in scrofulous oph. esp. when leucoma begins. Ars. iod., has also been very useful (Hpl). Cupr. sulph. a smooth crayon touched very lightly and cautiously to the swol- len papillae at retrotarsal fold in old cases of catarrh (A). OPHTHALMIA. (Compare Blepharitis, Conjunctivitis, Keratitis.) 190 INDEX op Tannin, powdered (or ac. tann. gr.j-xad Sj) produces remarkable results (B). Leeid Acetate, gr. j ad Sj aq. dest. applied by camel's-hair pencil to surfaces of everted lids, washed away before the lid is replaced. Or the tannate of lead \y ad 3 parts fine oil, and 1 of fresh lard, a very small piece as ointment to lid (C). Carbonic Acid Gas, said to relieve the pain and photophobia of strumous oph. when applied to the eye (R). Hydrastis, as lotion, serviceable when meibomian follicles implicated, causing adhesion of lids in the morning (P). Physostigma, to reduce pupil, and shut out the light (P). Iodine, is employed in scrofulous oph. lo- cally, for its alterative stimulation (W), Zinc Chloride, gr. j ad Sj aquae, as colly - rium, in goaorrhceal oph. used with marked benefit; also a stronger solution (gr. ij-iv ad Sj) effectually arrests the muco-purulent discharge remaining af- ter subsidence of purulent oph., and has succeeded admirably in diphtheritic conjunctivitis and pustular oph. (Wa). Zinc Sulphate, as collyrium, gr. j-iv ad Sj, is very serviceable in oph. of infants or adults; liq. plum, added improves (Wa). Staphisagria, especially in tarsal oph. (P). Colchicum, when gouty diathesis (P). Cod-liver Oil, in strumous subjects, tends to remove the manifestations of the disease (R). Cold Wet Compresses, or iced, are held to be essential in early stage of acute purulent and gonorrhceal oph. (C). Pulsatilla, m j or less, every hour, relieves pain rapidly, tho' not the cedema (St). Belladonna, int. and as oint. (extr. j ad iij adipis) when inflam'n subsided (Wa). Iodine, tinct. locally to remove swelling, after acute stage passed (B). Mercury, the oleate locally (B). Silver Nitrate, a strong solution to the scrotum, with gentle pressure (Wa). Tartar Emetic, in acute orchitis (R). Ammonium Chloride. R Ammonii mu- riat. aij; spirit, vini. rectif., aquae, aa sij. M. Sig.—Lotion, applied on cloths (B). Ipec. 1", used with much success in scrof- ulous oph., is generally sufficient; esp. when sclerotic conjunctiva is affected. Apis, when cornea attacked (Js). Hepar sulph. 1, 3, in purulent very suc- cessful; also ext. and int. in gonorrhceal, one eye alone affected. Also in strumous, when repeated ulcers (H, Js, Hpl). Rhus tox. 1, 3, with Hepar sulph., proved very successful in purulent oph. (H). Euph., Bell., to check inflammatory exa- cerbations (H); the latter when abund- ant tears and fluent coryza (Js). Ac. mur. chronic sore eyes, when of a scrofulous nature, with alteration of the visual power (Hpl). Caps, mild forms of catarrhal oph. (Hpl). Ac. nit. esp. in syphilitic and mercurial oph.; also in gonorrhceal, useful (Hpl). Aeon, scrofulous oph., cedema of lids, and excessive photophobia; sub-acute oph. from or with hepatic derangement, con- junctiva yellowish, eyes burn and smart (Hpl). Aeon., then Ac. nit. in gonorrhceal, when a constitutional effect of virus (H). Ailan. purulent, with agglutination of lids in the morning; is said to have cured chronic gonorrhceal oph. (Hpl). Apis, scrofulous oph. with swollen lids, inflamed, turned inside out (Hpl); with Ipec. in scrofulous keratitis, the prin- cipal remedies (Js). Bry. in rheumatic and arthritic oph., has a second-rate reputation (Hpl). Calc. carb. scrofulous (H); with eruptions around eyes, stinging pains (Hpl). Bapt. scrofulous or catarrhal (Hpl). Puis, the standard remedy, gives fullest satisfaction (Js, H, J). Bel!, sensitiveness of nervous system, in- tolerance of pain which is neuralgic in character (H); congestive or sub-acute form (Hpl). Ham. warmly commended by Ludlam and Franklin (H); severe cases (Js). Aeon, in reserve when fever (H); causes pain in scrotum as if contused (Hpl). Clem, often acts rapidly (H); sub-acute form ensuing on gleet (B). Arg. met. recom'd for chronic orch. (Hpl). OEOHITIS. (Compare Epididymitis.) COMPARATIVE THERAPEUTICS. 191 Digitalis, locally, found most useful (P). Alcohol, with equal quantity of water, as evaporating lotion (B). Ice, benefits and relieves pain (B). Pulsatilla, in inflammation of external auditory canal; in otitis, as lotion warm- ed and applied by syringe, three or four times a day (P). Aconite, quickly relieves the pain (R). Blisters, behind ears, either kept discharg- ing or repeated, often very useful (Wa). Leeches, behind the ear, afterwards a small blister upon the same place, when leech-bites have healed (H). Mercury, in chronic cases, the brown cit- rine ointment (B). Lead, lotions much employed (B). [See Gonorrhoea, for formula.] Potassic Permanganate, as injection or spray, gr. j-Sj aq. destil. (B). Silver Nitrate, locally. Gr. iv-Sj aq. (B). Tannin, the glycerite, locally, is success- ful (B); esp. in children (Wa). Zinc Sulphate, locally. Gr. ij-viij-3j (B). Cadmium, gr. ij-Sj rose-water (B). Liquor Sodx Chlorinatx, rrjj xv-xxx ad sj aquae when discharge fetid, is highly useful as injection (Wa). Quinia, with sulphuric acid, advisable in otorrhcea after scarlatina (Wa). OVAEIAN NEUEALGIA. Atropia, subcutaneously, the best remedy for pain in the pelvic viscera (Wa). Ammonium Muriate, gr. xxx ad gtt. ij-v tinct. aconiti, repeated in %-hour if necessary, to relieve pain (W). Camphor, with Indian hemp, of great service in relieving ovarian pain,'esp. when spasmodic in character (Wa). Opium, often the cause; if use stopped entirely, improvement may ensue (E); one of the best remedies in ova. pain(Wa). Hot-watee vaginal injections, night and morning; sunlight baths, fresh air (E). Surgical. Battey's operation; 28 cases, 5 deaths; only as a last resort (E). Arnica, as lotion(H); also int. when from mechanical injury (Hpl). Ars. chronic, with cedema scroti (Hpl). Aur. chronic, cedema, induration (Hpl). Puis, in sub-inflammatory (otalgia), and in otitis externa (Js, H); also Merc. (Js); in catarrhal otitis (Ha). Aeon. lx, often rapidly curative (Bayes). Bell. 1, generally indicated in otitis, also when recurring as boils (H). Ac nit. 3, in repeated recurrence (H). Sulph., Ac. pic., checks recurring boils(H). Bary. iod., 2*, 4, in suppurative inflam- mation of middle ear (Woodyatt). Merc. corr. in scrofulous (H); thick, bloody, fetid discharge (R). Tell, discharge thin and acrid (H). Kali bich., Aur., Puis, thin discharge, and when following measles (-R). Puis, thick, bland discharge (H); in ca- tarrhal otitis and otorrhcea (Ha). Hydras, externally and internally with gentle syringing (H). Aur. yellow, fetid discharge (R). Ac. mur. eczema; with burning itching, and after scarlatina (R). Calc. carb., Ars., Hepar sulph., chronic(R). Ars. iod. fetid, corrosive discharge (Ha). Sang, in catarrhal affections of inner ear and eustachian tube (Ha). (Compare Dysmenorrhcea.) Atrop. 3. at attack; Zinc. val. 3*, in inter- vals, when a pure neurosis (Ld). Amm. mur., Atrop., Amm. brom., Naja, Plat., Staph., Ustil., Zinc. val. (L). Ham., Coloe, suitable to neuralgic and inflammatory elements (H). Naja, a favorite remedy for obscure ova- rian pain (H, L). Staph., when of mental origin (H). Kali brom. has specific action (Ha). Viburnum op. strongly recommended (R). Lilium, Ustilago, are homoeopathic (Ha). Coni. in sub-acute or chronic inflamma- tion of the ovaries, especially when in- duration and enlargement (Leadam). OTITIS. (Compare Earache. ) OTOEEHCEA. 192 INDEX OF OVAEITIS. Turpentine Epithems, may be applied hot over the seat of the disease (Wa). Tartar Emetic, as ointment for counter- irritation over seat of disease, in sub- acute ovaritis; at same time, R Opii gr. y; extr. cann. ind., camphorae, aa gr. j. M. ft. pil. bis die (Wa). Mercurial Ointment, combined with cam- phor and belladonna, over the seat of the disease by friction (Wa). Leeclws, over the groin, or inside the thigh, applied with good effect (Wa). Blisters, in sub-acute ovaritis are often of great service, placed over region (Wa). Enemas, of warm water, simple or medi- cated, in sub-acute ovaritis, are warmly recommended; they should be retained as long as possible (Wa). Ice, in bag, over seat of pain when intol- erable, and patient too much reduced to bear leeches; is often of benefit (Wa). OZENA. (Compai Gold, the auric salts are very serviceable in syphilitic ozoena (B). Mercury, oint. of the nitrate in syphilitic. White or red precipitate with 58 times its weight of sugar snuffed after clear- ing the nose, in non-syphilitic forms(R). Potassium Permanganate, Sj-Oj solution as injection or spray (B). Hydrastis, the flu. extr. locally (B). 5j- Sviij solution as lotion, tinct. gtt. v. ter die internally (P). Iodine, or carbolate of iodine (tinct. iod. Sss; ac. carbol. Sj) inhalations (B). Bromine, inhalations. R Brominii, Sss alcoholis, Siv. M. Sig.—For inhalation vaporized by heat of hand. Carbolic Acid, inhaled, 1 per cent. sol. (B). Silver Nitrate, applied behind veil of pal- ate. Gr. v-3j-3j (B). Alum, solution (Sj-Oj) for irrigation (R). Glycerin of Tannin, by irrigation (R). Ver. vir. when with high fever, no remedy more efficient (Ha). Ham. with Aeon, in intense cases (H); used int. and ext., has cured (Ha). Apis, in parenchymatous ovaritis, pain of stinging character (H, R). Puis, aided by Aeon, in sub-acute (H); when pleurodynia coexists (R). Cimicif. when with pleurodynia (R). Merc sol. 3", Bry. lx, when pain runs towards hip or upwards (R). Phos. pain extending downwards along inner side of thigh (R). Kali brom., has a specific action (Ha). Puis., Lilium, Ustil., homoeopathic (Ha). Coni., Plat., Graph., chronic with indu- ration, sterility, tardy scanty menses (H). Thuja, chronic infi'n of left ovary, much pain, aggravation at periods (H). Merc abscess threatening. Hepar sulph., Sil., to moderate suppuration (H). OXALUEIA. Mineral Acids, when eructations of sulph- Ac. nitro-mtir. has virtues. Action specific uretted hydrogen (R); Nitro-muriatic, of and dynamic (H). important service (B). Ac oxal. 12, was given in one case with Lactic Acid, imperfect digestion (B). very satisfactory results (H). ,UEIA. Ac. nitro-mtir. has virtues. Action specific and dynamic (H). Ac. oxal. 12, was given in one case with very satisfactory results (H). re Catarrh Nasal.) Aur. is in most repute, esp. when scrofu- lous or syphilitic, bones involved (H). Aur. arsen. is recommended (Ha). Merc. iod. whitish-yellow or bloody dis- charge, posterior nares affected, with raw sensation, nasal bones diseased (L). Merc. corr; gluey discharge drying up in posterior nares, rawness (L). Kali permang. as injection (R). Hydras, aided by a solution of the muri- ate of hydrastia locally (H). Iod. ulceration, great fetor (R). Kali bich. discharge tenacious; occasion- ally curative (H); the 2*. persistently employed (R). Kali carb. discharge profuse, thin (H). Puis. <*>, gtt. j ter die for a month, cured 2 cases with fetid, green discharge^). Sang. U, cured an offensive case (R) Ars. ichorous discharge, malignant cases, esp. when constitution shattered (R) comparative therapeutics. 193 PAIN. (See After-pains, Boils, Chest-pains, Colic, Earache, Gastralgia, Headache, Hepatalgia, Inflammation, Lumbago, Myalgia, Neuralgia, Rheumatism, Toothache, etc.) Aconitia, locally over seat of pain, one of the most certain and powerful pallia- tives in neuralgic, rheumatic, and gouty affections (Wa); especially serviceable in neuralgia of 5th nerve (B). Belladonna, the best remedy for every kind of pain in pelvic viscera (Anstie). Atropia hypoder. in local pain, neu- ralgia, sciatica, glaucoma, etc. When it succeeds, has more lasting effect than morphia(R); sciatica, tic-doul., etc. (B). lodides,are magical in syphilitic nocturnal pains of head (B). The iodide of ammo- nium, gr. iij ad Sj ol. olivae, with friction; causes the disappearance of nocturnal syphilitic pains (Wa). Cimicifuga, relieves many kinds; neuralgia of 5th, rheumatic headache, ovarian neu- ralgia, dysmenorrhcea. Inferior to ergot in labor-pains or after-pains. Sj doses(B). Conium, in cancer, rheumatism, neu. (R) Opium, universally used to quiet pain. Morphia, hypodermically, in vicinity of nerve, is curative when not so by sto- mach. Morphiae acetas vel. sulphas gr. y6-y, with atropiae gr. 1-120 to 1-110. Caution, morphia habit (B). Sometimes a single injection curative of sciatica and neuralgia. Useful in many forms. Poultices containing laudanum useful in inflammation. Lin. opii, by friction, relieves pleurodynia, neuralgias, etc. Opiates soon lose their influence (R). Chloral, has no direct pain-relieving pow- er, except in dangerous doses. To relieve pain and promote sleep, the best agent is a combination of chloral and morphia. Cautiously, if heart trouble, or to old drunkards. Gr. xv-xxx + gr. y (B). Sometimes relieves neuralgia, chronic rheumatism, gaU-stones, colic, gastral- gia, and even cancer (R). Ether, spray for local anaesthesia; inhaled for general anaesthesia (R). Carbolic Acid, as local anaesthetic (R). G Aeon, throbbing, pressing pain, rapid, strong pulse, dry heat, chills, etc. (R). Bell, uterine, photophobia, burning pains in eyes, lacerating pains in ears (R). Kali iod. syphilitic, worse at night (R). Cimicif. infra-mammary pains (R, H); pain on left side of body, in back and lumbar region; severe in eyeballs, in- creased by movement; after-pains, lum- bago, rheumatism, etc; hysterical or uterine pain in left side (-R). Coni. neuralgic, pains of cancer, etc. (R). Bry. tearing, stitching pains in chest or right shoulder, worse on movement, in joints, muscles, and right side (R); pain after food in rheumatic cases (H). Arn. stiff, sore pain from fatigue, after- pains(iJ); p. after food,with debility (H). Ac. fluor. pains in bones, on left side (R). sEscul. hip. pains in rectum or anus, with piles, lumbar and sacral pains(R). Aloes, burning, cutting, rectal pain (R). Amm. mur. shooting pains in face, worse in evening; bruised or sticking pains, worse in morning, during movement(-R). Apis, stinging pains, sudden cedema (R). Arg. nit. sharp, stinging pains in stomach; stitching pains in liver and spleen (R). Ars. burning pains, worse at night, with debility, thirst, and emaciation (R). Aur. nocturnal pains in bones (R). Cact. grasping pain of heart, burning in bladder; pulsating in uterus, ovaries(R). Calend. severe pains from accidents (-R). Camph. pain in bladder, strangury (R). Cham, nerve-pains, worse at night; pain in veins of legs, burning ulcers (R). China, pains recurring periodically (R). Coff. neuralgic pains of right side, in- creased susceptibility to pain (R). Colch. acute gouty, lacerating pains, tear- ing pains in heart, neuralgic in chest, abdomen, bowels, anus (R). Coloe severe, tearing, lancinating, esp. colic of bowels. Pain its indication (R). 194 inde: Chloroform, locally, inferior to other anaes- thetics. Two or three drops on cotton into the ear, for faceache or toothache, Vapor on raw surface of cancers, neu- ralgia of uterus, photophobic eye, etc. Inhalation in renal and biliary colic, and to produce general anaesthesia, which see (R). Iodoform, as suppository in painful dis- eases of the rectum or bladder (R). Stramonium, is used as ointment (R). Duboisia, used instead of atropia (B). Rhatany, relieves the pain of ulcerative disease of mucous membranes, pain of burns, ulcers, and esp. of blisters (Tr). Cannabis Indica, formerly used (B). Aquapuncture, (B). [See Neuralgia.] Galvanism, of an affected nerve gives cer- tain relief. Positive pole on point of emergence; negative over superior gang- lion of cervical sympathetic (B). Heat, if pain is without fever or inflam- mation (B); warm injections soothe the pain of cystitis, prostatitis and abdomi- nal pains generally (B). Cold, when pain is inflammatory (B). Strychnia, gr. 1-60 to 1-30 [gr. 1-80 to 1-12 (R)]; also hypoder. into the affected muscles. R Strych. sulphat. gr. ij; aq. destil. vel lauro-cerasi, 3j. Sig.—"j v= gr. 1-48 for hypod. administration. In hemiplegia, paraplegia, local, mercurial paludal, rheumatismal, facial, infantile, diphtheritic paralysis; p. of spinal mus- cles, of bladder and all local forms (B); often of use in hysterical (P); all forms, except, according to Barwell, in cere- bral and spinal (R). Nux Vomica, in hysterical, that from lead- poisoning. Only in chronic cases (P); in paraplegia from softening and wast- ing of cord (Brown-Sequard). Hyoscyamia, gr. 1-32 gradually increased to 1-15 in par. agitans, loco, ataxia (B). Rhus Toxicodendron, certainly efficacious in oases depending on rheumatism (P). Calc. carb. 30(H). [See Calculi Biliary.] Dios. shifting pains in head, bowels (R). Gels, pains in back, head, hemicrania (R). Ign. anal pain, face-ache, crushing (R). Iris, pain in forehead and right side of head, relieved by motion in open air(I2). Lept. dull, aching pain in liver and abdo- men, in brow or eyeballs (R). Merc, rheumatic, bone-pains with chilli- ness, worse at night; severe inbowels(.R) Mez. pains in long bones; face-ache and tooth-ache, worse on pressure (R). Nux vom. spasmodic pain, esp. of stom- ach or bowels; splitting headache (R). Phos. pain in eyes, in chest when inspi- ration (R). Pod. liver pains with bilious symp. (R). Puis, rheum'c, worse by rest, warmth(B). Rhus. tox. rheumatic, relieved continued movement, dry heat, flexed limbs(R). Spig. neuralgic, of face and heart (R). Staph, boring pain in forehead, neuralgic pains in shoulder and arms (-B). Sulph. neuralgic, rheumatic, arthritic, worse at night and in damp weather (R). Viola od. right-sided pains of joints (R). Strych. 3* or 4x (R); best results 6th (Ha). Nux vom. in par. from disease of cord, from abuse of alcohol, with anorexia, sickness, constipation (R). Hyos. in par. agitans, homoeopathic (H). Rhus tox. the great anti-paralyticum (L); rheumatic, exposure to wet, strains or excessive exertion, with painful stiff- ness, tingling, numbness (-R, H). Phos. par. from degenerative changes in brain and spinal cord, esp. in that of spinal origin (R); in pseudo-hypertrophic spinal par. has proved of striking bene- fit. Also in paraplegia, lowered vitality of centres (H). Bell. 1", early in infantile, Sec. and Plumb. later. Also in general par. of the insane, paraplegia and locomotor ataxia (H). Arn. par. of body, right side; everything feels too hard (L); rheumatic par. (Hpl). PAEALYSIS. (Compare Hemiplegia, Locomotor Ataxia, Tongue.) comparative therapeutics. 195 Arnica, par. bladder, and many forms (P). Phosphorus, with cod-liver oil in par. agitans; small doses. Also in the par. of white softening of the brain (B); in hys- terical paralysis (R). Belladonna, when depending on chronic inflammation of the cord (R). Exter- nally as ointment along spine, with er- got internally (Brown-Sequard). Physostigma, into the eye in ocular par. (B); in general par. of the insane, also in progressive muscular atrophy without much mental disorder, long-standing hemiplegia, paraplegia, loco, ataxia (R). Conia, in some cases of par. agitans (B). £rgot, in par. of bladder from over dis- tension (B); paralytic dysuria, sensation of but partial emptying of bladder (P); said to be useful in paraplegia (R). Cocculus Indicus, valuable in hemiplegia, paraplegia, and paralytic stiffness (P). Ignatia, in par. of lower extremities (P). Cannabis Indica, for retention of urine from spinal disease (R). Capsicum, in y to 2 grain doses every 4 hours, as general stimulant (P). Colocynth, in cerebral par. sometimes seems to act favorably upon principles of revulsion or counter-irritation (P). Mustard, as emetic to stimulate failing heart in certain forms of par. (P). Senega, in rheumatic, powerful help (P). Nutmeg, the oil as external stimulant (P). Oil of Bay, has been given. Obsolete (P). Cajeput Oil, efficacious in palsy (P). Counter-irritation, by blistering fluid in peripheral par. of the 7th nerve (R). Cod-liver Oil, Anstie insists on it when low nutrition and faulty assimilation (B). Galvanism, hemiplegia, many forms (B). Physos. in general par. of insane, bene- ficial (H); homoeopathic to par. of vol- untary muscles (Ha). Coni. perhaps in diphtheritic (H). Secale, par. of bladder and rectum, rapid emaciation, tendency to gangrene, ex- cruciating sacral or spinal pains (L). Cocc. in many forms (H, L); hemiplegia, paraplegia, general paralysis (R). Ign. hysterical paraplegia; paralysis after great mental emotion (L). Cann. ind. general par. of insane, with great mental exaltation (H); par. of bladder (Ha). Aeon, recent facial (H); esp. when con- sequent on cold (R). Of great value in paralysis (Hpl). Plumb, progressive muscular atrophy, paraplegia, wrist-drop (H); excessive wasting of muscles, obstinate constipa- tion (R). Is perfectly homoeopathic to muscular par. with loss of electrical con- tractility, and consecutive atrophy (Js). Caust. in facial of long standing, par. of larynx and bladder, with cough (H); hemiplegia from exposure or suppres- sion of an eruption, with shifting, tear- ing rheumatic pains (Hpl). Merc, is homceop. to par. agitans (H). Arg. nit. in diphtheritic, loco. ataxia(H); esp. in diseases of the central nervous system, where sclerosis (Fellows). Curare, semi-par. of nervous debil'y (H). Gels. esp. in par. of sphincters (H); indi- cated in various forms of par. (Ha). Kali chlor. U, in facial paralysis (H). Electricity, faradization of muscles af- fected. Localized electricity probably of more importance in confirmed spinal par., than medicinal treatment (H). PAEOTITIS. Aconite, in febrile conditions (R, P). Mercury. Vs-grain of grey powder, 3 or 4 times a day very useful, relieving pain and swelling (R). Poultice of flaxseed meal, a good local application for gland (H). Bathing, night and morning, with soap or volatile liniment (H). Care to avoid chilling, important (H). Aeon, when feverish symptoms (R, H). Merc, always given throughout (H). Merc, iod., Merc, sol., Merc. corr. 3*. swel- ling of glands (R). Puis, if metastasis to testicles or mammae, is of decided benefit (H, J?).- Bell, brain implication (R); also as oint. to gland; gr. j of extract to 3j of simple cerate (R). 196 index of PEDIOULI. Mercury. Citrine oint. or wash of corros. sublimate, for lice on all parts of body. The oleate destroys lice immediately, and also kills the ova (R). Cocculus Indicus, destroys pediculi (P). Staphisagria, as oil or ointment of the powder (R); "lice-bane" (P). Essential Oils, will kill, as rosemary, anise (P); or powdered pyrethrum (R). Arsenic, is curative, esp. when chronic (B); largest dose; 1151 v liq. arsen, 3 times a day, on full stomach (R); exercises a powerful influence (Wa). Mercury. Citrine oint. largely used (Wa). Potassic Iodide, improves the condition in pemphigus (Wa); with good, simple diet; quinine, cod-liver oil, etc., in rupia (H). Silver Nitrate, in pemphigus, after the bullae have burst, and excoriations re- main, (gr. ij ad sj aquae) (Wa). Water Dressings, on lint, covered with oiled silk, constantly, in pern. ,rupia(Wa). Cod-liver Oil, with nutritious diet, is a powerful auxiliary to treatment (Wa). Aconite, when violent throbbing and ex- treme pain (R); of great value, if given early (P); proves in the highest degree serviceable, when object is to diminish vascular excitement or irritability (Wa). Spigelia Anthelmia, useful in rheumatic (P). Digitalis, when rapid and feeble heart, cyanosis and dropsy (P, N). Bryonia, exceedingly valuable in second stage, that of exudation; fully equals any remedy in pericarditis (P). Opium, regularly in grain doses, every 3, 4, 6, or 8 hours, is very beneficial (Wa). Veratrum Viride, extr. gr. ij with j of calomel, every 2 hours, valuable (Wa). Quinia, gr. xv-xx may suppress an acute attack, if given at critical moment (B). Counter-irritation, has been much abused; useful at commencement, but not in acute inflammatory stage (B). Poultices, large, hot, often renewed (R). Mercury. The oleate, with ether added (one part to eight), locally (R). Alcohol, pure, externally, as lotion. Ars., Chin., Sabad., Staph., Sulph. (L). Cleanliness, cannot be dispensed with, and in many cases may alone be sufficient (R). Boil underclothing. Isolation of person, and of brushes, towels, etc., to prevent infection (R). Aeon. lx, every hour, with hot linseed- meal poultice, will arrest, i fad ministered early (H, J, Js); double friction sound in rheumatic cases, laboring, heaving ac- tion (R); may prove an invaluable remedy (Hpl). Spig. has the highest reputation in the course of the disease; much pain (H). Dig. with serous effusion (H). Bry. has some reputation in plastic form; never trusted to alone (H); rheumatic (R). Ars if effusion into pericardial sac (H); great debility (R); should not be forgot- ten, esp. in hydro-pericarditis, or peri- car, after scarlatina (Hpl). Ars., Colch., in pericar. of Blight's disease (H, R). Asclep. tub. in sub-acute rheumatic (Ha). Cactus, palpitation, whirling action of heart (R); sense of constriction, as by an iron band, acute pains, stitches.dyspnoea (Hpl); capable of causing pericar. (Ha). PEMPHIGUS. PEEIOAEDITIS. (Comoare Endocarditis.) Arsen. specific to chronic, and graver forms, as pemphigus foliaceus(H). Merc, Ac nit., Aur., syphilitic rupia (R). Rupia requires treatment suitable to the syphilitic diathesis (H). Kali iod. or Iod. in gangrenous pemphigus (rupia) when from mercurialismus (R). Rhus tox. may cure recent pemphigus; itching with burning (II); confluent blisters, containing a milky or watery fluid, with peeling of skin (L). Phos. painful, hard blisters, full to burst- ing, but not itching (L). Tliuja, pemphigus foliaceus, with offen- sive odor, and formation of scales (L). comparative therapeutics. 197 PEEIOSTITIS. Mezereon, rheumatic and scrofulous (P). Mercury and morphia. The oleate ext. (R). Potassic Iodide, in syphilitic children. Also in non-syphilitic periosteal thick- enings (R); holds the first place for syph- ilitic affections of the bones (Wa). Ammonium Iodide, cures periostitis most readily when syphilitic (Wa). Staphisagria,vfhen long bones affected (P). Iodine, the tincture, or blisters locally, of great service in chronic (R). Poultices, after an early and free in- cision when suppuration takes place (C). Aconite, ofgreat utility when sthenic re- action; see Opium (B); should be given early in all inflammations of serous membranes (P). Bryonia, exceedingly valuable in second stage, when exudation (P). Mercury, when tendency to fibrinous exu- dations, employed with good effect (W). Opium, to quiet intestinal movements (R); the best agent (P, B). Morphia gr. y hypodermically, will often abort, if given early. R Tinct aconiti rad. 3ij, tinct. opii deod. svj. M. Sig.—Gtt. viij in water every hour or two. A larger dose of opium if pain is severe (B). Large doses easily borne in this affection (Wa). Cocculus Indicus, for tympanites; a few doses will often remove the pain and re- lieve distention (P). Quinia, strongly urged by Trousseau; is naturally indicated in most inflam'ns (P). Turpentine, for tympanites (P); turpentine stupes, v-xv drops of turpentine on flan- nel wrung out of hot water during acute stage, then blisters for a short time (B). Leeches, to abdomen, if patient plethoric, and of sthenic reaction; relieve pain(B). Purgatives, are inadmissible when from perityphlitis or inflammation of appen- dix vermiformis (B). Poultices, large hot, and frequently re- newed. Should be thin, and covered with cotton-wool (R). Ice, to abdomen (B). Cold relieves (W). compare Nodes.) Mez. in acute (B, H, F); rheumatic (H). Merc, when suppuration threatens; also in scrofulous and rheumatic (H). Kali iod., Sil., Aur. met., Mez. (R). Sil. if suppuration; should be persisted in until all symptoms subside (H). Phyto. in syphilitic, rheum'c perios. (H). Ruta, when from mechanical injury (H). Aur. favorite remedy in Vienna (H). Kali bich. is used satisfactorily (H). Mez., Merc, Phyto., Sil., Kali bich., and perhaps Guaiac, are specific irritants of the periosteum (H). Aeon. <£>, gtt. xx in 24 hours, in severe cases (Js); in simple, acute form, from cold, is indispensable (H); predomi- nance of febrile symptoms. A low dilu- tion (R). In first stage of the disease (Hpl). The principal remedy (Js). Bry. following Aeon., when fever relaxes and effusion threatens (H); stinging and burning pains, worse on movement (R). Merc corr. or Bry. from commencement, when due to mechanical injury, wounds upon abdomen. Has high curative power (H). Esp. in scrofulous cases (R). Coloe the best when peritonitis extends from abdominal organs. Also Bry. Never Aeon. (H, Js). Colicy pains a special indication (H); diarrhoea, rectal and vesical tenesmus (Js). Ars., Calc. carb., China, Sulph. (H), Carbo veg. (Js), for tubercular peritonitis. Bell, brain disturbance, headache, flushed face, throbbing, etc. A few doses suf- fice (R). Cramp-like pains radiating from one spot (Hpl). Erig. in tympanitis occurring in peritoni- tis, most reliable (Ha). Apis, sharp, sudden paroxysms of stinging pain.great prostration,fear of death(HpZ). Water, hot fomentations to relieve pain, sometimes cold compress better (R). Ice, sucked or swallowed, to assuage the vomiting; sips of cold water (R). Diet, after acuteness of attack passed, should be mild, unstimulating (R). PEEITONITIS. (Compare Puerperal Peritonitis. ) 198 PEESPLEATION. (Compare Feet. Belladonna, as liniment locally, also the tincture internally, esp. in weakly chil- dren who sweat profusely (R). Atropia, gr. 1-200 to 1-100 hypoder. (or in exceptional cases even gr. 1-20 in pill) in sweating of phthisis and exhausting di- seases (R); gr. 1-60 at bed-time for sweats of phthisis (B). Jaborandi, gr. 1-20 of pilocarpine, thrice daily.checks profuse perspiration(R.Pf). Quinia, in exhausting diseases. In many a night-draught of quinia, sulphate of zinc, and sulphuric acid, useful (R). Opium, as Dover's powder may succeed in profuse colliquative sweating (R); a fact though hard to account for it (Wa). Aromatic Sulphuric Acid, to check sweats of phthisis. Bad for digestion (B). Zinc Oxide, R Zinci oxidi, gr. iij, ext. bel- ladonnae, gr. ss, at bed-time, in a pill for sweats of phthisis (B, R). Gallic Acid, useful for same. B) Acidi gallici, Sss; ext. belladonnae, gr. ij. M. ft. pil. no. x. Sig. Two at bed-hour (B). Potass. Permang. gr. j-Sj, for fetid perspi- rations of axillae, feet, etc. (B). Salicin, profuse sweats of hectic (Wa). Salicylic Acid, in solution with borax, the most agreeable and efficient deodorant for fetid perspirations (B). Carbolic Acid, 2 parts to 3 of glycerin and water, twice daily for fetid sweat (Wa). Oils, rubbed into the whole skin to pre- vent sweating accompanying exhaust- ing diseases, as phthisis; but sponging with a weak acid wash better (R). Ergot, said to arrest sweating (R). Sponging, with acidulated water; or very hot sponging in phthisis (R). Bell, sweat on the covered parts, general sweat coming and going suddenly; sweat with enuresis, during sleep (L). Atrop. in sweating of phthisis (R); is anti- pathic (H). labor, should be useful, being fully hom- oeopathic (II); copious sweat with sali- vation, unilateral, left-sided (L). China, exhausting night sweats on side on which he lies; increased thirst dur- ing sweat. Hectic fever (L). Opium, hot, burning sweat over body, wants to be uncovered; cold sweat on forehead (L). Phos. sweat on head, hands and feet, with increased urine; clammy sweat; profuse at night during sleep (L). Ac. phos. sweat mostly on occiput and neck, with anxiety, thirst only during sweat(L); generally the best remedy for sweats of phthisis (H). Ver. alb. general cold sweat, worse on forehead; clammy, staining linen yel- low, with deathly pale face (L). Samb. profuse sweat on waking, and while awake more or less, dry hot body with cold hands and feet during sleep (L); of great use (H). Calc. carb. sweat from the least exercise, even in cold open air, morning sweat, most profuse on head or chest (L). Thuja, sweat only on uncovered parts, the covered being dry and hot(£). Merc, sour sweats(R): with burning of skin, aggravating the weakness (L). Petrol, fetid sweat in axilla (L). Sil. sweating head (R); sour sweat (L). Ac. fluor. sweating hands (II). Stann. for sweats of phthisis (H). PEETUSSIS. Aconite, in all acute congestions (P). Ipecacuanha, useful in many cases (R). i>5 j for 5 years of age, every hour or two with the greatest relief (P); when bron- chitic or pneumonic com plications.com- bined with ammonium bromide (Wa). Pulsatilla, gr. y-} ofanemonine(P). Aeon. alt. Ipec. at commencement, some- times no other medicine required (H). Aeon, febrile symptoms; dry, hard, wheez- ing cough, most severe at night, burn- ing pains or dry tickling in larynx (R). Ipec. gastric symptoms, vomiting of mu- cus, sometimes hemorrhage (R). COMPARATIVE Belladonna, obviously of value in febrile stage. Of special use when dentition. Relieves the congestion of air-passages and also the determination of blood to the head (P). Good when profuse bron- chial secretion; best in spasmodic stage. R Atropiae sulphat. gr. j; aquae, Sj. Dose ttjj ij-iv (B); esp. during 3rd week. Chil- dren bear this drug well. 115 x of tinct. may be given hourly to a child 2 or 3 years old (R). Hydrocyanic Acid, very serviceable in cough b y habit, after cessation of whoop- ing-cough proper, or in nervous sympa- thetic cough of mothers (B, P). Opium, in convulsive stage, to produce and maintain slight heaviness (R). Bromides, relieve spasmodic element (B); that of ammonium will readily cure many cases; gr. ij or iij ter die for in- fants (Wa); R Potass, brom. Sij; chloral. hydrat. Sss; syrup, tolu. Sss; aquae, Sjss; M. Sig.—A teasp. every half hour to a child 2 years old (B); esp. in summer (R). Lobelia, in spasmodic stages, well tolera- ted by children. 115 x of tinct. every hour for child 2 years old, also additional dose when cough is imminent (R, P). Alum, when acute stage over and no complication, gr. ij-vj every 3 hours, or less every hour in glycerin or honey (R). Chloroform or Ether, to lessen severity of the paroxysms. As inhalations (R). Chloral, gr. v-x in spasmodic stage, re- lieves quickly (B). Castanea, a decoction of chestnut leaves has been used with much success. Dose ad libitum (B). Valerian, said to control paroxysms (R). Nitric Acid, well diluted in sweetened water, after the subsistence of the ca- tarrhal stage (B). Gelsemium, in spasmodic stage (B). Monobromide of Camphor, gr. v in mucil- age and syrup, tolu. 3 or 4 times a day, has been very serviceable (B). Zinc Sulphate, gr. y-j ext. belladon. gr. y-y, has varying degree of success (B). Laclucarium, the syrup as vehicle for cough-mixtures (B). Silver Nitrate, when acute stage passed (Tr); probably inferior to alum (Wa). THERAPEUTICS 199 Puis, to finish after Chel. and Corall. (T). Bell, for catarrhal stage (B); brain symp- toms in full-blooded children(H); Atro- pia in the 2nd or 3rd (Ha). Ac. hydrocy. or Cupr. convulsions, symp- toms like laryngismus stridulus; the for- mer sometimes magical (H). Opi. symptoms of cerebral congestion, al- ternately writh the remedy for spasm(H); stupor, irregular breathing, (R). Ammon. brom. said to be almost specific (R); deep cough causing pain in stom- ach, cough at short intervals, expectora- tion tough, stringy. Also Kali brom. (Ha). Dros. , if spasmodic stage be well mark- ed (H); a fractional dose of after each tit (Bayes); severe paroxysms of hoarse cough, even with hem. and vomiting (R). Corall. rub. very satisfactory; has won many commendations (H). Cupr. met. 3, for spasmodic stage (B); symptoms like laryngismus stridulus(7s). Cupr. acet. 1, croup-like cough with con- vulsive movements, threatened death from collapse of air cells of lungs (R). Cina, worm symptoms, itching anus (R). Cina, Cocc. cact. in spasmodic stage (Js); have marked effect (H). Chel. 6, after Corall. till cough catarrh (T). Phos., Aeon., if symptoms of pulmonary congestion (R, H); or if bronchitis, or broncho-pneumonia supervenes (H). For the same Ipec., Bry. (Js). Arn. child cries when the cough is felt coming on (H). Kali carb. puffiness of eyelids (H). Sulph. when declining, phlegm opaque(JJ) Grindelia, in catarrhal stage, when mu- cus profuse and much dyspncea, gives prompt relief (Ha). Amm. pier, had surprising success (Ha). Ac. carbol. praised by many. Used in low and medium attenuations, and in- haled from atomizer (Ha). Ver. alb. extreme weakness, cold perspi- rations, anxious expression, vomiting of mucus (R). Kali bich. tough, gluey phlegm, adherent to throat, causing vomiting. Night- sweats (R). Ant. tart. alt. with Cupr. if rattling of mucus in chest (R). 200 INDEX OF PHAETNGITIS. Aconite and Belladonna, for acute attacks (B); when high temperature (R). Belladonna, is very useful; relaxes the pharyngeal muscles (W). Capsicum, as gargle, Sj ad Oy aquae, in very early stage only (R). Alum, gargles, in chronic inflam'ns (R). Silver Nitrate, gr. v-xx ad Sj, on sponge probang, successful if systematically ap- plied (B); in early stage of inflammation; also in chronic on brush, or as spray (R). The solid stick to each diseased follicle, after scraping (A). Tannin, insufflation to affected surface(B). Cubcbs, powdered, locally, useful (B). Glycerin, pure, locally, with tannic acid, very serviceable (B); in chronic inflam- mation of the throat (R). Hydrastis, the fl. extr., locally, and gtt. v-x per stomach (B). Alcohol,e\i\nXe,ga.rg\n in relaxed throat(R). Cimicifuga, when pharynx dry, and spot- ted over with inspissated mucus (R). Ipecacuanha, the wine as spray in non- inflammatory sore throat, with hoarse- ness from congestion of vocal chords (R). Pomegranate Bark, as gargle (P). Potassic Chlorate, as lozenge to stimulate the follicular secretions to a healthy condition (A). Iron, Quinia, and Strychnia, as tonics, are mainly indicated (A). Zinc Sulphate, as gargle, occasionally em- ployed in relaxed throat (R). Inhalation of vapors, or of pulverized fluids, by the atomizer, found very beneficial (Wa). Food, of piquant kind, spices, pepper, mustard, etc., should be strictly pro- hibited, All fluids should be used at a moderate temperature (A). Belladonna, as oint. (extr. xij ad xx of lard), has proved effectual (Wa). Lupulin, 5-15-gr. doses, of advantage after operation, to keep penis at rest (Wa). Surgical. Division of the prepuce by a bistoury and director; circumcision (D). Aeon, incipient, and in acute stage (R). Bell, inflammation of the throat, ulcera- ted throat and bright redness, much pain when swallowing (R). Caps, throat red and hot, dry cough (H). Alum, livid redness, sensation of lump in throat, or stitches; symptoms aggravated at night, relieved by warm drinks (Hpl). Arg. nit. ulcerated throat of low type, with fetid breath and foul mucus; and in cachectic patients. A weak solution also as a gargle (R). Merc. iod. chronic cases, swollen throat, copious saliva, swollen gums and tongue, shooting pain on swallowing, ulcers on mouth, profuse perspirations (R). Mostly used (H). Phyto lx, hoarseness and aphonia, with great dryness, feeling of lump in throat. Generally succeeds. Int. andinhal'n(JJ). Weythia, very successful; dryness of phar- ynx, and burning of epiglottis (Ha). Kali bich. tough, stringy mucus, chronic ulceration (R). Calc. phos. often successful where others have failed (R). Ant. tart, is also recommended (H). Arn. when from excessive use of voice (R). Lach. chief remedy for subjective symp- toms (H). Constant irritation, choking sensation, affection chiefly nervous (R). Hepar sulph. when in scrofulous patients, or from abuse of mercury (R). Sulph. when gouty, hemorrhoidal, or her- petic dyscrasia (H). Ac. carbol. perfumed, as gargle, to correct fetor of breath (R). Water, by throat compress, relieves; also in daytime, in obstinate cases (R). Rest to voice, and cultivation of beard, are useful aids (R). Ham. sij ad Sj aquae as lotion on com- presses to the organ (R). Cann., Merc, Sulph., from gonorrhoea(L). Arn. when from friction or other mechau- cal cause; also Rhus, Sulph., Aeon. (L). Aeon., Merc, Sulph., from uncleanliness(£). PHIMOSIS. COMPARATIVE therapeutics. 201 PHLEBITIS. (Compare Hamamelis, has as decided an influence on the venous system as Aconite on the arterial (Pf). Rest, fomentations, poultices, early in- cision of abscesses, aperients, opium to relieve pain and insure quiet of mind and body (D). Blister over course of an inflamed su- perficial vein (R). Diet, nutritious; and wine, especially if great loss of blood (D). PHLEGMASIA , Belladonna, and Mercury, equal parts, as ointment, often of much benefit (Wa). Hamamelis, has specific action on venous system (P); extolled by Dr. Preston (R). Blisters, in early stage; are extremely useful if judiciously employed (L). Ammonium Carbonate, often valuable where great prostration; full doses (Wa). Creosote, injections daily (Wa). Hydrochloric Acid, Sj of dil. acid in Oij of barley-water, with Sss of potassic chlor- ate, to be taken daily (Wa). Opium, large doses internally, with leech- es and anodyne ointments (Wa); lauda- num, if pain severe, sprinkled on hot fomentations (L). Leeches, of great service during the acute inflammatory stage (Wa). Bandaging, when the more acute symp- toms subside; at first with flannel, after- wards with ordinary roller bandage (L). Regimen, should be tonic (L). Aconite or Belladonna, are certainly effica- cious. Aconite best (R). Sulphides, to abort, or, if inevitable, to promote. Gr. ss-j every hour or two. Potass, sulphuretum (B). Silver Nitrate, strong solution may check if applied early in the vicinity (B). Carbolic Acid, injections; a 2-100 solution (B); used with great success (W). Iodine Injections, after evacuation (B). j Phlegmasia, Varicosis.) Ham. inspires full confidence(H); vari- cose condition(R); may be called the Aconite of the veins; internally in me- dium dilutions, not strong exter. (Ha). Puis, has great virtue, esp. in crural phle- bitis after parturition. In chronic the 6th alt. Merc. 6th (H): Aeon. alt. Puis., Bell, the first remedies for phlebitis (R). Lach. sudden prostration, typhoid symp- toms, suppurative phlebitis (H). Am. ext. for pain; also in chronic (R). ALBA DOLENS. Bell, tearing pains in limbs, cutting pains fever, burning thirst, hyperaesthesia of senses (L). Ham. int and ext. varicose state (R, H). Aeon, and Puis, in simple cases(iJ); Aeon. febrile symptoms, restlessness (L). Puis, or Ham; will speedily cure when from phlebitis extending from uteriue to crural veins (H). Bism. has given brilliant results (H). Merc. sol. 1, and Bry. 1, have effected ex- cellent cures of this affection (R). Arn. early stage, after severe and pro- tracted labor, feels bruised and sore (L). Ars. restiessness and anguish, exhaustion burning pains, swelling is pale and oedematous, patient chilly (L). Bry, lancinating pains, hip to foot (L). Calc carb. strumous cachexia, sensation of coldness all over the body (L). Water. Compresses in active stage. Douches, hot and cold, in chronic (R). ipare Erysipelas.) Aeon, in phlegmonous erysipelas, de- serves our first reliance (H). Bell. alt. with Aeon, when cutaneous in- flammation considerable (H). Hepar sulph. to promote suppuration; then Silic to limit it if excessive (H). Lach. gangrene; Ars. typhoid state (H). Ars. gangrenous character, fresh patches appear as others decline, excessive gen- eral prostration (R). PHLEGMON. (Cor 202 index of PHOTOPHOBIA. Belladonna, a neutral solution of sulphate of atropia, gr. j ad Sj, for adult, drop- ped into the eye, every 4 hours (C). If much lachrymation, so as to dilute the solution, it may be applied more fre- quently. In some cases belladonna irri- tates and has to be abandoned (Wa). Conium,in scrofulous photophobia, coniae gr. y, ol. amygd. Sj, locally, twice or thrice daily; or vapor coniae (Wa). Mercury. Calomel by insufflation (C). Canthoplasty, for the spasm of the or- bicularis in severe photophobia (C). PHTHISIS. (Compare Coug Calcic Phosphate, in diarrhcea, and in chronic forms of phthisis, with little or no fever (R). Hypophosphites, very useful in chronic cases. R Syr. hypophos. comp. Siijss; ac. phos. dil. sss. M. Sig.—A teasp. ter die after meals, with cod-liver oil (B). Iodine, as inhalation in chronic phthisis; to lessen expectoration and cough; also as liniment painted under clavicles, to allay harassing cough, and to check secretion (R). Arsenic, valuable in chronic forms as is no other remedy; but not in caseous, or where much hectic. May be given by stomach and fumigation (B). [See under Asthma.] As cigarettes, useful in the diarrhcea, probably diminishes tempera- ture. Caution required (R). Cinchona, for the hectic and sweats. Gr. xv-xx quiniae (B). If small doses fail, a dose of 6 or 8 grains at once, or in por- tions repeated hourly (R). Ipecacuanha, spray to throat when bron- chial asthma and emphysema combined with fibroid phthisis (R). Cod-liver Oil, holds first rank as a remedy and food in the chronic forms. A teasp. after meals ter die is enough. When not well borne, may be combined with aqua calcis, comp. tinct. of gentian; or, when not digested, with ether (B, R). Bell, in photophobia when great conges- tion of the conjunctiva, ciliary neural- gia and pain in optic nerve. Also atro- pia locally, as collyrium (A). Bell. Gels., Glon., Euph., Merc, corr., Kali brom. (also as collyrium) Nux vom., Ars., Sulph. (R). Coni. phot, of strumous ophthalmia (H). Apis, when connected with intensity of corneal mischief (H, Js). Ant. tart, a prime remedy (H, A). Cimicif. when from asthenopia (H). Glasses of cobalt blue, the best (R). Calc. phos. (Verdi); Calc. iod,, Calc. ars. are highly praised as curative. Calc. carb. aided by Puis, for the premonitory dyspepsia, esp. with inability to use fat- ty foods, and acid eructations after meals (H); frequent, profuse menstruation (R). Hypophosphites, useful when hacking cough, hectic, night-sweats, nervous prostration (Ha). ." Iod., the most promising remedy. When loss of flesh the first sign. Aids the as- similation of milk or cod-liver oil. In the 3x has restored when every sign of miliary tubercle (H). In cod-liver oil, gtt. v-x of the lx to a pint (R). Ars. 3, Phos. 2, on alternate days, have arrested "phthisis florida." The leading remedies in chronic form; Ars. continu- ously; Phos. for intercurrent attacks of inflammation. In 3x for the diarrhoea, the only remedy (H). Dyspncea, esp. when recumbent; rapid emaciation. Esp. valuable in last stage (R). Ars. iod. 2* to 6x, very efficacious (H). China, in hectic as support to system (H). Ipec, for vomiting, with cough (H). Cod-liver Oil, useful as nutrient; supposed to be curative in very minute doses from its contained iodine (Ha). Creos. generally controls vomiting, when occurring independently (H). Sang, is frequently employed (Ha). :, Hemoptysis, Perspiration.) COMPARATIVE Creosote, tar, or carbolic acid, to check expectoration (R, P). Sanguinaria, helps expectoration, and revives the enfeebled stomach (P). Chloroform, with glycerin or honey, for the • cough in fibroid phthisis (R). Ferr. often prescribed; has no especial in- fluence on deposit (B). Proscribed in tuberculosis (Tr). Mercury, gr. 1-100 of corrosive sublimate every 2 or 3 hours, for the diarrhcea (R). Benzoin, as inhalation, to lessen cough and expectoration (R). Acids, Mineral, for the indigestion. The acidum muriaticum dilutum (B). Prunus Virginiana. The wild cherry has a domestic reputation, probable due to its influence over cough. The syrup as vehicle for cough-mixtures (B). Digitalis, antipyretic. Deranges intestinal canal, therefore injurious in phthisis(B). Opium, or morphia, in a viscid vehicle for cough; or morphia lozenges, when cough due to inflamed throat (R). Sulphurous Acid, inhalation, spray, or fumigation, in chronic phthisis (R). Alcohol, an important remedy. May be given with cod-liver oil; or spts. fru- menti Sj-Sij with some bitter, immedi- ately after meals, or the stronger wines. If it disagrees, it harms. Curiously, it in- duces an intractable form of phthisis (B). Baths. Sea bathing if chronic, little or no fever, without active deposition of tubercle.or scrofulous pneumonia; Turk- ish baths for the cough (R). Gbape-cure, is serviceable (B). Borax, to cleanse the scalp; a saturated solution (B). If this not successful, try it as glycerin of borax (R). Arsenic, and Mercury, Donovan's solution is highly successful (Wa). Carbolic Acid, 2 parts to 3 of glycerin and water, twice daily, with daily use of carbolic acid soap, effectual (Wa). Sulphurous Acid, with glycerin.in conjunc- tion with warm baths (R). THERAPEUTICS. 203 Chlorodyne, as palliative, often of great value in hopeless cases (R). Ferr. Anaemia, oedema of lower extrem- ites, diarrhoea, emaciation. Is required in most cases for the cachexia, also for hemoptysis (R). Drosera, the most important cough reme- dy (H). Tickling in larynx, vomiting of food with the cough (Js); probably a truly homoeopathic remedy, and may cure if given early (H). Hepar sulph. early stage in scrofulous young persons; hoarse, rough or weak voice, cough, dyspncea, etc. (R). Spongia, for laryngeal symptoms (H). Lycop. phthisis in young men, cases of a passive character (H). Bapt. strongly beneficial in hectic, often effectually banishes cough (H). Kali carb., Stann. good for the cough (H). Ac. gall, lx, grs. 2, every hour for severe hemorrhage from ulceration of artery(fl) Calc. ars., Ant. tart., Kali bich., Aeon., Nux jug., Nit. strych., also indicated (R). Kumyss, is very useful (Ha). Sulph. as an intercurrent remedy (R); un- healthy or "psoric" history, cutaneous eruptions (H); has done very good ser- vice in tuberculosis (Js). Myrtus, relieves the stitches in the left breast running to the shoulder (Ha). Aliment, should be nutritious, and di- gestible, malt liquors better than wine or spirits. Extract of malt, cod-liver oil. Warm clothing, bathing and fric- tion of skin, moderate exercise, and a suitable climate (R). Borax, the glycerin of borax as an appli- cation is often of great service (R). Ars. the leading remedy (H, Js, B). Ac. carbol. perfumed, one of the very best hair washes (R). Graph, preferred in pityriasis capitis (B). Lye, Graph., if Ars. insufficient (R). Canth. when in children (Teste). Sepia, brown-red hepatic spots on the skin (L). PITTEIASIS. (Compare Herpes.) 204 INDEX OF Mercury, R Hydrarg. iod. vir. gr. x; adi- pis, Sj. M. Or a 5-100 sol. of oleate of mercury in oleic acid with y part of ether, applied by a camel's hair brush (B). Citrine ointment, esp. when hairy parts of face affected (R). Sulphides, R Potass, sulphureti, sss; aq- uae calcis, Sxvj. M. Sig.—Lotion; or Pomade de Bareges, which is: R Sodii sulphuret., sodii carbonat, aa 3ij; ax- ungiae, Sijss. M. (B). Lead. Liq. plumb, sij; glycerini, Sij to Siv of water, as lotion (R). Aconite, is useful for affections of pletho- ric subjects. Decidedly the best remedy for apoplexy in the plethoric (P). Arsenic, used with advantage when de- termination of blood to the head (Wa). Sulphur, as mild purgative for plethora, from cessation of the menses (Wa). PLEUEITIS. (Compare: Aconite. No remedy more effective prior to stage of effusion (B, R, P). See In- flammation. Veratrum Viride. Opinions differ as to whether It should be used in sthenic or asthenic forms (R); gtt. viij of tinct. every 3 hours, with a drop added to each dose until pulse reduced or nausea(Wa). Bryonia, exceedingly valuable in second stage; should follow aconite (P). Tartar Emetic, (R, B); see Inflammation. In early stages and young plethoric sub- jects, when much febrile action, small doses (gr. 1-16 to 1-14) may be useful (Wa). Digitalis, as antipyretic (R). Deranges in- testinal canal (B); aconite preferred (P). Potassic Iodide, to promote absorption of effusions, steadily for a long time (B, R); also chest painted with tinct. of iodine, one day on each wall alternately; may be washed off with iod. of potass., alcohol or ether (B). Iodine, also as injections, with great bene- fit and without risk, in empyema and hydrothorax (B, R). Mez. 3x, chronic pityriasis capitis; loss of hair and great itching (H); brownish miliary rash on chest, arms and thighs; phlegmatic temperament, light hair (L). Lach. small reddish spots on face, neck and chest, increase in number, become scurfy, and then disappear (L). Cocc red spots on skin of chest and neck, without heat or itching (L). Led., Creos., Ant. cru., Phos. (L). Baths frequently, and hard rubbing af- ter shampooing the scalp. Avoid stim- ulating food (R). Aeon, or Bell, sufferings from pleth. (R). Ars. is thought to be homoeopathic, in small doses reduces the amount of red globules in the blood (H). Dynamic remedies, have no place in its treatment, which should be purely hy- gienic and dietetic (II). Hydrothorax, Empyema. ) Aeon, sovereign remedy in acute pleurisy (Hpl); in simple acute pleurisy from ex- posure to cold, the one sufficient medi- cine^, H). Ver. vir. in stage of irritative congestion. Full, hard, bounding, incompressible pulse (Ha). Bry. our great anti-pleuritic. Its place is in all serous inflammations. Should follow Aeon, when the latter fails, and in pleurisy supervening on acute rheu- matism (R, H). Ant. tart, profuse expectoration, cough, rattling mucus, dyspncea, nausea, (R). Dig. extolled in all serous inflam'ns (B). Kali iod. or Am. tend to promote absorp- tion of effusion (R). Iod. the best remedy (with Aeon, and Bry.) in strumous cases (R). China, for hectic from drain of pus (H). Ars. especially in acute pleurisy, and in that incident to Bright's disease. No remedy equals it in acute pleurisy with much effusion (H, R). Merc when empyema present (B, H). COMPARATIVE THERAPEUTICS. 205 Quinia, has abortive power, increased by combination with morphia (gr. xv -4- gr. ss); also as restorative tonic in low- type cases (B). Opium, cannot be too highly extolled (P); is esp. beneficial. Gr. ss of morphia hypoder. at beginning will often cut short an attack. During the disease, its effects are very beneficial. A slight physiological effect should be maintain- ed (B). Morphia for severe pain (R). Burgundy Pitch, plaster externally, as a mechanical support (P). Bloodletting, by cups or leeches, useful by reason of counter-irritation produced, and to relieve pain. Only in robust sthenic cases (B). Blisters, often greatly abused. Are harm- ful during inflammatory stage (B). Poultices, large, hot, and frequently re- newed (R). Water, cold wet-pack to chest probably better than a hot one, pinned tightly to limit movement of chest-walls (B). Canth. instead of Bry. in 2d stage; should be steadily continued (Js). Kali carb. in secondary pleurisy with pul- monary tubercle, has gained repute(H). Sulph. or Hepar sulph., to promote ab- sorption of exudations when slow to disappear; also after Aeon, in acute plas- tic form (H). Silic to prevent re-formation of pus, after evacuation, the best method in em- pyema (H). Asclep. the popular "pleurisy-root;" seems to be homoeopathic (H). The lx fre- quently repeated (Ha). Ranunc. pleurisy of right side (H). Arn. from over-exertion or injury (R). Scilla, chronic, with effusion (H). Carduus, has some reputation (Ha). Phos. if lungs affected (pleuro-pneumo- nia); expectoration rusty-colored, much prostration (R). Poultices, of linseed meal, hot, and strapping the chest, relieves (R). Thoracentesis, (Js). See Empyema. PLEUEODYNIA. (Compare Neuralgia, Myalgia.) Cimicifuga, curative, when rheumatic, valuable in sympathetic cases from irri- tability of uterus (P); or uterine de- rangements (R, Wa). Croton Oil, in obstinate pleurodynia esp. when blackened feces (R). Belladonna, plaster or liniment; the latter generally best (R). Cldoral, made liquid with equal weight of camphor, rubbed in gently, often affords instant relief in severe pleur. (R). Ether, as spray, sometimes immediately and permanently removes pain (R). Opium, liniment rubbed in after warm fomentations (Wa); or a hypodermic in- jection of morphia (R). Iodine, as liniment painted on the chest, often relieves where mustard fails (R). Blistering, often successful when other means fail; sometimes strong vesication necessary (R). Poultices, very hot, followed by appli- cation of lint and oil-skin. Belladonna liniment generally better (R). Mustard, as a poultice (R). Cimicif. excellent (Ha); women. Bry. rheumatic diathesis; Ranunc. pain in- tense; Colch. gouty and rheumatic ten- dency; are all more or less homoeopathic and curative in the rheumatic form(H). Cimicif. neuralgic (intercostal neuralgia, infra-mammary pain) in young women, with uterine derangement (H); sinking at stomach (Js). Croton tig., Cimicif., Ranunc, Asclep. tub., Am., Aeon., may be indicated (R). Bry. can lie on affected side; pain aggra- vated by movement (Js). Arn. the chief remedy in myalgic pleu- rodynia, esp. from over-exertion; gives rapid relief (H); may be used both ext. and int. (Hpl). Ars., Ranunc. will relieve neuralgic (H). Aeon, rheumatic pleur. when fever (H). Nux vom. cannot lie on affected side (can, Bry.); intercostal neuralgia in hemorrhoidal subjects (Js). Puis, relieved by change of position (Js). Asclep. tub. used by country people (Ha). Kali hypqphos., Dios. often indicated (Ha). 206 index of PLEUEO-PNEUMONIA. Bryonia, often ofgreat service; limits effu- sion and assists absorption (P). Carbolic Acid, a 2-100 solution injected, parenchymatously, once or twice a day, has had remarkable success (B). Sanguinaria, as a contra-stimulant (P). Turpentine, as a fomentation (P). Aconite, gives good results in catarrhal and fibrinous (B); has marked effect (R). Valuable in first stages (P). Veratrum Viride, valuable (P); in the very incipiency (B). Opinions differ as to whether it should be used in sthenic or asthenic cases (R). Bryonia, when pleural complication (P). Phosphorus, esp. when typhoid symp- toms; approved by Fleischmann (R). Tartar Emetic, formerly given in large doses; now abandoned. Small doses may be useful, but should be used with care, lest depression ensue (B). At com- mencement, with alcoholic stimulants, if patient weak (R); may benefit young, robust subjects (Wa). See Pleuritis. Belladonna, useful in first stage (P). Har- ley esteemed it highly in pneu. (Wa). Sanguinaria, as a contra-stimulant, when fever abated, and graver symptoms have amended (P). Iodides, none more efficient. The iodide of ammon. with arsenic to prevent case- ation of inflammatory products (R). Senega, in advanced stages, as expector- ant, when cough is dry, irritating and painful, tightness and oppression of chest (P). Opium, morphia by injection, sometimes needed for severe pain (R); opium is very desirable in many cases, relieves the symptoms and arrests delirium (Wa). Copper Acetate, Kissel regards curative. Mortality 4 and 3-10 per cent. (B). Belladonna, useful in first stage (P). Ammonium Carbonate, at crisis for depres- sion; give in infusion of senega (B). Digitalis, of doubtful value. May be use- ful for high temp., ischaemia, and low tension of vessels (B). Bry. specific. Severe pains; causation by cold winds (H). Ver. vir., Lye in pleuro-pneumonia (R). Phos. with extensive implication of pleu- ra, hepatization, with mucous or bloody sputa, coughing increases dyspncea (L). Tereb. typhoid character, prostration (L). Aeon, in substantial doses, as an "arterial sedative" in earliest stage only (B, H); by many considered of little value (H). Ver. vir. early congestive stage (R). Bry. 12, has very strong claims. General- ly sufficient alone (Js); pleural compli- cations, severe pains in chest; causation by cold winds. Always in lx (H). A favorite remedy in typhoid pneu. (Hpl). Phos. was very successful in Vienna, where Fleischmann treated 377 cases with it alone, having but 19 deaths. Catarrhal pneumonia, absence of severe pains (fl"). Simple typhoid, and in children (R). Ant. tart, in second stage, when resolu- tion; oppression and prostration; cede- ma of lungs. The pneu. of influenza and of delirium tremens, also the catar- rhal pneu. of old people (H). Bell, if brain involved, tongue dry and brown, lips parched, pulse small, com- pressible (Hpl). Sang, in 3d stage (grey hepatization) has frequently cured. Extreme dyspncea, difficult speech, tenacious rusty sputa, pulse quick and small (Ha). Iod. Kafka's remedy instead of Bry. also Phos. in earlier period, to arrest (H). Chel. right lung and liver affected; blondes of placid temperament (H, Ha, Hpl). Sulph. much praised after Aeon, or when 2d stage closing (H). Strumous cases(JJ). Hepar sulph., Sang, suppuration, evidenc- es of hectic fever (H). Lye. in the ohronic condition; purulent fetid expectoration (H). Deep-seated pain, or bronchial irritation left after pneumonia (R). Carbo veg., Ars. or Lach. foul breath, gan- grene, etc. (R). PNEUMONIA. comparative therapeutics. 207 Turpentine, as stimulant at crisis (B). Serpcntaria, with carb. of ammon. in low types, as a stimulant about the crisis. R Infus. serpentariae, Siv; ammonii car- bonat. 3ij. M. Sig.— A teasp. every 3 hours (B). Quinia, or Salicylic Acid, to reduce temp. (R). Quinia, in cases asthenic from the first (P). Blisters, useful at very beginning only or at crisis of disease. Harmful in inflam- matory stage (B). Lessen the pain; should be used in moderation (R). Wet-pack, hot, tightly pinned to limit motion of chest-walls (B). Poultices, encircling whole chest in children (R). Ac. nit. dry, short cough; difficult expec- toration; soreness at end of sternum; general physical depression (R); in old, emaciated subjects, paralysis threat- ened (Hpl). Kali carb. double pneumonia, coarse ves- icular murmurs,excessive dyspncea, hec- tic symptoms, intermittent pulse (R). Ranunc. bulb, small spot or sore, as if from sub-cutaneous ulceration (R). Bapt. maybe a most useful adjunct (Hpl). Poultices, continuous, to counteract lo- cal loss of vitality CR). Water, cold compresses changed every five minutes, give good results (R). Diet, farinaceous, mucilaginous drinks, and rest in a warm room (R). POISONS. The most energetic are Hydrocyanic acid, some reptile poisons, and Strychnia. Those usually selected for criminal purposes are Arsenic, Colchicum, and Tartar- ized Antimony, the symptoms of which resemble those of natural disease. General Principles of Treatment. Jeaunel's General Antidote.—R Sol. ferri sulphatis (sp. gr. 1.45) Sijss; magnesiae calcinat. sij; carbonis animalis Sj; aquae Sxx, The ingredients should be kept separate—the solution of the sulphate in one vessel, the others together. When needed, the former should be added to the latter and violently agitated. Dose sjss-Siij. This is a perfect antidote to arsenic, zinc, digita- line, etc. It delays the action of salts of copper, morphia, and strychnia, and slightly influences compounds of mercury. It is valueless for cyanide of mercury, tartar emetic, hydrocyanic acid, phosphorus, or the caustic alkalies. Bellini, of Florence, considers the Iodide of starch a valuable antidote to alkaline sulphides, earthy sulphides, vegetable and caustic alkalies, and ammonia. In the first two cases, he considers it superior to all other antidotes. A fresh mixture of the sulphide of iron, magnesia, and the sulphide of sodiumf is a perfect antidote for salts of copper, the bichloride of mercury (corr. sub.), and the cyanide of mercury. If the nature of the poison is unknown, a harmless yet in most cases effectual antidote is: R Magnesiae, carbonis ligni, ferri oxidi hydrati, aa partes sequales; aquae q. s. Give ad libitum. Castile soap, dissolved in 4 times its bulk of hot water, drunk by the cupful, is one of the best remedies in many cases, especially poisoning with metals, corrosive acids, or corrosive vegetable substances. It is injurious in cases of alkali poisoning. Albumen. White of egg, dissolved in water, especially useful for metallic substances. Vinegar, for alkalies, and many narcotics. Coffee, made strong (black), in general antidoting narcotic poisons. Camphor, the principal antidote to all vegetable poisons, especially the corrosive. Milk, Oil, Mucilaginous substances, for corrosive acids, and alkalies. Charcoal, for arsenic, corrosive sublimate, etc. Emetics.— Zinc Sulphate is the best(R); gr. v-5ss; is non-nauseating. Apomorphia, gr. 1-16 hypodermically, when narcosis prevents administration by stomach. For children, Antim. tart. gr. y, in a little sweetened water. Use but little water in mixing the antidotes. 208 INDEX OF Acids. Alkalies, those least irritating. Magnesic oxide, Slaked lime, chalk, or magnesia; plaster from wall, with water, milk, oil. while of egg. Bland mucilagi- nous and oily fluids, and poultices (R). Acetic—Magnesia, or its carbonates. Arsenious; see Arsenic. Carbolic—Stomach-pump; oils; a strong solution of the saccharine carbonate of lime. Characteristic symptoms, very dark, black urine. When used locally to excess, apply a strong solution of sodic carbonate; also as a wash for the mouth, if necessary. Carbonic; see Gas. Hydrocyanic (Dilute).—njjxl have killed. Ammonia, in any form; cold douche; Calcic or Sodic chloride, gtt. xxx- xl, in water; Aqua chlorinii is the antidote. Inhalations of chlorine or ammonia; artificial respiration. Muriatic, Nitric, or Sulphuric—Albumen, carbonate of magnesium, calcium, potassium, or sodium; chalk, soap, or whiting, in milk; oil. No water in sulphuric cases. Oxalic—Calcic carbonate the antidote (R); Magnesic »xide (R). Prepared chalk, plaster from ceiling, or common whiting, made into a creamy paste with a little water. Bland mucilaginous drinks, and poultices to the abdomen. Avoid potash or soda, and all alkaline carbonates. "Saltsof Lemon," or of " Sorrel," is Potassic oxalate, used for removing ink stains; it should be treated as oxalic acid. Aconite (compare Belladonna). Stimulants, emetics, castor-oil or other purgatives; powdered animal charcoal, in water; coffee. Bland fluids, ard poultices, for abdominal irritation. Digitalis, to restore heart's action (Fothergili). Alcohol. [Compare Alcoholism and Delirium Tremens.] Cold water smartly sprinkled over face, or cold douche from a height on the head (R). Stomach-pump; warmth to cardiac and gastric regions, and extremities. Artificial respiration. Alkaloids. Tannic acid holds a high place (P). Alkalies. Dilute acids, especially vegetable acids; fixed oils (R). Vinegar unites with them, producing innocuous acetates (L). Alumen. Ammonium, or potassium carbonates, etc. Ammonium. (Common source of danger, Hartshorn.) Vinegar, lemon-juice, orange-juice, followed by demulcents. If vapor has been inspired, inhale acetic or hydrochloric acid. Antimony. Alkalies, tannin, or strong tea and coffee (R). Astringent infusions; magnesium and sodium carbonates; milk; large draughts of warm water; emesis by tickling; magnesia in milk, especially for chloride of antimony. Tannic acid especially valuable (P). Arsenic (Arsenious acid). Gr. ij have been fatal. Magnesic bicarbonate, or other alkalies (R). Charcoal Sss, or more (R). Magnesic oxide (R). Emesis by Zincic sulphate 5j (avoid tartar emetic), or by feather tickling. Albumen. Oil and lime- water mixed (Taylor), before and after emesis. Milk or other bland fluids to aid emesis in washing stomach. Castor-oil after emesis. Linseed-tea and magnesia. After free emesis, the Ferri oxidum hydratum (add liq. ammon. to tinct. of iron); or hydrated magnesia; or magnesia and sugar (Carl), as antidotes. Poultices and fomentations over abdomen. Common sources of danger are arsenical wall-papers, arsenic mistaken for "salts" or "magnesia," or adulterated confectionery. Barium. Fixed oils; calcic, magnesic, potassic, or sodic sulphates. Belladonna, or Atropia (compare Aconite). Opium a direct antidote, gtt. iij-v, or more. Brandy, astringent infusions, coffee. Cold to head, electricity, flagellation, pepper. Alkalies, esp. Magnesic bicarbonate, in poisoning by alkaloids (R). Ammonia, breathed into air-passages (R). Charcoal, Sss or more necessary (R). Physostigma possibly (R). Bees and Insects. Aq. ammoniae, solution of sodic bicarb., or chloride, or carbolic acid, applied to the wound; or t^ xv of a 2 per cent, solution hypodermically. Liq. ammon. acetatis internally. [Compare Stings, in main index.J COMPARATIVE THERAPEUTICS. 209 Camphor. Stimulants, as wine. Opium. Cantharis. Emesis. No oils, but oleaginous injections into bladder. Warm bath, camphor, milk copiously, broths, enemata of demulcents, opium. Chloral. Strychnia, the antidote (R). Hot bath, or pack, frictions, stimulants, artificial respiration. Coffee, fresh air, warmth over cardiac region. In fact, the treatment of narcotism. Chlorine. After emesis with warm water, give milk, white of egg, flour and water, or lime-water; aqua ammoniae. Chloroform, or Ether. Fresh air, cold affusions, flagellation, coffee, electricity, artificial respiration. Amyl Nitrite, as antidote (Schuller). Invert patient, draw tongue well forward with forceps, then compress and relax chest; the position to be maintained until breath and pulse are good (Nelaton). Ice in rectum. Faradization of respiratory muscles. If swallowed, use stomach-pump, then ammonia and warmth. Liq. ammon. injected (njx-xlaq.) into veins. Bartholow says unsuccessfully. Colchicum. Treatment same as for Aconite. Conium. Alcohol, etc.; external warmth after evacuation from stomach. Copper. Albumen, gluten, milk, sugar, potassic ferrocyanide. No vinegar. In absence of eggs, give a thin paste of flour and water. Creosote. Mucilage, Oil, are antidotes. Ammonia when great depression. Digitalis. Similar to Aconite. Emetics, brandy, horizontal position; galvanism, in bad cases. Fish. Capsicum, chloroform, potassic chlorate freely; liq. ammon. acet., opium. Gamboge. Potassic or sodic carbonate, or magnesia, in milk; mucilaginous drinks, opium. Gas. Carbonic Acid.—Galvanism, oxygen inhaled; artificial respiration indis- pensable. Ammonia inhalation. Sponge with brandy, or alcohol and water. Open air, horizontal position, clothing removed, cold douche, hot water to feet, stimulants, frictions. Subsequently, warm bed, open windows; Condy's fluid about room; stimulants sparingly; cold acid drinks ad libitum. Sulphuretted Hydrogen.— Chlorine gas, well diluted with common air. Gelsemium. Galvanic current, stimulants, brandy and cayenne pepper, warm baths, frictions, hot bricks to feet. Glass, coarse or in powder. Much bread in crumbs to envelope it, emetics. Gold. Ferric sulphate, mucilage. Hyoscyamus; see Belladonna. Iodine. Starch or flour given in tepid water: white of egg and milk; free emesis, so long as liquid rejected tinges blue a solution of starch. Sodic bicarbouate. Iron. Carbonates of ammonium and sodium; magnesia; mucilaginous drinks. Ivy. Carbolic acid, dilute, locally. Potassic sulphide baths, Sj-gall. xx. Lead. Albumen, milk; alkalies, especially magnesic bicarbonate (R). Lukewarm drinks, or sulphates of sodium or magnesium, or freshly-precipitated ferric sulphate (R). Promote vomiting; stomach-pump (R). Sulphuric acid and Magnesium Sulphate, for the constipation. The cachexia is much relieved by a combination of sulphate of quinia, sulphate of iron, and dilute sulphuric acid (B). Potassic iodide, gr. xv-3j 3 or 4 times each day (B), as after-eliminative, in chronic cases (R). Alum, the most effective agent for the colic. [See Colic, for formula.] Or to a pint .of boiling milk add 90 grs. of alum, powdered; separate the curd, and sweeten with sugar. Sig.—A wineglassful every hour or two (B). Electricity, in the paralysis (dropped wrist), a slowly-interrupted current until it causes reaction. Cure to be completed by the faradic current (B). Strychnia, in paralysis, gives good results (B). Sulphides, as baths, in chronic form (R). Marked Diagnostic Signs.—Drop-wrist (paralysis of extensor muscles); dark- blue line around edges of gums. 210 INDEX of Lime (Calcic chloride). Albumen, mucilaginous drinks, oils, milk, flour and water. No acids. Mercury. Gr. iij of corrosive sublimate have proved fatal. Albumen, yolk of egg vegetable astringents, gluten, flour, milk; Potassic iodide, as after-treatment. The Hydraled protosulphide of iron, if given within 20 minutes, is said to be a chemical antidote. Potassic iodide, converts the metal into soluble combinations(B). Bismuth, locally in salivation (B). Sodic sulphite, locally 5j-Sj aquae(B). Tannic acid, locally, as gargle in salivation. R Acidi tannici, 5j; mel. rosae Sij, aquae Svj. M. Gargle. (B). Belladonna, to diminish secretion in ptyalism, v-x drops of tincture every 4 to 6 hours (B). Hyoscyamia, for tremor, gr. 1-30 gradually to 1-15 (Oulmont). Alkalies, bicarb, of magnesium best (R). Baths, simple or sulphurous (R). Charcoal, Sss or more necessary in poisoning by corrosive sublimate (R). Cod-liver oil, in chronic cases (B). Nitric acid, gtt. ij of the dilute acid in water ter die; also gargles of luke- warm water, acidulated with same (R). Sulphurous acid, int. and as gargle (R). Mezereum. Albuminous and mucilaginous drinks; milk, oils, and fats; albumi- nous enemata; cool poultices to abdomen; opium. Mushrooms. Emetics, if soon after; purgatives, if some time has elapsed. After general treatment, stimulants, unless inflammatory symptoms present themselves. Poultices to abdomen. Tannic acid has been recommended. Opium, or Morphia. Common Sources of Danger.—Soothing syrups for quieting of children. (The American Journal of Pharmacy estimates the loss from this cause at 150,000 every year.) Paregoric. Overdosing with cough mixtures. Treatment.—Vegetable astringents; strongest, hot, black coffee. Cold douche. flagellation, artificial respiration, persevered in for hours. Belladonna, hyoscyamus, or stramonium. Faradism of phrenic nerves; stimulants. Comp tinct. iodinii. Emetics by mouth are usually useless, may be given as enemata; or, Apomorphia gr. 1-16 to y, as emetic (hypoder. 1-16), must be administered before narcosis has set in (B). Stomach-pump probably best, after which, vegetable acids, to counteract the narcotism. Cream of tartar and water, vinegar and water, lemon-juice, etc., every ten minutes (R). Atropia, gr. y~y hypodermically (R); gr. 1-120 every 15 minutes, up to 3 doses (B); in large amounts till pupil dilates, a successful antidote (R). No one is warranted in omitting belladonna (P). Ammonia, as intra-venous injection, for failure of heart's action from opium and chloroform narcosis, etc. (B); breathed into air-passages (R). Potassic bromide, controls the disagreeble cerebral effects and vertigo resulting from opium (R, B). Water, hot water and ice alternately to nape of neck, in stupor of opium narcosis (B). Copper sulphate, as emetic, prompt and effective (B), Zinc sulphate gr. vj, as emetic, well diluted with water (B). Effervescent emetics, effective but dangerous (B). Caffein, hypodermat. (B, P). Heat, alternately with cold (B). Charcoal, Sss or more (R). Phosphorus. Emesis by cupric sulphate; magnesia in linseed tea; carbc animalis; mucilaginous drinks; liquor calcis. Avoid all oleaginoas mixtures. Poultices to epigastrium. Sulphate of copper, the best emetic, combining to form the less active phosphide (B). Turpentine, emulsion with hydrated magnesia, freely (B, R); rrj; xxx in mucilage, every y hour, excellent (P). Transfusion,' has been employed to repair blood (B). Physostigma. Minimum fatal dose, 1 and 2-10 grain. Chloral, the antidote (R), if administered very early. Belladonna, gr. 1-50 to 1-30 atropiae, hypodermically] repeated until effects are evident. The nine-thousandth of a grain of atropia, injected five minutes before giving a minimum fatal dose of physostigma, prevents its fatal effects (R). Picrotoxine, orCocculus Indicus. Chloral, the antidote (B). Potassic Salts. Potas. Brom. Nervous stimulants—brandy, opium. Potas. COMPARATIVE THERAPEUTICS. 211 Nitras (Saltpetre). No chemical antidote. Emetics and stomach-pump, demulcent drinks, opium, milk, aromatics, emollient enemata. Quinia. Emetics and cathartics; opium, coffee, brandy, or wine, diuretics and sudorifics as after-eliminatives. Reptiles (compare Stings). Ligate limb above wound; cleanse thoroughly and cauterize with mineral acids or strong carbolic. The wound should be forcibly sucked by a person with perfect mucous surface. Internally, Arsen., rapid prostration (JS); Ammonia, diaphoretics, sodic bisulphate, whisky, largely. Agave Americana. R Potas. iodidi gr. iv; hydrarg. chlor. corr. gr. ij; brominii jv; aquae 5j. Gtt. x in %y of brandy; repeat, if necessary (Hammond). Ammonia, by intra-venous injec- tion, is shown to be unavailing by Brunton and Fayrer (B). Higgins, in Ophidians (Bcericke & Tafel, N. Y. and Phila.), advances the theory that the gall or bile of a poisonous animal is a perfect antidote to its venom. Rhus Tox.; see Ivy. Silver Nitrate. Alkalies, especially the magnesic bicarbonate (R). Sodic chloride, largely diluted, effects a double decomposition, precipitating the silver as the harmless insoluble chloride (R). The resulting irritation may be allayed by milk, which should serve as food until the stomach is restored. Silver, Metallic. Albumen, milk. Stramonium; see Belladonna. Strychnia, or Nux Vomica. Fatal dose, y gr. for adult, 1-16 gr. for child. Chloral, the antidote, especially when given soon. Physostigma, as an antidote (R). Stomach-pump, if available before tetanic symptoms. Animal charcoal largely; tannin freely; solution of iodine. Chloroform inhalations; injection of curare, or of methyl and ethyl compound of strychnia, brucia, or thebaia. Artificial respiration; fats; nitrite of amyl inhaled; magnesia (R). Tube into oesopha- gus, and flexible catheter into larynx (R). Veratrum viride has cured a bad case; a teasp. was given at once, then gtt. ij every 10 minutes (R). Ice to spine. Tobacco enemata. Lobelia, potassic bromide, monobromated camphor, hot bath. Valerian mitigates the spasms (P). Curare, warmly recommended, but its claims are doubtful (P). Nicotine, many cases prove its curative power (P). Tin. Albumen, amnionic and sodic carbonates, milk. Tobacco. Strong coffee and brandy; warmth and friction; artificial respiration. Vegetable Poisons. Generally albuminous or mucilaginous drinks, oils, etc. Stimulants, opium, ice; cool poultices and fomentations to abdomen. Veratrum Viride. Digitalis, opium, stimulants. Zinc. Albumen, mucilaginous drinks, milk, tannin. Potassic and sodic carbonates, if given early. Soapsuds given freely. Warm water in copious draughts. POLYPUS. Sanguinaria, has been employed as snuff for nasal polypi (P); with doubtful ben- efit (Wa). Tannin, finely powdered, as snuff, blown daily into the nostrils through a quill. Especially adapted to the soft and gela- tinous varieties. While it has apparently no effect on the healthy mucous mem- brane, it causes the complete withering of the polypus (Wa). Sang, for polypus narium (R); which it has cured (Ha). Sang. nit. of value in uterine polypus (Ha). Merc, Thuja, have caused the disappear- ance of polypus aurium; the latter has a general relation to such growths (H). Calc. true sarcomatous growths, has fre- quently cured polypus narium (II). Kali bich. internally and externally for polypus narium (H). 212 index of Alum, in powder, applied to point of ori- gin to prevent recurrence (D). Surgical. A nasal polypus should be seized with polypus forceps and twisted off at the neck; it may be removed thro' the mouth or the nostril. In a few cases the nostril must be dilated with a specu- lum, or the ala slit to give access to root of tumor (D). Mercury, a few grains of blue pill to cor- rect clay-colored stools(L). Iodine, the tinct. int. for cardialgia (Wa). Aloes, have cured piles in pregnancy by removing constipation. Cautiously (P). Alum, Tannin or Catechu, in medicated pes- saries for vaginal leucorrhoea (L). Castor Oil, an excellent laxative (P); to clear out the bowels in diarrhoea (L). Cocculus Indicus, when intestines much distended with flatus, and frequent de- sire to urinate from flatulent pressure on bladder (P). Bismuth, Calumba, and Antispasmodics, with minute doses of opium, for gastro- dynia and pyrosis (L). Teucr. has frequently cured mucous po- lypi of the nose, from chronic catarrh. Internally and as snuff (H). Phos. has some repute, especially when they bleed easily (H). Rhus, Iod., Calc. carb., Lilium, for uterine polypi. Surgical measures generally nec- essary, followed by application of ^lc. nit. dil. in cases of polypus narium (R). Merc, Iod., Jabor., Sulph., Natr. mur. Ars. for the ptyalism. Merc., corr. Ars., Apis, albuminuria. Merc., Creos,, Staph, aches from decayed teeth (R). Aloes, Alum, Nux vom. alt. Sulph., Plumb. Opi., Collins., Sepia, Bry. constipat'n (R). Cimicif. of great benefit in many affec- tions of pregnancy arising from uterine irritation and reflex action (Hpl); checks tendency to abortion, facilitates partu- rition (H). Cimicif., Puis., Cham, for mental irrita- bility and morbidness (H). Cham, cramps in calves of legs (H). Cham., Coff., Coloe toothache, neuralgia(R) Calc. carb. heart-burn with acidity (H). POULTICES. Poultices and Fomentations are simply local baths utilizing warmth and moist- ure, relaxing the tissues and relieving pain. If applied early will check inflamma- tion, or assist the evacuation of pus when suppuration has set in. Poultices should be applied thick, (thin in peritonitis) as hot as possible, covered with cotton wool, and frequently changed; large at onset, very small after maturation. Belladonna and glycerin, partes aequales, smeared over tissues under a poultice, aid the latter greatly, also tinct. opii, especially where skin is broken. Linseed meal or oatmeal, starch, bread, bran, are best in the order mentioned; add meal to boiling water, stir and spread quickly on warm linen. Charcoal under poultice, when foul sores. In fomentations, flannel should be wrung very dry out of boiling water, and covered with oiled silk. Spongio-piline, a fabric composed of sponge and wool, coated with indian-rubber, is an excellent vehicle for the application of warmth and moisture. The inner surface is moistened with hot water; and its utility may be increased by sprinkling the moistened surface with charcoal, yeast; or saturating it with any desired lotion or liniment. PEEGNANOT, DISOEDEES OF. (Compare Vomiting op Pregnancy, Ptyalism, Albuminuria, Ne- phritis, Nervousness.) COMPARATIVE ' Potassic Bromide, with chloroform, as an- tispasmodic in dyspnoea (L). Sumbul, is invaluable in restlessness. njxxx-xl of tinct. with a little chloric ether, giving quiet nights for a long time (P). Gall, the unguent, cum opio, the best lo- cal application to hemorrhoids, also fo- mentations with sponges wrung out in very hot water, to relieve pain (L). Digitalis, in infusion, very beneficial in albuminuria (L). Potassic Acetate, with Basham's mixture when albuminuria with anaemia. The latter prepared thus : R Tinct. ferri chlor. 3iij; liq. ammon. acet. siij; acid. acetici i^xv; ol. gaultheriae gtt. v; syr. aurantii cort. Sj. M. Sig.—One or two drachms ter die (L). Calcic Phosphate, believed to exert an in- fluence on the foetus if administered du- ring pregnancy, so that mothers who have borne only rachitic or scrofulous children will bear healthy ones (W). Beberia, found very useful in the neural- gias of pregnancy (Wa). Camphor, liniment for lumbar pains (Wa). Senna, the confection proves a mild and efficient purgative in the constipation of pregnancy (Wa). Injections must be used carefully, even tepid water often induces uterine con- tractions (L). Podophyllum, in children, small doses (P). Nux Vomica. Strychnia, esp. when in children, with constipation. In the lat- ter event add nux vomica to a purgative, as tinct. of rhubarb (R, P). Tannin, injections to restrain (R). Hydrastis, by enema, or as lotion (P). Piper. The confectio piperis in doses of gr. lx-gr. cxx, persevered in for 3 or 4 months, in chronic, weak subjects (Wa). Sulphur, has a beneficial effect in addition to its laxative value (R). Alum, in solution, gr. vj to the 3 (R). Ice, locally, when parts inflamed (R). 213 .Escul. may relieve the peculiar pain in the sacro-iliac symphysis (Hpl). Alet. <£, acts admirably during first months of pregnancy, where vomiting, nausea, giddiness, etc., pain and colic in hypo- gastrium, with tendency to abort. (Hpl). Caul, as a preparatory medicine for wo- men who have difficult labors (H). Aeon, sub-febrile conditions, intense fear of death at labor; often removes the in- somnia (H); palpitations of heart (R). Coff., Puis., Nux vom., Sulph. insomnia (H); Coffee-berries for ptyalism (R). Puis., Caps, heart-burnalone(H); Iris (R). Calc. carb., China, Natr. mur., Carbo veg., Silic. for the morbid appetite (R). Collins. 1, 2, or 3, for constipation, esp. when with hemorrhoids (H). Puis, diarrhoea, stools at night (H). Sec., Phos., Ac. phos., Sulph. diarrhoea (H). Bell, lx, Puis., Nux vom., Canth., Camph. by inhalation, for tenesmus of neck of the bladder (H). Bell., Hyos. suppressed urine (R). Bell., Ign., Ver. vir. convulsions (R); Ver. alb. cramps (H); Nux vom., Cham., Puis., Coloe. colic (R). Bell., Bry., Nux vom., Ver. vir., Puis,, Cocc. ind. for the headaches (R). Kali carb. dragging lumbar pain (H). Cham., Puis. 12, Secale, 4>, gtt. j, Caul, for the false-pains of late pregnancy (H). [See False-pains.] !US ANI. Pod. 12, has given good results in infants and young children (H). Ferr. the best remedy for children (H). Arn. 4>, has been curative in adults (H). Ign. has often cured in children (H). Sepia, prol. ani in plethoric women(H). Ac. nit. has cured prolapsus ani (H, Hpl). Aeon, may be indicated, esp. when pro- lapsus caused by violent straining fol- lowing dysentery (Hpl). Collin, in material doses, may speedily control prolapsus, when due to a torpid, passively congested state of the lower bowel (Hpl). PEOLAPi IIliRAPEUTICS 214 INDEX OF PEOLAPSUS UTEEI. Cimicifuga, to prevent miscarriage in pro- lapsus uteri (R); has a remarkable ef- fect upon the uterus (P.) Astringents, decoct, quercus, decoct, gal- lae (Wa). Pomegranate-bark (P). Tan- nin, as catechu, kino, redgum.rhatany. Alum, a solution gr. vj ad Sj (R); lb. j ad Cj aquae, as hip-bath, also should be passed well up vagina (Wa). Ice, locally, when parts inflamed (R); applied to the spine (Wa). Pessaries, in any form, are of but tem- porary benefit, and in the end positively detrimental (E) Alkalies, for the cystic irritation with acid urine. Great benefit from liq. potassae, citrates and acetates of potassium (B). Ammonium Benzoate, for the cystitis, urine alkaline (B). Iodine Injections, through rectal walls (B); a weak oint. applied by rectum (Wa). Iodoform, as suppository in rectum, has proven of great value (B). Cantharides, gtt. j of tinct. (5 may be re- quired) 3 or 4 times a day (R). Iron, when prostorrhcea arising from re- laxation. R Tinct. ferri chlor. 5vj; tinct. cantharidis 5ij. M. Sig.—Gtt. xv in water thrice daily (B). Hydrastis, locally and internally. R Hy- drastiae, sj; mucil. acaciae, Siv. M. Sig. —jss as injection (B). Urino-Genitals, especially turpentine, cu- beb, juniperus, cantharis (B); cubebs in doses of gr. xx daily, is found of much benefit (Wa); buchu relieves (P). Silver Nitrate, a solution (gr. v-x ad Sj) applied to the prostatic urethra, in chronic prostatitis, may be useful (Wa). Blisters, in chronic prostatitis, a small blister on each side of the raphe of the perineum, kept open 4 to 6 weeks, has given the best results. Tonic medicines and regimen should be prescribed (Wa) Hot Injections, to relieve pain (R). Cimicif. melancholy subjects; in such it has often removed prolapsus (Ha). Pod. is beneficial (H); believed to be hom- oeopathic to this condition (Ha). Sepia, Stann. have really great power(H). Sepia, sensation of protrusion (-R). Secale, has cured several cases (H). Nux vom., Aur. have proved curative(H). Alet. general weakness of ligaments (Ha). Bell, Ferr., See,.Sepia, seem to be the most frequently serviceable (H). Bell. dragging pain in uterine region, relieved by lying down (Hpl) A^scul. hip., Aur., Calc. carb. (Hpl). Cann. has had excellent effect, when much irritation of the bladder (R). Bary. iod. relieved one case (Ha). Senecio, Tumera, have been useful (Ha). Caust. may have a palliative effect. Has some corresponding symptoms (Hpl). Medicine is not likely to have any control over this condition, which is a simple hypertrophy (H). Aeon, great urging to urinate, pain in micturition, or when walking down- stairs (L). Merc and Puis, are agreed npon as the two leading remedies in recent form (H). Iod. esp. when in scrofulous cases (II). Swelling and induration of testes and prostate, incontinence of urine in the aged (L). Kali iod. in gr. doses if inflam'n tends to linger sub-acute (H); chronic pros. (R). Thuja, the most efficient remedy in the chronic form; on which the patient should be kept a long time (H). Puis, may help in chronic pros. Is inval- uable in acute, with Thuja (II). Sulph. of prime importance in strumous subjects, esp. when suppuration (H). Bell, the extr. locally to relieve the severe pain of acute prostatitis (II). Adjuncts, useful, are opium supposito- ries, fomentations, and hot hip-baths(JZ). PEOSTATE, HYPEETEOPHIED. PEOSTATITIS. COMPARATIVE THERAPEUTICS. 215 PEUEIGO, (Compare Eczema, Erythema, Borax, a saturated solution in rose water, locally (B, R); gr. v-x ad sj of hot water in pruriginous eruptions on mucous membrane of vulva and vagina (R). Carbolic Acid, internally and locally, esp. serviceable also in prurigo senilis. R Ac. carbol. gij, glycerini, sj; aquae rosae ad sviij. M. Sig. lotion (B); a 1 per cent, solution in pruritus ani (R). Mercury. Hydr. chlor. corr. 5j; adipis suilli, Sj. Very useful in pruritus vulvae et ani (B, Tr). Calomel oint. (5j-Sj adipis) very useful in pruritus ani; less so in pru- ritus pudendi (R). Sulphides. Fox's formula. R Potass. sulphureti, Svj; sapon. alb. lb. ij; ol. olivae Oij; ol. tliymi, Sij. M. (B); with tar and benzoated lard, as ointment, in genuine prurigo (R). Arsenic, in doses of i^v of liq. arsen. ter die, gradually increased, has exercised a more or less powerful influence (Wa). Belladonna. Cases yield to belladonna that have resisted ordinary treatment (B). Sodic or Potassic Carbonate preferred (Tr); in solution (siij ad Siv) locally (B). Alum, a strong solution for pruritus vulvae (R); is very useful (Tr). Potassic Cyanide, gr. xv ad sviij aq. lauro- cerasi, as lotion; or gr. vj; pulv. cocci, gr. j; unguenti aquae rosae, Sj; as oint. (B); when skin is unbroken (R). Hydrocyanic Acid, very serviceable in pru- ritus ani vel vulvae. R Boracis, 5J; ac. hydrocy. Sij; aquae rosae, Sviij. M. In pruritus of old people (B), laurelwater as lotion (P). Silver Nitrate, locally in pruritus vulvae very effective (3j-3j) (B). Tobacco, successful but dangerous (B). Iodoform, as oint. Sj ad Sj adipis (R). Cliloroform, oint. to allay itching (R). Tar, as oint. strongly recommended (Tr). Galvanism, if prurigo referable to altera- tion of cutaneous nerves (B). Baths. Turkish, when unconnected with lice (R). Alkaline warm baths at bed- time relieve greatly (B). PEUEITUS. Lice, Scabies, Urticaria, etc.) Bor., Ac. carbol., Merc, in various forms, the most efficient applications, which must generally be resorted to in local pruritus, which usually rebels against internal remedies (H). Ac. carbol. gtt. v ad sj aquae, locally, gives great relief (R, Ha). M ere. aphthous or eczematous pruritus(B). Sulph. skin dry, itching worse in evening, and in bed, recent cases (R); often re- moves recent prurigo (H). Sulph., Lye sometimes useful in pruritus ani (H). Ars. when prurigo chronic, the leading remedy (H); itching with burning (R). Bell, may be used with benefit in prurigo of the vagina, which is irritated, in- flamed, studded with vesicles (Hpl). Aeon, furious itching all over the skin, with febrile symptoms (R); excellent in pruritus ani, esp. if skin inflamed (L). Rumex , itching relieved by warmth, contagious prurigo, army itch (II). Ign. fine pricking itching, like flea-bites, shifting from part to part (R). Rhus ven. is strikingly curative (H). Collin, in pruritus of pregnancy (H); esp. when hemorrhoids (Ha, Hpl). Plat, in pruritus vulvae with ovarian or uterine disease (R). Carbo veg. in pruritus pudendi with sex- ual excitement (H); the 6th (Hpl). Lye, Coni. in pruritus pudendi (Js, B). Grind. 1 to 10 aquae as lotion, effectual (Ha). Ham., as lotion often useful (H); not so effectual as Bor. or ^4c. carbol (Ha). Chloral, grain doses very effectual, in pru- ritus vulvae (H, R); cured one case after Collin, failed (Ha). Mez. must not be forgotten, being homoe- opathic thereto (H); 1 part to 10 of water as lotion in severe cases (R). Lotions, of Mez. (see above) or alcohol and water, equal parts, as temporary expedients (R); see under Bor. Water. A wet compress, though irritat- ing at first, benefits. Warm baths, or washing with Castile soap and warm water, very useful (R). 216 INDEX OF Arsenic, at first apparently aggravates, but soon heals the disease (R, B); in lep- ra must be persistently used for a long time (B); exercises a powerful influence (Wa). Maximum dose «s v liq. arsen. ter die, never on empty stomach (R). Mercury, in patches of obstinate psor. esp. of hands even when not syphilitic. Cal- omel and mercuric nitrate oint. may be mixed, and tar ointment added (R). Carbolic Acid, 1 to 4 of lard as oint. (Wa). Mezereon, a useful adjunct (Wa). Sulphur, internally (R); a solution of po- tass, sulphuretum in water, is excellent in chronic psor. (B); not in acute (R). Sulphur Iodide, ext. and int. in doses of gr. j-vj used with great advantage (Wa). Silver Nitrate, in psor. of tongue and buc- cal mucous membrane, occasionally. If syphilitic, mercurials best (R). Nitric and Nitro-Hydroc Acids, when sym- tomatic of imperfect digestion and as- similation (B). Phosphorus, as substitute for arsenic (B). Coptis, has reputation in New England (B). Cupric Sulphate, applied solid to spots(R). Lead, the oint. of the iodide (B). Tar, painted on, in obstinate cases (R). Oils. Cod-liver oil int. and locally, is the sheet-anchor, especially when of strumous origin (B); oils and fats to lu- bricate skin, with warm baths (R). PSOEIASIS. Ars. specific and homceopalhic (H); the chief remedy (Js); excellent, may be given for 2 or 3 months in gradually in- creasing doses (R). Ars. iod. better (Ha). Merc. sol. in recent cases is useful (H). Ac. carbol., Mez., Sulph., Ac. nit., Rhus. (R); Ac carbol., Mang., used hi France (II); the first, gtt. iij ad sviij of oil, lo- cally, is often of great value (R). Hepar sulph., alt. Graph, in psoriasis pal- maris(H). Sulph. iod. as ointment, is useful; should be preceded by a warm bath (R). Sepia, commended when occurring in women with uterine ill-health (H). Iod. for circinateform, the old lepra (H). Iris, psor. in irregular patches (Ha). Berb. alone, has cured many cases (Ha). Glycerin, very useful if skin much crack- ed; if skin very hard use an occasional poultice (R). Cosmoline, is very soothing, and often cu- rative. Used as a base for cerates (Ha). Diet and Hygiene. Nourishing diet, frequent small quantities of raw vegeta- bles. Cod-liver oil for growing persons, especially when stale fish the cause. Rest and change for over-worked sub- jects. Daily baths and cold sponging. Free, open-air exercise is also most use- ful. Warm or tepid soft water baths at night, with use of pure soap (R). PTEEYGIUM. Silver Nitrate, locally, esp. when ptery- gium with catarrhal conjunctivitis (Wa). Treatment unavailing. Benefit seldom derived from any operation (C). Ari.t's Operation, the most satisfactory, cut away as little tissue as possible, dis- sect cleanly, close with suture (Green). Ralanh. lx, (R); successfully used (H). Zinc, has cured two cases (II). Operation for its removal is not always permanently successful. If not increas- ing rapidly, so as to threaten impair- ment of vision by encroaching on the pupillary area, it is best undisturbed (A). PTOSIS. Veratria, gr. x in sij of sulphuric ether, spt. vini rect. sj. brushed over the eye- lids, brows and temples, every morning, till a slight burning sensation is produc- ed; conjoined with the use of electric- ity (Wa). Ver. alb., Gels., Bell., Stram., Spig. (R); Spig., Zinc, Plumb., Nux vom. act specif- ically on the levator palp. sup. (A). Gels., Coni., apparently idiopathic paraly- sis of levator palpebrae superioris (H). Caust. similar affection of orbicularist-ff). COMPARATIVE therapeutics. 217 Ergot, aqueous infusion as collyrium(Wa). Electricity, the constant current may often relieve recent cases (C). Operation for shortening the lid, by re- moving an elliptical piece of skin and subjacent muscle (C). Iodine, as gargle, sij of tinct. ad sviij aquae (R); is worthy of trial (Wa). Acids, as astringents, small medicinal doses (R). Sulphuric, int. and as a gargle with decoct, cinchonae, of great benefit in mercurial ptyalism (Wa). Potassic Chlorate, in simple, or mercurial, (R); in the latter form, Sj ad Svj aquae as mouthwash, and inter, in teasp. doses, 4 or 5 times daily (St). Belladonna, very effective in mercurial ptyalism, and that of pregnancy. Gtt. v-x, or atropiae gr. 1-120 to 1-110 every 4 to 6 hours (B). Atropia hypodermically (R); should be useful (W). Tannic Acid, in mercurial ptyalism is ex- cellent. R Ac. tanniei, 3j; mel. rosae, Sij; aquae, Svj. M. Gargle(B). Alcohol, diluted, as a gargle (R). Potassic Iodide, sometimes beneficial in mercurial; often aggravates it(R). Aconite, one of the best agents (P); gtt. j- ij of tinct. every 10 or 15 min. for the first hour, then at longer intervals (P). Belladonna, the tinct. int., with atropia hypoder. of verified utility (P). Veratrum Viride, in sss doses of flu. extr. every 15 min., to nausea, invaluable (R). Opium, as morphia hypodermically. The most important agent for cure of uraemic convulsions (B); with the lancet, some- times required (P). Anaesthetics, especially chloroform (B, R). utility unquestionable, when not due to cerebral hemorrhage (B). Chloral, full doses (gr. xx-xxx)every 2 hours, may arrest (B). Amyl Nitrite, by inhalation (B); may cause alarming hemorrhage (W). Ice, to head(R); and mustard poultices at same time to the feet (Wa). Hygienic, and general measures to re- lieve partial ptosis in feeble persons from effusion beneath the skin (A). Operation is not advisable, unless the ptosis is nearly or quite complete, and of great inconvenience (A). Iod., Ac. nit. when mercurial; are obvi- ously indicated, and have cured. These, with Merc, in idiopathic ptyalism (H). Ac. nit. mercurial ptyalism, with ulcera- tion and sloughing of the mucous mem- brane, swelling of gums, etc. (Hpl). Ac. sulph. in mercurial ptyalism (Hpl). Kali chlor. is of signal service (H). Bell., Bary. mur., Hepar sulph. may prove antidotal to simple, mercurial form (Hpl). Ant. tart, mercurial, sponginess and bleed- ing of the gums (Hpl). Dulc. when origin from cold, damp (H). Puis., Euphorb., Sulph. are indicated (Js). Pilocarpia, has been frequently successful (Js). This, or Muscaria, when ptyalism sympathetic, as in pregnancy (H). Jabor. may prove effective (H). Sulph., Natr. mur., Ars. in that of preg- nancy, the latter in obstinate cases (H). Hydrastis, Iris, have cured (Ha). Aeon, may often be given with benefit (H). Bell, fits recurring rapidly. The classical remedy (H). Cerebral congestion, bloat- ing and redness of face, pupils dilated and insensible, cold hands and feet(Hpl). Solan, may ward off convulsions (Ha). Ver. vir. has arrested frequently (Ha). Opium, in uraemic coma, and for condition of brain following puerperal convul. (H). Chloroform, inhalations in uraemic form, as temporary expedient 'till delivery effected (H) Chloral (gr. xx), has power to prevent (Ha). Ign., Hyos., esp. the latter, in non-albu- minuric convulsions, when from ab- normal reflex excitability (H). Ac. hydrocy. a possible alternative to Bell. esp. in uraemic cases (H). Cham., Coff., pains excessive; are less frequently indicated (H). PTYALISM. PUEEPEEAL CONVULSIONS. 218 INDEX OF PUEEPEEAL DISOEDEES. (See After-pains, Hemorrhage, Labor, Lactation, Mastitis, Nipples, Phlegmasia Alba Dolens, etc.) Cimicifuga, in puerperal hypchondriasis, and depression (Wa, P). Opium, either alone or with alteratives, highly serviceable in puerperal intesti- nal irritation; a few drops of tinct. ef- fectually arrests the diarrhcea (Wa). When shock and marked exhaustion, a moderate dose is of benefit(L). Castor Oil, undoubtedly the best laxative (L); purgatives generally are not requir- ed. Castor oil, the very worst (Fordyce Barker); action uncertain (Parry). Rhubarb, or enemas, best means of stimu- lating bowels after 4th day (L); gr. xx- xxx in some aromatic water a good aperient (Wa). Aliment, in puerperal state should be easy of digestion and sustaining (L). Catheter necessary often for several days when bladder paralyzed, if warm water lavements fail to excite (L). Water, tepid sponging of external parts, vaginal washings daily with warm wa- ter, with 1-100 part carbolic acid (L). PUEEPEEAL FEVEE. (Compar Aconite, drop doses every one or two hours steadily, with an occasional dose of cas- tor oil, and repeated hot poultices or laudanum fomentations, the most suc- cessful treatment, even in worst cases. Useless if not promptly efficient (P). Opium, for wakefulness and delirium (B); a very valuable remedy, tending to allay pain, and reduce excitement of the ner- vous and vascular systems (Wa). Alkaline Sulphites, esp. valuable in early stages, int. and locally. Gr. xx-xxx of magnes. or calcic sulphite every 2 or 3 hours, with injections every day (Wa). Stramonium, when cerebral excitem't (P). Potass. Permang. gr. X -j ter die, has been given with benefit (B). Calumba, preferable to cinchona (P). Cimicif. is curative of puerperal melan- cholia (H); recommended in suppres- sion of the lochia, after-pains, etc. (Hpl). Opi.. Bry., Nux vom. for constipation, if torpor of colon. Purgatives here should be repudiated with abhorence. Also Ver. alb., Zinc, are useful (H). Collins, for constipation over the 6th day. Also enemas (H). Aeon, suppressed lochia (H). Aeon. 3, followed by Bell. 4, every 15 minutes, for suppressed urine (H). Am., Bell, incontinance urine (Leadam). Puis., Aeon., Bell, for very painful hem- orrhoids after labor (H). Sab. if lochia continue sanguineous (H). Caul. 3, Calc, lochia long continued (H). Creos. discharge offensive, without uter- ine mischief or neglect of cleanliness to account for it (H). Hyos., Puis, for diarrhcea, the latter when most frequent at night (H). Calend. locally to promote union of torn perinaeum (H). i Puerperal Mania, Peritonitis.) Aeon, or Ver. vir. premonitory stage, chill with pain and tenderness (fl). Ver. vir. 2* or 3x, especially adapted in early stage (Ld). Gels, in invasive stage excellent (R). Bell, congestive stage, determination of blood to the brain, throbbing headache, occasional delirium (Hpl). Bry. early stages, soreness and stitching pains in region of the peritoneum (Hpl). Apis, in cellulitis to avert suppuration; if inevitable, Silic. to favor completion (H). Hyos. virulent, typhoid form, painless diarrhcea, patient will not be covered(H). Ars. in last stage, when involuntary dis- charges of foul blood and mucus, hur- ried pulse, skin dry, cold, clammy sweat, etc. (Hpl). COMPARATIVE Quinia, only large doses are useful. Gr. v-xx every 4 hours( B); reduces temp.(P). Turpentine, when depression of vaso- motor nervous system, cardiac weakness, and tympanitic distention of abdomen (B, P, R). PUEEPEEAL MANIA Stramonium, will allay cerebral excite- ment, and soothe nervous system; when delirium wild and furious, but intermit- tent; tendency to suicide, or to destroy the child, itjx-xx of tinct. every 3-4 hours (P). Hyos. milder cases; nervous system great- ly excited (P). Aconite, in puerperal mania, with high fever, restlessness; speedy and marked success if given soon after chill (P). Cimicifuga, has cured (B); its effects are truly remarkable in mania, and hypo- chondriasis of puerperal state (P). Chloral, often alleviates symptoms (B); to produce sleep (Wa). Potassic Bromide, in sthenic cases (B, R); its effects are very variable (Wa). Anxslhelics. Ether inhaled in violent paroxysms of mania (B). Tartar Emetic, in frequently repeated doses (Wa). Quinia, when much weakness; skin cold and sweating (B). Chalybeates, tinct. ferri chlor. (trj v-xx) in anaemic form (B). Opium, cautiously (B); gives the best re- sults in such doses as may be necessary to allay irritation and procure sleep (Wa). Poultices, hot fomentations, enemas, or gentle laxatives; nutritious and stimu- lating diet. Lochia needs watching (P). Aconite, has cured cases of the usual type (P). See Puerperal Fever. Cimicifuga, in rheumatic form especially, has remarkable effects (P). Opium, its curative power in this, one of the best established facts in therapeutics (B). Good, but aconite often better (P). THERAPEUTICS. 219 Ac. carbol. or Kali chlor. dilute, as injec- tion, to antidote offensive lochia (R). Water, hot fomentations frequently to parts, a valuable preventive (R). Rest, and quiet but attentive nursing- frequent liquid nourishment (R). AND MELANCHOLIA. Aeon, predominance of febrile symptoms (R). Aeon., Am., in recent cases (Ld). Cimicif. neuralgia after labor, often mis- taken for peritonitis (Ha). Opium and Ver. vir. both in appreciable doses, the most successful treatment if high fever present (Ha). PUEEPEEAL PEEITONITIS. Stram. stands highest among the remedies in furious delirium, with hallucinations. Special action on sexual functions (H). Hyos. is useful (H); hallucinations, deli- rium, not furious; jealousy (R). Aeon. esp. valuable when aconite symp- toms have occurred during pregnancy; or if puerperal mania from fright, with suppression of lochia (Hpl). Cimicif. worthy of most confidence in puerperal melancholia (H); found cura- tive by all schools, from Simpson's 50- drop doses ter die, to Dunham's cure with 200th (Ha). Chloral, often used with benefit (Ha). Kali brom. freely administered, always relieves and often cures, when with ferocious or erotic delirium (Ha). Belt, violent delirium from sudden lochial suppression (R); furious, ludicrous, or mutteriug mania (Hpl). Cann. ind. delusions of an exalted charac- ter (H); imagines herself a queen (R). Ign. silent melancholy, obstinacy (R). Ver. vir. has caused puerperal mania (Ha). Ver. alb. mental anguish (R). Plat., Puis., Aur., Agnus cast., are suit- able for puerperal melancholia (fl). China, mania following prolonged lacta- tion, or flooding; headache (R). Weaning, imperative in melancholia; not so in acute mania (R). 220 inde Turpentine, as stimulant, nj x frequently repeated. Better than alcohol (B). En- emas, also hot turpentine epithems, may be used with advantage (Wa). Quinia, in considerable doses, with or without opium (B). Antimony, as tartar emetic, gr. 1-10 to y every hour to shorten attack and render it more mild (R). Cathartics, advised by many, prohibited by as many. Evidence is in favor of mild aperients combined with Dover's powder, or hyoscyamus (Wa). Poultices, hot, of very great value (B). Aconite, for a quick, resisting pulse (P): a moderate dose, while it makes the pulse less frequent, renders it fuller, stronger and less compressible (R). Veratrum Viride, reduces febrile heat with abnormal rapidity of pulse (P). Veratria, pulse at first quick and strong, then slowed; afterwards quick, weak and irregular (R). PUEPUEA. (Compare Sulphuric Acid, often acts happily (B). Ergot, has been strongly urged (B, R): is most useful in removing purpura (P). Turpentine, been used (B, R); with invari- able benefit (Wa). [See Hematemesis.] Nux Vomica. No prescription more gen- erally useful than the syrup of iron, quinia and strychnia (B). Iron, when due to anaemia. The tincture of the chloride (B). Quinia, or Huxbam's tincture of bark, are much used (H). Potassic Nitrate, gr. x thrice daily in pur- pura simplex, used successfully (Wa). Styptics, as the ammonio-ferric alum, tinct. of ferric chloride (Tr); tannic and gallic acids, used in some cases (H). Alum and brandy, or whiskey and water, at such temperature as is not chilling, applied by sponging the body, is the best local measure (H). Wines are gen- erally indicated (B). £ OF Tereb. 2, deserves great confidence; is peculiarly adapted to the condition (Ld). Bell, most frequently required (fl); brain disturbed, headache, flushed face, deli- rium, etc. (R). Bry., Mere corr. should not be forgotten (H)-, the latter especially in scrofulous patients (R). Coloe when intestines tympanitic (fl). Nux vom. higher dilutions act rapidly in puerperal metritis (fl). Water, ice in mouth or swallowed, hot fomentations to abdomen. In some cases cold compresses best (R). Aeon, small, hard, wiry, quick (Ha); full, hard or subdued pulse (L). Ver. vir. hard, full, bounding, incompressible (Ha). Gels, large, full and quick, not very hard, (Ha); full, frequent, not tense (L). Bapt. quick, full, irregular, compressible (Ha). Bry. hard, full and hurried (L). Pulse, a very imperfect indication in intermittent fever (L). Hemorrhage, Scurvy.) Ac. sulph. as a beverage, sj ad Oj aquae. Ac. sulphs. in both forms (R). Secale 3, in later stages has given un- hoped-for success (Js). Aeon, in the sthenic febrile form (H). Merc, in asthenic febrile purpura (fl). Ars. very homoeopathic to the prostra- tion, and the petechiae (fl); cured a most, desperate case (J); tendency to dis- organization of the blood, capillary ef- fusion, prostration (Hpl). Phos. in purpura hemorrhagica (H); the chief remedy (Js). Ac. phos. strikingly curative (H, Hpl). Ham. has undoubted power in hemor- rhagic (fl); action confined to venous system (fla). Lach. should be fairly tried in purpura hemorrhagica; cured two cases (H). Ptelea, causes a similar condition (Ha). Chloral, used continuously has caused purpura hemorrhagica (Ha). comparative therapeutics. 221 PUSTULE, MALIGNANT. Nitric Acid, strong, applied steadily (after thorough cleansing and drying) to des- troy the diseased mass (D). Bromine, to saturate the surface (D). Carbolic Acid, undiluted, as caustic, or with oil, the favorite (D). PYEMIA AMD Quinia, large doses only (gr. xv-xx) are useful (B); supposed to diminish the temp. (R); to cinchonism, in child- hood, the best remedy (Wa). Salicin, to reduce temp, in septicaemia, and to relieve the cerebral symptoms (R). Salicylic Acid, has decided value (B). Potassic Permanganate, given with advan- tage; gr- y-] in aq. dest. ter die (B). Boracic Acid, a saturated solution to wounds, ulcers, etc. Also chlorine, as disinfectant (B). Oleum Carophylli, locally. Also olei gaul- theriae, thymi, etc. (B). Water, cold, as dressing. Hot better, 95°- lOO3 F. Hamilton's immersion plan, for wounds (B). Stumps to be immersed in a warm bath, to avert pyaemia (R). Turpentine, is a better stimulant than alcohol (B). Ice, dissolved in the mouth (Wa). Aliment. Plentiful nourishment, with wine and good ventilation, are not to be neglected (Wa). Malt liquors are justly esteemed (B). Stimulants necessary; brandy the best (Wa). Lime, as lime-water, or the carbonate, or syrup, calcii lacto-phosphatis (B); in small doses (R); the phosphate may be advantageously combined with cod- liver oil (Wa). Iron, the syrup of the iodide preferred; calcic and ferric phosphates excellent in combination (B); must be continued a long time (R). Nitro-hydrochloric Acid, as baths, give ex- cellent results (Wa). Lach. 12. Ars., Aur. (R). Lach. successful in 8 cases of epidemic pustule (Dunham). Eschar should be promptly destroyed, to avoid contagion (R). Excision, or cauterization, demanded, when from direct inoculation (H). SEPTICEMIA. China, in chronic pyaemia, with hectic. Chin, sulph. 1", strikingly curative (fl); in gramme doses, when chills return regularly (Js). Chin. ars. lx, if the pros- tration is great. Ars., Rhus, Phos., as anti-typhoid remedies (Kafka). Ac. salicyl. 2* or 3-*, prepared from a solu- tion of gr viij—5j of glycerin and brandy, equal parts. The attenuation should be prepared in the same menstruum, and a teasp. given every 2 or 3 hours (Ha). Lach. the most promising remedy for the toxaemia and adynamia, and the phle- bitis(fl); the 12th rapidly cured a severe case of purulent infection from a dis- secting wound (Dunham). Ars. has won general confidence (H); with Aeon, in septicaemia without chills (Js). Calend. to prevent suppuration of wounds. and consequent pyaemia (H). Also Arn, for the same purpose (VonG). Eucalyptus, is highly recommended as an antiseptic remedy (Ha). Ac. carbol. has been found of excellent service in pyaemia; half-drop doses of the acid, in water, every 3 hours (Hpl).' Calc. carb. occasionally useful, esp. when sour-smelling diarrhoea (H, By, of great value in many cases (R). Calc. carb. or Calc. hypophos. the latter preferred, nervous energy deficient (Ha). Ferr. phos., Phos., Asaf, Sulph. are also recommended (-R). Phos. holds a very high place (H). Ac. phos. has great powers for good; diar- rhoea, pains in limbs (H). Symptoms of hectic (R) 222 INDEX OF Quinia, often very valuable (P). Aliment, food rich in phosphate of lime and other phosphatic salts. Oatmeal, Graham bread, etc. (B). Cod-liver oil, the best constructive agent (B). A full animal diet (Wa). Cold sponging (R). Podophyllum, in doses of gr. 1-20 to 1-10 night and morning, for a child, may re- move prolapsus of the rectum (P). Belladonna, the extract locally in fissure (R); and irritable ulcers (P); internally and locally to remove ulcers, also excel- lent in burning pain following defeca- tion, or with mercurial ointment in equal parts, for fissures and ulcers (P). Phosphorus, in chronic inflammation(R). Potassic Bromide, in 5 parts of glycerin, locally, fissures and painful growths(R). Iodoform, as suppository in painful dis- eases, relieves greatly (R). Pepper, the confection, as gentle stimu- lant in fistula, ulcers, hemorrhoids (P). Castor Oil, in fissure and hemorrhoids, is commonly used as purgative (R, P). Sulphur, with confec. sennae, in irritable rectum, is very soothing (Wa). Stramonium, ointment from fresh leaves to alleviate pain (P). Conium, the extr. in doses of gr. x to al- lay pain and irritability in cancer (Wa). Purgatives, best for proctalgia (D). Surgical, in ulcer or fissure, an incision through mucous membrane, and in se- vere cases to divide part of the sphinc- ter. A flake of cotton should be laid in the wound, so that it may heal by gran- ulation (D). Sil. perspirations of head, sensitiveness of surface, increased growth of cartil- age. An esp. valuable remedy (fl, R). Diet, barley as food, very valuable (R). Cod-liver oil of wonderfully curative power (Ha). Podoph. or Aloes, for acute proctitis, the latter esp. when tenesmus great (H). Bell, useful in proctalgia; pressure in rec- tum towards orifice, also sudden lancin- atious therein during motion (Hpl). Phps. has great influence over chronic proctitis, with or without ulceration (fl). Kali brom. relieves spasmodic action (Ha). Collins, in proctitis and rectal dysentery should rival Aloes (H). Merc, acute peri-proctitis, threatening ab- scess and fistula (fl). uEscul. int. and ext. as cerate after each defecation, will sometimes afford relief in ulcer or fissure (R); in stricture (Ila). Graph, and ^lc. nit. are also remedial (R); especially the latter (Ha). Ign. controls return of spasm in ulcer (R); often removes prolapse, proctalgia (fl). Ratan., Petrol, are important (R). Hydras, locally in ulceration after dys- entery (Ha). Hijdras. or Calend. as glycerole (R). Ac. carbol. 1-10, injected daily and per- mitted to remain, afforts great comfort in fissure (R). Ars. iod. old irritable ulcers in scrofulous subjects; corrosive discharges (Ha). Phyto. has rendered good service (Ha). Surgical. The quickest, safest, and most satisfactory treatment for ulcer(ii) EANULA. Surgical. Simple free incision, or cut-1 Merc, Calc. carb., Thuja, are reported aa ting out a piece of the sac. The in- curative (fl). terior may be touched with lunar caus- Bell. 3*, alt. Merc. sol. 3*, acute ranula(JJ). tic or a seton soaked in tinct. iodine Calc. carb. 3", chronic ranula (R). passed through it (D). 1 Seton, through the centre of tumor (R). EEOTUM, DISEASES OF. (See Anus, Diarrhcea, Dysentery, Intestinal Ulceration, Hem- orrhage Intestinal, Hemorrhoids, Prolapsus.) comparative therapeutics. 223 EELAPSING FEVEE. (Compare Typhus Fever.) Cathartic, mild at beginning (Hj; if jaun- dice or other hepatic derangement, a cal- omel purgative, cautiously, lest irrita- tion (Wa). Potassic Citrate, as cooling diaphoretic (H). Quinine, in moderate doses after the crisis, at least until the relapse, which will not be prevented by any amount of quinine (H, Wa). Leeches or Cupping, best for headache (A). Alcohol, required by some patients (H). Diet, supporting, especiallyin third week, beef-tea, etc. (H). Urine, should be watched carefully (A). Aconite, in hot stage, if any febrifuge is required, frequently repeated doses (B)- Quinia, 20 to 30 grs. in single dose once or twice daily till temp, is reduced, with other appropriate remedies (B); 15 to 20 grs. at most (Maclean); 30 to 50 or 60 grs. in severe cases of pernicious remittents several times a day without regard to exacerbation (P, B). Gelsemium, exercises a really beneficial influence; depresses temp. (B); valuable in bilious remittents of the South (Pf). Morphia, gr. X hypoder. to abort perni- cious remittent fever (B). Quassia, an excellent tonic in convales- cence, combined with mineral acids (Waj Packing, by wet sheet, is resorted to with advantage, except when hepatic or splenic congestion (Wa). Mercury, in syphilitic retinitis is of great value; calomel gr. j-ij with opium gr. y-y every 4 or 6 hours; also mercurial inunction till the gums are affected or the disease yields (Wa). Potassic Iodide and Bromide, in combina- tion, in retinal hemorrhage to promote absorption of the effused blood, and benefit congestion (C). Physostigma, locally, to contract pupil, and diminish the amount of light ad- mitted to the eye (Wa). Bry. the chief remedy, no other can be recom'd with so much confidence (K). Rhus. 12, pains relieved by motion, (by rest, Bry. 12). 183 cases treated by these two without a single death (Russell). Bapt. 1, gastric symptoms chiefly (fl). Hyos. head symptoms prominent (fl). Eup. perf. for relief of pains; the relapse cannot be prevented by medicines (fl). Natr. hyposulph. 5-gr. doses effective for prevention of relapse (Dyce Brown). Ars. watery diarrhcea, vomiting (R). Phos., Ac. phos. during convalescence(-R). Camph., Nux vom. prophylactic (R). Aeon, fulfils the object described by Ait- ken, "to reduce the force and frequency of arterial action during paroxysm" (H). China, when remission marked, prostra- tion great, fluctuating pulse, humming in ears (L). Chin, sulph. as soon as re- mission shows (II). Gels, has remarkable power in cool cli- mates; also in infantile remittents (fl). Ars., Bapt. in asthenic forms (H, R). Crotal. 1 to 3, for bilious remittent (Neid). Ipec, Puis., Ant. crud. gastric symp. (fl). Hyos., Bell, brain symptoms (fl, R). Cina, if worms are present (H). Eup. perf. 3, bilious remittent, with bone- pains (fl); chilliness, excessive trem- bling, aching bones, sore muscles, with nausea,'followed by burning fever, pro- fuse bilious stools (L). Merc. cor. of repute, albuminuric ret.(fl). Kali iod. the best remedy in syphilitic re- tinitis; has caused similar affection (H). Bell, for simple retinitis; also often re- quired in albuminuric (H). Gels, in recent detachment of the retina, the chief remedy. Also Aur., Dig. (fl). Nux vom., Coni., Cimicif. in retinal hyper- aesthesia without evidence of change in fundus (H). Lach. favors re-absorption of effusion in retinal hemorrhage (fl). EEMITTENT FEVEE. EETINA, AFFECTIONS OF. (Compare Amaurosis.) 224 INDEX OF Sant., Cact., Puis, in retinal hypersemia, the first, when from overuse; the second when from cardiac disorder; the latter, when depending on menstrual suppres- sion (fl). Aeon, sudden blindness from exposure to cold or damp; retinal congestion, rheu- matic retinitis (H). Iron, in full doses, generally the tinct. of] the perchloride, in pigmentary retinitis; seems to have a tendency to arrest the malady (C). Leeches, to the temple better than general bloodletting (Wa). When much local congestion present, depletion by artific- ial leech is almost always indicated (C). EHEUMATIC Aconite, highly spoken of; as liniment, conjoined with internal use (Wa). Cimicifuga, when joints enlarged and much stiffened, and when traceable to uterine derangement, is very useful (R); pains worse at night (Wa.) Iodine, tinct. internally, said to be better than potassic iodide (R). Arnica, tinct. and infus. are of value (P). Iodides, often signally benefit, esp. when due to syphilitic, mercurial, or mineral poisoning (B). Large doses of potassic iodide sometimes required (R); com- bined with guaiacum, or corrosive sub- limate, often curative in cases resisting these remedies given separately (Wa). Colchicum, with alkalies, extremely use- ful. R Spirit, ammoniae aromat. Sxiij; viniseminis colchici, 5iij. M. Sig.—A teasp. every 3 hours, until some physio- logical effect is produced. [See Gout for other formulae.] (B). Arsenic, when referable to nervous affec- tions (B); as a bath containing Siv wash- ing soda and gr. xx arseniate of soda. Large doses continued for some time, sometimes of great benefit; but action capricious (R). Lithium Bromide, of great value in acute and chronic, R Lithii bromidi, Siij; syrup, zingiberis, Sss; aquae, sjss. M. Sig.—A teasp. ter die. Also locally (B). Potassic Bromide, sometimes allays the severe pain (R). Cod-liver Oil, internally and locally of much value (R, B). Baths. Turkish or sulphur. The cold douche, which may be slightly warmed in winter; use for one or two minutes, and rub dry (R). AETHEITIS. Aeon, is indicated (R); esp. valuable in rheumatic affections of the joints (Hpl). Cimicif. when pains are worse at night and in wet or windy weather; when of uterine origin (fl). Macrot. lx, trit. (R). Iod. the most hopeful remedy (fl). Arn. tearing pain, fears being touched, podagra, worse in evening, and from motion (L). Puis, menses scanty or suppressed, diges- tion disordered, mind melancholic; is specific almost in the acute form (fl). Sabina, in inflammatory form, esp. if menorrhagia, and uterine, origin (fl); ir- ritable uterus, bladder and bowel (R). Sulph. of decided benefit in one case of long standing (H). Caul, hands and fingers affected (H); small joints of the extremities (Ha). Dulc. from exposure to damp (fl). Sticta lx, several cases cured rapidly and permanently (Ha). China 3, Chin, sulph. are very valuable, as experience has often proved (Js). Apocy. andros. used successfully in two cases of "rheumatic gout" (Ha). Ham. considered of the greatest value; locally has anodyne powers (Ha). Iberis, has an ancient reputation in rheu- matism of the joints (Ha). Phyto. has been found useful (Ha). Sang, is successfully used (fld). Ver. vir. drop doses of frequently re- peated, have cured (Ha). Formica, recommended, when of sudden invasion with restlessness (Ha); pains relieved by pressure, right side affected more than the left (L). Ac salicyl. in ten-gr. doses has given sur- prising results (fld). COMPARATIVE THERAPEUTICS. 225 E. (Compare Lumbago.) EHEUMATISM, ACUT] Aconite, very serviceable when much heat and dry skin (B); subdues pain in inflamed joints and perhaps shortens the fever(R); small doses frequently repeated of the greatest value, and if used from the start prevents permanent organic disease (P). Not reliable as a cure, but a valuable adjunct to other remed's (Wa). Veratrum Viride, as tinct. said to be useful (R); as antipyretic, small doses; maybe combined with opium (P). Bryonia, has proved useful, esp. for pain- ful and stiff rheumatic joints (P). Salicin, gr. x-xxx every 2, 3, or 4 hours. Gr. xv every 3 hours in powder mixed with water (Maclagan), or same dose of salicylic acid. Of great benefit. Good effects generally experienced within 48 hours (B, R). Sodic Salicylate, behaves as salicin (R). Rhus Toxicodendron,positively invaluable in after-stage, also in sub-acute forms, muscular or tendinous, worse at night (P, Pf). Cimicifuga, excellent reports from (B); has been much used; said to quell the pain speedily (R); found very serviceable (P). Dulcamara, recommended, esp. in persons who are subject to catarrhal affections in cold and damp weather (P). Arnica, lowers pulse and temp., relieves articular pain and swelling, diminishes urea (P). Trimethylamine, nj iv-viij in peppermint-water, often has remarkable power in acute rheu. and gout (B). Spigelia Anthelmia, rheu. pericarditis and endocarditis; rheumatic-fever with pain shifting from joint to joint (P). Sulphurous Acid, fumigation, and patient covered with blankets exposed to strong fumes, produces perspiration, sleep and relief (R). Colchicum, alleviates the symptoms, and shortens their duration (Wa). Quinia, as antipyretic. Not so useful as wet pack or cold bath. Gr. ij-v after the more acute symptoms have subsided (B). Ammonium Bromide, disagreeable, but strongly urged by Da Costa (B). H Aeon, lx, should commence treatment in most cases, as specific antidote to the whole condition. Is homoeop'c to the fever and the local affections (fl); esp. at commencement, when fever high (R). No agent in the materia medica more adapted to pure, uncomplicated rheuma- tism of the joints, esp. thehip-jointlflpOl fever intense, pulse full, thirst (Js). Ver. vir. lx, sometimes indicated (R). Bry. nearly always the remedy after Aeon. homoeop'c to the inflamed joints intol- erant of movement, pneumonia and se- rous inflammations. Enjoys high re- pute both high and low (fl). Lancinat- ing pains, worse on movement, relieved by rest, perspiration, or coldness (R). Ac. salicyl. or Natr. salicyl. is homoeop'c to the pyrexia and rheumatic pains. Cura- tive in small doses (fl). Rhus. tox. adynamic fever, great restless- ness, pains increased by being still (fl); tendons implicated; lumbago from get- ting wet (R). Cimicif. cerebral rheumatism, when a neu- rosis only; acute and local muscular, and cardiac (fl); mild cases, lumbago, sciat- ica (R); inflammatory, muscular, sudden onset, severe; large muscles (fld). Dulc. from exposure to damp (fl). Arnica, rheu. of muscles formerly injured by a blow, or sprain, or over-use (R). Spig. the most valuable remedy in rheu. of eyes and heart, and in carditis of rheumatic fever (fl). Sulph. invaluable to prevent passing into chronic form (fl); pains drawing and tearing, worse when cold, better when warm (R). Colch., Rhod. smaller joints affected (R). Chin, sulph, 2, 3, acute, articular rheu. of remittent type, pulse and temp, varying between morning and night (Js). China, when fever has disappeared (Js). Merc, replaces Bry. when inflam'n obsti- nate in any one joint, pains worse at night, profuse, sour perspiration (fl, Js). Puis, sub-acute eases, little fever, frequent shifting from joint to joint (fl). 226 INDE Opium, strongly recommended as anti- rheumatic. Gr. j every 2 or 3 hours, in- creased to gr. xij in 24 hours. Tolerance remarkable in this disease. Also in rheumatic carditis is indispensable (Wa). Lithium Bromide, equally good in all forms, esp.forinsomnia,delirium,etc.(B). Digitalis in powder, gr. ij every 4 hours, usually effective after 2 to 7 days. Esp. useful in cardiac complications, with cyanosis and cedema. R Infus. digi- tal, sij; liq- potassii citrat. sjss; acet. scillae, sss. M. Sig.—A tablesp. every 4 hours (B). Benefits fever solely (P). Iron, tinct. of chloride very serviceable in pale, delicate subjects, wj! xx-xxx every 4 hours. Also as prophylactic where tendency (Anstie). Harmful to the plethoric and overfed (B). Alkalies. The alkaline treatment is now seriously questioned. An injurious dys- crasia results from their use (B). Potas- sic bicarbonate, gr. xxx every 4 hours, in a dilute solution, until joint-symp- toms and fever disappear (Wa). Lime-juice, sviij daily, lemon-juice infe- rior (R). Blisters, are a very effective method. A number of small blisters applied to vesi- cation around a joint (B). Large flying blisters around a joint (R). Water. Cold baths for the hyperpyrexia. The wet pack very efficacious in rheu- matism, also a vinegar vapor bath (B). Poultices, very hot, on painful part (R). Bryonia, is useful, especially for painful and stiff joints (P). Rhus Toxicodendron, a very powerful agent in sub-acute muscular or tendinous rheu., worse at night (Pf). The ten- dons, ligaments, and fasciae are most benefited. Externally, as lotion on compresses; also internally, small doses every 2 hours (P). Potassic Iodide, especially when pains worse at night, or syphilitic origin (R). Phyto. rheu. of fibrous tissues, sheaths of nerves, fascial (fl); glandular enlarge- ments (R). Viola od. invaluable for rheumatism of wrists, esp. the right (fl). Caul, pathogenetic to and curative of in- flammatory rheu. of hands and fingers (fl); shifting rheu. of small joints, with swelling (Hpl). Rhod. rheu. face-ache, rheu. of the cervi- cal and thoracic muscles (fl). Ac. benz. deep-red urine, with odor in- tensified (fl). Kalmia, facial rheu. "cold" variety (H). Cact. heart involved (R). [See Heart Diseases, Endocarditis, Pericarditis.] Ruta, rheu. of wrist and ankle (H). Sticta, lx, very successfully used (fld). Bell, frequent doses at night for insomnia. Hyos. if delirium (R). Water, the wet-pack 20 or 30 minutes, and tepid (70°) shallow bath 1 or 2 min- utes. Cold applications only when skin hot and dry, and temp. high. Warm baths, or hot compresses very useful; Spongio-piline an excellent substance for applications (R). Diet, low during the fever, water, barley- water, milk-and-water, gruel, etc. All through use liquid food. Avoid malt liquors, port wine, and sugar. Lemon- juice may be used freely (R). Blankets, instead of sheets to sleep in, and flannel underclothing, are useful adj uncts (R). Bry. heat and swelling of joints, which are painful on movement (H); lower limbs affected (R); of importance (Hpl). Rhus tox. stiffness rather than tenderness; tendons, nerve-sheaths, fasciae, mainly affected; pains increased by first move- ment, but relieved by continued motion (fl); rheu. lameness of back and ex- tremities (R). Kali iod. periosteal form, esp. if syphilitic or mercurial (H); often valuable (R). EHEUMATISM, CHEONIC. (Compare Myalgia, Lumbago, Rheumatic Arthritis, Sciatica.) comparative therapeutics. 227 Cimicifuga, sometimes has wonderful suc- cess, yet often fails. No indications (B). In rheumatic neuralgias and headaches, and rheu. of uterus (P). Signally bene- ficial in many forms (R). Mercury and Morphia, the oleate locally, for joint affections (R). Colchicum, is of decided advantage in neuralgia of chronic rheu. (B). Mezereon, strongly recommended (P, R). Phytolacca, has been useful (B). Iodides, often prove very satisfactory, esp. in strumous or syphilitic subjects (B). Aconite, the extract as plaster to joints is unquestionably very useful(P). Is more useful in chronic than acute rheu. (Wa). Dulcamara, has been employed with ad- vantage (P). Sulphur, locally; also sulphides as baths (R); is certainly of benefit (B). Iodine, pain around joints (R). Lithic Bromide, gives excellent results, when smaller joints swollen, tender(B). Quinia, in rheumatism with debility, shown by night sweats, or sweats during sleep, and only then (W). Arnica, the tinct. and infusion useful (P). Cajeput Oil, int. Also ext. in muscular rheumatism (P). Turpentine, benefits and relieves the pains; int. and ext. as liniment (P). Guaiac, used with varying success (B). Xanthoxylum, has long had deserved rep- utation, nj xv-5ij of flu. extr. (B). Tliuja Occidentalis, is useful for rheumatic pains (P). Manganese Sulphate, is one of the rem- edies (B). Belladonna, the extract locally very valu- able for pains (P). Cod-liver Oil, int. and ext. exercises in- fluence (B). Chimaphila, may prove useful, especially when lithiasis (P). Lupulin, as an anodyne (P). Burgundy Pitch, as plaster locally (P). Aliment, avoid animal and saccharine food. The farinaceous vegetables and acid fruits suitable (B). Alkaline min- eral waters have deserved reputation (B). Turkish Baths, in chronic muscular rheumatism (B). Cimicif. local forms, wandering rheuma- tism, heart complications from rheu. fe- ver^); when the belly of the muscles affected (Ha); pleurodynia of right side of chest (L); has made some surprising cures in intercostal rheumatism (fld). Merc, sub-acute, profuse prespirations, pains worse at night (fl, R); cedema of parts, esp. of feet and ankles (L). Colch. periosteal, and rheu. of synovial membranes, fibrous tissues; great sensi- tiveness, worse in evening (L). Mez., Kalibich. simple periosteal (fl). Phyto. syphilitic, and true rheu. of the fibrous tissues (fl); has effected notable cures (Ha). Aeon. rheu. of shoulder and large joints generally, when no rigidity. Also rheu. of the heart, with congestion and an- guish (R); most useful in chronic rheu. of the hip-joint, rheumatic back-ache, endocarditis, many other forms (Hpl). Dulc. sub-acute, from continued exposure to damp atmosphere (fl, R). Sulph. marked rheumatic diathesis. To be continued persistently (fl, R). Iod. of undoubted value (fl). Lith. brom. preferable to any other bro- mide (Ha). Chin, sulph. useful when patient sweats during sleep, on back and neck (Ha); in- termittent chronic rheumatism (Hpl). Am. parts previously injured, stiffness in large joints, tearing pains in small (R); cerebral derangements (Hpl). Rhod. pains like those of Rhus, muscles chiefly affected; aggravation by stormy weather (fl); pains worse during rest, and in the warmth of bed (R). Ledum, small joints chiefly affected, with coldness (fl, R). Puis, knee, ankle and tarsal joints affect- ed, menstrual disturbance. Pain in- creases in evening and at night (H, R). Asclep. tub. in mild cases of intercostal rheu. The lx frequently repeated (fld). Caul, when rheumatism is secondary to uterine disorders (fl). Ammon. benz. has excellent success (Ha). Cod-liver Oil, when rheu. due to im- poverished state of system; not for rheu- matism as such (Ha). 228 INDEX of EOSEOLA. (Compare Measles.) Scarcely any treatment called for; no j ^4con. or Bell, according to the symptoms. local application needed, as the rash is A few doses. No other treatment re- but slightly irritating (H). I quired (fl). Aeon., Rhus, Bell. (R). SAECIN2B. SulphiUs and Hyposulphites, have been I Nux vom. U, gr. j thrice daily, and Ars. employed to destroy sarcinae and torulae 2x, gr. j, morning and night, for vomit- in the stomach (R). I ing of sarcinae (I?). SCABIES. Sulphur, a solution of potass, sulphuret. 5ss-Sj, as local application. An extern-1 poraueous sulphide may be made by boiling one part of quick-lime and two of sulphur in ten of water (B). Sul- phurous acid, as gaseous bath, the quick- est method. Hebra's mixture of sulph., chalk, tar, soap and lard, less irritating, and equally sure (R). Calcic Sulphide, as a bath (Wa). Sulphuric Acid, inter- nally, has cured when other remedies failed (Wa). Storax, equally serviceable and not irri- tating as is sulphur, one part to two of olive oil, with warm bath (R). Staphisagria, a certain remedy; 3 parts to 5 of lard, boiled at 212° F. for 24 hours, when cooled after straining add a little essence. Friction with this 4 times daily (Wa). Mercury. An excellent formula is: R Hydr. chlor. corr. gr. iv; alcohol, svj; ammon. muriat. Sss; aquae rosae, q. s. ad Svj. M. (B). Manganese, the oxide sij-5j adipis suilli as ointment (B). Copper Sulphate, as lotion (Sj-Oj) has been used with great success, after crusts are thoroughly removed with soap-and-wa- ter (B). Carbolic Acid, locally (B). [See Tinea for formula. ] Cocculus Indicus, as ointment, useful (P). Tar Ointment, relieves itching quickly, and cures disease in 10 or 12 days (P). Anise, Kamala, as ointment1!, efficient (P). Benzoic Acid, gr. x-xx ad Ol/2 aquae, as lotion, effectual for the pruritus (R). Sulph. int. and ext. (fl); the main remed- dy (L). The disease cannot be cured by internal remedies alone (B, Js, J, fl, R). Internal remedies only required for great irritation of skin [for which Sulph. Croton, Sepia]; and for eruption beyond the burrows of the insect [Sulph.] (H). The ointment, long continued, apt to set up irritability of skin (R). Hepar sulph. externally, effectual(fl). Ac. sulph. when itching of skin and single pustules appear every spring, after imperfectly- cured itch (L). Storax, parts ij-j of glycerin rubbed in after bath and soaping (Vienna Hospital). Staph. 1 part to 30 parts of fat, as oint- ment, preferred by many (L). Merc, fat itch, esp. in the bend of elbows; itching all over, worse at night, when warm in bed, insomnia, diarrhoea (L). Oil of Lavender, an agreeable substitute for sulphur ointment (J). Populus balsamifera, (poplar) twigs in the bed where patient sleeps. Kills the acari as effectually as pyrethrum does bed-bugs, or borax the cockroaches (Hg). Balsams of Peru or Tolu, in water as bath, the next best to poplar (Hg). Ac. acet. as concentrated vinegar, rubbed in with rough sponge. Is effectual, free from odor, and secret (Hpl). Carbo veg. eruption dry and fine, almost over whole body, worse on extremities; itching worse after undressing (Hpl). Linen should be immersed in boiling water; other garments well fumigated with sulphur vapor to destroy insects or their ova (R). COMPARATIVE THERAPEUTICS 229 SCAELATINA. Aconite, of the highest value for all marked increase of temperature (B, R); helps the development of eruption when due (P); in the early stage, when not decidedly adynamic, is very useful (W). Belladonna, during the eruptive stage, when depression exists, and rash is im- perfectly evolved (B). As prophylactic has been recommended (R); is often effi- cacious as prophylactic (P). The pre- ponderance of evidence is certainly in favor of such use of the drug(Pf); this virtue is claimed by imposing authori- ties. When so given, its dose is gr. 1-7 several times a day (Tr). Mercury, gr. y of grey powder every hour has marked effect on inflamed tonsils (R). Ammonium Carbonate, feeble circulation, cyanosis, delirium (B); in all forms, esp. if given early (R). One of the most reli- able remedies; gr. iij-vij, according to age, in milk or cinnamon water, every hour or two (Wa). Mineral Acids. Muriatic, int. and as gar- gle; Nitric, to sloughs in throat (R). Carbolic Acid, int. and as gargle, success- fully used. [See Measles; for formula.] Seems to exercise some influence as prophylactic (Wa). Veratrum Viride, in convulsions R). Rhus Toxicodendron, of great service, if typhoid or rheumatic symptoms (P). Digitalis, very useful; lowers temperature and maintains kidney's action (B). Potassic Permanganate, locally to throat, and internally (gr. y-j ter die) has un- doubted benefit (B). Sulphurous Acid, by inhalation, spray, or fumigation, in malignant sore throat (R). Chlorine Water, in sloughing of throat (R); seemingly prophylactic (Wa). Quinia, small doses, in adynamic states, large in hyperpyrexia (B). Very suc- cessful when used systematically from the start (Wa). Ferric Perehloride, the tinct. in doses of n x-xv, according to age, in advanced stage, when with albuminuria and hema- turia, is very valuable (Wa). Juniper, as diuretic when dropsy (R). Aeon, or Gels. alt. Bell, during course, in simple cases (R). Bell, in smooth form, tense, bright-red skin, sthenic form, the best remedy; is prophylactic to this form (fl). Merc, in scarlatina anginosa, swelling, ulceration, a tendency to gangrene (fl). Amm. carb. malignant throat symptoms (fl); tendency to putrescence, great burning, smarting and itching (Hpl). Ac. mur. employed with advantage in malignant cases, with faint, dark-red eruption (Hpl); for sequelae of nose and ears (fl). Ac. nit. has been employed in malignant form; small, hurried pulse, stupor, ichor- ous discharge (Hpl); int. as gargle; or both, in scarlatina anginosa (-B). Ac. carbol. lx, has preserved life in malig- nant cases (Hpl). Ver. vir. lx, better than Aeon, or Gels, for arterial excitement, danger of cerebral congest'n (H); vomiting, for adults (R). Rhus tox. vesicular fauces, cedema (H). Gels, for imperfect eruption, cerebral con- gestion, remittent symptoms (R). Solan, instead of Bell., when the eruption is in spots, large, red, and livid (Ha). Ars. iod. irritating secretions, alterative of malignant processes (Ha). Apis, rapid swelling (R); nephritis (H); typhoid symp., cedema of throat (Hpl). Ars. during desquamation (R); nephritis (fl); involuntary discharges, skin changes to cold, pulse collapses (Hpl). Ailan. lx, scarlatina maligna, dark erup- tion, cerebral congestion (fl); eruption livid; putrid, typhoid forms, fever in- tense, small rapid pulse, delirium or coma (fld). Arum triph. ulcerated throat (R); nose and mouth sore (fl); picking nose and lips (fld); swollen lips, easily bleeding, swel- ling of submaxillary glands (Hpl). Stram. in place of Bell, when nervous erethism, convulsions, trembling, rest- lessness (H); muscular jerkings (R). Camph. rash retrocedent; hot within, though cold to touch; will not be covered (fl). 230 index Magnesic Sulphate, as purgative, to prevent sore throat and other sequelae (R). Sodic Sulpho-carbolate, as a means of intro- ducing carbolic acid into the system. Has been successfully employed (Wa). Mustard Bath, on recession of rash, to bring it back (R). Oil Inunctions, very grateful, especially useful in desquamative stage. Cocoa- butter the most elegant (B). Ice, sucked, in the sore throat (R). Water, cold baths with oil are all that are needed in mild cases. When tem- perature above 104°, urine scanty, and rash retroceding, the cold wet-pack ren- ders signal service (B, R). A cold wet compress to neck, through the whole course, renewed every 3 hours (R). Aconite, locally (P); as oint. controls in some instances (R); valuable and effici- ent in many obstinate forms (Wa). Rhus Toxicodendron, a very powerful ther- apeutic agent in various rheumatic af- fections of the fibrous tissues (P). Cimicifuga, is highly extolled (R). Turpentine, causes an exquisite sensibility along the track of the great nerves (Tr); occasionally of great value in sciatica, yet not a specific, nor have we scientific indications for its use (P). Sss doses for 4 or 8 successive nights (R). Sulphur, locally, believed to relieve the pain; effect probably due to the flannel surrounding it (R); is worthy of trial af- ter active symptoms are subdued (Wa). Phosphorus, neuralgic; less satisfactory in sciatica than in other neuralgias (R). Nux Vomica,often successful, ehronic(Wa). Belladonna, has afforded relief (R). Atro- pia, hypoder. is curative; large doses, gr. 1-50 to 1-30 in vicinity of nerve (B). Veratria, as strong oint. Veratrum Viride, as tinct. is also recommended (R). Ammonium Chloride, in mild forms (R); oc- curring in the young (Anstie). Ether spray, generally of temporary value (R); Chloroform on flannel along course of nerve, covered with oiled silk (Wa). X OP Sulph. during decline of the eruption, as a preventive of sequelae (R). Lach. scarlatina maligna; typhoid condi- tion (R); blue, passive congestion of throat (Hpl). Cupr. retrocedent, prostration, convul- sions (fl). Hell, for nephritis (R, H). Opi. comatose condition (R). Zinc, cerebral paralysis (R). Diet; fruit, if ripe, in season, toast, gruel. etc., in simple cases. In malignant, ex- tract of beef, stimulants as per pulse (R). Milk, the most suitable aliment, both as nutrient and as diuretic (B). Adjuvants, oil inunctions (R); water sponging and packing, a wet compress to the throat (R). Aeon, lx, thecal sciatica when recent (fl); in recent rheumatic, with much pain (R); has wonderful power in neuralgia in any part of body (Hpl). Rhus tox. 1, 3, pain increased by repose, or lying on diseased side (Js); in thecal sciatica, high dilutions (12th) preferred; rarely fails to relieve in the more chron- ic cases (iJ); with friction, for chronic rheumatic sciatica (R). Cimicif. considered by some the best rem- edy (R); hysterical tendency, ovarian or uterine complications (L). Tereb. is probably homoeopathic to, and has power over sciatica (II). Sulph., Phos. in low attenuations must not be lost sight of (fl); the former when hemorrhoids, pain increased at night from warmth of bed (Js). Nux vom., Phyto. chronic sciatica (R); the latter useful in sciatic rheumatism (Ha); chronic, syphilitic origin (L). Bell. alt. Cham, sharp pain, restlessness, continual complaining (Js). Ver. alb. , pains like electric flashes, chiefly at night, or early morning (Js). Amm. mur. pain worse when sitting (fl). Ign. sometimes preferable to Cham., esp. when great restlessness (H); chronic in- termittent form, hammering pain (L). SCIATICA. (Compare Neuralgia, Rheumatism Chronic.) COMPARATIVE 1 Stramonium, gr. y~y every 3 or 4 hours for 4 or 5 doses, often affords decided re- lief. Stop when slightest symptoms of narcotism appear (P). Opium, int. and ext. (Wa); Morphia, hy- poder. is esp. curative in sciatica (B); 3 or 4 injections of gr. y each; it may al- most be regarded as a specific (Wa). A single application sometimes cures long- standing cases permanently; if not, it may be repeated every 2d day or so (R). Iodides, in syphilitic or metal-poisoned subjects (B); often fails (R). Potassic iodide in doses of Sj daily dissolved in, decoction of sarsaparilla, most effica- cious in sub-acute or chronic (Wa). Cantharides, as counter-irritant to free vesication (R). Aquapuncture, has had extraordinary suc- cess (B). See under Neuralgia Acupuncture, occasionally affords instant relief (B); often cures cases of long- standing (R). Poultices, applied very hot (R). Turkish Baths, are often very useful (R). Electricity, produces excellent results (B); does great good, but often aggra- vates; the continuous current best, when stage of acute inflammation past (W). Cod-liver Oil, should always be tried in obstinate cases (W). Iodides. The iod. of ammonium when glandular enlargement; that of iron when debility and emaciation, a power- ful and efficacious remedy; also in anae- mia of scrofula, the syrup n xx-5j, ter die (Wa); disappointing, useful in sim- ple glandular hypertrophy (B). herapeutics. 231 Bry. 2 or 1, may replace Rhus, as in rheu. occurring elsewhere. Pain increased by movement (fl); lessened when lying on affected side (Js). Cham, will often cure in young persons of nervous temp.; intolerable pain, worse at night, of a drawing or tearing charac- ter, with paralytic sensation (fl). Coloe has always enjoyed a high repute (fl, R); esp. when pain is cramp-like, or constrictive; not a reliable remedy (Js); pains shooting and cutting, from hip to knee or heel, worse at night or from motion (Ld). Ars. when of long standing (H); in neu- ralgic sciatica (R); great pain increasing at night, sensation of burning (Js). Ledum 3, of great service in one very protracted case, with pain aggravated by touch and warmth of bed, swelling of leg and foot, which felt colder than the other (Ld). Lye. chronic, obstinate cases (H, B). Plumb. 12, succeeded in an utterly rebel- lious case, a year old (Js). Graph, intense pain (fld); numbness (L). Viscum, violent pains (fld); severe (L). Carbo bisulph. severe sciatica of both thighs (Ha). Ranunc. useful in some cases (H). Senec. sciatica of right side (R). Merc, biniod. enlarged glands, hard abdo- men, eruptions on head, face and ears (-K). Kali iod. enlarged glands, exostosis, necrosis, etc., all worse at night (L). Iod. sanguine temp., especially when wasting (H); glandular enlargements. enlarged mesenteric glands, hectic (R). SCLEEODEEMA. Cod-liver Oil, our sheet-anchor; used I Bry. is reported as having caused and internally and locally (B). cured a similar affection (Haningkrank- Electricity, is used successfully (B). | heit) in oxen (fl). SCEOFULOSIS. (Compare Cachexia, Glands, Hip-Joint Disease, Ophthalmia, etc.) 232 INDEX OF Iodine, tinct. or oint. applied over scrofu- ' lous glands—take care not to increase in- flammation (R). Iodine and iron the best remedies, but all medicines utterly useless without strict hygiene (A). Lime. The chloride, in doses of gr. x-xx in milk after food, when glandular en- largem'nt of neck and chronic diarrhoea. The phosphate ofgreat use for sores (R); is of eminent service as a palliative (Wa); see Sulphides, below. Spongia Usta, formerly held in high re- pute; has fallen into perhaps unmerited neglect. Contains sodic iodide, magne- sic bromide, calcic phosphate and ferric protoxide, in small quantities (Wa). Iron. Ferric and calcic phosphates com- bined give good results; also chalybeate waters (B); must be long-continued (R). Sulphides, for sores, abscesses, suppurat- ing glands; gr. 1-10 or 1-20 of calcic sul- phide every hour or two(R). Coniine, gr. 14 to Sj almond oil, locally 2 or 3 times a day to conjunctivae in "scrofulous" photophobia has proved very successful (P). Cod-liver Oil, the best remedy to promote assimilation (B); of great service in the various manil'estat'ns of this disease (R). Stillingia, a domestic remedy used with much success (B). Capsicum, in scrofulous and fistulous ul- cerations, a weak infusion becomes a useful stimulant (P). M'-j reum, strongly recommended (P). Sarsaparilla, useful by reason of its tonic and alterative properties (P). Hyoscyamus, the hruised leaves as cata- plasm for scrofulous ulcere (P). Phosphates, for mal-nutrition (B). Prunus Virginiana, is found very use- ful in the hectic (P). Chimaphila, holds a certain amount of reputation as a useful remedy (P). Tussilago, was employed by Cullen (P). Gentian, is valued. As infusion, a useful vehicle for chalybeates, etc. (P). Blisters, for scrofulous glands (R). Grape-cure, renders much service (B). Alcohol, no doubt us to its great value; with cod-liver oil, or in small amounts at meals (W). Calc. carb. is indispensable; lymphatic temp., fair skin, plumpness, morbid ten- derness of the glands, bones and joints (H); enlarged and hard abdomen in children (R); in scrofulous ophthalmia, otorrhcea, nasitis, ulcers, especially of the knee and hip-joints, glandular enlarge- ments, etc, (Hpl). Calc. hypophos., Calc. iod., are excellent remedies (fld). Spong. swelling and induration of glands, skin and muscles lax, light hair, great appetite and thirst (L). Ferr. as " tonic" for sanguine temp's (fl). Sulph. the great remedy for phlegmatic form, especially when skin and mucous membrane present morbid tendencies (fl); glandular swellings (R). Hepar sulph. chronic glandular abscesses, with symptoms of general scrofulosis (Hpl); inflamed and suppurating glands, slight injuries suppurate, boils, ulcers, fetid pus from ears (L). Coni. especially for glands and eyes (H). Cod-liver oil, of great value as food (Gt); when emaciation without febrile symp- toms; also by inunction (R). Value partly due to its Iodine (H, Ha). Sil. scrofulous ulcers, with callous edges, scrofulous affections of bones (R); a prime remedy (H). Cistus, has cured scrofulous abscesses; and hip-disease, with fistulous openings and ulcere on surface (Ha); eyes, ears, nose, and lymphatic glands (fl). Phos. short, dry cough; tendency to diar- rhcea or perspiration (R). Ars. debility very marked, exhausting bowel discharges, emaciation (R). Aur., Ferr., China, affections of bones, ozaena, cases dosed with Mercury (R). Bell, pain in eyes, photophobia, affected organs sensitive, convuls. of children (R). Berb. aquif. has cured severe cases (Ha). Phyto. has been highly extolled (fld). Sepia, females, with menstrual troubles, corrosive leucorrhoea, etc. (R). Aliment, raw or broiled meat, the latter for children. Abundance of fresh air and sunshine (Gt). Sea-air, sunlight, moderate exercise, and light, digestible food are necessary (R). comparative therapeutics. 233 SCUEVY. (Compare Cancrum Oris, Purpura.) Citric Acid, used with great advantage, tho' inferior to lemon-juice (Wa). Lemon-or Lime-juice, of the utmost value, both as preventive and a curative agent Efficacy believed to be due to its potas- sium salts. Oranges highly useful (Wa) Acids, esp. vinegar, to prevent scurvy, in the absence of lime-juice or fresh vege- tables (R). Potassic Clilorate, is probably a remedy of some value (Wa); is not (W). Cinchona, a decoction, or the dilute tinct. with myrrh or the chlorates, a very use- ful gargle. Quinia, internally when much prostration, combined with min- eral acids (Wa). Alcohol, diluted, as gargle (R). Atropia, hypoder. for salivation (R). Alum, a solution in water with tinct. myrrhae Sss, several times daily as lotion for ulceration of the gums (Wa). Liquor Sodx Chlorinatx, Svj ad Sxij aquae, as a mild application to gums (Wa). Chloral, the most effective remedy. Gr. xv-xxx every 4 hours (B, R). Staphisagria, has given relief (P). Kreosote, checks the vomiting (R). Chloroform, drop doses pure(R); njij-v on sugar (B). Atropia, hypodermically. Gr. 1-120 in epigastrium, will relieve (B). Morphia, gr. 1-12-% hypoder. will often relieve severe cases (B); often fails (Wa). Amyl Nitrite, by inhalation (B). Champagne, iced. Tablesp. doses every y hour (B). Calumba, a few drops of the tinct. will sometimes relieve (B). Spinal Ice-bag, often successful (R). SEBOEEHCEA. Glycerin, especially useful; with lead acetate, borax, zinc, diminishing secre- tion. Also acts efficiently when there is a want of sebaceous secretion (W). Zinc Oxide, Sj, plumbi carbonat. sj, ce- tacei Sj, ol. olivae q. s. Ft. unguent. (B). Ac. cit. used as preventive of and remedy for scurvy. Lemon-juice best (Hpl). Aeon, excellent for acute stomacace, or sore mouth, with ptyalism, in persons of scorbutic diathesis (Hpl). Amm. carb. in scorbutic conditions (Hpl). Ant. tart, stomacace or scorbutic inflam'n with ptyalism, swelling and vesicular redness of pharynx (Hpl). Arg. nit. stomacace with much bleeding of gums, whether scorbutic or not (Hpl). Ars. is very homoeopathic to many of the symptoms of scorbutic stomacace (Hpl). Carbo veg. used in scorbutic affections es- pecially for the gum-symptoms; also as tooth powder to strengthen gums and re- move fetid odor (Hpl). Rumex, an excellent auxiliary (fld). Dietetic treatment alone required. Lemon-juice plays no essential part in the treatment. The full diet of an hos- pital, comprising fresh meat, vegetables, and milk is generally sufficient (H, R). Chlor. hyd. in doses of gr. xxx,often se- cures comfort for a short passage (R). Staph. 6, before vomiting sets in (Teste). Creos., Tabac, Petrol, during sickness(R). Cocc. as prophylac, has no rival; checks sickness from carriage-riding (H). Petrol. 3*, has benefited (fl); also as pre- ventive, gtt. j-ij on sugar, every 2 or 3 hours (R). Nux vom. a remedy of great value; when indigestion with constipation (R). Tabac. may be occasionally useful (H). Apomor. 3, may find a place (fl); would recommend it (fld). Magnetic Belt, has proved very efficient, or a moderately tight girdle (R). (Compare Acne. ) Iod. the only promising remedy; under its use the beauty of the hair and the cleanliness of the scalp are much im- proved (fl). Natr. mur. esp. recom'd by Kafka (H). Calc. carb., Natr. mur., Phos., etc. (L). SEASICKNESS. (Compare Nausea, Vomiting.) 234 INDEX OF SNEEZING. (Compare Catarrh, Hay-fever, Influenza.) Arsenic. A drop of liq. arsen. three times a day in paroxysmal sneezing, allied to asthma (R). Potassic Iodide, gr. x, several times a day (R). Iodine, inhalations in paroxysmal sneez- ing, with itching of nose (R). Camphor, in incessant sneezing, with pro- fuse running from eyes and nose. The powder should be snuffed, or the alco- holic solution inhaled (R). Ars. frequent sneezing, copious discharge of watery mucus, burning in nose with soreness (L). Kali iod. Ipec, Plant., are indicated (R). Mere frequent sneezing, watery saliva, heaviness of forehead, pains in limbs(L). Euph. (R); running coryza, scalding tears, aversion to light (L). Gels, violent morning paroxysms of sneez- ing, excoriating discharge (L). Cotton Plug in each nostril. SOMNAMBULISM. (Compare Nightmare.) Potassic Bromide, will give decided relief in the somnambulism of children allied to epilepsy, often with squinting, which may become permanent; generally the result of deranged digestion. The night- mare of adults will usually yield to the same drug (R). Kali brom. is entirely homoeopathic to night-mare and somnambulism (fl); gr. v of the 1", at bedtime (R). Opium, heavy sleep. Zinc, Aeon., Cupr., Phos. (R). Artem. vulg. (Hpl). Copper-wire, worn from the body to the ground, said to be very successful (R). SPASMODIC AFFECTIONS. (See Angina pectoris, Asthma, Chorea, Colic, Cough, Convulsions, Croup, Dysuria, Epilepsy, Gastrodynia, Hydrophobia, Hysteria, Laryngismus, Pertussis, Tetanus, Torticollis, Trismus.) Aeon, in cramp of extremities, with numb- ness, tingling, and formication, called by some "tetany" (H); spasms excited by cold, dry air (R). Camph. gtt. v. every half hour (R). Bell, spasms of pregnant women, spasms of bladder and rectum (R). Nux vom. in cramps of calves, is curative and homoeopathic (fl); severe spasm of stomach and of the bowels (R). Ver. vir. sudden spasms of children from congestion, with nausea, prostration, etc. (R); choreic spasms (fld). Coloe spasm of the bowels (R). Amyl. nit. in spasm of stomach (fld). Cupr. 12, valuable for cramps of cholera, and calves; copper plates on legs (Js). Arn. cramps of the calves when from fa- tigue; -possibly in "writer's cramp" (fl). Gels. , cured one case of "writer's cramp" (fl); in spasmodic stricture of urethra, and croup (Ha). Aconite, ext. and int. for spasms not of a ] severe type; Aconitia, as oint. in the most severe, as well as in the milder local spasmodic affections; in angina pectoris, spasmodic asthma, cough, etc. (P). In spasmodic laryngitis, of good effect (R). Camphor, in many forms said to relieve, as strangury, etc. (R). Belladonna, of value for spasms of sphinc- ter muscles, esp. of pelvic organs (P); atropine hypoderm. in local spasm (R). Strychnia, of great value in spasmodic asthma (P); also in tetanus, chorea, and epilepsy (Pf, S). Veratria, as solution, brushed over lids once a day in painful spasmodic contrac- tion of the orbicularis (Wa). Opium, very useful as an antispasmodic, esp. if given with a stimulant, as alco- hol, ether, or chloroform (R). Ipecacuanha, in spasms of respiratory or- gans, ofgreat value (P). COMPARATIVE THERAPEUTICS. 235 Chamomile Oil, in spasms of hysterical persons in 4 to 6-np doses, a very excel- lent remedy; also useful in pseudo an- gina pectoris (P). Lobelia, a valuable antispasmodic incau- tious hands (P). Lupuline, in gouty spasms (P). Tboacco, in spasmodic asthma and for re- laxation of muscular spasms (P). Sumbul, in gastric, of use (P). Cardamons, are usefully employed in gas- tric spasms (P). Ammonia, useful in children's colic (R). Chloroform, inhaled for intestinal (R). Sulpho-carbolates, in flatulent "spasms", sometimes phosphorus better (R). Mustard Poultice, an excellent counter- irritant in spasmodic affections (P). Potassic Bromide, plethora-erections nor- mal, but persistent and teasing. Is harmful in debilitated states, or daily losses (B); with cold sponging, use of hard bed (R). Digitalis, sj or ij of the infusion twice or thrice daily. Few remedies are more successful in arresting sper. (R, P). Fee- ble erections, frequent emissions, cold hands and feet. R Infus. digitalis, Sviij; potassii bromidi Sj. M. Sig.—A teasp. night and morning; after a week at night only, is the best combination for spermatorrhcea of plethora (B). Cantharis, Deficient tone of seminal vesi- cles, erections feeble, sexual feeling tor- pid. Tinct. gtt. ij-iij ter die (R); with iron internally in emissions (R). Phosphorus, for the induced physical and mental debility. Also hypophosphites of lime and soda (R). Nux Vomica, relaxation and atony (B). Strychnia, in large doses, esp. when im- potence (R). Quinia, has been recommended (R). Belladonna, gr. y of extr. with gr. jss zinci sulphat. 3 or 4 times a day, often successful in nocturnal emissions (R). Atropia, relaxed genitalia, no dream or orgasm (B). Camphor Bromide, has been useful (W). Plumb, in local; removed cramps of par- alysis in one severe case (fl). Solan, nigr. for' 'tetany" (Js); valuable(fld). Hyos. spasm of the face in young persons when a local chorea (fl). Arg. nit. 3*, 3, cured one case of spasm of face of long standing (fl). Cliim. spasm of the bladder (R). sEseul. glab., Cimicif. in wry-neck, opis- thotonos.etc, of cerebro-spinal fever (fld). Physos. has cured tetanic spasms (fld). Tarant. said to have cured hysterical spasms in women (Ha). Viscurn, recommended in uterine (fld). Secale, for "tetany," numbness, tingling, formication, etc., esp. in nursing or preg- nant women, and when no aconite symptoms present (fl). Kali brom., Con?'., Ac. phos., Agnus, cas., Calad. no dreams with emissions, atonic cases with lack of vitality (fld). Digitaline 3*, the most effective agent for the frequent emissions (B, fl); in ereth- istic form (Ha). Canth., Staph, when due, as it often is, to chronic inflam'n of prostatic portion of urethra, ducts, vesicles, and prostate. Canth. when from spread of gonorrhceal irritation (fl). Phos., Ac phos. later on, the former when irritable weakness from venery and mas- turbation; the latter when simple debil- ity, frequent weak emissions, dragging aching in testes (fl). Phos., Canth., Cann., Puis., Iris, irritable cases, with amorous dreams and emis- sions (fld). Nux vom. is highly spoken of (fl). China, frequent morbid excitement, re- sulting in involuntary emissions. Con- sidered specific when of atonic form from masturbation or sexual excess(fl). Bell, weakness of seminal vesicles, with sweating of parts, lancing pains (Hpl). Camph. brom. 3x, 6*, passive form. Gr. ij -iij of crude drug effectually controls emissions and erotic dreams (Ha). Ferr. brom. 2x, when anaemia, debility and depression of spirits (fld). SPEEMATOEEHCEA. (Compare Emissions.) r. of Camph. irritable weakness, nocturnal emissions (fl). Nuphar. atonic spermatorrhcea (fl). Sulph. when due to suppressed cutaneous disorders (H). The 12th and 30th have made radical cure of ordinary form (Js). Aur. mur. natr. 2*, ter die, when with feeble erections and no dreams (Ha). Kind advice, frequently the best treat- ment, as this is often the phantasm of a morbid imagination (R). Bladder should be emptied after the first sleep (R). SPINA BIFIDA. 236 INDE Iron, iodide, useful in anaemic cases (B). Ergot, beneficial in relaxed state (B). Hydrastis, is a useful medicine (B). Cimicifuga, useful in weak, relaxed con- ditions (B); with hypochondriasis, very beneficial (P). Silver Nitrate, a vesicating solution ap- plied to perineum generally useful, and without danger (B). Arsenic, from weak and relaxed seminal vesicles. R Ferri arseniat. gr. v; ergo- tine (aq. extr.) Sss. M. ft. pil. no. xxx. Sig—One, night and morning (B). Iodine, injected into the sac (3ss of tinct.; or gr. ss, with potassic iodide, gr. v, aqua, 3j), has cured numerous cases (B); iod. gr. %, pot. iod. gr. %ad aq. sj (Wa). Collodion, as a means of compression (B). Lead-water and Opium, as lotion, over the seat of injury (A). Leeches, if pain persistent (A). SPINAL CONGESTION. Ergot, gives excellent results (Brown- Sequard). Turpentine, hot epithems, useful (Wa). Antiphlogistic measures, with rest and absolute diet. Wet cups or leeches to the column. Cool effusions to the spine while patient in a warm half-bath (Ros). Aconite, as ointment locally (R). Belladonna preparations locally generally are better than Aconite (R). Ignatia, in small doses diminishes irrita- bility of cerebro-spinal axis (Pf). Strychnia, persistently, will ameliorate wandering neuralgic pains due to irrita- bility of nervous system (B). Ergot, large doses for congestion (Ham- mond). Iodine, or Iod. and Glycerin injected after tapping (R). Calc. phos. (R, Hpl). The tumor should be protected by cotton- wool under a piece of leather or gutta- percha moulded to the part (R). Hyper, a very promising remedy for the effects (fl). Am., Dios., Hyper., Cicut. (R). (Compare Meningitis.) Aeon, in recent cases from cold, or sup- pressed menstrual or hemorrhoidal dis- charge (H). Nux vom. is homoeopathic; when exces- sive muscular action the cause of the congestion (H). Gels, has shown striking results (fl). npare Meningitis, Myelitis.) Aeon. alt. Gels., Nux vom., Strych. mur., Ign., China, Cimicif. (R). Atrop. will prove a valuable remedy (Ha). Ign., Cimicif., Agar, all in lx, cured the only two cases of this intractable dis order I have succeeded with (fl). Nux vom.. Sulph., when from onanism(B). Secale, for cramps, Tellur'., Naja. (H). Ver. vir. locally, as paint, or diluted with hot water (R). SPINAL CONCUSSION. SPINAL lEEITATION. Co: COMPARATIVE THERAPEUTICS. 237 Conium, in functional derangement of the cord, with excessive irritability of the reflex function (Wa). Firing, sometimes very beneficial (B). Electricity. An inverse galvanic cur- rent gives much relief (Hammond). Blisters, with hot-water bag to spine, large doses of strychnia, phosphorus, phosphoric acid, and opium, are the methods based upon the anaemic theory of the disease. Out of 156 cases, 133 were thoroughly cured (Hammond). Ergot, to starve the inflam'n by occlud- ing the spinal arteries (Hammond). Electricity, best. Galvanic current from spine to nerves and muscles (Ros). Treatment must be palliative and sup- porting only, in softening (fl). Mercuric biniodide. gr. j ad unguent. Sj, rubbed in before a hot fire, has given excellent results in chronic malarial en- largements of spleen (Wa, B). Quinia, in simple malarial enlargement (B); gr. xv or xx or more daily, one of the most effectual remedies (Wa). Ammonium Iodide, effective in chronic splenitis, with unguent, hydarg. iod. rubri externally; also small doses fre- quently repeated in all splenic derange- ments from malaria (B). Iodine, locally in chronic forms (B). Arnica, is very useful; the infusion int. and ext. (P); the tinct. diluted as lotion is very effectual (Wa). Aconite, the liniment to painful sprains often affords speedy relief (Wa). Turpentine, the oil as a liniment (P). Oil of Bay, as stimulating liniment (P). Cold douche, salt may be added. The force must be regulated by the condition of the tissues (R). Rest, the most essential measure; should be perfect. Warm fomentations, or cold affusion, opiates, and plain diet (D). Cimicif. lx, dull pains in occiput, pains shooting down the back (Ha). Irritabil- ity of spine a prominent symptom (Hpl). Cedron, Dios., Guaco, Kali hypophos. may be useful, the latter especially in condi- tions erroneously called "spinal irrita- tion," really myalgic (Ha). Ac oxal. spinal neuralgia, with acute pains, numbness and pricking in lower part of the spine (flpZ). Ars. in some forms, may cure (Hpl). Cocc. ind. 6, has benefited (Hpl). Bell, in the early stage of paralysis (fl). Phos., Plumb, atrophy threatening (H). Electricity, localized, probably of most importance in paralysis (fl). Phos., Ac. pic. are excellent medicines for spinal softening (fl). Merc, biniod., Nedr. mur., Agar, for hyper- trophy of the spleen (fl). China, essentially homoeopathic, and cu- rative of splenic enlargement, whether malarial, or from simple engorgement. Also Chin, sulph. (Hpl). Aeon, for so-called "splenetic stitches" ensuing upon undue exertion (Hpl, fl). Bry. inflammation of capsule, stitching pains (fl). Ferr. gland itself inflamed (fl). Cean. in enlargement, acute and chronic splenitis, the best remedy (fld). Arn. internally and externally, is the great remedy for sprains (fl). Aeon, scatters sanguineous conges. (Hpl). Aeon., Arn., Rhus, or Ruta, on compresses after bathing with very hot water for some time (R). Rhus tox. may be useful; pain worse when part is first moved. Arn. better (fl). Kali iod. or Iod. internally and externally for neglected sprains (R). Water, applied hot; rest, extension of joint, and sometimes a roller and splints, esp. in sprains of the ankle-joint (R). SPINAL PAEALYSIS AND SOFTENING. SPLENIC AFFECTIONS. (See Leucocythjemia.) SPEAINS. 238 INDEX of STAINS. Nitrate-of-Silver Stains may be removed by washing with potassic cyanide, sijss; iodine, gr. xv; water, Siij; or, after moistening the spots, drop on them a few drops of tinct. iodine, and wash out with a solution of sodic hyposulphite, Sss-jj (B). Blood-stains, if on dark-colored materials are best seen by an artificial light. After a few hours they become of a rusty, reddish-brown color, which they maintain for years. The microscope shows the characteristic corpuscles. These stains when on iron, are difficult to distinguish from rust; the latter is not soluble in water, while blood is extremely so. Heat applied to the metal will cause the blood to peel off' unless the stain has been exposed long enough to have rust mingled with the blood. A solution of blood in water, heated, forms a coagulum which is soluble in hot caustic potash, the solution thus formed is green by transmitted light, and red by reflected light. Menstrual blood cannot be distinguished from that resulting from a wound (Husband). STAMMEEING. Vocal Training. The rythmical meth- od, the most successful. The chief end in view is to regulate the precipitate, ir- regular form of respiration. Long con- tinuance necessary, six months, a year, or more, in special institutions (Ros). STEEILITY. (Compare i Aurum, cures sterility when dependent on chronic metritis or amenorrhcea or cold- ness, more certainly than any other remedy. Auri chlor.gr. 1-30 (B). Potassic Iodide, when due to syphilis (R). Dilation of os and cervix carefully when sterility depending on obstruction, with dysmenorrhcea (H). Sterility is frequently associated with uterine displacement (Meadows); less often with atresia. STINGS AND BITES. (Corr Ammonia, or Alkalies, a weak solution, in stings of insects, to neutralize the formic acid (R). Ammonia, as nervine stimu- lant in snake-bites, more useful than brandy or any other stimulant. 115 x-xx of liq. ammon. in water or wine, every J^-hour or oftener; also ext. or hypoder. 1 part to 2 aquae into a vein (Wa). Carbolic Acid, a weak solution sponged over the body, to keep off mosquitoes (R). Compare Chorea.) Stram. in medium dilutions, will do much good if used perseveringly (IT). Hyos. is also valuable (fl). The patient should be taught anew the use of lan- guage, and deliberately to form his mouth into the requisite shape (R). bortion, Dysmenorrhea.) Aur. mur. nat. 1, 3, has been used success- fully when from ovarian torpor (fld). Bor., Coni. are in most repute (fl). Iod. when strumous diathesis (fl). Iod., Conium, sterility in the male subject, if with atrophy of testicles (fl). Helon. held in high estimation (Ha). Cimicif. when due to congestion of the cervix,withderic'nt nervous energy(Ha). Gossypium, from uterine torpor (fld). Canth. may be successful (Hpl). pare Poisoning by Reptiles.) Liq. ammoniae, Aqua calcis, Aqua potass., Ledum, or Rhus, diluted (R). Ac. carbol. dilute, to prevent attack of insects (R). Allium. A fresh slice of an onion applied to a wasp or bee-sting, and frequently changed, gives instant and often per- manent relief (R). Lach. very useful for effects of tarantula- bite (fl). comparative therapeutics. 239 Arsenic, 1 part to 5 of black pepper. The '' Tanjore Pill" highly esteemed in India for bites of venomous snakes (Wa). Silver Nitrate, the sharpened stick applied to every sinuosity of the wound. Exci- sion safer (Wa). Sugar, applied to stings of wasps, said to relieve almost instantly (Wa). Ipecacuanha, as poultice or paste, allays pain and irritation; is regarded by some as almost specific (Wa). Stimulants, in snake-bites, freely; most important. Liq. ammon. the best (Wa). Ledum, immediately relieves itching of mosquito-bites, even in the 15th, the remedy for all punctured wounds (Teste); the most useful remedy for common stings and bites. Gtt. xx of to y a wineglassful of water, locally (-R). Apis, much swelling; Aeon, febrile symp- toms; Camph. also useful (R). Sage, Rosemary, or Mint-leaves, rubbed to the part, after sting of nettle (R). Sting, should always be removed, if left in the wound; pressing upon it with the barrel of a small key will expose it (R). STOMATITIS. (Compare Aphthae, Cancrum oris.) Potassium Chlorate, locally and int. Large doses necessary (gr. x-3j). In ulcerative stomatitis of nursing women, and aph- thae. Of no value in mercurial (B, R). Hydrastis, flu. extr. locally in mercurial and aphthous (B). Carbolic Acid, concentrated, in glycerin, carefully, as a mild caustic in aphthous stomatitis (W). Alcohol. Brandy-and-water an excellent lotion (B). Acids, Mineral, pure hydrochloric on pine wood to ulcers (B). Eucalyptus, a decoction of the leaves an efficient local application (B). Glycerin of Tannin, in ulcerative stom. (R). Copper Sulphate, solution painted over edges of gums in ulcerative stomatitis. Generally dry alum better (R). Alum, in ulcerative, applied dry with the finger several times a day, esp. when dis- ease affects one-half the jaw (R). Salicylic Acid, to ease the pain of catarrhal stom. One part (dissolved in sufficient alcohol) to 250 parts of water (R). Kali chlor. 1* trit, no better medicine; is confessedly homoeopathic. Also when from use of mercury (fl). As wash, gr. viij to Siv aquae (R). Hydras. , Sj ad O y aquae as wash every 3 hours, has cured the most obstinate cases (fld). Hydras, mur. ext. every 3 hours (R). Ac. carbol. wash, if odor offensive (fld). Merc the main remedy (fl); abundant salivation, swelling of glands (R). Ac. nit. portal congestion, biliousness (R). Bapt. with much saliva (R); in chronic sore mouth (Ha). Iris, strongly indicated in stom. with or without ulceration, but much burning in mouth. The 3d or 6th atten. of <\> of the green root (fld). Arum triph. has caused similar state (fld). Myrica, as a gargle or spray (fld). Cornus, as a lotion, in chronic (fld). Eupat. arom. aphthous stomatitis in wo- men and children (fld). Phyto. is efficacious in ulcerated sore mouth (fld). STEABISMUS. Belladonna, for the strabismus of enceph- alitis (P). Atropia, with strong convex glasses, to suspend accommodation for months, or years if necessary; may cure convergent strabismus in its earlier stages, in children of 3 years of age or younger (Green in C). Bell., Hyos., Cicuta, in children, as a relic of convulsions ((fl). Spig., Cina, Cycl., in children, as a symp- tom of helminthiasis (H). Spig., Phos., from causes not traceable (R). Bnj. rheumatic strabismus (R). Operation, when congenital (R). 240 index of STEOPHULUS. Glycerin, locally, combined with bismuth, and digitalis (Wa). Lancing the gums is proper (H). Water. Cold affusion when patient is stricken down unconscious(R). Absolute rest and quiet, free air, loose clothes. Potassic bromide, in cold water enemata. Stimulants when frequent and feeble pulse. Chloroform, if convulsions. Leech- ing, in stage of reaction (Wa). Sulphides, small doses (gr. ss-j), frequently repeated, are very serviceable (B). Calcic Sulphide, when ichor secreted in- stead of pus. Also arrests suppuration, or if that is impossible will hasten ma- turation (R). Quinia,recommended in profuse suppura- tion (R); to sustain system when suppu- ration prolonged (B). Sarsaparilla, is very useful (P). Phosphates, Parrish's to repair waste from suppuration (B). Iodide of Manganese and Iron, The syrup, in cachectic states resulting from sup- puration (B). Alcohol, excellent antiseptic dressing (B). I Aconite, quickly and repeatedly in early stages, during chill or soon after, the safest treatment (P). Salicylic Acid, or salicylate of soda, esp. useful as anti-pyretic (B). Chloral, gr. xx-xxx of the hydrate every 2 hours; no better treatment (Wa). Nitric Acid, Thuja. [See Condylomata.] Sulphurous Acid. [See Mentagra.] Carbolic Acid. [See Condylomata.] Cham, generally specific (fl"). Puis., Ant. cru., digestive organs at fault (fl). Calc. carb. (R). Glon. the most homoeopathic and effec- tive remedy (fl, R). Bell, for after-effects of a continuously hyperaemic type (fl). Ver. vir., Amyl nit., Gels., Scut. (Ha). Bell., Camph., Gels., Ver. vir. (R). Brandy, in small doses (R). Hepar. sulph. (calcic sulphide), will often check suppuration when impending, and promote when inevitable (fl). China, for drain of excessive suppuration and in suppuration of lungs (fl). Chin. sulph. prevents formation of pus (fl); has no such specific action; of great value when symptoms of intermittent type (Js). Merc averts when threatening (fl). Silica, excessive suppuration (fl). Arnica, checks suppuration (fl, Von G). Calend. kills suppuration. An excellent vulnerary. Has a most beneficial effect over wounds, promoting favorable cica- trization with the least possible amount i of suppuration (fl). Aeon, when the fever is of synochal (in- flammatory) type (fl). Ars. if of typhoid or asthenic character, much thirst, burning (fl). Lach. if pyaemic; has a high reputation in traumatic gangrene (fl). China, hectic, exhausting discharges (fl). Ac. nit. 1, Thuja, Lye, Cinnab., Ac. phos., Staph., are the remedies which have been found most effective. Thuja, in high EOKE. SUPPUEATION. (Compare Abscess, Boils, Carbuncle.) SUEGICAL FEVEE. SYCOSIS. (Compare Condylomata, Mentagra.) comparative therapeutics. 241 Arsenic and Mercury, Donovan's sol. int. highly useful, Mercurial Ointments are extensively employed (Wa). Sodic Sulphite, Sj; glycerini, sj; aquae, Siij; locally, when of parasitic origin (Wa). dilutions, is especially serviceable in ca- ses occurring simply, or in connection with gonorrhoea (fl). Ac. sulphs., Ac. carbol. locally, if parasitic nature be inferred (R). SYNCOPE. Cinnamon, the oil, as a powerful stimu- lant, sometimes employed (P). Alcohol, as brandy, or wine, when heart suddenly enfeebled from fright, etc. (R). Ammonia, internally, or breathed into the air-passages (R). Lavandula, the compound tinct. (Wa). Chloroform, internally, for hysterical peo- ple, as cardiac stimulant (R). Position, leaning forward, with head as low as possible (R). Galvanization of pneumogastric (B). Cold Water over the face, and volatile substances to the nose (R). Mosch. or Camph. by olfaction (R). Aeon., Opi., syncope from fright (R). Digitalin, as tonic to the heart (fld). Amyl nit. inhaled, is very useful (fld). Iod. tendency to syncope from constitu- tional causes (R). Cliina, tendency from loss of fluids (R). Ars. tendency with great debility (R). Ver. alb. coldness and blueness of the skin, with clammy sweat (R). Nux mosch. neurotic patients (R). Cham., Cocc, Ign., hysterical(R). Posture should be horizontal, with the head low (R). SYNOVITIS. (Compare Hip-joint Disease.) Potassic Iodide, with iron and quinine, in syphilitic patients with constitution bro- ken down (D). Iodine, in chronic, painted around joint; solut'n injected into white swellings (R). Mercury, and Morphia, the oleate locally (R); an elegant and efficient application (B). In syphilitic cases Mercury int. when acute symp. have subsided (D). Aconite, for pains in inflamed joints (R). Silver Nitrate, locally, to vesication almost, often very beneficial (Wa). Carbolic Acid, injected into joint (B). Alcohol, and water, equal parts, an excel- lent evaporating lotion (B). Blisters, a flying blister every night in chronic synovitis (R). Cod-liver Oil, in strumous cases (B). Surgical Treatment. Splints to keep limb motionless in all cases arising from injury. During acute stage splint should be fastened at some distance above and below joint, and not touch joint itself. Straight position, leeches to joint, or cupping near it; ice, evaporating lotions or hot fomentations. Blisters inapplica- ble until acute stage subsides (D). Kali iod. in chronic, if syphilitic, or mer- curial, predomin'ce of serous effus. (H). Iod. same indications as Kali iod. (fl). Merc, rheumatic; also in chronic scrofu- lous or "white swelling" (fl). Merc. iod. 3*, painful, chronic cases (R). Aeon, when fever, in recent, alt. with Bry. or Puis.; constitutional irritation (fl). Arn. a weak lotion, if from injury (fl). Bry. simple, in rheumatic patients (fl). Puis, in children, delicate women; chronic swelling after acute synovitis (H). Apis, when much effusion, little pain (fl); of great value, when swelling, great ten- derness, and burning, stinging pain (Hpl). Hepar sulph. ext. and int. if suppurat'n(fl). Sil. ext. and int. after evacu'n of pus (fl). Sulph., Calc. carb., with cod-liver oil, are useful in most cases (fl). Coloe. in chronic scrofulous synovitis, re- lieves pain from irritation of nerves (fl), Heat, as fomentations or poultices, in acute form (R). Bandage, or Strapping, to cause absorp- tion of fluid (fl); bandages (cold water) after alternate bathing with hot and cold water, in chronic (R). 242 INDEX OF SYPHILIS. (Compare Chancre, Condylomata, Ptyalism.) Mercury, the mainstay, in earlier and la- ter stages. R Mass. hydrarg. gr. ij; fer- ri sulph. exsiccat. gr. j; ft. pil. no. j. Sig.—3 to 6 daily, in the earlier second- ary stages (St). The best remedy for primary and secondary, not so in terti- ary, or in chancroid. Small doses are best, to stop short of ptyalism (B). Black- wash, calomel or citrine oint. very use- ful in mucous sores, tubercles, and ele- vated indurations; in syphilitic ozaena, psoriasis, rashes, condylomata, etc. The serious secondary and tertiary symptoms can be produced both by syphilis and by mercury; the phenomena produced by mercury are singularly similar to those which result from syphilis. Merc, be- lieved to be a true vital antidote against the virus (R); used for at least two years can eradicate it (Keyes). Nitric Acid, in secondary (R); holds a high place as an internal remedy (Wa); when sponginess of gums excessive, 5iv-3ij aq. teasp. 4 times daily; also use locally (St). Potassic Iodide, approached by no rem- edy in constitutional syphilis; also for mercurial cachexia, syphiloma of ner- vous system, and many disorders of syphilitic origin. Will certainly arrest ulcerations of nares, palate, etc., if given in large doses, gr. xx-sj every 4 hours (B, R), Of little value in early stages; in later should be combined with mer- cury (St). Iodine, as gargle for ptyalism; the tinct. applied to syphilitic sores of the throat (R); or Sss of tinct. to Siv syr. fusci; a teasp. well diluted ter die, after meals, when Pot. iod. cannot be borne (St). Iodoform, powdered over ulcers (B). Aurum,after mercury and the iodides, in old cases of secondary and tertiary, ul- cerations of the throat, ozaena, phthisis, syphilitic bone-diseases(B); its beneficial action incontestable (Tr). Stillingia, with nitric acid in chronic ca- ses of broken-down constitutions from mercury and iodides; has been most sat- isfactory (B). Merc, enjoys universal confidence (fl); the only needed remedy for "simple" syphilis (B); not essentially homoeopathic (fl); cures by "antipathic irritation" (Hah'n). Merc. sol. 1 to 6x, for recent and untreated chancre. Merc, oxidi rubrum 1, for neglected, but not mercurialized chancre (J). Merc. corr. phagedenic chancre (J, fl). All the preparations of mercury are recommended in secondary form, when patient not mercurialized. In syphilitic iritis large doses are neces- sary (fl). Merc-kali iod. preferred, being soluble in water, and easily removed from the body (Sherman). R Potas. iod. sij; mere, biniod. gr. ij; aqua; gaulth. Sviij. M. One teasp. 4 times a day. Substitute Merc. corr. in less stru- mous subjects. The above is my formu- la for the inevitable secondaries when the chancre is an indurated one (fld). Ac. nit. 1" to 3, for chancre treated with large doses of mercury (J, B, etc) mercu- rial results, ulceration of mouth, cracks about commissures of the lips; soft sores (fl). For the primary chancre, slight applications of Nitric Acid with dressings of dry Calomel, are all that are necessary (fld). Kali iod. perforating ulcer of soft palate (fl); cautiously, but continuously for ter- tiary symptoms, which are always due to abuse of mercury (B). Gr. 1-100 the maximum dose (/); full doses for ter- tiary symptoms, when rapid action required (fl). Iod. in minute dosage (Js); must play a much more important part in syphilis than it has hitherto (fl). Aur. holds a high place in many of the tertiary manifestations, esp. the sarco- cele, the osseous affections, lupus, ozaena, suicidal melancholy (fl, B, J); covers nearly the whole field of tertiary, with its cachexia (fl). Has no superior in syphilitic inflammations. Used in syphi- litic rheumatism, inflammation of lar- ynx, caries of bones, ozaena, etc (Hpl). Merc, Ac. nit., Aur. infantile syphilis (fl). COMPARATIVE Sanguinaria, in secondary and tertiary, is held to be very useful (P). Sarsaparilla, a most important remedy, as adjunct to, and in abuse of mercury (P); with guaiac and mezereon in tertiary form (B). See Guaiac, below. Belladonna, with mercurial oint. for sec- ondary ulcerations of rectum (P); tinct. 3iv ad sij aquae, a teasp. 4 times a day in water, instead of mercurials (St). Iron. The iodide in constitutional syph- ilis, to promote constructive metamor- phosis (B); where ansemia exists (R). Guaiacum, in tertiary only. As vehicle for pot. iod. and mercuric bichloride (B). Carbolic and Salicylic Acids, locally to syphilitic abscesses, carbolic best (B). Zinc Chloride, Iodide, Nitrate, locally to syphilitic ulcers (R). Denutrition. The Arabic "hunger- cure " efficient, but unpopular (B). Turkish Baths, or wet packing, amelio- rate and aid cure of constitutional syph- ilis (B). Cod-liver Oil, remarkably improves condition resulting from prolonged use of mercury and iodides, the syphiloder- mata, and squamae. Internally and by inunction (B, R). Lime, the chloride, and phosphate (R). [See Scrofulosis.] Iodine, by inunction with cod-liver oil (El); locally over glands; carefully, lest inflammation be increased (R). Pot. iod. in small repeated doses, valuable (Wa). Mercury. Corrosive sublimate with bark (gr. j-3ij tinct. cinchonae) after meals, for chronic glandular disease (D). Phosphates, for mal-nutrition (B). The hypo'phites act slowly but surely (Wa). Iron and Iodine, in various forms are the most useful remedies in scrofulosis, but medicine is powerless without strict hy- gienic measures (A). The iodide or phos- phate of iron and cod-liver oil, as for tu- bercle elsewhere (El). Cod-liver Oil, the best remedy to pro- mote assimilat'n (B); ofgreat service(R). 'herapeutics. 243 Stillingia, in syphilitic periosteal rheuma- tism; secondary nodes, with torturing bone-pains. Acts well in congenital syphilis, and when laryngitis (fld). Ars. phagedenic chancre, oint. 1 part to 1000(Js); never fails in gangrenous chan- cre (J, B); painful burning ulcers (fl). Kali bich. indolent ulceration of tonsils; affections of throat, eyes, skin and peri- osteum (fl). Hepar sulph. syphilitic alopecia (B). Berb. has considerable enthusiastic testi- mony in its favor. Doubtful (fld). Hydras, has cured syphilitic angina (fld). Corydalis, has cured syphilitic nodes, eruptions and ulcerations. May be use- ful in congenital form (fld). Creos. cutaneous syphilides, infants (fl). China, to support infants suffering from syphilis (fl). Silica 3x, Ars. gummata (fl). Thuja, con- dylomata (fl). Graph. 12, Lye 12, with cod-liver oil, for sarcocele (fl). Ac. fluor. 5, secondary of tongue and throat (fl). Phyto. secondary, periostitis (fl); ulcerations (fld). Cundur. of repute in Ecuador (fl). Calend. as lotion, with Ac. carbol. and gum-water (R, Mg). Calc. carb. the favorite with most; inval- uable if disease not too far advanced (fl). Lime-water Siij to a glass of milk (-R). Iod. 3", has made some of the most beau- tiful cures ever seen. Is of great value, esp. if proper diet and hygiene (fl). Merc. corr. evident inflam'tion of glands previous to tabes (fl, K). Ars. 3*, of great temporary service when diarrhcea severe (fl); excessive debility, emaciation, thirst (R). Bary. mur. given with advantage (fl). Sars. 18, Aloes 6, Colch. 12, in succession, each for a week or more, 3 or 4 times a day, give surprising results (Teste). Ac. phos., Sil., Gels, febrile symptoms, worse towards night (R). Olive oil, as inunction over whole body daily, when great atrophy (R). TABES MESENTEEICA. (Compare Scrofulosis.) 244 INDEX OF Aliment. Raw meat, cream, chocolate and cocoa, are valuable nutriments in these cases (El). Hygiene. Change of air, especially to sea-air, is all-important (El). Aliment, nourishing and simple. Pan- creatic emulsion said to cure rapidly. Baths. Sea or country air (R). Raw or broiled meat, cod-liver oil, abundance of fresh air and sunshine (Gt). TASTE, DISOEDEEED. Mercury or Podophyllin, as purgative for cankery taste unconnected with alcohol- ism; or half a glass of pure cold water daily half an hour before breakfast (R). Merc, depraved taste (R). Podoph. bitter taste and eructations (R). Puis, acid, bit- ter, or putrid taste; loss of taste (R). Also Plumb.,Sil.(R). Ant.cru. taste of food (R). TEETH. (Compare Dentition, Toothache.) Potassic Iodide, in doses of gr. x, thrice daily, often cures looseness of teeth from periostitis of alveolar processes (Wa). Iodine, tincture, painted over gums close to the teeth when the gums begin to re- cede. Also to remove tartar (R). Cinchona, powdered bark often used in tooth-powders (R). Collodion, on cotton, as stopping for ca- rious teeth (P). Liquor Sodx Chlorinatx, Svj ad sxij aquae, a highly useful application in fetid dis- charges from carious teeth (Wa). Kali iod. decayed teeth, feeling elongated, gums swollen (L). Arn. after extracfn, to hasten healing(L). Merc, Bell., Mang., Sulph. soreness and sensitiveness of teeth (R). Merc, Creos., Phos., Staph., Ars., Sil, Calc. carb., Calc. sil. for caries and de- cay of teeth (R). Ac fluor. fistula at root of tooth or gum, teeth extremely sensitive (L). Natr. mur. epulis, fistula dentalis (L). Washing and brushing often, is preven- tive and curative of decay (R). TEMPEEATUEE. [The portion of this article on Clinical Thermometry is contributed by Dr. Eugene F. Storke, of Milwaukee, Wisconsin.] Temperature, average normal, of adults, 98.6° F.; of children, 99°; of the aged, 98.8°. Diurnal variation about 1.5°, highest in the evening. A persistent variation of 1° without apparent cause, is a sign of serious disease. Above 108° F. a fatal sign, which issue may be averted by cold baths, reduced by ice from 96° to about 60° F. (A). The clinical thermometer placed in the mouth, axilla or rectum, and retained in situ for five minutes, should go hand in hand with aconite in the treatment of inflam'ns (R). For anti-pyretics see the articles Fever, Inflammation. Clinical Thermometry is one of the principal means of positive diagnosis. The thermometer should be self-registering, certified, and accurately marked according to the Fahrenheit scale. The most reliable temperature is that in recto, or in the vagina; less so in the axilla and folds of skin, and still less reliable in the mouth. A correct reading of the thermometer cannot be obtained in less time than five to seven minutes-. The average normal temperature of the body is 98.6°; which, like the pulse, will vary somewhat in individual cases. The temperature is increased at the prime of life, is raised and depressed temporarily by the influence of diet, stimulants, exer- cise, etc. The minimum diurnal temp, is observed at 2 A.M., the maximum at 4 COMPARATIVE THERAPEUTICS. 245 to 6 P. M. Any rise above 99.5°, or fall below 97.3°, if persistent, indicates disease; on the other hand, a normal temperature does not always indicate good health. The greatest recorded range of temperature in disease is 28°; the minimum is 95°, the maximum 123°. In severe and fatal cases it rarely exceeds 107°. It may rise 3°-4° after death, as observed in a case of typhoid fever in which death occurred with a temperature of 107°, which increased shortly afterwards to 110.5°. A tem- perature of 1073 indicates malignancy, and where met with for two consecutive days in typhus, scarlatina, measles, pneumonia, pyaemia, meningitis or rheumatism, death may be expected shortly. In relapsing, remittent and intermittent fevers, and in the initial chill of an abortion, the temperature may reach 107° without indicating great danger. During the last hours of life, in many diseases, the temperature rises to 109°-111°; for example, in tetanus, sun-stroke, typhus, etc. With a temperature of 95°, collapse is imminent. A high average temperature (above 104°), is found in severe pneumonia, scarlatina, remittent, typhus, typhoid and relapsing fevers, pyaemia, etc. A moder- ately high temperature (102° and above), is seen in peritonitis, acute rheuma- tism, pericarditis, pleurisy, dysentery, cerebro-spinal-meningitis, catarrhs, etc. A temperature of 100Q and above, is found in chronic affections, incipient inflamma- tions, and mild fevers. When, in effervescence, the heat increases rapidly, it will, in defervescence, decline proportionately fast, and vice versa. Beware of a grave affection when the temperature is of a continuous type. A distinct interval between morning and evening temperature is a favorable sign. A slow and gradual increase indicates typhoid fever; in rheumatism and anomalous fevers the increase is more rapid, and still more so in acute inflammatory disease, pneumonia, angina, pleu- risy, typhus, scarlatina, rubeola, etc. It is usually very rapid in intermittent fever, febricula, and ephemeral fevers. A rapid effervescence and slow defervescence indicates some complication of disease; the reverse order indicates great danger. In Phthisis, the temperature is higher in the evening than in the morning; later, higher at early bedtime than at noon, and high again at dusk. This is a valuable and delicate test of the progress of tuberculization. In Typhoid Fever, the accession is by a rise of one degree each day, with the diur- nal variation. If the evening temperature does not exceed 103.5°, the disease will probably be mild; but a temperature of 105° in the evening indicates a severe type and much danger. A sudden reduction to 95° in the third week, denotes intestinal hemorrhage; a lingering temperature of 101°-102° in the fourth and fifth weeks indi- cates noncicatrization of the intestinal ulceration. In Scarlatina, the rise of temperature is rapid, 104.7° may be reached in a few hours. It seldom rises above 105° and never above 106°; it is continual until the eruption begins to fade, when remissions take place, unless complications arise. In Measles, 103° is the usual temperature, with daily variations, increasing with the eruption and catarrhal symptoms. A high temperature lasting beyond the tenth day denotes complications. In Diphtheria, the temperature by the end of the third day will, in uncomplicated cases, not exceed 103°-104°. It falls temporarily with the exudation. Defervescence in the severe, favorable cases, is from the twelfth to the fourteenth day; in the milder cases not before the sixth. In some fatal cases it occurs early, from the third to the fourth day. In asthenic cases, the temperature of the surface falls, while that of the interior remains high —100° in the axilla, and 103° in the rectum. During convalescence, the temperature is low, and readily depressed, but may be raised by intercurrent maladies. Any increase after the first five days, or a continu- ous high temperature after the first ten days, is unfavorable. A sudden rise may indicate complications. 246 INDEX (IF TESTICLES. (Compare Hydrocele, Orchitis, Varicocele.) Mercury, the oint. locally in indurations and enlargements of testes (Wa). Corro- sive sublimate, with cinchona or sarsa- parilla in sarcocele (D). Water, cold applications in neuralgia of testes, with tonics, and neuralgic treat- ment generally (D). Suspensory Bandage, with rest, in many affections of the testes (D). Ac. phos. will cure dragging, aching pain in testes, with weak emissions (fl). Aur. neuralgia of testes (R). Aur., Iod., Coni., Kali iod. 2*, 3*, wasting or atrophy of testes (R, fl). Clem., Graph., Sulph. frequently dissipate chronic induration of the testes (sarcocele)(L). Aur., Collins., Ham. neuralgia of testes (L). Magn. mur., Nux vom. hernia scrotalis (L). TETANUS. (Compare Spasms.) Strychnia, of decided service (P); cured 8 cases of traumatic form, in doses of gr. y to 1-16 (S); is conclusively curative, esp. in chronic and spontaneous, rather than in traumatic. Strychniae sulphat. gr. 1-60 to 1-30 (B). Aconite, has benefited many cases (P); its success warrants further trial (Wa). Belladonna, successfully used in many ca- ses; the extr. int. and locally to wound (Wa); gr. 1-125 atropiae injected into mus- cle (B). Bleeding, vapor-baths and large doses of bellad. have cured tetanus (Tr). Nicotia, by rectum or hypoder. appears to be useful in many cases (R); much evi- dence for it as the best remedy (P); effec- tive but dangerous. R Nicotiae, gr. ss; aquae destil. Sij. M. Sig.-—it]! x contain gr. 1-24. Hypodermically (B). Physos- tigma better (Wa). Potassic Bromide, not less than sss during the day, with chloral at night as a hyp- notic. Out of 21 cases but 3 died. Its physiological action i ndicates it to be the best remedy known (W). Chloral, in large doses(3j) no remedy more effectual (B); has sometimes cured (R); best used in combination with potassic bromide (W). Gelsemium, cured several cases (B, P). Hyoscyamia, gr. 1-32 gradually up to gr. 1-15, ameliorates (B). Physostigma, has been used with excellent results (P); the fluid extract by mouth if possible, at very beginning, and must be pushed untiljustshortof arresting breath- ing (B). Evidence is discrepant (B, W). Apomorphia, may prove antagonistic (P). Strych. its homceopathicity needs no dem- onstration; would be indicated by keen susceptibility to reflex excitation (H); the 6th given with best results in tetanic spasms of cerebro-spinal fever (Ha). Aeon, many cases of poisoning prove its homceopathicity. Its chief place in the idiopathic form, esp. when excited by cold and wet (fl, R, Hpl). Bell, indicated in rheumatic form (Hpl). Atropine, in idiopathic, from congestion (R); trismus, with dyspnoea, delirium and sopor, contortion of eyes, opisthot- onos, pleurosthotonos esp. to left side, dilated pupils, staring eyes, etc. (£). Nicot. is a tetanizer to both voluntary and involuntary muscles; some of the success claimed for it may be due to its homce- opathicity (fl). Kali brom. in traumatic form(iJ); has been used successfully (fld). Chloral, (R), massive doses necessary (fld). Gels, inmed'mand high attenuat'ns (fld). Hyos. alternate convulsions of upper and lower extremities, constriction of throat, drawing of neck to ono side, rigidity of hands, contortions and spasmodic curv- ings of body (L). Ac. hydrocy. is homoeop'c and has cured; no differential indications (^1); tetanic spasms with lockjaw, protrusion and glistening of eyes, bloating of face and neck, convulsions from congested cere- bral vessels (L). Arnica, has positive value (fld); traumatic tetanus, jerks and shocks, internal chil- liness with external heat; pulse varia- ble, mostly hard, full and quick (L) comparative therapeutics. 247 Curare, hypoder. has much evidence for its power (P). Cannabis Indica, used with marked suc- cess in traumatic form (P). Difficult to obtain an active extract (W). Anxsthetics. Ether to relieve pain (B). Chloroform, in small and frequently re- peated doses, also by friction, has been useful in"many instances (Wa). Amyl Nitrite, used in 3 cases with marked benefit as spinal sedative (W); has been used with success (B, R). Morphia, hypoder. deeply into tetanized muscles (B); of no value CWa). Conium, is indicated, but has not been successful (B). Water. Warm baths, and cold, or ice, afford only temporary amelioration (B). Spinal Ice Bag, extremely useful (R). Cicut. vir. perhaps has value (fld); tris- mus and tetanic rigidity from injuries to head (L). Angus, vera 3, has been successfully used in violent parox. and opisthotonos (Hpl). Bry. in traumatic; has been employed with some apparent success (Hpl). Ars. tetanic spasms, with frightful con- cussion of limbs, sudden sinking of strength, skin dry (L). Camph. loss of consciousness, coldness over body, oppressed breathing (L). Cupr. face pale, foam atmouth, jerking of limbs; opisthotonos, limbs spread side- ways, loss of consciousness, vomiting(L). Cina, Ign. idiopathic, from worms (R).. Ice, applied along the spine (fl). Division or stretching of any nerve-trunk connecting wound with spinal cord (fl). THIEST. Acid Drinks, promote secretion of saliva in fevers (R). Tepid Drinks, are useful in the thirst of diabetes (R). Ice, sucked, allays thirst (R). A symptom of many drugs. L gives 25, the most prominent being Ars. thirst for cold water, vomits after drinking; Bell., Stram. throat dry, no desire for water; Bry. large draughts. THEOAT, SOEE. (Compare Tonsillitis, etc.) Aconite, when temp, high, half-drop doses of tinct. every y hour for 2 hours, then every hour, will almost certainly prove efficacious (R). Valuable in ordi- nary sore throat (P). Belladonna, is very admirably adapted to the treatment of ordinary sore throat. When much fever, combine with Aco- nite (B, R, P). [See Catarrh, Acute.] Mercury, in acute tonsillitis, whichsee(R). Nitre, dissolved in mouth, to abort (Wa). Tannic Acid, as powder, gargle, spray (P). Glycerin of Tannin, after acute inflam'n; in ulceration of apthous sore throat; daily when tendency to catarrh (R). Ipecacuanha, the wine as spray, in non- inflam'y sore th roats and hoarseness from congestion of vocal chords (R). Capsicum, 3j of tinct. to Oy aquae as gargle, in some sore, and malignant sore throats (R, P). Alum, dry, or in solution (R). Aeon, in rheumatic, usually sufficient; also occasionally, when much excite- ment of the general circulation, and elevation of temperature (fl). Bell, displays wonderful powers in throat affections, when membrane highly in- flamed without much swelling. Ulcers of throat on inflamed base, and very painful (fl). Scraped sensation, and bright redness of the part (R). Merc, inflam'n of low grade, with general ulceration; seldom indicated. In putrid sore throat indispensable (H). Kali nit. a few crystals dissolved in mouth at very commencement, will usually abort (if). Tannin, as gargle, when much mucus(U). Apis, iii general cedema of throat, in- valuable (H). Bary. carb. 6, if Bell, and Merc, are insuf- ficient, and inflam'n confined to the tonsils (R, fl). 248 INDEX OF Myrrh, as gargle, in ulcerated (P). Cimicifuga, in simple (R, P), and malig- nant, when mucous, membrane dry and spotted with inspissated mucus (R). Arsenic, in medicinal doses, in sloughing of throat or malignant sores (R). Iodine, tinct. locally to sores, whether syphilitic or not (R). Nitric Acid, undiluted to sloughs (R). Silver Nitrate, locally, in early stage of inflam'n, may cut it short (R). Sulphurous Acid, by inhalation, spray, or fumigation, for malignant sore throat, scarlatinal or otherwise (R). Water, cold compress nightly, to harden the throat when tendency to catarrh (R). Ice, constantly sucked (R). Phyto. int. and as gargle, accumulation of mucus (R); throat symptoms severe and grave (fld). Hydras., Lach., may be required (R); the former a favorite gargle (fla). Hepar sulph. chronic cases (R). Arum triph. burning roughness and sting- ing sensation (R); and sudden swelling of the tissues (fld). Bapt. throat not painful, but looking livid, dark purple (Ha). Gymnoc. Ham., Lithium, Podoph., Puis., Sang., are often indicated (Ha). Allan., Bapt., Merc, cyan., Ac. carbol., Solan., in malignant sore throat (fld). •Water, cold compresses, gargles of hot water, or steam by inhalation (R). TIC DOULOUEEUX. (Compare Neuralgia.) Arsenic, cures, influences nutrition (B). Phosphorus, useful. Gr. 1-100 to 1-12 ev- ery 3 hours (R). Belladonna, Aconite, Spigelia. Iodides, Mor- phia, Cimicifuga, Gelsemium, Turpentine, Galvanism (B). [See under Neuralgia.] Croton-chloral, palliative in doses of gr. v every y hour till gr. xxx taken (W). Stramonium, gr. ytoy every 3 or 4 hours for 4 or 5 doses, often affords decided re- lief. Stop if narcotic symptoms (P). Lauro-cerasus, sometimes removes (P). Ars. in true tic doul. (epileptiform neu- ralgia) is facile princcps (H,R). Phos. would be esp. applicable to this form of neuralgia (fl). Themediumdi- lutions (Js). Bell., Aeon., Spig., Ver. vir. Sumbul, Amm. val., Cedron, Coloe, Rhod., Kalmia, Ver- bas., etc. [See Neuralgia.] L gives in- dications for the use of 57 drugs. Sulph. , has considerable success (fl). 77uy'a 3, Cocc. cact. 3, alternately have ef- fected cures in severe cases (Js). TINEA CIEOINATA- Mercury. The bichloride, 1 part to 250 of water, as parasiticide solution, after de- pilation (A). [See also T. Tonsurans.] Carbolic Acid, a very efficient application; 3j ad sj glycerini, locally (B). Sulphurous Acid, better and safer (A). Cocculus Indicus, the decoction locally, af- ter washing the skin well (P). Oil of Cade, the best depilatory known (A). Fungus—Trichophyton tonsurans (A). Eingworm of the Body. Merc., Ac. carbol. as local applications (R). Ac. sulphs. as parasiticidal application, without epilation (fl); diluted with equal parts of glycerin, or with 2 or 3 of water, applied on lint to part, and covered with oiled silk to prevent evaporation. Cocc. ind. (Hpl). [See T. Tonsurans.] Calc. carb., Sulph. with hygienic meas- ures, to procure and retain a healthy condition of skin (R). TINEA DECALVANS-Alopecia Areata. Parasiticide Lotions, must be used after epilation, and washing of head daily with soft or black soap. Stimulants (as Collodium with Ether Cantharidalis, equal parts), after fungus is destroyed (A). Fungus—Microsporon Audouini (A). Parasiticidal Applications, and epilation, are best in this, also in all the parasitic affections (Tinea), whether of animal or vegetable origin (fl, B, Js). Ac. sulphs. makes an excellent lotion for these affections (fl). comparative therapeutics. 249 TINEA EAVOSA-ravus. Mercury. Hydrarg. chlor. corr. 9j; cerat. simplicis Sj; efficient when used early (B); or gr. ij ad Sj aquae after each epilation (R). Sulphurous Acid, Sulphites, and Hypo- sulphites, as parasiticides (B). R Sodii hyposulphitis Siij; ac. sulphurosi dil. Sss; aquae q. s. ad Sxvj (Startin). Carbolic Acid, Cod-liver Oil, locally (B). Oils, to facilitate removal of scabs; head to be greased freely to prevent spreading. A mild mercurial pomade, or quinine in glycerin best (R). Fungus—Achorion Schonleinii (A). Merc, Ac. sulphs., Ac. carbol., locally, as parasiticides (R, fl); with epilation (fl, B, Js). Calc. carb., Sulph. [See T. Circinata.] Sulph., Dulc, Viola trie,, Olean., Hepar sulph., according to symptoms. Its treat- ment one of the triumphs of homceopa- thy (Teste). Cleanliness, and free use of soap and water, is a sine qua non, and in some cases of tinea may be alone sufficient to produce curative results. Isolation of person, and brushes, towels, etc., neces- sary to prevent infection (R). TINEA TONSUEANS—Eingworm of the Scalp. Mercury. Hydrarg. chlor. corr. 3j ad Sj unguent, simplicis, an effective applica- tion when used early (B). Sulphurous Acid, with glycerin (R). Carbolic Acid, 3j ad Sj glycerini (B). Viola Tricolor, the leaves are employed in Italy for tinea capitis (P). Cocculus Indicus, (P). [See T. Circinata.] Potassic Sulpho-cyanide, Sss with sj glycer- ini, Sviij aquae, as lotion (R). Iodine, Sij ad Sj of oil of wood-tar (R). Arsenic Iodide, the best constitutional remedy; gr. 1-10 increased to gr. y for an adult; gr. 1-20 to 1-15 for children, with alkaline lotions locally (Wa). Manganese, in porrigo capitis. R. Man- ganesii oxidi, sulphuris, saponis dur. aa Sj; adipis suilli 3iij. M. Sig.—Oint- ment (B). Lead, in chronic porrigo capitis; the oint. of the iodide (B); will complete a cure after alkaline lotions (Wa). Fungus —Trichophyton tonsurans (A). [Compare Tinea Circinata.] Merc, corr., Ac. sulphs. the best parasiti- cides, which should be resorted to if in- ternal remedies fail (fl). Ac. carbol. 1 part to 10 of Canada Balsam, Oleate of Merc, Ac. sulphs. exter. (R). Viola trie, in porrigo capitis, when much distressing itching (fl). Cocc. ind. causes itching, blotches, pus- tules. Is used in tinea capitis (Hpl). Sepia 6, the great remedy for tinea ton- surans; failing which, parasiticides (fl). Calc. mur. 1, my favorite in porrigo cap- itis of children. Also Silica, where abundant suppuration; Sulph. often in- terposed (fl). Ant. tart, when tinea capitis caused or ac- companied by such gastric derangem'nts as indicate antimony (Hpl). Arc. lap., Iris vers., Phyto. (Ha). Plios. <£>. Sj ad Sj castor oil, by friction for half an hour at a time three times a week after washing the part in warm water, will usually restore the hair in six months (R). TONGUE. (Compare Glossitis, Ranula.) Potassic Chlorate, gr. v int. and Sj-ij ad Oj aquae locally; in ulcers of tongue (Wa); also in rawness of tongue in ad- vanced phthisis. Potass, chlor. gr. xl- lx; glycerini Sss; morphiae gr. jss-ij; syrupi ad siv. M. A teasp. swallowed slowly (Wa). Kali chlor. , Merc, corr., Merc, Merc, iod., simple, non-mercurial ulcer (R). Kali iod. in chronic inflammation, with deep fissures, and hypertrophied pap- illae. Is thoroughly homoeopathic (fl). Ant. cru. white, offensive breath (R). Kali bich. tongue of yellowish color (R). 250 Potassic Iodide, in syphilitic ulcers of] tongue (D); and in hypertrophy (A). i Potassic Bromide, Sj to svj water as wash, j may soothe morbid sensibility of the tongue (A). Borax, gr. xl; glycerini sj; aquae siv. ' As application in cracked tongue (Wa). Iodine, the tinct. locally by a fine brush, or as a gargle with 7 or 10 parts of water and some honey, has given uniform suc- cess in malignant ulcers (Wa). Conium, thought to act specifically with benefit in ulcer of the tongue (Wa). Cinnamon, the oil as a powerful stimu- lant in paralysis of tongue (P). Ginger, Cochlearia, Pyrethrum, as gargle; Cloves, Mezereon, Pepper, asmasticatories, in paralysis (P). Fr-enum should be divided in tongue-tie; use blunt-pointed scissors, directing the points down, close to the jaw, so as to avoid wounding the ranine artery (D); better to cut as little as possible, and that directly backwards, as the artery of the fraenum may proceed from the sublin- gual (Holmes). Puis, tongue rough and white (R). Nux vom. fore-part clean, back-part thick- ly furred (R). Rhus tox., Bry., tongue brownish (R). Merc thick, whitish, slimy fur; offensive breath(-R); sweet taste in the mouth (fl). Ars. silvery, marks of teeth (R). Kali cyan, cured cancerous ulcer (fl). Ac. mur. has special affinity (H); ,4c. mur., Sil, with Bapt. as wash, for ulcers of tongue (R). Hydras., Phyto. int. and ext. for ulcers, and fissured tongue (R). Ac. nit. mercurial ulcers; cracked or fis- sured tongue (A). Ac. mur. is better here (H). Apis, for acute cedema of tongue, if time has passed for an emetic (H). Ac. fluor. of marked advantage when syphilitic manifestations (H). Sil., Ars. cure carcinomatous ulcers with tolerable speed (/). Aeon. <#>, in paralysis, when recent, from cold, exposure, damp (Hpl). Bary. carb. (R); Bell.,Plum., Anac, Olean., in paralysis of the tongue (fl). TONSILLITIS. Aconite, when accompanied by fever and elevated arterial tension, relieves greatly. Gtt. ss-j every y hour or hour (B); every y hour for 2 hours, then every hour, will almost certainly prove efficacious (R). Belladonna, of surprising efficacy; gtt. v of <£> every 1 or 3 hours in Sss aquae (P). Mercury,often speedily removes. Calomel gr. 1-20, or mere, cum creta, gr. 1-5, ev- ery 2 hours. Not in chronic forms (B). Gr. y of grey powder every hour when tonsils almost meet, has marked effect. The oleate of mercury and morphia in obstinate and painful tonsillitis (R). Silver Nitrate, locally may abort, if applied early (R). Guaiac, disagreeable, but very effective (B, P). Sss doses of tinct. every 4 hours has remarkable power. Should be given in emulsion with mucilage or yolk of an egg (B). Alum, dry or in solution (R). Aeon, used in time prevents suppuration (Hpl); when much sthenic fever (fl); 1 headache, dizziness, restlessness (R). Bell, faucial mucous membrane involved, ! headache and flushing of the face, much I heat and pain, bright redness (fl). Merc. corr. or Merc. dul. to avert suppu- [ ration (fl). Merc. iod. or Merc. cyan. ulcers, swollen throat, fetid breath (R). Bary. carb. 6 or 12, still more effectual in averting suppuration, if given early. A most potent remedy (fl); in 3, almost specific (R); also in strumous cases when tendency to tonsillitis (Hpl). II'par sulph. if suppuration seems inevita- ble (H); given early, often prevents(R). Apis, cedematous, not much pain (H); pain burning, stinging, dry mouth and throat (Hpl). Naja, iMch. nervous, begins in left tonsil, syphilitic, dark-red fauces (fl). Ailan. malignant, ulcerative (fld). COMPARATIVE THERAPEUTICS. 251 Potassium Iodide, locally (gr. j-v-sj), is useful (B). Capsicum, the dilute tinct. in a gargle, or in powder applied on a swab, is useful in severe tonsillitis, esp. in that accom- panying scarlatina (W). Quinia, gr. x-xv will sometimes abort (B). Tannic Acid, is useful (P). Ice and wet pack, extremely grateful (B). Cold Wet Compress, nightly, useful (R). TONSILS, ] Ammonium Iodide, sss in sj glycerin, ap- plied every night by a camel's hair brush, very efficacious (Wa). Tannin, a strong solution touched daily to tonsils (H); a few sips of a saturated solution (Sss in Siij aquae) slowly sipped, will stop bleeding, if profuse (A). Silver Nitrate, touched daily to tonsils, will sometimes make them shrink (H). Catechu, a serviceable astringent gargle; the infusion Svj with tinct. of kino sij. M. (Wa). Ox-gall, locally, is praised (Wa). Excision of a part of tonsil (H). Macken- zie's double guillotine removes both ton- sils at once. Hemorrhage seldom happens; ice will generally check it (A). Coptis, the infusion as a gargle (B). Sulphurous Aciel, dilute locally by spray, or a solution of sulphite of soda in water (Sj-Sj) (B). Potassium Iodide, will arrest syphilitic ul- cerations at once (B). Tannin, R Ac. tannici 3j; mastich. gr. x; etherisSss. M. Sig.—Apply on cot- ton to a carious tooth (B). Creosote, with tannin or opium or chloro- form into hollow of decayed tooth often gives relief (R). Phyto. severe diphtheritic form (fl); fol- licular tonsillitis (fld). Ars. severe, great prostration, tonsils pu- trid or gangrenous (R). Arum triph. pricking, stinging pains, sud- den swelling (Ha). Ice, locally, or steam of hot water, milk- and-water gargle, hot poultice from ear to ear (R). Throat Compress, in mild cases (R). Bary. carb. of great value, esp. in children of fair complexion, after quinsy, or as sequel of scarlatina (Hpl). Bary. mur., Bary. carb. 3, Bary. iod., when the result of repeated attacks of inflam'n (fl). The latter gives very gratifying re- sults even when induration (fld). Bell, is homoeopathic to swollen tonsils, may be depended on (Hpl). Calc, phos., Calc. iod. simple hypertrophy of strumous origin (fl, R). Iod. 3, cured one such case (Js); the di- lute tinct. locally (R). Sepia, Sil. stru- mous cases. Kali iod. syphilitic cases (R). Surgical measures should receive unpre- judiced consideration, as the medicinal treatment is tedious in the extreme (fl). Merc. iod. ulcerous tonsillitis, profuse perspirations (R); studded with ulcers (L) Ailan. malignant, ulcerative ton. (fld). Canth. aphthous ulcers on right tonsil (L). Lye tonsils enlarged, indurated, and studded with many small ulcers (L). Ac. tann. in tinct. of myrrh applied on cotton or wool every y-houv or hour, almost infallibly relieves (R). Creos. 12, when caries of teeth; frequent- ly until relieved, then bis die as a pro- phylactic (fl). TONSILS. ULCEEATED. TOOTHACHE. (Compare Dentition, Teeth.) 252 INDEX of Aconite, oint. or liniment for facial neu- ralgia due to diseased teeth, will succeed quickly if at all (R, Wa). Arsenic, gr. 1-20, as escharotic to destroy pulp, when for pain may be mixed with opium. It sometimes at first aggravates painfR, Wa). Staphisagria,the alcoholic solution drop- ped into the cavity (P). Alum, a solution in nitric ether (Sij-svij) is said to be an effectual application (B). Alum and salt powdered and placed in the cavity, excellent when nerve ex- posed. Chloral, rubbed up with equal weight of camphor, rubbed or put into cavity (R). Chloroform or Croton-Chloral, equal parts of the former and creosote, a good appli- cation (R). Conia, solution in alcohol placed into a hollow painful tooth (R). Colloelion and Carbolic Acid, equal parts as jelly for stopping carious teeth (R). Opium, mixed with tannin or creosote in- serted in cavity of painful tooth (R); R Morphiae sulphatis, gr. iv; atropiae sulph. gr. j-ij; aq. destil. sj- M. Sig.— A few drops on cotton in the hollow of tooth (B). Morphia, hypodermically for severe (R). Oil of Cloves, inserted into cavity (B, P). Camphor, with morphia and flaxseed, as a cataplasm to the cheek (B). Xanthoxylum, a domestic remedy (B). Capsicum, a strong infusion on lint (R). Gelsemium, useful in some forms (R). Zinc Chloride, to destroy exposed painful pulp (R). Ginger, Mezereon, Pyrethrum, are useful locally (P). Aeon, a most useful agent in congestive kind, throbbing pain, or a hard aching pressing pain, headache, chilliness, etc., (Hpl). Aeon, or Bell., burning, throbbing (R). Ars. neuralgic; jerking pains, aggravated at night (R). The 4th or 6th to prevent ulceration when threatened. Staph, teeth blacken rapidly, and feel too long (R). Cham, rheumatic odontalgia, pain tear- ing, boring; cheeks swollen, teeth feel elongated, pain worse at night (Hpl); neuralgic (fl); pains unbearable, espe- cially suited to women or children (R). Merc the leading remedy; gnawing, aching, swollen gums, decayed teeth, flow of saliva, gum-boil (R); teeth feel elongated, periostitis of sockets (fl). Plan, a grand remedy, no other homoeop- thic one can compare with it (fld). Bell, in medium and high attenuation, specific for burning, throbbing pain from inflammation of dental pulp(fl); symp- toms of cerebral congestion (Hpl). Coff. neuralgic, temporarily relieved by cold (fl); nervous excitability (R). Coff., Bell, Cham., Nux vom., Ant. cru. during pregnancy (R). Bry. lx, Merc. viv. worse at night, ten der to touch (R); Bry. rheumatic odon talgia; flashing pain through teeth (flpQ. Glon. 3*, pains extending to back of head with stiffness (R). Puis., Rhod. rheumatic, "face-ache." Bry., Merc, Cliam. may be required (fl), Phos., Ars. tendency to odontalgia (R). Caust. painful elongation (R); tendency to neuralgia, sensitiveness to pressure, pain increased in open air (Hpl). T0ETIC0LLIS. Cimicifuga, has curative efficacy (P). Capsicum, a handful of the crushed pods infused for 36 hours in a pint of hot or cold water, and applied on lint covered with gutta-percha (R). Galvanization of affected muscles, and faradization of opposed ones, quickly relieves (B). Cimicif. universally commended (fl). Aeon, always controls in recent cases, and from draught of cold, dry air (fl). Dulc. when from exposure to damp (fl). Bell. , in the spasmodic form (Js). Nux vom., Bell., Merc, in spasmodic form; should be tried continuously (fl). Lachnan. following scarlatina (R). COMPARATIVE therapeutics. 253 TEACHEOTOMY. Laryngotomy (opening of the crico-thyroid membrane) is further from the lungs and preferable for adults, but cannot be performed on the young. In Tracheotomy, standing on left side, make an incision \y inch to 2 inches long, exactly in the median line from near the top of the sternum to the cricoid cartilage. Cut through skin and superficial fascia, separate the sterno-thyroid muscles, divid- ing a few fibres with the point of the knife. Clear the loose cellular tissue and veins from the front of the trachea with the handle of the scalpel. Push up the thyroid gland if in the way; and with a pair of forceps fixed into the trachea so as to draw it up and steady it, pass in the knife at the bottom of the wound and carry it up- ward, so as to divide two or three rings of the trachea. Another method is Dr. Edwards', who operates above the isthmus of the thyroid gland, and immediately below the cricoid cartilage. If hemorrhage be arterial, control by ligation or tor- sion before opening the tube. The patient should be rolled on the side to favor the escape of mucus, blood, etc. (D). TEISMUS. (Compa Aconite (A), Atropine (R), hypodermically. Cannabis Indica, has been used success- fully in trismus neonatorum (B). Opium, irj y doses of laudanum, with cas- tor oil and warm bath, in trismus infan- tum. Treatment of any kind seldom effectual (D), never (El). Ether, Chloral, Gelsemium, Physostigma (B). [See Tetanus.] (Compare Cancer, Cysts, Glandul Uterine Tu Mercuric Bromide, in y-gr. doses, has benefited abdominal tumors (Wa). Chloroform, in diagnosis of abdominal tumors when deep-seated, and when walls of the belly are hard and rigid. Also in phantom tumors (R). Hyoscyamus, the leaves as cataplasm or fomentations to painful tumors, afford great relief (Wa). Electrolysis, employed with more or less benefit in sebaceous, lipoma, broncho- cele, enlarged glands, etc. (Wa). Iron. The liquor ferri perchlor. is found to be valuable as a curative application to fungous or hemorrhoidal tumors (Wa). Galbanum, as plaster to indolent, non-ma- lignant tumors, to diminish, or cause theii absorption (Wa). re Spasms, Tetanus). Aeon, should always be thought of in simple trismus, also in many other local cramps (fl); whether idiopathic or trau- matic, or from rheumatic exposure (Hpl). Bell, in trismus neonatorum from inflam- mation of umbilicus. Ign. when from influence of mother's emotions (fl). Ign. when trismus from hysteria (fl); emo- tional trismus or opisthotonos (L). lr Enlargement, Goitre, Polypus, mors, "Wen.) Bary. carb. is strongly recommended in fatty tumors, as curative (flpQ. Calc. carb. 3, repeatedly reported as caus- ing the disappearance of warts, polypi, and even benignant tumors of the en- cysted kind (fl). Coni. tumors, esp. scirrhous, coming on after contusion, with stony hardness and feeling of weight (L). Graph, tumors in herpetic persons, wens, sebaceous cysts (L). Kali carb. painful, on scalp, worse by pressure; with itching (L). Bell, tumors with much inflammation, painful to even light touch (L). Bry. indolent tumors of slow growth, im- perfect suppuration (L). Arn. tumor following injury (L). TUM 254 index of TYMPANITIS. (Compare Typhoid Fever, Peritonitis.) Turpentine, often greatly benefits (P, Wa); Sj every 6 hours in t. of typhoid, with prostration but without diarrhcea (R). Asafoetida, in hysterical, int. or as enema, beneficial (P); also in that of fever (Wa). Capsicum, gr. ss-ij, every 4 hours (P). Cocculus Indicus, a few doses of tinct. will often succeed in the tympanitis of peri- tonitis and enteric fever (P). Ginger, with drastic purgatives (P). Tereb. is well-nigh specific in tympanitis of typhoid fever and puerperal disor- ders (fl). Asaf. in hysterical tympanjtis (fl). Colch. has proved useful in veterinary practice (fl). Coloe, China, Hyos., Iris, Nux vom., Ars., Lye, Carbo veg. (R). Aspiration. In extreme cases and as a last resort (R). TYPHLITIS. Opium, of undoubted curative power (B). Purgatives, are inadmissible; epsom salts may be used, but no drastics (B), Leeches, should never be omitted when tenderness and fever begin (B). Ice-bag, over the swelling (B). Lach. 6, has cured acute typhlitis (fl). Ars. 3, cured one chronic case (fl). Bell. high»fever, nausea, vomiting (L). Ver. vir. $, sj ad siv aquae, as lotion to the inflamed part (R). Merc. viv. in peri-typhlitis (B, fl). TYPHOID PEVEE. (See Hemorrhage Intestinal, Intestinal Ulceration, Tympanitis.) Turpentine, invaluable, when hemorrhage and extreme tympanitis (P, R); tij xxx- Ix in starch mucilage, with nj x of liq. opii (P); njv-x frequently for hemor- rhage, or itjx every 2 hours, in ad- vanced stage, with dry tongue (R), coma, stupor, etc.; often arouses the vital powers (Wa). Arnica, highly extolled; its "picture" shows definite powers in this disease (P); small doses in asthenic conditions (B); when vital powers greatly depressed(Wa). Belladonna, contracted pupils; low, mut- tering delirium (B); thought to counter- act the poison of typhoid (Wa). Opium, small doses at night, for insomnia with delirium; also as injection for the diarrhcea (R); in one case, when vital powers seemed hopelessly depressed, gr. y opii caused improvement (Wa). Veratrum Viride, to reduce temp. (R); deli- rium ferox (B); strongly recommended (Wa); its efficacy difficult to believe (S). Hydrochloric Acid, and the mineral acids generally, are very useful (B, Wa). Tereb. hemorrhage from bowels, reten- tion of urine (R); specific for the tympa- nitis (fl). Arn. dry, brown tongue; sore, bruised sensation all over; involuntary dis- charges, indifference, stupor (L); signs of deep-seated gastric derangement (Hpl). Bell., Opi., Hyos. brain symptoms pre- dominating (fl, R). [See Typhus Fever.] Bell., Tereb., Rhus tox. coincident perito- nitis (Ld). Ver. vir. violent retching, brain symptoms [also Gels.], great prostration (R, Ha). Ver. alb. involuntary diarrhoea (R). Ac. mur. deep-green stools (Js), putrid sore-throat, nervous depression, sinking down in bed, stupor (R). The 3rd with Bell. 3, alternately, best treatment (Teste). Merc. corr. or Merc iod. predominance of intestinalsymptoms(fl,Js). Mercproto- sulph. may be prophylactic; has been used with success in 2nd stage (fld). Ant tart, typhoid pneumonia, dyspncea, danger of suffocation, loose mucous cough (R). COMPARATIVE therapeutics. 255 Mercury. Corrosive sublimate gr. 1-100 every 2 or 3 hours, for the diarrhcea. Calomel in small doses at onset (R); gr. x in one dose the first day, gr. iij per diem for 3 or 4 days; the German "spe- cific treatment" (B). Tartar Emetic with opium, when wake- fulness and delirium. R Ant. et potas. tart. gr. j-ij; morph. sulph. gr. jss; aquae lauro-cerasi Sj. M. Sig.—A teasp. every 2, 3, or 4 hours. Minute doses (gr. 1-16), frequently, are of great service (B). Quinia, may have efficacy iu typho-mala- riai; is less effective as the typhoid ele- ment predominates; useless in purely continued fevers (B). Digitalis, used by the Germans when there is no cardiac weakness. Gr. xj-xxij, as antipyretic, over a period of36hrs. (B,P). Serpcntaria, useful when much depres- sion exists. Cautiously, if intestines are at all irritable (B). Hydastria, when copious sweats (P). Lead Acetate, with opium for the purging (R). Also Alum (R). Ergot, for intestinal hemorrhage, hypo- dermically, if symptoms urgent (R). Sodic Chloride, should not be withdrawn from the food (Wei). Purgatives, only the very mildest, and they with the greatest caution (Wa). Water, a most important agent. Cold baths when temp, above 102° (B). In mild cases, cold wet compresses or wet sheets, or washing with cold water. In severe cases, affusion, shower, orgeneral cold bath, 50° to 55° Fah., or better 95° cooled gradually to 60° (R). Aliment. Milk alone. Alcohol with milk, eggs, broth (B). Coffee, a better stimulant than alcohol (P). Belladonna, to cleanse and moisten the tongue; controls the delirium, slows and strengthens the pulse, reduces the temp., shortens course of disease (R, P). In the early stages relieves severity of symp- toms (P); contracted pupils (B, Wa). Arnica, very highly extolled (P, Wa). Chin, sulph. 3, at termination only, when fever takes remittent type. China 3, to promote convalescence (Js); excessive hunger (R). Bapt. , lx, the primary remedy in first stage; not abortive in true typhoid (fl); its influence comparable to that of Aco- nite in simple fever (R). Aeon., Ipec often indicated at onset (Js). Ars. a remedy of priceless value; diar- rhoea, often involuntary; drab, or ochre- colored evacuations; prostration, thirst (R); fever of grave type (Js). Rhus tox. the first remedy in intestinal stage (Russell, Bayes, J); excessive ner- vous irritability (B); see Bry. Bry. has a wide reputation (fl); the remedy throughout in ordinary cases (B); erethistic stage (J); 3, alt. with Rhus tox. 3, a traditional prescription of great renown and value (Id). Ac. phos. in mild forms, esp. for the nerv- ous symptoms, and in convalescence (R); involuntary, pale stools, and urination; tympanitis, marked debility (Js). Phos., Ac. phos., Ac. nit. hemorrhage from the bowels (R). Agar. mus. , gtt. x every hour excellent when nervous system is seriously in- volved, and brain clouded (Hpl). Sulph. to aid recuperation (R). Diet. Avoid the extremes; an absolute diet required if intestinal symptoms are grave (Js). No solid food until health is restored fully; a scalded-milk diet ex- clusively may be depended on (Gt). Adjuvants. Water, esp. the abdominal compress, cleanliness, ventilation, ab- solute rest and quiet. Discharges should be received in vessels containing car- bolic acid, and be buried instantly (R). Bell, great cerebral congestion; face bright-red, bloated (fl, R); thirst, furi- rious delirium (R); cerebral symptoms marked, constriction of throat (Hpl). Arn. involuntary discharges, dry lips, stu- por not preceded by cerebral excite- ment (L). TYPHUS FEVEE. (Compare Delirium, Typhoid Fever.) 256 INDE Hyoscyamus, mild brain symptoms (P). Opium, fulfils many important indications; never when contracted pupil (Wa). Mineral Acids. Hydrochloric, nitric, sul- phuric; their use recommended in all countries (Wa). Tartar Emetic, with opium in the delir- ium with insomnia (R). [See Typhoid.] Chloral, to produce sleep, and allay vio- lent delirium (R, Wa); its use has often been followed by amelioration of the symptoms (Wa). Podophyllin, gr. %-% as mild laxative at onset, when constipation, congestive headache, biliary derangement (P). Digitalis, in large doses, a favorite rem- edy in Germany (P). Rhatany, as tonic, in advanced stages (P). Serpentaria, in low stages, delirium, watch- fulness; tongue dry and brown, or black. Combine with ammonium sesqui-carbo- nate (P). Given occasionally to excite diaphoresis, and support the vital pow- ers (Wa). Camphor, a remedy of considerable value; contra-indicated when flesh-red tongue, tender abdomen, diarrhoea (Wa). Purgatives. [See Typhoid Fever.] Coffee, better than alcohol for the ady- namia (P). Stimulants, are not needed under the use of mineral acids and a supporting diet, in many cases (Wa). Arsenic, improves rodent ulcer (B). Belladonna, has a remarkable influence over various ulcerative processes (P). Mercury. Calomel ointment orblack wash in scrofulous or tubercular lupus, and in open scrofulous sores (R). Lime, as carbonate orlime-water to check discharge; the sulphide when thin ich- orous discharge; the phosphate has influ- ence on scrofulous sores (R). Phytolacca, as a local application (B). Hamamelis, employed with satisfaction in varicose ulcers (Pf). Hyos. coma vigil, muttering delirium, pa- tient will not be covered (fl, R). Opi. coma (R); respiration stertorous, im- pending paralysis of brain (L). Ac mur., Rhus., Ars. febrile toxaemia pre- dominating from the first (fl). Ac mur. paralytic stage, settling of patient down in bed; skin clammy, cold (Hpl). Stram. violent delirium (R); hot sweats, bringing no relief (L). Aeon., Bry., Gels, febrile symptoms (R, H). Gels. esp. for sudden sinking of vi- tal forces (R). Bapt. in first week, diagnosis difficult (R, fl); offensive stools, sweat and urine; ' besotted look (L). Rhus tox. in true typhus the most fre- quently indicated remedy; tongue black- brown, stupor (R). Ars. will modify or cut short the disease (Russell); extreme exhaustion, kidney troubles (fl); dry, cracked tongue; in- voluntary diarrhcea (R); disorganization of vital fluids (Hpl). Phos., Ac. phos. great nervous depression; Phos. when lung complications (fl). Merc, biniod. 1, inflam'n of salivary glands and cervical areolar tissue (fl). Agar, in general ataxia, twitching (fl). Ctdna, Sulph., Ac. phos. in convales- cence (R). Diet. Nutritious persistently. Beef-tea egg-nog; nutrient enemata (Gt). ITESTINAL AND UTERINE UlCER.) Ars. with water dressing, for inflamed ul- cers, raw surface, red and hot; phage- denic and sloughing ulcers (fl). Bell, surrounding skin the seat of chronic inflammation, erysipelatous appearance (R). Also Calend. or Hydras, locally.(ff). Merc, stands very high, especially when ulcer extending (fl). Hepar sulph. often beneficial (fl). Phyto. ulceration of mucous membranes, esp. of the nose, throat and rectum (fla). Ham. int., locally, for varicose ulcers (H). Ac. nit. int. and lotion, in syphilitic (R). ULCEES AND SOEES. (Compare Bed-sores, Gastric I: COMPARATIVE therapeutics. 257 Nitric Acid, as escharotic, applied with a glass rod; oil to protect surrounding tis- sues; arrest by alkaline wash. Sj-Oj is a good acid lotion for washing (B). The lotion to indolent and painful ulcers (R). Hydrastis, int. and ext. employed with excellent results in rodent ulcer, and ul- cers of legs, rectum and uterus (P). Sanguinaria, locally, to repress fungous granulations of indolent ulcers. 1 to 80 parts glycerini (P). Carbolic Acid, and Salicylic, locally (B). The glycerin of carbolic acid a good ap- plication to fetid sores (R). Balsams of Peru and Tolu, excellent (P). Opium or Morphia with glycerin, as an ap- plication to relieve pain (R). Gr. j-ij, daily, also locally, has a decidedly curative value in phagedenic and indo- lent ulcers. Not so useful in so-called " irritable" ulcers (Pf, P). Tannin or glycerite of tannin, to coat over wounds, or discharging sores (R). Potassic Chlorate, in solution as a wash to clean and stimulate foul ulcers (R). Cinchona, powdered bark dusted over foul, indolent, sloughing, and gangren- ous ulcers, promotes healing (R). Conium, locally, by means of a poultice, will ease pain and improve the sore (R). Chlorine Solution, as a wash for sloughing and indolent sores (R). Iodide of Starch, cold as a poultice (R). Lead, the soluble salts as lotions to un- healthy, over-secreting sores (R). Camphor, dusted over indolent sores (R). Charcoal, locally to sloughing sores (R). Alcohol, to cover sores with thin protect- ing layer of coagulated albumen (R). Alum, dry or in solution to relaxed and abundantly-secreting sores (R). Turpentine, int., ulceration of bowels (P). Collodion, as protective covering (P). Capsicum, a weak solution useful as a stimulant in scrofulous or fistulous (P). Savin, as acrid (not chemical) caustic (P). Potassa Fusa, or the milder Vienna paste, as escharotic. To arrest, dilute acid (B). Zinc Chloride, the most efficient escharotic consistent with safety (B). Zinc Sulphate, dried, dusted over (B, R). Iodoform, dusted over surface (B). Hydras, or Oeos. as lotions for phagedenic and sloughing ulcers (fl); ulcers of throat and rectum; moist ulcers, and those of the mouth. The muriate of hy- drastis gr. j-Sj aquae (fld). Sang, old indolent ulcers, with callous borders and ichorous discharges. The nitrate 3* trit. locally, to repress exuber- ant granulations on ulcers and diseased mucous surfaces; is homoeopathic (Ha). Ac, carbol. int. has been used with much success in irritable ulcers (fld). Balsam of Peru 1 or 2, in torpid, indolent ulcerations, as purulent catarrhs.. Best results from atomization. As cerate for indolent ulcers (fld). Lach. a good remedy for the irritable ul- cer, which usually requires sealing up from the air; phagedenic and sloughing, and threatening varicose ulcers (fl); smooth, livid ulcers, jagged edges (L). Calend. sj-Sj aquae, locally to weak and indolent ulcers on compress which should fit exactly and not overlap the surrounding skin (fl). Kali bich. gr. j ad aquae sviij, in same manner if Calend. fails (fl). Iron, the tinct. of the muriate painted over indolent and varicose ulcers daily, said to be specific (R). Mczer. mercurio-syphilitic ulcers of the lower extremities (Dunham). Aster, rub. chronic, left side affected (fl). Pxonia, ext. and int. seems to have a spe- cific action (fl). Lapis alb. malignant ulcers (Von G). Sil. simple ulcers only, promotes healing of these on legs and cervix uteri (fl). Phos. small punched-out ulcers, chronic with debility (R). Ailan. ulcers of throat in malignant scar- latina (fld). Bapt. int. and ext. in many forms (fld). Cundur. decidedly useful in old, obstinate, foul, indolent ulcers (Ha). Comoc has cured sloughing ulcer of right breast, and indolent ulcers on leg (Ha). Eucalyp. locally, successfully used (fld). Ars. iod. old irritable ulcers in scrofulous subjects, fetid corrosive discharge (fld). Semperviv. applied to painful ulcers, and ulcers of the mouth (fld). 258 INDEX OF Silver Nitrate, as caustic, quickly rubbed over (B). Applied to unhealthy ulcers, also ulcers of the mouth (R). Copper Sulphate, to indolent ulcers. Touch with a crystal, or frequently apply a sol- ution, gr. ij-x ad Sj (B, R). Coptis, the infus'n, has high reputat'n (B). Chimaphila, Copaiba, Catechu, Myrrh, Rha- tany, Rhubarb, Storax. Benzoin, Tar-water, locally, are useful (P). Oxygen, to atonic painful ulcers (R). Galvanic Couplet (B). [See Bedsores.] Yeast, as poultices (R). Section of exposed nerve-filament, in ir- ritable ulcer, by bistoury passed beneath the sore (Hilton on Rest and Pain). Guaco, for old ulcers (fld). Rhus, int. and ext. has proved an effec- tive agent (R). Polyg. and Amm. mur. have cured super- ficial ulcers and sores on the lower ex- tremities (R). Cod-liver Oil, esp. for ulcerations of the glands, or indolent ulcers with excori- ated edges, lupus, etc. (fld). Water, is sufficient as dressing in the majority of cases (R). Rest and support of great value (fl). Cleanliness, bandaging and recumbent position in ulcer of legs facilitate recov- ery; also daily washing to restore the lost vitality of parts; elastic stockings (R). UEiEMIA. (Compare Bright's Disease, Puerperal Convulsions, Scarlatina.) Digitalis, the infusion, or a poultice of leaves to abdomen and back (B). Jaborandi, diaphoretic; eliminates urea (B) Opium. Scanzoni and Loomis urge mor- phia, hypodermically, as the most effi- cacious agent (B); in acute, not in chronic uraemia (Pf). Colchicum, as diuretic (B). [See Dropsy.] Saline Cathartics, active are required (B). Hydragogue Cathartics. 01. tiglii(gtt. i-ij), or elaterium (gr. 1-16 to y), to procure free watery evacuations. Cautiously (B). Transfusion, in uraemic eclampsia (B). Water, the vapor-bath or hot wet-pack to induce powerful diaphoresis (B). Dig. gr. y of extr. with water, as hypo- dermic injection, cured uraemia from contracted kidneys, the symptoms being drowsiness, insensibility, and frequent convulsions (R). Jabor. has been found curative (fld). Apoc. can. hypodermically over kidneys; has specific action thereon. Use the in- fusion or decoction (fld). Asclep. syr. the best remedy, as it in- creases greatly the urinary solids (fla). Scnccio, esp. when menstrual derange- ment (Ha). Barosma, Amm. benz., Eupat.purp., Verat. vir. act specifically on the kidneys (fld). UEETHEITIS. (Compare Gonorrhoea.) Aconite, is used to advantage in urethral fever; also for prevention of chill after passage of sounds (Pf, W). Silver Nitrate, locally, very efficient in chronic urethritis in females (Wa). Tannin, on bougies, once a week for 15 minutes, most efficient for urethritis in the female (Wa). Zinc Sulphate, cast in sticks, for introduc- tion into the urethra (Wa). Aeon, in urethral fever, always commen- ces and may complete a cure; also for rigor after use of catheter or sounds (H); indispensable in urethritis (Hpl). . Arg. nit. the higher attenuations in chron-1 ic, after gonorrhoea (Hpl). Bell, especially if the bulbus of the ure- thra is inflamed (Hpl). Canth. urging to urinate, cutting and tearing pains (R). comparative therapeutics 259 UEETHEAL Aconite, is of great service in spasmodic stricture (P). Buchu, in irritable urethra, spasmodic stricture, and gleet (P). Opium, in full dose or an opiate supposi- tory, with fomentations and a warm bath, will often suffice in spasmodic stricture (CI). Catheterization, under an anaesthetic in spasmodic stricture if other measures fail to relieve. Also for gradual dilata- tion in organic stricture, the safest and most generally applicable treatment (CI). Oil, injected before dilatation (Wa). Thorough division, by a dilating ure- throtome the best operation for a radical cure; 600 cases thus treated without a death or permanent disability (Otis). Aconite, of great service in retention from chill (sub-inflammatory) (P). Turpentine, in hematuria and chronic ca- tarrh of the bladder, incontinence from atony, etc., (B). Strychnia, sometimes employed with marked benefit in retention or incon- tinence of the old (P). Cantharis, frequent or involuntary mictu- rition, especially when coughing, in women from weakness of sphincter. One or two-drop doses (R). Cannabis Indica, in retention from spinal disease (R). Digitalis, holds high as a diuretic 5j or ij of the infusion night and morning, or oftener if necessary. In sudden sup- pression from cold or damp or after scar- latina, if danger threatens (P). Buchu, renders more help than any drug known in incontinence or retention from catarrh of bladder implicating the uret- ers, and even the kidneys (P). Water, copious injections are beneficial in some cases of suppression (R). STEIOTUEE. Aeon, deserves confidence when inflam- mation present (fl). Bell. , painted along under-surface (R). Canth. also useful for spasm (H). Gels., Camph. esp. when caused by can- tharides (iJ). Camph. in repeated doses usually controls pure spasm (H). Clem, may often abolish incipient symp- toms of organic stricture (fl). Merc, purulent discharge (R). Cann., Hydras. , organic stricture, and after repeated attacks of gonorrhoea (R). Warm Baths, are helpful (fl); hot fomen- tations, or injections per rectum (R). Catheter, must be held in reserve (fl); patient should sit on a hot sponge when passing catheter (R). Aeon, suppression from cold (R). Tereb. 1, occupies the first place for sup- pression of u. from renal congestion (fl). Nux vom. spasmodic retention (R). Canth., Ars., Merc. corr. are remedies homoeopathic to ischuria (fl). Ac. benz. increases the acidity of urine; very useful in many urinary troubles, when deep-red color, intense odor (H). Kali bich. is useful in the ischuria some- times following Asiatic cholera (fl). *4c. phos. in phosphatic deposits, and many derangements of nervous origin (fl); also Helon. (fl). Opi. in paralytic retention (fl), and re- tention of typhoid; also Arn., Hyos. (R). Puis., Lye purulent urine, with nauseous smell, and gastric disturbance (R). Camph. sudden spasmodic retention, esp. if caused by Canth. (R), Gels., Ign. hysterical retention (R). Caust. should be thought of in azoturia (fl). Senna , gtt. iv bis die, given in azotu- turia with marked benefit (fl). UEINAEY DISOEDEES. (See Bladder Irritable, and Paralysis of; Cystitis, Diabetes Insip- idus, Dysuria, Dropsy, Enuresis, Hematuria, Lithiasis, Nephritis, Oxaluria, Uraemia, Urethral Stricture.) 260 INDEX op UEINE, CLINICAL EXAMINATION. Use morning urine, or a sample of all passed during the 24 hours. Color ! Smell \ Pale (and copious), 1030 -f indicates Pale (and copious), below 1018 " Of urine and froth, very yel- low or greenish................. " Bright yellow to crimson...... " Dark, odor of violets............ " High (scanty), sp. gr. -f-....... " H igh (scanty), sp. gr. —......... " Dark, muddy, smoky........... " Black................................... " Fragrant.............................. " Fetid................................... " Of violets............................ " Sugar. Hysteria and convulsions,nerv.dia. Bile, rhubarb. Santonin. Turpentine. Fever, Uric acid diathesis. A grave symptom of Bright's Dis. Blood, strong coffee. Putridity, disintegrated blood, tar, creosote. Cystine, sugar, etc. Alkalinity. Turpentine. Quantity (in 24 hours): Normal about 50 fl. oz., from which there maybe consider. able variation either way. Specific Gravity. If possible, take the mixed urine. Normal is about 1.018, f. e. 18 grains of solids in each fl. oz. If sp. gr. is high, suspect sugar; if low, suspect albumen. Reaction, in health is always acid in 24-hours' urine. It may be alkaline from medicine, or disease, or shortly after a meal. If excessively acid, examine for crystals of uric acid. If alkaline, let the test-paper dry, so as to ascertain whether the alkali be fixed or volatile. Heat and Nitric Acid. With acetic acid, or dilute ammonia, make the urine slightly acid. If a precipitate appear on boiling, it may be albumen or phosphates. Add a drop or two of nitric acid. If the precipitate dissolve, it is phosphates; if not, it is albumen. If a deposit or turbidity disappears on heating, it consists of urates: if not, add a drop of nitric acid. If now dissolved, we have phosphates; if not, cystine. Bile Pigment and Acids, if necessary. Vogel's color-table. Marcchal's test, as follows: Put 5j of urine in a test-tube, and pour one or two drops of tinct. iodinii to trickle down along the side of the tube, held horizontally nearly, so that the two fluids may touch, but. not mix. If bile pigment be present, a fine green color will at once be developed below the red iodine layer. Noel's test, Pettenkofer's test, Nitric acid test, Oxide of Silver test. Sugar, if necessary. Urine containing sugar is usually light-colored, froths readily when poured from one vessel to another, and has a high specific gravity. Fehling's test, as follows: Add to the boiling urine a few drops of freshly-prepared solution of potassio-cupric tartrate (Fehling's solution). If sugar be present, a yellow, orange, or red precipitate of cuprous oxide will form, in the proportion of 10 cubic cm to 0.05 gramme of diabetic sugar. For Fehling's solution, dissolve 34.65 grammes of pure crystallized cupric sulphate in about 160 of water. Gradually pour this into a solution of 173 grammes of pure crystallized double tartrate of potash and soda, treated with from 600 to 700 grammes of caustic potash of sp. gr. 1.12. The clear mix- ture is then diluted up to a litre. Moore's, Trammer's, Bottcher's, the Fermentation tests. Albumen. [See ante, Heat and Nitric Acid.] COMPARATIVE THERAPEUTICS. 261 Chlorides. Add a drop of nitric acid, and then silver nitrate until a precipitate ceases to form. Thus estimate the amount of chlorides. Urea. Place a drop of urine on platinum-foil, and to it add a drop of nitric acid, and leave undisturbed in a cool place for a minute or two. If the urea is in excess, crystals of uric nitrate form immediately. Mucus and Pus resemble each other so nearly, under the microscope, that it is almost impossible for any one, except an expert, to distinguish between them thereby. Mucus is more cloudy and flocculent to the naked eye than pus, which latter is generally of a stringy consistence and thickish yellow appearance at the bottom of the vessel. The supernatant liquid being poured off, and an equal bulk of caustic potash added, the deposit, if containing much pus, becomes gelatinized, and so tough that it cannot be poured out. If mucus, acetic acid added coagulates it, forming delicate molecular fibres. Other Deposits are best examined with the microscope, and compared with good plates, rather than with printed descriptions. The plates in Hoffman and Ultzman on Analysis of the Urine, will answer the wants of most general practitioners. The urinary deposits may be classified thus: In Alkaline Urine only. Alkaline or Acid Urine. Organized Deposits. Calcic phosphates Uric acid Mucus, Torulae, Ammonium urates Urates Pus, Sarcinae, Ammoniaco- Phosphates Blood, Vibriones, magnesian, or Oxalates Tube-casts, Bacteria, Triple phosphates. Cystine Spermatozoid ?, etc. Necessary Apparatus. A dozen test-tubes. Alcohol lamp. A small porcelain dish. 2 watch-glasses. A sheet of platinum foil, % inch square. 3 pipettes of different sizes, to be used only for urine. A 2-oz. graduate. Urinometer. Blue and red litmus-paper. The reagents mentioned above. A little grape-sugar, for use in testing the Fehling's solution. The foregoing directions comprize all that the average practitioner will usually do in the matter of urinary analysis. For fuller directions, the reader is referred to one of the numerous manuals on the subject. UETICAEIA. (Compare Prurigo.) Chloroform, as oint. to allay itching (R). Potassic Cyanide, or hydrocyanic acid (R). [See Prurigo.] Nitric Acid, a dilute wash, controls itch- ing and prevents wheals (R). Benzoin, the comp. tincture painted on the skin for itching (R). Colchicum, in gouty persons (R). Lead, lotions to ease itching (R). Alkalies, (R). [See Prurigo.] Warm Baths, may be employed with benefit (R). Chloral, in about grain doses, efficient in obstinate chronic form (fl). The 4> in simple urticaria (R). Urt. ur. the chief remedy (B, fl). Apis, a true simile; cures acute form (fl). Ant. cru. chronic, when of gastric origin (fl); also Nux vom., Puis. (R). Dulc. atmospheric origin (fl). Anac. urticaria tuberosa, and when of emotional origin (fl). Ars. in obstinate cases (fl); alt. Apis (R) when from an irritable stomach (R). 262 INDEX OF UTEEINE CANCEE. Conium, useful as a palliative, 5iij-iv ad Oj aquae, as injection for extreme pain of uterine cancer (Wa). Arsenic, small doses for a long time, with a strong iodine solution and glycerin locally (Atlee). Opium, stands first in the list of palliatives, quieting irritation, allaying pain (Wa). Carbolic Acid, a weak solution as injec- tion, an excellent cleanser, healer, dis- infector and allayer of pain (R). Bromine, the best escharotic for destruc- tion of the mass (E). Glyceriti- of Tannin, checks discharge and stench. Better still if mixed with gly- cerite of carbolic acid (R). Iodoform, with cocoa fat as bolus inserted into excavation produced by cancer (R); gr. v-x in each bolus (W). Iodine, the saturated tincture thoroughly applied to the entire surface of the mass, is frequently of great use in checking hemorrhage, and seems to temporarily check the extension of the disease (E). Chloral, as anodyne, will agree with most persons (E); relieves the pains (W). Chloroform Spray, for some minutes (R). Cannabis Indica, to allay the pain (Wa). Aurum, salts of, often beneficial in chronic metritis with scanty menstruation (B). Ergotine, long continued, successful in chronic metritis; lessens congestion (B). Carbolic Acid, undiluted, on cotton-wrap- ped probe. No better treatment for uterine catarrh (B). Iodine, has proved the most valuable of all remedies, as local stimulant, and a reliable alterative (Thos, E); and exci- tant of uterine contraction. Use a satu- rated tincture to any part not exposed to the air (E). Iodo-tannin, or R Iodoformi sj, ac. tan- nici Sj; a serviceable application in many inflammatory and hypertrophic conditions. Iodoform suppositories in chronic metritis (B). Digitalis, in sub-involution (B). Coni. intolerable, lancinating pains (L). Ars. open cancer; burning, agonizing pain, fetid brown or blackish ichor, ex- cessive debility and emaciation (L); Ars. iod. in scirrhus of os and cervix, if administered early (fl). Ars., Arg., Lach., Sec. may ease pains (fl). Bell, frequent hemorrhages (L). Clem, softened scirrhus, with lancinating pains, corrosive discharge (L). Graph, cancer, fungous excrescences, bearing-down pains in uterus to back, weakness and sickness (L). Creos. orifice of uterus wide open, its in- ner surface like cauliflower (L); may check vomiting (fl). Lye open cancer, with tearing stitches (L). Mag. mur. scirrhous indurations of the os uteri, hysteria (L). Silica, malignant sarcoma (fl). Ham. or Sabina, for hemorrhage (fl). Sepia, may ameliorate the whole condition of the womb (fl). Thuja, Creos. cauliflower excrescences; the former when benign (fl). Hydroc. asiat. in uterine cancer (R). Surgical Measures, advisable; medicine can only palliate (fl). Aur. gives excellent results in old cases with induration (fl). Secale, symptoms of putrescence (fl). Ac. carbol. locally on cotton-wrapped probe within the uterus. When much uterine tenderness this treatment should be postponed until tend, relieved (Hpl). Iod. induration and swelling of uterus and ovaries, acrid discharge, worse at time of menses; emaciation, hectic (L). Bell, the great medicine in hyperaemic states of the os uteri; arterial congestion with tenesmus of the cervix, or pressure downwards as if pelvic contents would be forced outwards. In the 1st. for par- enchymatous inflam'n (fl); dragging, heavy pain in uterine region, disappear- ing when lying down; neck swollen, sensitive; increased temp, of part (Hpl). UTEEINE CONGESTION AND HYPEETEOPHY. COMPARATIVE THERAPEUTICS. 263 Ergotine, long continued has produced remarkable results in fibroids and polypi and chronic metritis; large, spongy, sub- involuted uterus (B, P). Glycerin, on cotton tampon to cervix as local hydragogue (Thos, E, R). Caustic Potash, and potassa cum calce, said to be effective in chronic metritis; must be used cautiously (B). Ipecacuanha, in sub-acute metritis of the puerperal state (Tr). Iron, locally in uterine catarrh (R). Scarification, after dry cupping, in chronic metritis (Thos). Electricity, in chronic congestive en- largement, a galvanic current of mod- erate intensity, slowly interrupted (B). Water, hot injections or douche, also cold alternately; one of the most effec- tive measures. Quart j very hot, ter die (R). Especially valuable in congestion, which is generally venous. Elevated hips a necessary part of treatment (E). Rest, to the patient and the organ, is of prime importance. Abdominal band- age, skirt-supporters, pessary if antever- sion or retroversion, abstinence from sexual intercourse (Thos). Sepia, takes the highest rank for venous congestion, rarely failing to benefit; scanty menses (fl); Murex, menses free. Lil. tig. arterial congestion with much nervous irritability, local pain and sen- sibility; with tendency to diarrhcea (fl). Sabina, arterial congestion, tendency to hemorrhage, and rectal or vesical irri- tation (fl). Murex pur. instead of Sepia, when venous congestion, menses free (fl). Ars. valuable in chronic metritis (fl). Ant. tart, as ally to Bell, in chronic cor- poreal cervicitis (Id).. Mere sol. and Sepia, after Bell, the most reliable treatment (Moore). Nux vom. in chronic metritis after labor, has astounding efficacy (fld). Magn. mur. with disordered liver (fl). Collins, uterine congestion depending on rectal origin (fl). Sulph. as intercurrent remedy (fl). Tanac, Polym. or lx, JEscul. hipp. have been successfully used (fld). Caul., Calc. carb. (R>; Kali brom. (Ha); for sub-involution of womb. Ver. vir., Coni., Puis., Sepia, Gels., Caul., Cimicif., uterine congestion (R). UTEEINE DISEASES. (See Abortion, Amenorrhcea, Climacteric, Dysmenorrhea, Endome- tritis, Hemorrhage Post-partum, Leucorrhosa, Menorrhagia, Men- strual Disorders, Metritis, Metrorrhagia, Prolapsus Uteri, etc.) Cimicifuga, to prevent miscarriage in irri- table uterus and prolapsus (R); prom- ises to be a valuable remedy in uterine affections (Wa). Belladonna, with tannin, as suppository in uterine neuralgia (R); as vaginal or rec- tal injections, in neuralgic or inflamma- tory pains (Tr). Arsenic, in irritable uterus, of decided benefit; gr. 1-20 ter die, after meals (Wa). Carbonic Acid, injection up vagina for neuralgia (R, Wa). Opium, with starch as injection into the rectum will subdue the pain of uterine diseases (R); gives more speedy relief than any other remedy in irritable uterus, butlong-contin'd is one of the worst (Wa). Cimicif. in many uterine affections of rheu- matic origin; no remedy so good in the irritable uterus without recognizable le- sion, esp. if rheumatic tendency. Possi- bly also Lil. tig. (fl). Bell., Cimicif., Aeon., Plat., Xanlh., Gels., Ver. vir., Caul, irritability and neuralgia of the uterus (R). Ars. in putrescence of the uterus; creeping chills, dry, hot skin, thirst, restlessness, and anguish, diarrhcea, etc. (Hpl). Helon. a "uterine tonic"; has great vir- tues in many atonic states (fl). Zdd. for affections of cervical glands; is of tried value (fl). Sepia, in hydrometra, leucorrhcea, venous congestion, etc. (fl). 264 index of Lead, as piaster for pain in the back due to uterine disease (R). Chloroform, spray, in neuralgia (R). Aqua-puncture, has had extraordinary success in uterine colic (B). Baths of warm salt water remarkably use- ful in nervous or inflammatory hyster- algia (Tr). Anteversion without prolapse, not a mal-position (E). Ice, locally when parts inflamed (R). Hot-water injections, to give tone to the vessels, essential. Also valuable after reduction of mal-positions (E). Mechanical Means, only reliable or safe in retro-version and prolapse; the sound, as a means to restore a retroverted uter- us to position, cannot be regarded as free from risk, even in skillful hands(E). Pessaries harmful unless expertly fitted; should be adjusted so as to restore the uterus to the normal line, where the cir- culation will be least obstructed; not too high. Should never be employed while cellulitis exists (E). Mercury, the perehloride in small doses, long-continued, of undoubted value in treatment of fibrous or polypoid growths. Gr. 1-16 every 6 hours, sometimes re- strains the hemorrhage, when other rem- edies fail (Wa). Ergotine, hypoder. for fibrous tumor (R); gr. ij-vj, on alternate days, give excel- lent results (B); nine cases of fibroid treated by Hildebrandt with good re- sults (P); this method often causes great pain and seven: local inflammation (W). Ferric Subsulphate, injected to restrain bleeding. Cautiously! (B). Saline Mineral Waters, esp. those at St. Catherine's, Canada, are useful (B). Aliment, carefully regulated, chiefly of animal food; with recumbent posture while flowing, and long-continued use of Ergot in small doses, may accomplish something (E). Arg. a specific action suggested (fl). Stann. "bearing-down pains;" benefits uterine ligaments (fl). . Alet., Eup. pur., Gossyp., Hclonias, Ustil. are recommended in atony of uterus(fld). ilfaon. mur. hysterical uterine cramps (fl). Cocc. (Hpl, Caul., Nux vom., Ign., Sec, Cham., Gels, spasms or colic of uterus (R). Ferr. iod., Sep., Alet., retroversion (R); the former has been satisfactory (fl). Caul, and Sulph. cured a very unpromis- ing case of retroversion (R). Caul, peri- odic spasmodic pains (Ha). Bell, as oint. to hypogastriumand thighs, for retroversion (fl). Lil. tig. for anteversion (R); is homoeo- pathic thereto (fld). Alet. the lower dilutions, when displace- ments from weakness of the uterine liga- ments (fld). Helon. as a uterine ' 'tonic" (fld). jEscuI. hipp. 6*, when great tenderness, heat, and throbbing (Ha). Mechanical Supports should not be dis- continued (fl). Merc. corr. 2x, to discuss uterine fibroids, where profuse muco-purulent excoriat- ing leucorrhcea (K). Mere biniod. fibroids, when stony hard- ness without much excoriation (K). Iod. for tumors originating in the cervix uteri (fl). Spong. 2", with Vinca, for menstrual dis- charge, cured one case (R). Plat, given for hemorrhage symptoms, in one case, resulting in the disappearance of the fibroid (Js). Arg. oxid. 1, for metrorrhagia due to fib- roid tumor (Js). Trillin 3", has given re- markable results in this (Ld). Coni., Thuja, Calc. carb. are reported by Petroz as effecting the expulsion of uter- ine polypi (fl). Surgical Measures recom'ended (Guern- sey); medication is of doubtful value, ex- cept to check the hemorrhages (fl). UTEEINE DISPLACEMENTS. (Compare Prolapsus. ) UTEEINE TUMOES. (Compare Cysts.) comparative therapeutics. 265 UTEEINE ULCEEATION. Hydrastis, quickly improves. The fluid extr. undiluted as topical application hi uterine and vaginal leucorrhcea, ulcera- tions and erosions of cervix (B). Carbolic Acid, pure, over the surface twice a week in simple ulceration (R). Silver Nitrate, a serviceable application, but is often abused (B). The solid stick applied to surface, after cleansing, and drying with cotton-wool (Wa). Vegetable Astringents. Infusions, or decoc- tions of galls, oak-bark, hamamelis, ger- anium, alum-root, etc. The glycerite of tannin, tannin and iodoform, packed around cervix (B). UVULA. Tannin, Rhatany or Zinc, as astringent | Hyos. elongated uvula (R). lozenges, for relaxed uvula (A). j Merc. corr. 1 to 10 of alcohol, locally with Amputation, of elongated part (A). | a brush, in uvulitis (Dudgeon). VACCINATION. Aconite, with Bell. oint. for erysipelatous I Aeon., Bell, severe inflammation (R). redness after vaccination (R). Sulph. on evening of 8th day, to abort Zinc Oxide, dusted over, to allay the sub- tendency to eruptive disease which sequent local irritation (Wa). | sometimes follows (Johnson, R). VAGINISMUS. Hydras, as injection (fl); with glycerin (R); one of the best local agents (Ha). Ac. carbol. fort. 5jss; glycerini Sss; aquae ad Svj, locally (R). Merc sol., or Ars. in superficial ulcera- tions; Merc. corr. deeper ulceration with induration of os and cervix (fl). Hydroc. asiat. ulceration of cervix (fl). Calend. 1 to 8 aquae, as injection (fl). Ars. gtt. v-x liq. arsenicalis, ad Sviij aquae as lotion (R). Bell. alt. Ant. tart, in all hyperaemic states of the os, in which Bell, has most mar- vellous influence (fl). Ant. tart, in chronic cervicitis (Ld). Ether, to ascertain cause; usually a dis- placement, fissure, or cellulitis (E). Hygiene, sun-baths,hot-water injections, fresh air, removal from husband, etc. (E). Operation, (Sims') removal of hymen with scissors and insertion of glass plug 'till parts are healed, when the cicatrix is to be divided, etc. (E). Plumb, has caused vaginismus (fl). Atropia 6x, int. and ext. as cerate (gr. j-Sj); when spasmodic and neuralgic (fld). Silie, Nux vom., Ign. have helped (fl). Gels, is used with benefit in purely ner- nous vaginismus (fld). fldra. as injection or cerate, gives much relief (fld). VAGINITIS. (Compare Gonorrhoea, Leucorrhcea. Tannin, the glycerin of tannin in chronic vaginitis of children (R). Silver Nitrate, gr. xl-Sj aquae, applied within cervical canal, and over the vag- inal mucous membrane (E). Diet, no animal food, milk best; which, with careful attention to the bowels, pa- tient to be kept cool with light covering, and use of a mattrass, rather than a feather bed, is all the treatment re- quired (A). Aeon., Canth., Sepia, gonorrhceal (fl). Aeon., Merc, simple, from cold (fl, B). Grind, rob. has soothing effects in vagini- tis with violent itching and burning, part raw and red (fld). VAEICELLA. Rhus tox. generally the only remedy need- ed. Aeon., febrile symptoms. Bell, head or throat symptoms (R). Apis, Canth. excessive itching (R). Inunction, with camphorated oil, or thin starch, relieves itching and allays inflammation (R). 266 INDEX OP VAEICOOELE. Hamamelis, appears to have permanently cured one case (R). Ergot, gr. ij-vj of ergotine hypoder., the needle to be inserted among the affected veins; care being taken not to puncture a vein. Effective. Severe pain follows for a few hours (B). Water, cold douche to the perineum and buttocks, with suspension of testicles in cold water (R). Radical Cure, consists in obliterating the veins by wire ligatures, etc. (CI). Hamamelis, is employed with satisfaction in varicose veins and ulcers (Pf). Ergotine, injected along side of vein, but not within it, has cured (B). Bandage, or elastic stocking; with cold Bponging, and rubbing upwards, as pal- liatives (CI). Cimicifuga, is given internally by some, who assert that it prevents pitting (R). Mercury, in oint. or plaster, to prevent pitting in semi-confluent, or barely con- fluent cases (Wa); formerly used (R). Camphor, is said to restore the eruption, if retrocedent. In confluent or malignant small-pox, camphor alone, or with opi- um, may be used for great depression of the vital powers (Wa). Belladonna, successfully used both as pro- phylactic and curative agent (Erasmus Wilson). Gr. y~] every 3, 4, or 6 hours, to dilatation of pupil and some stupor; found effectual (Wa). Carbolic Acid, is used with decided advan- tage (Wa). [See Measles.] Has been much used on theoretical grounds, but not with success (B). Ammonium Carbonate, has had cheering success (AVa). [See Scarlatina. ] Quinia, small doses in adynamic states, larger in hyperpyrexia (B). Ham. internally and externally (R); with Puis., both used ext. and int. better for "radical cure" than any operative meas- ures (fl). Collins, reported curative (fld). Suspensory Bandage, or a hernia truss necessary (R, II). Obliteration, by caustic potash and caustic lime, equal parts, with alcohol to form a paste; which should be washed off in two or three minutes with vinegar and water (Hel.) Ham. 1 or 2 int., diluted ext. of much value(fl); in varicosis of the limbs (fld). Puis, useful to relieve pain and promote tone of vessels (fl). Ac. fluor. valuable in chronic var. (H). Staph, is spoken well of (fl). Rest and support, important (fl). VAEIOLA. (Compare Vaccination.) pare Vaccination.) Cimicif. seems indicated in first stage(ffd); severe pain in the back and eyes, head- I ache, mental symptoms (Hpl). Merc, when maturation impending, and the suppurative fever rising (fl); saliva- tion, ulcerated throat, fetid breath (R). Camph. ■<>, for sudden retrocession, or sud- den malignancy of eruption, every 10 or 15 minutes, with hot baths (R). Bell, most appropriate to the fever (fl); severe head symptoms, delirium, photo- phobia. Also prevents retrocession (R). Ac. carbol. 1\ has been used successfully in severe cases (Hpl); the on a needle, to prick the pustules on the face, to pre- vent pitting (ij). Ver. vir. , alt. Macrol. lx, have proved successful(flb/com6e); the former in var- ioloid, severe pain in back(fl). Apis, great swelling, or troublesome itch- ing; a useful adjunct (fl). Vaecininum Z, (cow-pox lymph), int. to modify by conversion into varioloid (fl). VAEICOSIS. (Compare Hemorrhoids.) COMPARATIVE THERAPEUTICS. 267 Cliloral, temperature high, much deliri- um, and restlessness (B). Opium, low, muttering delirium. Not so much used now as formerly (B); mor- phia in the insomnia of the advanced stage, once or twice only, but not when copious salivation or mucous expectora- tion (Wa). Silver Nitrate, on a sharp-pointed stick, inserted into each vesicle after rupture, to prevent pitting (B); or simply paint skin with a solution of gr. xx to S (R). Iodine, the tinct. to prevent pitting, is painted ten times over face if on first day of eruption, 12 if on second day, 12- 16 times if on third day (B). Collodion, or solutions of India rubber or gutta percha in chloroform, to prevent pitting; or cotton-wool dipped into lime liniment, applied to face or neck (R). Water. Cold baths and cold pack of great utility (B). Packing especially on retrocession of rash (R). External Applications, as powdered starch, flour; zinc carbonate, 3 parts to 1 of zinc oxide with olive oil; cold or tepid water with vinegar, sponged over body twice or thrice daily (Wa). Ant. tart. 1, is closely homoeopathic, and reliable(fl); has abortive power (Ld,H). Also in varioloid, if vomiting is trouble- some; and continuously when the erup- tion has appeared, and the temperature has fallen (fl). When gastric difficulties or catarrhal or pulmonary complica- tions (Hpl). Ham., Sulph., Lach. in hemorrhagic form (fl); also Phos. (Js). Ars., Bapt. when typhoid symptoms (fl). Ars. iod. the best in malignant var. (fld). Hydras, claimed to be a specific (fl). Bapt. much evidence in its favor (fl). Sarrac has some reputation (fl); has specific power over the disease, shorten- ing and mitigating the eruption, and preventing serious complications (Ha). Sulph. irregular course; green, purple or black pustules (R, Teste); also during convalescence; and as a reliable preven- tive the (R). Diet. Tea and dry toast, raw eggs beaten in cold milk, beef-tea, grapes, roasted apples, ripe fruits in season. Cold water may be drank freely (R). Fats. Bacon-fat smeared over face, to allay itching and prevent pitting (R). VEETIGO. Digitalis, in small doses, altern. month by month with tinct. of larch, and with a long course of the citrate of iron and strychnia, in essential vertigo, without any other head symptoms, and with general depraved nutrition, the most effectual treatment (Wa). Polassic Bromide, often controls paroxys- mal vertigo, without co-existent spasm, or organic brain-disease (Wa). Ammonium Bromide, in an effervescing form with cascarilla, for vertigo from overwork, where there is usually rest- lessness, insomnia, depression of spirits, with a sense of impending evil (Wa). Cod-liver Oil, giddiness of the aged, when no serious brain-disease (R). Is mostly symptomatic of disorder of the stomach, or of the liver (cholaemia); sometimes of general debility; rarely of disease of the brain (H). Dig. our grand remedy in " essential ver- tigo" from anaemia of the brain, caused by enfeebled heart (fl). Iod. 3*, Sulph. vertigo with little or no aching, from chronic cerebral conges- tion, esp. in the aged (fl). China , or Chin, sulph. gr. y from debil- ity from excessive loss of fluids, or after an acute disease (R). Ac hydrocy. the giddiness of epileptics (fl); vertigo with headache (R). Phos. in many forms, esp. nervous (fl). raoac. 6, nearly infallible for that of which sea-sickness is the type (Js). Cocc. for same form with cerebral vom.(fl). Ambra, nervous in the old (fl). Arg. nit. vertigo on the least bodily or mental exertion (fl). Arn., Bell, hyperaemia of brain (fl). Bry. congestive, worse from stooping (fl). Sulph., Ac. plias. brain-fag (R). 268 INDEX OF VOMITING. (Compare Hematemesis, Nausea, Sea-sickness, V. of Pregnancy.) Ipecacuanha, in small doses, will arrest certain kinds—a curious fact; esp. useful in certain forms; njj of vinum ipecac. every y hour or more (B, R, P); in sick stomach of nervous origin, minute doses of undoubted value (W). Arsenic, in many forms of stomach vomit- ing, esp. that of alcoholism, and chronic ulcer (B); and in the vom. of cholera (R). Nux Vomica, stands next to arsenic; is use- ful in many ways (B); may be given with Ipecac, esp. when tongue coated (R). Iris, in vom. with blinding right supra- orbital pain; liver deranged (P). Bismuth, in many forms of vom. in chil- dren, esp. when from gastric catarrh (R). Carbolic Acid, with or without bismuth (B): in nervous vomiting (W). Creosote, in the vomiting of cancer, gas- tric ulcer, etc. (R); gtt. j-ij (W). Mercury, gr. y of grey powder every 2 hours, esp. in children with clayey stools (R). Sulphurous Acid, "?v-3j, well diluted, or less effectively, sodic sulphite. Sul- phites often curative in vomiting of sar- cinae, and acid matter, due to acid fer- mentation of starchy elements (B). Cocculus Indicus, efficient in cephalic (P). Opium, will arrest many kinds; best in that of biliary or renal calculi, dysmen- orrhcea, sea-sickness, pregnancy. (Mor- phia, hypoder. gr. 1-12 to y (B, P). Bryonia, bilious vom. headache (P). Veratrum Album, in vomiting and purging of summer diarrhoea (R). Hydrocyanic Acid, often very serviceable in nervous vomiting; acts promptly if at all. R. Ac. hydrocy. dil. $j; aquae lauro-cerasi, Sij. M. Sig.—A tablesp. every two hours (B, R). Chloroform, irjij-v, on sugar, for non-in- flammatory vomiting (B, R). Bromides, in cerebral vomiting only; not in the gastric form (B); pot. brom. in that of uterine disease (W). CinnamonoT Cloves, will check vomit'g(P). Ipec. the grand remedy for gastric vomit- ing (fl); yellow or white tongue (R). Ars. a chief remedy (fl); great prostrat'n, burning in throat and stom., cold hands and feet, ulcer or cancer of stomach (R). Nux vom. alt. Ars. 1", vomiting of sarcins (R); Strych. in reflex vomiting (fld). Iris, in many forms; pancreatic pain(fl); vomiting of bile, sick-headache (R, Ha). Bism. when from gastric irritation (fld). Bism., Ars., Creos., Hydras, from ulcer- ation or cancer of stomach, with emaci- ation; gastritis, etc. (R). \ Ac. Carbol. has been useful (fl); for vomit | ing of ingesta in children (fld). Creos. for chronic vomiting, also in sym- : pathetic, stands very high (fl); persistent | vom. or retching without vomiting (R). Merc, JEthus. vom. of milk in children (fl). Merc, Iris, Ipec, Bry., Pod. vom- iting of bile (R). Ac. sulphs., Nux vom. 1, Ipec, Sil. vomiting of milk in children (R). Ac. sulph. empty retching (R). * Cocc. ind., Petrol, cerebral vomiting, from riding in carriage (fl). Apomorph. 3, reflex and gastric vom. (fl); no gastric or bilious symptoms (R); sym- pathetic, cerebral; 13 cases cured (Dyce Brown). Bry. vom. of gastric origin; empty retch- ing, spitting up of water and mucus, coldness of body; bloody vom. (Hpl). Ver. alb. prostration and cold sweats (R); Ver. vir. violent, prolonged vom., and hiccough with globus hystericus (R); empty, painful retching, with ejection of a little bloody, frothy mucus (fld). Puis, mucous, gastric vomiting (fl, Ha). Zinc, vomiting without retching; food suddenly ejected (R). Conium, chocolate-colored in cancer (R). j Arg. nit. with great sourness (R). lye vomiting of greenish masses (R). | Cupr. arsen. 2x, obstinate paroxysmal, a | dose when nausea indicates return of , paroxysm (R). COMPARATIVE THERAPEUTICS. 269 Calumba, in vomiting from kidney disease and renal calculi; frequently allays that of pregnancy, and dentition (P). Serpentaria, for bilious vomiting (P). Cerii Oxalas,in that of pregnancy and from cancer (B); gr. j every 3 hours (R). Sodic Bicarbonate, 5ss-j to a pint of milk, for infants esp. if constipated (R). Ammonium Carbonate, may relieve, when vomited matter is acid (B). Milk and Lime-water, often relieves when other methods fail. Also the efferves- cing soda powders in the vomiting of acute diseases, and the exanthemata (B). Alcohol. Iced brandy or champagne in spoonful doses every y hour in vom. of cholera, pregnancy, and delir. trem. (B). Counter-irritation, at epigrastrium (R). Nutrient Enemata(B). [See Enemata.] Ice, sucked, with horizontal posture, ab- solute rest and quiet (Wa). VOMITING 01 Ipecacuanha or Nux Vomica, either will generally succeed where the other fails (R). No other remedy of equal value to Ipecacuanha (P). Nux Vomica, often fails. Gtt. ss-j every hour or two in water (B, R); in very minute doses (S). Arsenic. Fowler's sol. gtt. j, before each meal, will often relieve, when vomiting of food, retching and straining, with blood and pain (B). Creosote, checks the vomiting (R). Carbolic Acid, drop-doses of crystals lique- fied by heat, in mucilage ter die (Wa). Staphisagria, has subdued when other remedies failed (P). Cerium Oxalate, gr. j every 3 hours (R, B). Morphia, hypodermically in severe (R). Pepsin, has been used with success. In- gluvin, seems almost specific (B). Potassic Bromide, is often efficacious (W). Hydrocyanic Acid, often the best remedy (B, P). [See ante. Vomiting.] Copper Sulphate, sometimes effective; not more than gr. 1-20 ter die (B). Iodine or Calumba, as tinct. often useful; drop-doses every hour or two (B). Ant. tart, whitish, rice-water vomit, with a similar diarrhoea (R). Ant. crud. nausea, heaviness of stomach, foul white tongue, dislike to food (R). Secale, chronic vom. of sour mucus, with offensive eructations (R). Lobel. high, in vomiting from fright and other emotional causes; also with great prostrat'n, cold sweat, feeble pulse (Ha). Sanguin. when acute or chronic gastritis, in acute, 6th, in chronic, lower (fld). Therid. vomiting when closing the eyes, and resembling that of sea-sickness (fld). Eup. perf. hepatic derangement, malaria, also in ordinary bilious vomiting and diarrhcea of children (fld). Pepsin, for vomiting of food after meals; gr. x-xv before or during meals (fld). Kumyss, has proved efficacious when no other food would remain on the stomach (fld). Ipec. only when stomach irritable; best in alternation with Nux vom. (fl). Nux vom. perhaps most important reme- dy; diminishing reflex excitability (fl); water-brash, constipation, dark com- plexions (R). Ars. persistent vom. after eating or drink- ing, extreme weakness, emaciation (R); gastralgia, burning pains in mammae(i). Creos. a remedy of the same class as Nux vom. (fl); rarely fails in persistent morn- ing sickness from sympathetic disturb- ance (R). Ac. carbol. has been very successful (fld); when frantic headache and great irrita- bility (Hpl). Staph. 6, is the best remedy (Teste). Cerium, oxal. 1", gr. ij—iij, has much testi- mony both for and against it(fla). Apomorph. 3, should be considered in ob- stinate cases (fl, fld). Pepsin, often acts with singular efficacy, arresting for days, even weeks (Ha). Kali brom. often acts magically; gr. x at night and in morning before rising (fld)- Sepia, one of our best remedies, esp. when uterus previously unhealthy (fl). PEEGNANCT. 270 indi Bismuth, and carbolic acid, effective (B). Atropia, frequently effective. R Atrop. sulphat. gr. ij; aq. destil. Sj. M. Sig.— 2 drops in water before meals (B, R). Aconite, in full doses, often effective (W). Spinal Ice Bag, often successful (R). Sodium Hyposulphite, an unfailing reme- dy in lotion for aphthae of the vulva (T). Arsenic, much used for eczema (T). Lead Acetate, a concentrated solution in glycerin, for eczema of vulva (T). Alum, as lotion in vulvitis of children; gr. lx-Oj aquae, or less strong if found to increase discharge (R). Lead, solutions of the acetate or the di- acetate as wash, after the acute stage has subsided. Lime-water, as wash (R). Thuja, worthy of recommendation in the highest terms, for the cure of warts with a narrow base and pendulous body. A strong tinct. locally three times a day, for one or two weeks, with 5 drops in a wineglassful of water internally, night and morning (P). Nitric Acid, Sj—ij of the dilute acid to a pint of water, as a wash, to keep small syphilitic warts constantly moist (R). Sabina, as caustic (P); j-ij of alum (Wa). Rue, the oil, with honey, locally (P). Arsenious Acid, as a caustic; enough to be used to excite active inflammation. Liq. arsenicalis painted over warts (R). Caustic Alkalies, locally (R). Chromic Acid, gr. 100 to 3j aquae, with a glass rod, to saturate diseased growth. Remove any superfluous acid; dress with dry lint (R, Wa). Mercuric Nitrate, locally (R). Silver Nitrate, as caustic, but is usually too superficial (R). K OF Aletris, U or 2*, in early months of preg- nancy, excessive nausea, faintness, gid- diness, pain in the hypogastrium (fld). Puis, fair persons, tendency diarrhcea (R). Dios. of value, esp. when gastralgia (fld). Coff. may arrest, in some cases (Hpl). Calendula or Hydrastis, as glycerite, ap- plied locally several times a day, in lac- eration of the posterior commissure (R). Ant. tart, supposed to be useful for pus- tules on vulva (Hpl). I Ars. has intense action upon the external genitals (fl). Merc., Thuja, Sepia, have been recom- m'd for chronic follicular vulvitis (fl). Grindelia robusta, 3j to Oj aq. fervid, as lotion, gives good results (fld). Thuja , int. and ext, the best remedy for all excrescences of skin or mucous membrane. The medium dilutions for crop of warts (fl); ext., 12 or 30 int. (R). Ac. nit., Caust. warts complicated with chancroid, or soft chancre (Mg). Calc. carb. has repeatedly caused their disappearance (fl); small, soft(ii). Natr. carb., Caust. have frequently proved effective (J). Sepia, large, hard warts (R). Ant. cru. 2*. smooth, soft; especially on neck, hands, arms (R). Merc, sol., Merc, corr., Ac. phos., Staph. complicated with hard chancre (Mg). Rhus tox. int. and ext., where Thuja does not succeed (R). Dulc. 3, said to be often successful (R). Sulph. once a day for a week or two, ex- cellent for numerous and obstinate warts on the hands. Also useful after other remedies, to eradicate the tendency to recurrence (R). VULVA. (Compare Pruritus Vulvae.) VULVITIS. (Compare Vaginitis.) WAETS. (Compare Condylomata.) COMPARATIVE THERAPEUTICS. 271 Extirpation, the least troublesome and most speedily effective method. Run a scalpel through it, seize the cut edge of the cyst, and gently tear it out with a touch or two from the knife. Dressing of lint and carbolic oil to cause suppu- ration and contraction (D). Filix Mas, Brayera (Kousso), Rottlera (Ka- mala), Pepo, Granati fructus cortex, as taeniafuges (B). Filix Mas to be taken on an empty stomach, for tape-worm, and followed by a purge (R, P). Pepo, Sij as emulsion, taken fasting, one of the most efficient remedies against taenia (B). Santonine, the best anthelmintic; laxative in morning, fasting all day, a dose (gr. ss-v) of santonine and calomel, or troch- es of santonine (j-x), at bedtime, a sen- na draught next morning. Forascarides (B, P). For round and thread-worms, in castor oil by mouth, oras injection(iJ). Iron, the syrup of the iodide internally and a solution of the tinct. locally, for ascarides (B); the tin'ji. ferri sesquichlor. Sss ad Oj aquae, a good injection for thread-worms; coagulates albumen (R). Quassia, the infusion an effectual injec- tion, conjoined with simple bitters in- ternally, for ascarides (B, R). Lime Water, as injection for thread-worms (R); Siij-iv repeated, for ascarides (Wa). Sodic Chloride, in sss doses on empty stomach, expels ascarides and prevents reproduction (Wa). Quina, as a tonic. Also cold sponging, out-door exercise and judicious diet. Useful probably by preventing the pro- duction of the abundant mucus which favors the growth of worms (R). Esp. useful for ascarides; also as injection for thread-worms and taenia (Wa). Ignatia, for convulsive symptoms (P). Kamala (Rottlera), excellent for taenia, re- quires no purge (P); gr. cl-clxxx for an adult (Wa). !N. ' Bary. carb. 6, has removed several (R). Hepar sulph. often causes suppuration, discharge and disappearance (R). Phyto. , injected into wen after punc- ture, and removal of some contents (R). Coni. 3*, has cured (R). Kali iod., Sil., Calc. carb., Graph., Lyc.(R). Filix mas, , in drop doses, night and morning, for 2 or 3 weeks, in taenia (R). Filix mas, Merc. corr. Stann., Cupr. acet. in drop-doses frequently, will often in cases of tape-worm, free the patient from all worm symptoms, even tho' joints con- tinue to pass away by stool (fl); attenu- ations of Filix absurd (fld). Pepo semen, Sj peeled or bruised with milk or cream, at bedtime, after fasting nearly all day. In the morning a table- sp. of castor oil with half a teaspoonful of pure sulphuric ether. No breakfast, only a cup of tea or coffee. The safest and most generally efficient remedy for tape-worm. Half the above for patients under 12 years of age. Filix mas and Kousso, are the next best agents (fld). Cina, Sant., lumbrici; produce the same effects. Cina, the widest ranging reme- dy, and in all doses (fl). Sant. in cocoa- butter suppositories for thread-worms, also the lx at bed-time; rarely fails to cure (J?); if homoeopathic to the condi- tion, a small dose sufficient (Hpl). Ferr. perchlor. , gtt. xx, with Quassia; Lime-water; Salt-and-water. Or Merc. corr. gr. y ad Sij aquae, injections for thread- worms (R). China, Filix, Samb., Merc, Urt.ur. , Teucr. lx, for adults. Cina, for children. Sulph. for thread-worms. Cina, , Sant., Ign., Merc, Spig-• Sulph. for long or round worms (R). Ign. itching and prolapsus ani, nervous children (R). Teucr. lx, is my favorite remedy for as- carides (fl). Urt. ur. excessive itching of anus (R). W01 272 INDEX of Eucalyptus, as injection, for ascarides(B). Aloes, are efficacious for ascarides (P). Ailanthus, decoc. of fresh bark, taenia (B). Tonics, as cod-liver oil and iron to restore intestinal canal to healthy condition(R). Turpentine, as poison to tape and thread worms (R); also for taenia (Wa). Bcammony, for thread-worms in rectum (R); with calomel, effective (Wa). Tannin, as catechu, kino, redgum, rha- tany, haematoxylum in injections to de- stroy thread-worms (R). Alum, as solution for injection (R). Ammonium Chloride, to prevent formation of thick mucus which serves as nidus for worms (R). Valerian, esp. when convulsions (R). Lye 30, for two days; Ver. 12, for four days; Ipec. 6, for a week, in obstinate cases of ascarides (Teste); a very effica- cious course (fl). Arg. nit. irritation at nose and anus, ema- ciation, chilliness, nightly fever; in the 2d has been effective for taenia (Hpl). Stann., Viola od. for lumbrici (Teste); have not proved beneficial (fl). Aeon, is indicated in worm affections by many symptoms (Hpl). Lard or Oil locally around anus to pre- vent the propagation of ascarides (R). Diet, should be digestible and regular, with much salt. Milk, toast, stale bread, mutton without fat. No food between meals (R). WOUNDS. (Compare Inflammation, Pyemia, Surgical Fever, Ulcers). Arnica, very useful for external bruises and cuts, also for internal injuries; unites surfaces very rapidly after amputations. The infusion or decoction best (P); very effectual (Wa). Aconite, valuable in surgical fever (P). Carbolic Acid, solutions check suppurat'n, and correct fetor (B). The "antiseptic" treatment of wounds (Lister), esp. surgi- cal wounds. See Ag. vol. 1, page 187. Sulphurous Acid, in solution, diluted or not, constantly applied (R); in solution or by fumigation, is regarded by some as superior in efficacy to carbolic acid, and less irritant (Wa). Salicylic Acid, Thiersch prefers to carbolic; may be applied pure in powder to gan- grenous and sloughing wounds (B). Boracic Acid, also applicable as carbol.(B). Balsam of Pirn, excellent for closing re- cent wounds (P). Benzoin, the basis of heal'g "balsams" (P). Aloes, topically as a slight stimulant; often purges (R). Gum Tragacanth, a thick aqueous solut'n to granulating surfaces, to protect them from the air (Wa). Opium, to quiet intestinal movements in wounds of the abdomen (R); forwards reparative processes (P). Arnica, in all contused wounds. Is to an injury what Aeon, is to a chill (fl); esp. valuable (infusion) for wounds of the eye, and for contusions and lacerations of the muscular fibre (Hpl). Aeon., Bell, for inflammation of absorb- ents in poisoned, or dissecting wounds (fl); esp. Bell, when injured part is very painful and swollen, with congestive headache (R). Ac. carbol. with oil, will facilitate cure; useful on Lister's plan to disinfect the air in vicinity when dressing wounds (R). Promptly applied to a flesh-wound seems to aid union by first intention (Hpl). Ac. sulphs. rivals Ac. carbol. in prevent- ing formation of pus; Arn.and Calend. in soothing and remedial properties (Hpl). Calend. the most potent "vulnerary" ever discovered. Inimical to suppuration, and is unirritating. For incised wounds esp. valuable; also aids healing of punc- tured, contused, and lacerated wounds (II, Hpl). Also locally and internally for poisoned wounds (R). Ledum, ext. and int. specific for punctured (fl); wound feeling cold to touch and to the patient (L). Lach. has high reputation in traumatic gangrene (Dake, F, fl). COMPARATIVE Tannin, or glycerin of tannin to coat over wounds (R). Collodion or Liquor Gutta-perchx, to secure primary union of incised wounds (B); as protective covering (P). Iodoform, powdered and dusted over sloughing wounds, irritable and ill-con- ditioned ulcers, sores (B). Galvanic Couplet, to wounds of indolent form (B). [See Bedsores.] Nitric Acid, as escharotic for gangrene (B). Turpentine, one of the most efficient ap- plications in hospital gangrene (B). Poultices, are often abused. Yeast or charcoal best for foul wounds (B). Alcohol, an excellent antiseptic dressing when suppurating; also favors cicatriza- tion of open wounds (B). Watek, in universal use as dressing. Cold water often abused. Hot-water dressing as advocated by Hamilton, of New York, promises better results (B). Turkish Bath, for pain in the seat of old wounds (R). Ice and Salt, applied to wound pre- vents inflammation (R). YELLOW PEVEE. (Coi Mercury. A calomel purgative, gr. ss, 2 or 3 times on first day, followed by a warm-water enema, is good treatment (B); has many advocates, and many opponents (Wa); should generally be ab- stained from (S). Duboisia, gr. 1-80, subcutaneously, the most efficient hypnotic and calmative(B). Turpentine, when cardiac weakness, de- pression of vaso-motor system, dissolved state of the blood; ng x-5ss. Small doses, with tinct. ferri chlor., in hemorrhagic form (B). Quinia, has some strong evidence in its favor as an abortive agent, one large dose (gr. xxx-xl) with opium at outset (Wa); is not a specific; may hasten re- covery in mild cases (S). 3j per rectum, to reduce temperature (B). Liquor Calcis, with milk, has been found efficient for the vomiting (Wa, B). Capsicum, to obviate the black vomit, is highly spoken of (Wa). THERAPEUTICS. 273 Hyper, perf. in lacerated, 1 to 20 parts of warm water as lotion (F); injuries in parts rich in sentient nerves, esp. fingers, toes, matrices of nails. Is said to pre- vent trismus (L). Ruta, injuries of periosteum; mechanical injuries of tarsal and carpal joints (L). Staph, injuries from sharp instrum'ts (L), Apis, dissecting wound on hand, throb- bing pain along arm; erysipelas after wounds or operations; punctured wounds (L). Ars. lx or 2x, in poisoned wounds, when symptoms of rapid prostration (JB). Arg. nit. a good remedy in poisoned wounds (R). Hepar sulph. when suppuration is estab- lished (R). Silic when suppuration unhealthy (R). Asclep. syr. the juice applied to the sur- face after carefully cleansing and dry- ing, will greatly hasten the healing process (Hpl). fldm. much discoloration (R). Asaf. injuries of tarsus and carpus (L). Coni. injuries of the eye (L). npare Remittent Fever.) Aeon, is homoeopathic, even in stage of black vomit (Hpl). Aeon., Bell, to con- trol reaction (fl); intense fever, pains in head (R). Bell, meningeal symptoms in any stage (£). Camph. severe primary chill (fl). Bry., Ipec for gastric symptoms (fl). Bry. after Arg. nit. or Bell, sopor, delirium (L). Ars., Lach. in typhous condition (fl). Ars. in "black vomit" (Holcombe). Ant. tart, is used; nausea, vomiting, sink- ing sensation at stomach, etc. (Hpl). Carbo veg. recemmended in stage of black vomit, by several observers (Hpl). Arg. nit. for "black vomit" (fl); vomit- ing of second stage (Holcombe). Canth. urinary symptoms (fl). Lach. nerve-poisoning, first stage. Crotcd. blood poisoning, second stage; exhaus- tion, hemorrhage, jaundice. 300 cases treated, with 7 deaths, using the serpent poisons in the 30th, alt. with drugs symptomatically indicated (Holcombe). 274 indi Chlorodyne, is excellent for restlessness, insomnia, irritability of stomach (A, B). Veratrum Viride, gtt. j-x hourly, accord- ing to age, 'till pulse and temp, subdued; successfully used in connection with mercury, etc. (White & Ford, in the Charleston Med. Journal and Review). Stimulants, only in typhus form (B). Diet, of the blandest description (A); milk and lime-water, half and half, in Bmall quantities, is the best aliment. In convalescence, the utmost care is neces- sary in giving aliments (B). apothecaries' or troy weight. Pound. Ounces. Drachms. Scruples. Grains. B>- S- 5 9- gr. 1 = 12 = 96 = 288 = 5760 1 = 8 — 24 = 480 1 = 3 = 60 1 = 20 METRIC WEIGHTS. 1 Milligram - - 0.001=gr. 1-64 1 Centigram - - - 0.01 =gr. y 1 Decigram - - 0.1 =gr.iy 1 Gram - - - - 1. =-gr. 15.432 1 Kilogram - 1000. =lb. 2.7 Gels., Cimicif. severe pains through back and head; nausea, vomiting (JS). Crotal., Lach., Phos. the remedies most truly homoeopathic (fl). Crotal. 1* to 3x, has proved excellent (Neidhard). Aeon., Bell., Bry. in first stage; Ars. Carbo veg., Crotal. in second; the reme- dies found to be of most value in the epidemic of 1878 (Report of American Institute of Homoeopathy). Diet and cleanliness are very important In first stage, low plain food; in the third, stimulants may be necessary (R). APOTHECARIES' OR WINE MEASURE. Gallon. Pints. Fl'ounces. Fl'dr'ms. Minims. C. O. fS. f5. HJ. 1 = 8 = 128 = 1024 = 61440 1 =, 16 = 128 = 7680 1 = 8 = 480 1 = 60 APPROXIMATE EQUIVALENTS. 1 "5 or 1 gr. - - - = .06 grams. If3 orl 3 - - - = 4. " lfS - - - - =30. 13.....=31. 1 f 3 Glycerin - - =37. " If 3 Syrups - - - =40. WEIGHTS AND MEASURES. «3=-For the conversion of Apothecaries' Weights and Measures into Grams, see the table at the end of the book. INDEX OF SYNONYMS AND RELATED SUBJECTS, Ague—Intermittent Fever. Anasarca—See Dropsy. Angina—See Croup, Laryngitis, Pharyn- gitis, Throat, Tonsillitis. Anteversion—See Uterine Displacements. Anthelmintics—See Worms. Anthrax—Carbuncle. Aortitis—See Arteries. Apncea—See Asphyxia. Arthritis—See Gout, Rheumatic Arthritis. Ascarides—See Worms. Asthenia—See Adynamia, Convalescence. Atheroma—See Arteries. Attenuations, page 80. Azoturia—See Enuresis, Urinary Dis- orders . Baker's Itch—See Lichen. Baldness—Alopecia. Barber's Itch—See Mentagra, Sycosis. Barrenness—Sterility. Bedbugs—See Scabies. Biliary Calculi—Calculi, Biliary. Biliary Colic—See Colic. Bilious Fever—See Remittent Fever. For diagnosis, see page 63. Bilious Headache—See Headache Bilious —Sick. Bites—See Stings. Blindness—See Amaurosis, Amblyopia, Eyes, etc. Blood, Spitting of—Hemoptysis. -----Stains—See Stains. -----Vomiting of—Hematemesis. Bowels—See Anus, Constipation, Diar- rhcea, Enteritis, Hernia, Intestines, Tabes Mesenterica, etc. Brain—See Apoplexy, Cerebral Disorders, Coma, Meningitis. Brain Fever—See Meningitis, Cerebro- spinal Meningitis, Typhoid Fever, Typhus Fever. Branny-Tetter—Pityriasis. Breasts—See Abscess, Lactation, Mastitis, Nipples. Breast-pang—Angina Pectoris. Bright's Disease, Differential Diagnosis, page 58. Bronchocele—Goitre. Ceecitis—Typhlitis. Camp Fever—Typhus Fever. Cancer, Differential Diagnosis, page 59. Carcinoma—Cancer. Cardialgia—See Acidity, Gastrodynia, Heartburn. Carditis—Heart, Inflammation of. For Diagnosis, see page 59. Catarrh, Broncho- pulmonary—Bronchi- tis, Bronchorrhcea -----Epidemic—Influenza. -----Gastric—Gastric Catarrh -----Genito-Urinary—See Bladder Ca- tarrh of, Cystitis, Endo-Metritis, Go- norrhoea, Leucorrhcea. -----Intestinal—See Dysentery, Jaun- dice. -----Summer—Hay-Fever. Cephalalgia—Headache. Cerebral Compression and Concussion, Diagnosis of, page 59. Cerebral Dropsy—Hydrocephalus Cerebral Exhaustion—See Overwork Cirrhosis—See Hepatic Cirrhosis. Chafing—See Intertrigo. Change of Life—Climacteric. Chancre, Chancroid, Differential Diag- nosis, page 59. Chest Affections—See Bronchitis, Dysp- ncea, Hydrothorax, Myalgia, Pleurisy, Pleurodynia. Chicken Pox—Varicella. Chilliness—See Coldness. Chloasma—See Pityriasis. 276 INDEX. Chloroform—See Anaesthetics, Poisons. Cholera, Differential Diagnosis, page 60. Cholera Morbus—Cholera Simplex. Clavus—See Headache. Clergyman's Sore Throat — See Pharyn- gitis. Cockroaches—See Scabies. Cold-in-the-head—Catarrh, Acute. Cold-on-the-chest — See Bronchial Ca- tarrh, Bronchitis. Concussion — See Cerebral Concussion, Spinal Concussion, also Diagnosis, page 59. Conjunctiva, Diseases of the—See Con- junctivitis, Ophthalmia, Pterygium. Contusion—Bruises. Consumption—See Phthisis. Continued Fever—See Fever, Simple. Corneal Ulcers—See Keratitis. Corneitis—Keratitis. Corpulence—Obesity. Coryza—Catarrh, Acute. Cracked Skin—See Chapped Hands. Cramps—See Tetanus, Trismus, Spasms. Croup—Differential Diagnosis, page 60. -----False or Spasmodic—Laryngismus Stridulus. Cuts—See Wounds. Cyananche Tonsillaris—Tonsillitis. Diaphragm—See Hiccough, Myalgia. Dandriff—See Pityriasis. Death, Signs of—See Asphyxia. Debility—See Adynamia, Anaemia, Con- valescence. Depilation—See Tinea Circinata. Depression, Despondency — See Hypo- chondriasis, Melancholia. Dilutions, Homoeopathic, page 80. Diphtheria, Differential Diagnosis, p. 60. Dipsomania—See Alcoholism, Delirium Tremens. Dislocations'—See Fractures. Diuretics—See Urinary Disorders. Dizziness—Vertigo. Doses for Children, page 68. Doses for hypodermic administration, page 68. Dropsy of Chest—Hydrothorax. Drowning—See Asphyxia. Dyscrasia—Cachexiae. Ear Diseases—See Deafness, Earache, Otitis, Otorrhcea. Eclampsia—See Convulsions, Puerperal Convulsions. Emmenagogues—See Abortion. Emetics—See Croup, Membranous. Encephaloma—See Cancer, and for Diag- nosis, page 59. Endarteritis—See Arteries. Endo-Carditis, Diagnosis, page 59. Endo-Cervicitis—See Endo-Metritis. Uter- ine Congestion. Enteralgia, Enterodynia—See Colic, In- testinal. Enteric Fever—Typhoid Fever. Epilation—See Tinea Circinata. Epilepsy, Diagnosis, page 60. Epulis—See Teeth. Erections, Abnormal—See Chordee, Emis- sions. Eructations—See Dyspepsia, Flatulence. Exanthemata, Differential Diagnosis, page 62. Exanthems—See Erysipelas, Erythema, Roseola, Urticaria. Excoriation—Intertrigo. Face-Ache—See Neuralgia, Tic Doulou- reux. Fainting—Syncope. Famine Fever—See Relapsing Fever. Fat—See Obesity. Fatigue—See Exhaustion. Favus—Tinea Favosa. Febricula —Fever, Simple. Felon—See Onychia. Fever, Bilious—See Remittent Fever. -----Cerebro-Spinal — Meningitis Cer- ebrospinal. -----Differential Diagnosis, pages 62,63. Fistula Dentalis— See Teeth. Fissure—See Anus, Nipples. Fits—See Apoplexy, Convulsions, Epi- lepsy, Hysteria, Syncope. Flooding—Sec Hemorrhage Post Partum, Metrorrhagia. Foetal Development, page 187. Foetal Skull, Diameters of, page 188. Fomentations—See Poultices. Furunculus—Boil. Gall-Stones—See Calculi, Biliary. Gastric Fever—See Fever Simple.Typhoid Fever. Gastrodynia—See Gastralgia. Genitive Case Dose-List, page 68. Glands—See Bubo, Glandular Enlarge- ments, Lymphangitis, Parotitis. Gout, Diagnosis, page 61. Gravel—See Calculi, Renal and Vesical. Graves' Disease—Exophthalmos,, Gumboil—See Gums. Hands—See Chapped Hands. Hematemesis, Diagnosis, page 61. Hemoptysis, Diagnosis, page 61. Hepatic Abscess—See Hepatitis. Hepatic Colic—See Colic, Calculi. Hernia Scrotalis—See Testicles. Hippocratic Oath—See Ethics. Hives—See Urticaria. Hoarseness—See Aphonia. Hooping Cough—Pertussis. Hordeolum—See Eyelids. House-maid's Knee—See Bursitis. Hunger—Sec Appetite. Hydrometra—See Dropsy, Uterine Dis. Hypodermic Doses, page 68. Hysteria, Diagnosis, page 60. Icterus—Jaundice. Reus—Intestinal Obstruction. Incompatibility, page 79. Indigestion—See Dyspepsia. Injuries—See Bruises, Burns, Fractures, Sprains, Wounds. Insanity—See Dementia, Mania. Insolation—Sunstroke. Intemperance—See Alcoholism, Delirium Tremens. Intestinal Parasites—See Worms. Intestines, Diseases of—See Colic, Consti- pation, Diarrhoea, Duodenitis, Dysen- tery, Enteritis, Hemorrhoids, Hernia, Intestinal Obstruction, Intussuscep- tion, Typhlitis, Tabes Mesenterica, Worms. Ischuria—See Urinary Disorders. Itching—See Lichen, Prurigo, Scabies, Urticaria, etc. Kidneys, Diseases of—See Albuminuria, Bright's Disease, Calculi, Diabetes, Dropsy, Hematuria, Lithiasis, Neph- ritis. Labor—See Labor and Obstetrical Mem- oranda. Land-Scurvy—Purpura. Lead-Colic—See Colic, Poisons. Lentigo—Freckles. Lepra—See Psoriasis. KX. 277 Leprosy—Elephantiasis. Leucoma—See Corneal Opacities. Lice—Pediculi. Lips—See Chapped Lips. Liver—See Hepatalgia, Hepatic Diseases. Lochia—See Labor, Puerperal Disorders. Lockj aw—Tetanus. Lumbrici—See Worms. Lymphatic Glands—See Glandular En- largements, Scrofulosis. Mammary Abscess—See Abscess. Marasmus—See Atrophy, Emaciation, Tabes Mesenterica. Masturbation—See Emissions, Spermat- orrhoea. Measles, Diagnosis, page 62. -----False—See Roseola. Meningitis, Tubercular—See Hydroceph- alus, Acute. Menopause—See Climacteric Disorders. Mesenteric Disease—See Tabes Mesen- terica. Metritis, Chronic — See Endo-Metritis, Uterine Congestion. Migraine—See Hemicrania. Malaria—See Intermittent Fever, Jaun- dice, Spleen. Milk—See Agalactia, Lactation. Milk Fever—See Lactation. Milk-Crust—See Eczema. Milwaukee Test, page 144. Miscarriage—Abortion. Mole—See Naevus. Mollities Ossium—See Bone Diseases, Ra- chitis. Morbilli—Measles. Morbus Coxarius—Hipjoint Disease. Morning Sickness—See Pregnancy, Vom- iting of Pregnancy. Mouth Diseases—See Aphthae, Cancrum Oris, Gums, Parotitis, Ptyalism, Ran- ula, Stomatitis,. Toothache. Mumps—Parotitis. Muscular Disorders—See Atrophy, Cho- rea, Hydrophobia, Laryngismus, Lum- bago, Myalgia, Pleurodynia, Rheum- atism, Tetanus, Torticollis. Nervous Debility—See Adynamia. Nervous Headache—Headache, Nervous. Nettle-rash—Urticaria. Night-Sweats—See Hectic Fever, Perspi- ration, Phthisis. 278 INDEX. Nomenclature of Drugs, page 80. Nose—See Catarrh, Epistaxis, Ozcena, Polypus. Nyctalopia—See Hemeralopia. Odontalgia—Toothache. CEdema—See Dropsy, Feet, Glottis. CSdema Glottidis—See Glottis. Opisthotonos—See Tetanus. Ovarian Tumors—See Cysts. Painter's Colic—See Colic, Poisons. Palpitation—See Heart, Palpitation of. Pannus—See Corneal Opacities. Paraphimosis—Compare Phimosis. Paraplegia—See Paralysis. Paronychia—See Onychia. Pelvic Diameters, page 187. Penis—See Chancre, Chancroid, Chordee, Gonorrhoea, Phimosis, Urethral Stric- ture. Pericarditis, Diagnosis, page 59. Pernicious Fever—See Intermittent Fever Phagedena — See Chancre, Chancroid, Gangrene, Ulcers. Pharmacology, page 80. Phthisis, Differential Diagnosis, page 61. Piles —Hemorrhoids. Pimples—See Acne. Pleurisy, Diagnosis, page 61. Pneumonia, Diagnosis, page 61. Polyuria—Diabetes Insipidus. Porrigo Capitis—See Tinea Tonsurans. Port-wine-stain—Naevus. Potencies, page 81. Pregnancy—See Pregnancy and Obstet- rical Memoranda. Prickly Heat—See Lichen. Proctitis—See Rectum, Diseases of. Pronunciation, page 68. Prosopalgia—See Neuralgia, Toothache, Tic Douloureux. Proud-flesh—See Gangrene. Pruritus—Sec Prurigo. Pustules—See. Ecthyma, Impetigo, Pus- tule Malignant. Pyrosis—See Acidity. Quinsy—Tonsillitis. Rabies—See Hydrophobia. Red-Gum— See Strophulus. Renal Calculi—Calculi, Renal. Respiration—See Bronchitis, Croup, Dysp- noea, Emphysema, Pneumonia, etc. Retroversion—See Uterine Displacements. Rhinitis—See Nasal Affections. Rickets—Rachitis. Rigors—See Coldness, Fever. Ringworm of body—Tinea Circinata. -----of Scalp—Tinea Tonsurans. Rheumatic Fever — See Rheumatism Acute. Rheumatism, Diagnosis, page 61. -----Local—See Lumbago, Pleurodynia, Sciatica, Torticollis. Rubeola—Measles. Rupia—See Pemphigus. Rupture—Hernia. Salivation—Ptyalism. Salt-Rheum—See Eczema. Sarcocele—See Cancer, Testicles. Scald-head—See Eczema, Tinea. Scalds—See Burns. Scarlet Fever, Diagnosis, page 62. Scirrhus—See Cancer; and for Diagnosis, page 59. Scorbutus—Scurvy. Screaming—See Nightmare. Septicaemia—See Pyaemia Serpent-bites—See Poisons Reptile,Stings. Shiverings—See Coldness, Fever. Shingles—Herpes Zoster. Sickness—See Nausea, Sea-sickness, Vom- iting. Signs used in this book, page 81. Singultus—Hiccough. Skin Diseases—See Acne, Boils, Burns, Carbuncles, Chancre, Chaps, Chil- blains, Condylomata, Ecchymosis, Ec- thyma, Eczema, Elephantiasis, Ery- sipelas, Erythema, Freckles, Herpes, Icthyosis, Impetigo, Intertrigo, Lichen, Lupus, Mentagra, Naevus, Onychia, Pemphigus, Phlegmon, Pityriasis, Prurigo, Psoriasis, Roseola, Scabies, Scleroderma, Seborrhcea, Strophulus, Syphilis, Tinea, Ulcer, Urticaria, Wart, Wen. Sleep, Abnormal—See Delirium, Insom- nia, Nightmare, Somnambulism. Small-Pox—Variola. For Diagnosis, see page 62. Sneezing—See Catarrh, Hay Fever, In- fluenza. Softening of the Brain—Cerebral Soften- ing. | Sores—See Ulcers. 279 Sjinal Cord, Inflammation of—Myelitis. Spotted Fever—Typhus Fever. Squamae—See Icthyosis, Pityriasis, Pso- riasis. Stitc h s:s - in - the - side — See Chest-pains, Pleurodynia. Stomacace—See Cancrum Oris, Scurvy. Stomach, Diseases of—See Dyspepsia, Gastralgia, Gastric Ulcer, Gastrodynia. Stone—Calculi. Stipols—See Feces. Suangury—See Cystitis, Dysuria. Stiicture—See Rectum, Urethra, etc. Struma—Scrofulosis. St. Vitus' Dance—Chorea. St;-e— See Eyelids. Supra-renal Capsules—See Addison's Dis. Swall o wing—See Dysphagia, CEsophagus. Taenia—See Worms. Tenesmus—See Dysentery. Te etb i ng—Dentition. Tetany—See Spasm. T« tier—See Herpes, Pityriasis, Psoriasis. Thermometry—See Temperature. Threadworms—See Worms. Throat—See Aphonia, Croup, Diphtheria, Laryngitis, Pharyngitis, Scarlatina, Throat Sore, Tonsillitis. Thrush—Aphthae. Tinea Sycosis—See Mentagra. Tinea Versicolor—See Pityriasis. Toe-nails—See Nails, Ingrowing, Tongue-tie—See Tongue. Tooth-rash—See Strophulus. Torula?—See Sarcinae. Tracheitis—See Croup. Traumatic Fever—Surgical Fever. Triturations, page 80. Tuberculosis—See Phthisis, Scrofulosis. Tubercular Meningitis—See Hydrocepha- lus Acute. Tumors, Differential Diagnosis, page 59. Typho-Malarial Fever — See Typhoid Fever. Typhus and Typhoid Fevers, Differential Diagnosis, page 63. Uric Acid Diathesis—See Lithiasis. Uterine Catarrh—See Endo-Metritis, Leu- corrhoea, Uterine Congestion. Veins—See Phlebitis, Phlegmasia, Vari- cosis. Verucca—See Warts. Vomiting, Differential Diagnosis, p. 64. Wasting—See Atrophy, Emaciation. Weakness—See Adynamia. White-Leg—Phlegmasia Alba Dolens. White Swelling—See Joints, Synovitis. Whitlow—See Onychia. Whooping-Cough—Pertussis. Writer's Cramp—See Spasmodic Affec- tions. Xeroderma—Icthyosis. Yellow Fever, Diagnosis, page 63. Zona—Herpes Zoster. TABLE FOR CONVERTING APOTHECARIES' WEIGHTS AN' MEASURES INTO GRAMS, (Maisch.) Trot Weight. Metric. Apothecaries' Measure. Grams for Liquids. Grains. Grams. Lighter* than Water. Specific Grav.1 of Water. Heavier^ the-Water. 1-64 .001 n 1 .055 .06 .08 1 1-40 .0015 2 .10 .12 .15 1-30 .002 3 .16 .18 .24 . 1-20 .003 4 .22 .24 .32 1-16 .004 5 .28 .30 .40 1-12 ..005 6 .32 .36 .48 ; 1-10 .006 7 .38 .42 .55 ; P. .008 8 .45 .50 .65 .010 9 .50 .55 .73 \i .016 10 .55 .60 .80 ?* .02 15 .80 .72 .96 y .03 16 .90 1.00 1.32 i .065 20 1.12 1.25 1.60 2 .13 25 1.40 1.55 2.00 3 .20 30 1.70 1.90 2.50 4 .26 35 2.00 2.20 2.90 5 .32 40 2.25 2.50 3.30 6 .39 48 2.70 3.00 4.00 8 .52 50 2.80 3.12 4.15 10 .65 60f3j 3.40 3.75 5.00 15 1.00 72 4.00 4.50 6.00 20 3j 1.30 80 4.50 5.00 6.65 24 1.50 90 5.10 5.60 7.50 26 1.62 96 5.40 6.00 8.00 30 Sss 1.95 100 5.60 6.25 8.30 40 2.60 120 f Sij 6.75 7.50 10.00 50 3.20 160 9.00 10.00 13.30 60 3j 3.90 180 f Siij 10.10 11.25 15.00 120 3ij 7.80 240 f 3SS 13.50 15.00 20.00 180 11.65 fSV 16.90 18.75 25.00 240 Sss 15.50 f Svj 20.25 22.50 30.00 300 19.40 f Svij 23.60 26.25 35.00 360 23.30 fsj 27.00 30.00 40.00 420 27.20 fSij 54.00 60.00 80.00 480 Sj . Sij * 31.10 fSiij 81.00 90.00 120.00 160.00 ' 62.20 f 3iv 108.00 120.00 Siv 124.40 f Sv 135.00 150.00 200.00 Svi 186.60 f Svj 162.00 180.00 240.00 Sviij 248.80 f Sviij 216.00 240.00 320.00 ♦Lighter than water are tinctures, spirits, compound spirits of ether, sweet sp of nitre, fixed and volatile oils. iEther Fortior, f 5j=grams 2.80. tSame as water are waters, liquids, decoctions, infusions, most fluid extra and tinctures made with dilute alcohol. JHeavier than water are syrups, glycerin, a few fluid extracts, and chlorcfo Of the latter, f 5j=grams 5.50. 280 y- J ; Zv /—>■ >* *Cli NATIONAL LIBRARY OF MEDICINE NLM 00100173 1 ■ NLM001001739