“Curare, Cito, Tuto, et Jucunde.”
[Arcleniadu?]
Curare – Lyr: Senega
Cito {Lyr: scilla
Vin: {Antin
Vin: {Mecac
Tuto {Liq: Maphia sulp:
{Mualage
Tucunde {Lyr: simp
Aqua mouth
[illegible]

1
ꝶ Prescription for [Watson?]
Ext: Butternut grs XV
Blue pil: grs V
Pulv: Aloes grs iij
In ft into 8 pills.
“[Omne?] magus in Sc contines
minus”
The little bee from every flower
[A?] little honey sign
And thus is busy every hour
[The little bee from morn] til night
Goes humming into the air
And in its quick, and busy flight
Is not bowed down with care.
[cross out]

Pthy sayings.
“Despair not of tomorrow thou knowest
not what a day may bring forth
it may bring good as well as [coil?].”
“[Sex?] not thyself with imaginary
fears;”
“God grants all things to the firm
and determined.”
“Persevere, and you will succeed”
“Patience and diligence like faith
remove mountains.”
Napoleon

3
A
[Cross out]
Phosphate of Ammonia Page 18. Aromatic Wine Pge 83
Asthma Pge 51st. Arsenic Antidote how made Pge 51
Arsenic (antidote) Pge 45 Aconite (antidote) Pge 106 Ascarides Pge
Antiseptic ointment Page 122
B
Abnormal condition of the bloods. Pages 15-16. Brain Fever 17-2nd.
Burn Page 60 Bibliography. Pge 66 Black wash. Pge 42
Books to be bought Pge 83 [cross out] Boot Oil Pge 65
Arsenic (Antidote) 45 (Bronchitis 6 hr Cough mixture Pge 55
Tamid breast of Infants. Pge 105 Emma Bier’s Case Dyspepsia Pge 93
C
Colic Page 15. Cataract (Analysis of the Operation) Page 29
Chill (analysis of) Page 19.8 1216 hosea cure of Page 46 Am ato.. Coppier 46
High operation for stone by Dr. Atlec Page 43. Cough 46. Convulsions Page 69-75
Cholera Pge 62 Cider Mixt. Pge 42. Cough Mixture Pge 67
Cosmetic for Hair Pge 84. Cough mixture for Phthisis Pge 68
Copaibæ mixture. Capium Ammonialis Sulp Pge 44. Chlorion Pge 64
[Illegible]
D
Dysentery, theory for the cure of Page 18 Treatment for the lite of a madam Page
Dropsy Purge. Page 42. diabetic Urine Pge 65. Dyspesia remedy
for Pge. Moore’s Test for Diabetic Sugar Pge 123 Sulp: Acid mixture
for Diarrhœa Pges 65. Horse Colic Pge 90 Dysenty. Dr. [Aniple?]
prescription Pge 46. Dyspepsia and atonic state of the stomach 118
Preparation for cleaning are whitening dead bodies Be 104 Cephalogia 144
Death Tests Pge: 131 1 Minor, 2 Finger ligature, 3 Needle
4 Rigor 5 Odor.



5
E 
An attack of headach and vomiting cured Page 46 Etiology Pge 30
Iodine preparation to remove metallic particles from Eyes. Pge 65. Epilepsy Pge 118
F
Case of Farfura – Page 52. Prescription for Flatulency Pge 64
Food Pge 102 Danach Scheme of Fever Pge 111. & 136
Fasting. (Tanner.) Page 148
G
Astringent gargle Pge 68 Local application in Gout Pge 49
H
Heart Page 1. Hopes Mixture. Page 42 Hernia, Harley Pge 84
Genealogical [tree] of Hippocrates Pge 109. Hemorrhoids Pge 118
Hepatic stimulants 142 Headache 144



7
IJ. 
Iodine injection for Hydrocele Pge 42 Formula for Intermittent
Fever in order to prevent [after] [Heldophicial?] chill. Page 66. Injections in
Gonorrhœa Pge 67 Int: Fever Remedy Pge 131 Prescription for Infants Pge 88
Infants diseases Pge 118 Ink receipt Pge 94. Itching Pge 97
K
Modes of acquiring knowledge Pge 125
L
Life and Death (Def of) Pge 65
M
Extirpation of the right portion of the superior maxillary by Dr. Atlee Page 44
Milk Analysis of. Pge 96 Urine in Measles 7 Day of Eruptions Pge 105
Difference between Ovulation & menstration Pge 125. Remedies to dry milk Pge. 97
Faculties, & Operation of them, of the mind pge 125. Milk [illegible] 114
[Dispe???] of milk Pge 104. Month [illegible] Pge 104. To bring out measles Pge 118
Menorrhagia Pge 118 Antimalarial & Tonic ꝶ Pge 97



9
N 
Nosology Pge 33
O
Rosewater and lard ointments Page 18 for scalds and [bring?]
Yar Oint use of Page 47 Oleum &c, so; Pge 107. Oleaginous
mixture Pge 104 Obesity mode of reducing Pge
P
Pathology 18 Hydriodate of Potassa Page 46 Practical kinds pge 120
Piles ointment for Page 53. Phthisis Pge 110. Pupil & Scalation. Pge 51
Pain in diff tissues Pge 119. Pulse Pge 97 Hypophosphites Pge 142
Prescriptions (Fathers) Pge 120. Danach’s ꝶ for Pertupis Pge 120   
Q
Lydenham’s preparation of Cinchona Pge 55
[R]

[S]
[U]
[cross out] [V]
[W]
[X]
[Y]
[Z]

11
R
Rheumatism Page No1. Chronic Rheumatism cure for Page 18 and 46
Case of Rheumatism. Page 54. Rheumatism Philada.. Remedy for Pge 92
S
Sprain Page 16 Syphilis case of Page Scarlet fever 54
Sequela Extraordinary Page 71 Diagnosis of Syphilitic sores pge 60
Swietens Lig: Pge 83. Sys: Sedations Simplex Pge 61 Scabies Pge 85
Sugar (Diabetic) Shoe oil Pge 65. Secretions Am; Daily Pge 107
Spring medicinal Pge 112. [Seaucla?] of Scarlet Fever Pge 129. Styptic Pge 67
Skin diseases Clarification Pge 161. Con & non contagions skin diseases Pge 162. Systems of Medicine in 1800 Pge 125
& Cup Pge 105 [cross out] Strychnine Solvent Pge: 93 Splint Dressing Pge 142
T
Tumor Page 15 Rect Spt of Turpentine Typhus Fever Pge
Tonic Tea. Pages 60 Remedies for Tooth-Ache, Page 68
Tissues of the Body Pge 106 Teeth Pge 108. Cure for Tapation Pge 45
Affect of Temp: on action of Poison Pge 109. SO3 mixture for Diarrhœa Page
Tests for Sugar 123 In growing toenail Pge. Tetter oint Pge 43
Fasting. (Tanner.) [Page?] Page. 163
U
Urine Pge 86 Saceh: Urine Pge 85 Process of obtaining Sugar
from Diabetic urine Pge 86 Realities of Diabetic Urine. Pge 86. Urine
Analysis Art to be Cough Pge 45 Test pot Diabetic Urine Pge 86
Effect of chem: Reagents in Deposits in Urine Pge 108 Urates of Am: 1a
Pge 88. Analysis of Urine papid in no day Pge 103. Oxytocic medicines
to promote Uterine contraction Pge 53



13
V
Varicose vein. a case of rupture of Page 17 Fact 8th.. 
Vienna Paste Pge Vomiting remedies for Pge
W
Warners Tablet Page 47
X
Y
Youngs Table 107
Z

Father’s Prescriptions Pge 164 & 120

15
No 3
If a Tumor still continues to pulsate after you
have pushed it to one side with your hand.
or displaced it from its natural position.
you may conclude that it is an aneurism
but if it only beats when in its natural
position on the body it may not be inferred
as an aneurism. “Matter”
No 4th..
A cure for the colic.
Apply a tourniquet to the arm above the elbow, and
if necessary let the patient inhale sulphuric ether,
and give him 8 grains of calomel om teaspoonful
of castor oil, flavoured either with the froth of beer
or orange juice so remove the taste of the oil.
No 5th..
The abnormal state of the blood may presents itself
in three different aspects.
1st.. There may be a mal proportion of blood in the system
too much or too little. as in Plethora and Anemia
2nd.. Disproportion of Serum or Crassamentum   
or of any other of the elements. as in the cases of
cholera and Dropsy.
3rd.. Where the elements themselves are vitiated.
No 6th..
Examination of the Blood.
Having received three cupping glasses filled with
blood taken from the same vein. The cups having
been filled successively, so that little or no
time intervened between the filling of one
with the other. In one of the cups, the size was
very distinct and free from any redness until

16
about three or four hours afterwards; when small
red spots, with a deep red mass in the centre
appeared on the crust, which I could not satisfactorily
account for the blood having been
allowed sufficient time to separate entirely
I drained off the serum into another cup
and solidified the albumen with NO5 which
comprised about one third the whole mass
i.e. of the Nitric accid and the remaining
parts of the serum. The crassamentum I dried
hard tough, which became of a deep brack
colour on the outside. When cut open there was
found in the centre of the mass a small
quantity of blood which appeared to be
not coagulated but merely, in a jellied
state, resembling a red jelly very much,
when held up to the light, in the shade
had a black metallic lustre. The crust
was changed into a substance, resembling
pith, fibrinous and tough when dried
and seemed to converge in towards the
centre of the mass.
7th..
Poultice for sprains.
Make a large poultice of bran boiled in vinegar
after which pour a mixture of camphor and
laudanum with [the] twice the quantity of the
former, and then envelope the part while [the]
poultice is warm.

17
Hœmorrhage from 8th.. Varicose vein.
A Woman residing in Trys Court running from
eleventh street, between Market and filbert, while
working in the yard, struck her leg above
the ankle, on the anterior surface against a
one of the edges of a four cornered post, which
were rather sharp, which ruptured, a varicose
vein, when first seen she was sitting on
a chair with her foot in a tub which was
partly filled with coagulum water and blood
[w] having [see] unbound the bandages, the blood
spirted from the orifice veticaly about
a half a foot in a regular current similar
to that which flows when a vein is lanced
My Father raised the limb to angle of about 35°
and the bleeding immediately stopped.
[bandages] A compress was then bandaged over
the orifice, and having supported the limb
in an angle of 27° we left her, and after
three hours returned, and found everything quid.
A case of Brain Fever.
Saturday 10 clock.
1 Face flushed; 2 venous congestion about the lips
3 Irregular and difficult respiration. 4 Contraction of the flexors
of the fingers and also general contraction of the muscles
5 Arterial circulation very rapid, 6 Sensitive exceedingly
to the touch. 7 Restlessness. Frequent moaning.
8 Suspension of the action of the faculties of the mind
9 want of hearing. 10 want of sight. 11 A fixed steady
gaze with dilated pupil. 12 Pulse 160 attenuated
and irregular. (5 oclock PM.) 1 Muscles relaxed. 2 Pulse 120

18
these were accompanied with the symptoms
of the morning. Elatine in large doses has no effect
Sunday 1 oclock. 1 Bluedness of lips. 2 Matter forming under
The eyelids and corners of the eyes. The strongest
antiplastic remedies have no effects.
Ointment where the Cuticle is denuded
Melt the lard and then pour the melted lard
into boiling water and stir the it until the
salts and impurities are deposited, and
the pure lard is then skimmed from the
the top. Take a tablespoon full of the skimmed
lard and mix it with a teaspoonful of
Rose water.
Pathology.
Change in the elementary texture, or the introduction
of new formations, or both are the causes of the
numerous abnormal conditions in color form
size, consistence and relations which are found
either in part only or in the entire whole of any
one or number of the organs of the animal body
Remedy for Chronic Rheumatism.
Phospate of Amia 10 gr every three hours.
Dysentery.
The Calomel acts upon the liver thus diverting the action of the stomach
to the liver as one cannot act [cross out] at the same time as the other.
The Opium to stop the peristaltic action, and thus leave
the bowels at rest.
The Ipecac, to divert from the stomach to the skin
Iodine Injection
Tinct Iodine 3ss
Alethol 3ss
water 3ss 3i

19
Phenomena of the Cold Stage
1st.. Uneasiness 2nd.. Restlesnes. 3rd.. Weariness.
The consideration of these three phenomena
related to each other as cause and effect discover
to us the protein – causal phenomena Depression
of strengths. The effect Physical and [Somatical?]
of a distinctive principle and Miasm
4th.. Lassitude. This is not realy a fourth phenomenon
But is synonymous with wariness
5th.. Yawning. Abnormal action of the Masseter
and digastricus muscles, indicating
a debility in the motor nerves of
said muscles. This is one of the manifestations
of weariness.
6th.. Stretching. Abnormal contracted and involuntary
contraction of the Traperius
and elongation of the Pectoral and
sterns – cleids mastoideus muscles
by which the scapulæ approach
each other, and are drawn backwards.
The Deltoid contracting
and the [cenfra?] spinatus elongating
lifting up the humerus
Triceps contracting and Biceps elongating
extends the fore arm.
The extensors of the hand contract 
The abductors [of the hand] and
[cross out] of the fingers contracting
the fingers are abducted

20
N.B. The same may be said of the muscles of the Inferm
extremities
N.B. The above phenomena of stretching consist in
the contraction of the posterior muscles of the
limbs and trunk; and 2nd.. In the elongation
of the anterior. Stretching then is in a
sense opisthotinus; and is reducible to
an irregular action of the motor nerves
from the spinal cord.
6th.. Blueness.
of the nails, fingers, toes, lips, eyelids
genitals and, peritoneum. N.B. These localities
of blueness on the surface are owing to venous
hyperœmia, and are made visible from the
abscence of the subcutaneous adipose tissue
at said localities; doubtless this same venous
accumulation, and torpid circulation exist
generally immediately under the entire
subcutaneous adipose tissue. The localities
of blueness are seen in drowned persons.
and persons who have been hung. The dead
body show them more or less, particularly at the
lips and extremities. We may infer therefore a
similarity of condition in the cold stage of an
intermittent fever, asphexia and death. The cold
stage is a dying condition, and if not arrested must
terminate in death; all deaths in intermittent
fevers recur in the cold stage. The accumulations
of blood in the veins implies an opposite condition
in the arteries. i.e. a state of anœmia
This blueness is least remarkable in the quotidian
and most in the quartan.

21
On account of the anœmia condition of the arteries
arises
7th Paleness.
on the surface dependent upon the
capillary system of Corium. This is indicates an
abscence of arterial blood from the arterial capillaries
and thereby makes an anemic condition.
N.B. These two last phenomena relates to the blood
vessels, all the others to the cerebro-spinal system
8th.. A bent couched position of the body as a foetus
In utero, the opposite of yawning and stretching,
Being allied to emprosthotinos, and dependent
upon a condition of the spinal nerves
9th.. Sensation of chilliness.
The surface very sensitive
to cold, currents of cold air and the contact of
cool bodies produce chilliness, this runs quickly
through the body, and then intermitting
is resumed until it becomes a confirmed
chill. This chilliness is independent of external
heat or cold, It is evidently a morbid condition
of the spinal nerves of sensation. The thermometer
may be found to be at 92 in the axilla, during
the existence of the chill. The chilly sensations
seem traceable from the line of the spinal
column to the extremities, and is associated
with convulsive actions of the muscles such
as shivering, chattering of the teeth, general
tremors, and even to the shaking of the bedstead on
which the patient is lying. 

22
10th.. Pain,
in the back, loins and extremities, these are
altogether nervous, not inflammatory.
11th. Pulse
weak small and irregular sometimes
and sometimes more frequent than in health.
Pressure will show the capillary circulation to
be slow and weak.
Cullen
has remarked the following pheunomena in a chill
1st.. Languor 2nd.. Hugishness of motion. 3rd.. uneasiness
4th.. Frequent yawning and stretching. 5th.. Paleness
6th.. shrinking and diminution of bulk 7th.. Constriction
of skin. 8th.. 6 oldness of the extremities
at first more objectively than subjectively perceived
afterwards the subject feels a[n] sensation of cold
first in the back then passing over the whole
body at this time his skin feels warm to
an observer 9th.. Tremor in all his limbs, simultaneous
action of both setts of nerves. 10th.. Pulse sometimes slow
weak and small frequent often irregular. 11th.. Attention
difficult and also recollection as well as confusion of
thought, 12th.. Delirium 13th.. Drowsiness and Stupor 14th.. Comatose
symptoms 15th.. Apoplectic symptoms, 16th.. Head-ach
Cleghorn
has noticed the thermometer to range, in the hot stage
from 103° to 104

23
Remarks by Senac on the cold stage
Rigor or cold stage acts upon the nerves and by
some hidden cause excites them to action.
The irritation of a 1st.. billiary calculous, 2nd..
3rd.. Choledocus ductus, also 4th.. Catheter in the bladder, 5th.. An
emema in the rectum, 6th.. Strangulation of the intestines,
7th.. Formation of pus in any of the cavities.
Principal phenomena of the Chill
are 1st.. Heaviness 2nd.. sense of anxiety, 3rd.. Disposition to
to sleep, 4th.. Chilly sensations beginning at the feet or
scapulæ. 5th.. Horrippilations, 6th.. Shivering. 7th.. Tremor
8th.. Lower parts are cold while the upper are hot, sometimes
the chill is felt in one arm only, sometimes one side
is cold while the other is hot, the chill is rarely felt
internaly. 9th.. Varies according to age and temperament
10th.. Severity in proportion to the weakeness of the constitution
11th.. Sometimes lasts three and even four [hour]
and five hours; when the violence of the hot stage
corresponds. 12th.. A fixed pain like rheumatism 13th.. Drowsiness
even to Coma 14th.. Loquacity
Effects of the Cold Stage.
1st.. Contraction of the arteries, small and frequent pulse
irregular tremulus and uneven
2nd.. Paleness from said contraction.
3rd.. Lividness. The nose becomes of an arurecast 
Skin also is spotted with spots of a brownish blond
bluish hue owing to a detention of venous blood in the
veins.

24
4th.. Congestion in the larger veins, vena-gava and
the night auricle and ventricle of the heart
5th.. Convulsive motion and palpitation of the heart
6th.. Anxiety.
7th.. Occasional syncopy
8th.. The acts of Inspiration are partial and contracted
9th.. The vesicles of the lungs are not properly expanded
10th.. It is with difficulty the fluids air and blood
find their way through the lung
11th.. Internal burning and external chilliness
12th.. Thirst from this cause
13th.. Thirst from bile
14th.. Thirst from morbid accumulations in prima-viæ
15th. Pains from irregular actions of the muscular fibre
16th.. Aching in the joints
17th.. Torturing pains in the intestines.
18th.. Painful pricking sensations in the skin 

25
19th.. Numbness and insensibility of the skin and
its adjacent parts; so that a slight wound
cause no pain. Insensibility to heat of fire
and also to the action of purgatives
20th.. Deficiency of motion on which sensation
depends.
Corollarys
1st.. Organs of respiration are affected.
2nd.. Brain sometimes a sufferer.
3rd.. Secretions are disturbed.
4th.. Respiration obstructed.
5th.. Urine thin and watery.
Remittent Fever.
A Mild
B Malignant
a Billious
b Congestive
c Yellow
(a) Billious remittent fever is the endemic of the miasmatic
districts of all hot climates. Viz
I United States
1 Middle states
2 Southern ”
3 Southwestern ”
II Europe
1 South of France
2 Italy bc

26
III Africa
IV East Indies
V West Indies
Important medical writers
British army and Navy surgeons; and also practitioners
in the Southern and South-western states of America
Etiology.
High degree of Atmospherical temperature, causing
1st.. Irritation and inflamation of the
liver.
2nd.. Gastro-enteritic irritation
3rd.. virulent miasm.
N.B. These causes make remittent fever to be a compound
Disease; making remittent fever to be a combination
of a general and special disease.
Diagnostic Symptoms
1st.. Gastric irritability
2nd.. Sense of oppression and distress at the episgastrium
3rd.. Pain in the Head Back and Limbs
4th.. Great prostration of strength early manifested.
1st.. Exacerbation.
1st. Premonition, 2nd.. Languor 3rd.. Listlessness
4th.. Bitter taste. 5th.. Nausea, 6th.. Aversion from food
7th.. Indescribable uneasiness and sense of fulness 

27
about the epigastrium. 8th.. Costiveness, 9th.. Pain and
heaviness over the eyes.
N.B. These premonitory, symptoms
show that the digestive system is disordered at
the outset of the disease, [cross out]
Onset
1st.. Slight chill
2nd.. Heat of the surface
3rd.. Dry constricted skin
4th.. Face flushed and turgid
5th.. Eyes red and suffused
6th.. Respiration hurried and severe
7th.. Pulse quick, and frequent, but rarely tense
8th.. Great prostration of strength
9th.. Restlessness and anxiety
10th.. Pain and fulness weight and tension of the
head
11th.. Pain in the back and extremities, especialy
in the calves of the legs.
The above are the symptoms of Remittent fever which
show it to be of a miasmatic character. The followin
are those which prove it to be of a gastro – hepatic nature 

28
1st.. Weight and pain at the epigastrium
2nd.. Tenderness upon pressure there.
3rd.. Irritable stomach
4th.. Distressing nausea and rejecting food
5th.. Spontaneous vomiting of a bitter yellowish or
bright green matter.
6th.. Tongue moist red at the sides and edges
and coated on the upper surface with a whitish
light brown or yellowish fur, accumulating in
thickness as the disease proceeds
7th.. Thirst
8th. Constipation
9th.. Urine small in quantity and redish hue
10th.. Yellow tinge of the skin.
11th.. Yellowness of the adnatœ of the eyes
N.B. This first exacerbation lasts from eight
to twelve hours. 

29
Treatment of Remittent Fever
I The chill or more properly the depression is to be
treated like the cold stage of intermittents
II Reaction.
1st.. Removal of ingesta.
a stomach, by emetics
N.B. Emetic reduce the pulse, heat of skin, and
cerebral excitement; but it may do injury,
by aggravating the irritation existing in the
stomach at the time, so as to produce, even
gastritis
Corollary.
Emetics are to be used with
caution in Remittents.
N.B. Three kinds of ingesta.
1st.. Mucus
2nd.. Bile
3rd.. Food
Analysis of the operation for cataract as performed
by my Father 1848
L 1st.. Care should be taken to have the patient
in a position so that the spot where the puncture
is to be made shall not be in the shade.
2nd.. in performing the operation, there are three 

30
directions are to be given to the knife 1st.. A perpendicular
puncture, 2nd.. An oblique incision, 3rd.. A pierce in a direction
at right angles to the horizontal diameter of the
globe of the eye.
3rd.. The conditions in which the lens may be found are
1st.. It may be soft,
Then the plan, is to throw it in the inner
chamber.
2nd.. It may be hard
Then cut around it so as to separate
it from the sac, and leave the rest to the absorbants.
Absorbent Operation for Soft Cataract
June 15th.. 1848
Deborah Howel age 66 South Ninth St Philada.
Habitude.
Moderately adipose. Equanimity, Benevolence
and Intelligence are traits of her moral character.
Temperament may be divided into  2 Genus
1st.. Sanguineous
(a) Arterial 
(b) Venous
2nd.. Nervous
(a) Cerebro-spinal
(b) Ganglion or [illegible]
Ms Howel was of the venous species of the genus
sanguinei; and of the cerebro-spinal species of the
genus nerve.

31
Constitution.
Healthy
History
Four years before the operation, she gradualy lost the sight
of the right eye; after having slightly struck it against
the corner of the mantel-piece. When the primary
cause of cataract is through external injury the
case is more favourable than when it is from
an internal adynamic cause; cataracts from this
cause are generally associated with disease of the
eye, besides that of the lens which may be divided
into three heads.
1st.. Blood vessels of the Iris
2nd.. Abnormal condition of the
vitreous and aqueous humors.
3rd.. Diminution in the nervous
of the retina
4th.. Abnormal state of the tuberla
portion of the optic nerve; and of its vesicular
thalinus to the rest of the brain.
Important fact
That the primary cataract from an internal
adynamic cause; associated or not with Rheumatic
Gout, Struma, Carcinoma, Atrophy
[illegible] &c is always attended with hara
of failure, from any one or all of the operations for
cataract and on the contrary the cataract which
subsequently and sympatheticaly in the other
eye, by having no such morbid associations

32
is attended with no hazard in the operation, except
it be from vice of the constitution.
The primary cataract is a hard opaque lens
with an opaque capsule, generally seated in
the midst of and associated with an abnormal
condition of the other humors and structures
of the eye, which by the shock of the operation
is lighted up into active disease to sender the
operation useless and injurious, The damage
being in justice laid to the operator.
N.B. The hardness of the primary cataract is
because of its long standing, The parts of the
body when they become useless lose their fluidity
and shrink to a smaller size, This becoming an
irritant, as a foreign body to the capsule, and
rendered the more so by doubtlessly a suppression
of the fluid, which bathes the surface of the healthy
lens, provokes the capsule to the secretion of lymph
by which as in the arachnoid membrane, that
membrane becomes opaque and thick, I present
these views in proof of hardness of the lens
and opacity [in primary capsule] of the capsule
in primary cataract, and the wound of the
vitreous humor to make a bed in the couching
[cross out] operation, and the lodgement of the
hard insoluble lens, all tends to provoke and
continue disorganizing actions in an eye
too susceptable too morbid processes.
In contrast, with all this sad issue, from
Unwisely operating on a primary cataract
I present the following arguments in favor of
limiting the operation in question to secondary 

33
cataract
1st.. The cause of a secondary cataract is a normal
sympathy, which exists between similar
parts of the opposite halves of the body
for examples, If a sty be upon the right eye
there will be a sty on the left; but the former
or primary sty will be found to be the most
trouble-some to cure, and the most painful
when deafness comes successively upon both ears, the
least success in treatment may be expected, from
the primary ear, In the decay of teeth, which
may be from mechanical causes; or from an
internal cause, there will be a sympathetic decay
of the fellow tooth of the opposite side.
Query.
Will the difference of the success of plugging
be owing to, and in an illustration of the
above principle i.e. failure in the plugging of
the primarily decayed tooth, and success in
the other, if so a great principle results
viz
That in the symmetrical formation of the
sentient organism, and also in the double organs
[cross out] of nutrition and reproduction, such as the
2 kidneys 2 testicles 2 corpora calinosa.
The primary affection may be considered
incurable,
2nd.. As the secondary cataract in many instances
does not occur permitting many to pass through
life with only one cataract, and when it does take
place, its occurrence in the different cases are

34
at very different periods. for ex
Miss Tard had a cataract in her right eye
for about 20 or 30 years, before the secondary
took place, whereas in Miss Howels case the
primary cataract continued about 3 years
before the second, the progress of the secondary
cataract is generally rapids, and when completed
the importunity for operation quickly
takes place. This is often done but it is cruel
and unwise, no one could operate before blindness
is established. If one eye sight is sufficient
we are called upon to operate upon one eye
only, unless there shall have been a partial or
completed failure in the former operation.
The question is then, on which eye ought
we to operate, I answer upon that which is
not associated or liable to run into disease
by the shock of the operation, and which, by
its recent formation will be likely to be a
soft cataract, or laceration will be the less on
breaking up the lens.
N.B. There are two averages of success in
cataract operations, among the operations which
have been performed in the profession there has
been three failures to two of success, and those
of the more distinguished occulists 2 of failure
and 3 of success.
In Mrs Greenfields  case cat-pupil from inflammation
of iris followed.
In Mrs Lippincofts case primary cataract was
operated upon by Dr Parrish, while my Father

35
(Dr Danach) operated upon the secondary and
was successful.
In the case of Miss Lyckes, He had the choice
of the two cataracts, at her request, operated
upon the primary owing to peculiar irritability
of constitution, pain an inflammation ran high in both operations
but most in the primary; In Greenfields case
I also had the choice and having operated with
entire success upon the secondary she foolishly
urged the operation of the primary, Pain and
Inflammation, adhesion of the Iris, and displaced
periform pupil.
Operation for Howels case.
In [the] accordance with the
principle I have adopted for myself, I wait
until the cataract be fully ripe.
Is the opacity owing to the inflammatory action
of the cellular tissue, resulting in and of the
vessels of the laming themselves making
the opacity owing to the effusion of lymph.
Or is it owing to morbid nutrition or to the
want of absorption, whatever be the vital
process, it is manifestly wise, until the
local disease shall have had its entire
course, and come to its final crisis, to wait
before an operation is to be performed.
2nd..
By waiting the cessation of action the part
by its opacity, becoming useless to the organism,
nature setts about removing the useless part i.e.
the opake lens. The two agencies which nature

36
has in this are
1st.. Cutting off the vital relations
by (a) Blood vessels
(b) Nerves
2nd.. Shrinking the part solidifying
or melting it down.
The time operation is now
very distinctly pointed out viz, at that time
when all the vital relations are cut off, and before
the shrinking and hardening process has begun
operate then within the year, and six months
of the beginning of secondary cataract, and
choose those two months of the year which
are generally free from Endemic and Epidemic
diseases, or vicissitudes of the weather
which are June and October, above all acrid
an influenza epidemic, I have known
eyes wined by Influenza provoked by an
operation, during such an epidemic.
I therefore have chosen the month of June
in the case before us. Belladonna was applied
the night previous and continued during
the early part of the morning, strammonium
was also sued, The pupils were uniformly
and fully dilated, at 10 oclk gavee Tinct Opii
xxx grs. Having the day previous purged freely
with the effervescing solution of the citrate of
Magnesia.
With the help of Doctors Atlee and Warrington
and in the presence of my pupils. [cross out]
[cross out] The light from one
source fell obliquely upon the eye in such

37
a manner as to show the spectrum of the window
above the inner canthus, and out of the way
and thus form a shade at the point to be
punctured, The being fixed immovably
by pressure at three points of a triangle
that at the vertex by Dr Atlee and the two at
the base by my Father
N.B.
It require some degree of dexterity to immovably
fix and project the ball of the eye
I have seldom seen this done effectually
done and the hazardous motion of a partialy
fixed globe induced by the first pierce of the
needle, is very apt to cause a wounding
of the Iris Take therefore the following principle,
and direction.
Principles 1st.. sphere may be
permanently fixed by pressing upon at
three angles of an equilateral triangle
thus
[illustration] Prin 2nd.. Two objects are to be
accomplished by the manipulations
of the operator and his assistant viz 1st..
To fix the eye and 2nd.. to project the eye
Direction.
The assistant will move the upper eyelids
[cross out] backward over the surface
of the globe until he has buried [them] it in the
upper sulcus of the orbit. Three objects intended,
unlidding – projecting and fixing
the eye constitutes the second part of the
operation – Third part of the operation 

38
Query.
At what point shall the eye be pierced by the
needle? Ans A line and a half outside the
margin of the cornea [in] the sclerotica
and a line and a half below the transverse
diameter of the cornea thus
[illustration] The point of puncture
4th.. Direction.
Puncture to be made at right
angles to the tangent of the point, in order to
pierce the conjunctiva, subjacent cellular
tissue, sclerotica and choroid coat directly
The disadvantage of an oblique puncturing
of these parts is the pleting up of
these coats, and thereby tightening of the
needle
5th.. Direction.
Continue to move on the needle two lines
in the same vertical direction, in order
to escape wounding the cilliary body the
needle is then turned from the vertical
to become gradually [pardlex?] to the transverse
diameter of the cornea, or rather we ought to say
slightly oblique to said diameter, the needle
during the change of position being gradualy
advanced towards the pupil
6th.. Direction
In this direction continue the
needle across the pupil, before the capsule
of the lens, with its edges directed verticaly.
the needle will be found in an oblique
line, making an upper cord of the circle

39
of the pupil, the needle thereby has a good
leverage for depressing the cataract if it
is hard and also a great range of circular
motion to act upon the capsule
and the lens.
7th.. Direction
The object is next to ascertain the hardness
or softness of the cataract, and also
which of the four species it may be
But more especialy hardness or softness
to determine what shall be the future steps
of the operation, this quality of the cataract
will be ascertained by pressing the surface
of the needle against it, and if necessary
turning its edge upon its
8th.. Direction,
If the cataract proves soft Adams
breaking up operation is to be adopted
if hard the couching operation i.e. removing
the lens beyond [to] the bottom of the globe.
9th.. Direction.
In Mrs Howels case the mere pressure
of the needle upon the surface satisfied me
of its softness which determined me to
break up the lens and shore as many
fragments as possible into the anterior
chamber, my first object was fist to transversly
divide the capsule and then cut it
up as much as possible into shreds, I then
plunged the needle transversly into the
substance of the lens, kept it constantly rotating
and changing its direction, by moving

40
the needle upwards and downwards, inwards
and outwards, in order to destroy the continuity
of the all the anterior and posterior strata
of the lens, searching thereby also for a hard
central nucleus to depress it and making
every effort at the same time to force detached
portions into the anterior chamber of the eye
the needle is then removed.
N.B.
It is the direction and practice of some occultists
to direct the needle after having pierced the
coats to the bottom of the eye, and then bringing
it up obliquely into the pupil in order
to make a bed, for the displaced lens if we
are perfectly satisfied that the lens is a
hard one and therefore to be depressed.
This preparing a bed is proper but altogether
objectionable, if there be any doubt of the
consistency of the lens. Again in any case
the bed cannot be more effectualy made
after having demonstrated the necessity
of it. by the following method of couching
in hard cataract
1st..
All the steps of the operation, from the first
to the needle being in the pupil, are like
those above stated, having then ascertained
by pressing the surface of the needle and
directing its edge upon the capsule and
lens. The capsule is to be cut up into fragments
it may be effected more easily, hard than in the    
soft cataract, because of the hard surface 

41
behind its on which to cut; much attention
and painstaking must be used in the
removal of this anterior capsule
2nd..
The lens still retained in its natural
position, should be lacerated as much as
possible, by the rotation of the needle in, different
directions. The needle should then
with the edges obliquely directed from
before backward should be made to
cut a bed into the lower parts of the vitreous
humor beyond the greatest depression to
prevent the using of the lens on the inclined
place
thus [illustration]
3rd.. Having brought the knife back to the
pupil, an attempt should be made to dislodge
the lens by pressure on the lower
portion so as to cause it to make an anterior
somerset, which however cannot
always be effected, the needle then being
firmly fixed in the lens, it is carried
by a downward and backward motion
of the needle, and lodged in its bed in
the vitreous humor posterior to the vertical
diameter of the globe; By this cautions
treatment the lens is prevented from
rising after the operation to press upon the
iris thereby hazarding the most serious 

42
accident in the operation in inflammation
of the iris.
Hopes Mixture for Diarrhea from
Convalescence
ꝶ
Aqi: Camp: ℥i
Fuming Nitrous Ac: gtts VIII
Tinct: Opii. gtts XL
[m]
S. Teaspoonful every two hours. If necessary.
To which add
limp: Lyr: ℥ss
aq: Menth: ʒss.
Black wash
Calomel
Limb was ℥vi
Ebale Practice
Purge for Dropsy.
ꝶ
Pulo: Jalap grs vi
[cross out] Cream of Tartar grs viii
Elatin gr 1/8
Iodine Injection
Tinct Iodidum ʒi
Alcohol ʒi
Aqua ʒii
Antispasmodic mixture.
Hopes Camph: Mixt: 
Tinct: Valerian
Paregoric Clixic
Chloric Ather
ol menth ʒi } āā ʒii
Cider Mixture
Parsley root
Ginger
Horse radish
Bitact: Potape āā ʒi
Mustard seed ʒss
Ouniper berries ℥vi
Cider qt i
[m] ft: Haust:
The above mixture
is used a drink in Dropsy
with an occasional
Purge of Jalap
And Bitacti Jalapa
Vienna Paste
Quick lime ʒiii
Potapa Fuca ʒii
3 to 2) 5x5 of wine g.r.

43
To determine
200 cubic inches of gas wt 400 grs Temp 55° Barom 29 inches
.01586X200 = 317200 = An’t of moisture in 200 cubic inches
Correct this to mean temperature
55°-32’ = 23X480 = 503:200 = 397614X5°[60°-55°) = 199807X200 = 201.99807
correct the whole volume of water.
Correct this for pressure
30:29::201:99807:195.25513 volume corrected for temp and
pressure.
Then from – 195.255.13
Deduct am’t of aq vapor 3.20353
192.05140
Now as every permanent inch of permanent aqueous
vapor weighs 0.1929grs X 3.20353 = 0.61795 wt of moisture. Hence
450 grs – 0.69795 = 399.38204 grs wt of 192.05160 cubic inches of dry
gas.
High operation for stone.
Mr West age 60 residing in Say street, had been suffering
from the effects of a stone in his bladder for
several years. The operation was twice performed
The first attempt was fruitless. when on
a second attempt, a stone about the size of
a large pigeons egg was extracted.
The Doctor cut down the linea alba to external
coat of the bladder, which he cut into and
inserted a stone forceps and extracted a
soft granular stone the size of a large pigeons
egg, resembling very much a sand stone.
Tetter Ointment.
ꝶ Tar Ointment ʒi
map: Sulp grs iv
Arg: Nit: grs X
Iodine Oint: ʒi
[m] W. Darrach.

44
[Ammoniated Sulp]
[Capri Sulp]: Chorea
Capri Ammonio Sulp: ʒss to [cross out]
Aqua Destil: ℥i
Dose 5qtts to xii
immediately after each meal. so as to sickened
Heim of merlin treated chorea successfully
with Anemic (Toulus Solution) But owing to the
injurious effects upon the constitution
a better remedy was substituted Dr.. George
Charles Newman at the and o the last
century came to the conclusion [that] from
the analogy of Arsenic [cross out] Copper that
[the]latter would be a good remedy.
Without the injurings consequences.
Dr. Galen A eiman, Gomme, Tott, also weed
It with the same result. Dr. Fricke
of Philad has used it, in the following
cases successfully.
Aq:Mouth; pip: ℥iv
Ammonio. Sul. Cup: grs viii
Tinct: Opii gtts viii-xii
Lgr: Limp: ℥ss
Dr: Merei
Maria Hettrick 9 yrs Cured in 7 wks
Miss Strubing 17 ds – [10] 3
Anna white 10 ds – 10 wks
Ichanna Coppes 12 ds – 4 months
Eina Beckenhauer 13 ds – 10 wks
Helen to Coates 13 ds – 15 wks
Charles Candidus 4 ds – 12 ds
Dr. Danachs cases
Lydia G. Darrachs
Mary Heyl
Margt Ann Rapel

45
Antidote for Arsenic
Feni Hydricum Acetum
Article for a Laboratory to examine
Urine. From Bird’s treatise on Urine.
1 Griffin’s earthen ware lamp furnaces
2 Glass funnel and good filtering
nanea of firm texture
3 Berlin porcelain vincible look
ding an ℥i
4 Two Berlin evaporating dishes
fitting the opening of the water fact
of the furnace
5 A conical percipitating glass or
Plain wine glass
6 A few watch glasses and test tubes
7 A small gravimeter for taking
specific gravities.
Cure for Tape Worm.
ꝶ
Pumpkin Reed (West India) Macerates
and made into a drinks.
Sulphonic Acid mixture for Diarrhœa
ꝶ
Acid Sulp: Dil: ʒii
Tr: Cardamine Comp. ʒii
Aqua Destil: ℥vss
H
Lg / 2 teaspoonfull station. 5 gtts of SO3 Dil in a  ʒi of mixture

46
Severe Case of Chorea cured by Ammoniate of Copper.
Given to a child 11 years of age for the cure of a
most severe case of chorea by Dr Fricke
The prescription was 12 drops of the Amate.. of Copper
three times a day quarter of an hour
after each meal
Chronic Rheumatism
Hydriodate of Potassic minimum V drops every three hours
[cross out] before each meal
Chronic Rheumatism
Rect Spt turpentine 10 drops every three hours
Chronic Rheumatism
Phosphate of Ammonia 10 grs every three hours.
A case of obstinate dry spasmodic cough cured by
a teaspoonful of the Tinct of Assafoedita mix with
a tablespoonful of sweeten water in order to give
it hold the nose.
A case of Epidemic headache. Jany 6th.. 1848.
I was attacked on Saturday afternoon the 6. inst January with
violent sick headache followed by setching and vomiting
which was stopped by giving 20grs of calomel followed
in the morning by a tablespoon of castor oil flamed
with orange juice. If the stomach will bear it, it is
better to give the two doses together
P.P. Part of the castor oil & threw up again.
Dr. Knepler’s Cast resort in Dysentery
Hydring: Bichl: gr 1/8
Gain Acacia Mucilage ℥iii
Aqua ℥iv
Tinct: Opii gtts xv
Lyr: simp: g.r. 

47
Warmers Tablet
Gum Shellac 3lbs
Alcohol 2qts
Macerate for 10 days in a covered vessel (tin) stirring to
it smooth. Spread evenly on a piece of cloth, and
give one side two more coats than the other, double the
side on which you have applied the mixture, and
then apply a hand-Iron to it. when wanted for
use it is to be heated, and then it can be fitted accurately to the
limb.
Tar Ointment.
A cure for Furfura and Porigo
Case 1st.. Feb 1849 Philada..
The infant of the Rev Mr. Malin
3 [was?] after birth was afflicted with a dry desquamation
on the forehead, subject to flushing, during which
condition the child was restless and induced to rub
it violently which caused bleeding at several
points. This form of Furfura spread backward
from the forehead over the whole scalp and anteriorly
down over the eyelids and cheeks. The absorbent
glands of the neck became enlarged owing
evidently to the eruption.
(Dr Danachs Practice
N.B. It is not uncommon for the cervical glands
to become enlarged from eruptions of various
kinds. The exanthems more especialy scarlatina
induces not only enlargement, but
ultimately suppuration of the glands
after much experience, in the Terobinthinic
preparations for Ex in Furfura of the external
meatus of the ear of the genitals. I determined
to use it in this spreading Furfura

48
The hair was shaved from the entire scalp
and the tar oint applied as a cap over which
was applied for protection an oil silk cap
the oint was smeared over the face and forehead
10 days application of this completely cured
this case.
Case 2nd.. March 1849
The infant of Ms. H. D Sheraed age 12 mo afflicted
for some weeks with a pustular eruption
about the face and neck, clusters of the eruption
by their confluence formed angry
patches of ulceration. from its irritation
the child became fretful restless. disturbed sleep
appetite affected. pale and losing flesh.
I applied the tar oint limited diet to bread & milk
and after a week irruptions disappeared
the child resumed its ordinary health
Dr Danachs Practice
N.B. See Wood & Bache
N.B.
I have also used for the same and with success
the following Oint
ꝶ
Red Precipitate ℈j
Venice Terebith ʒi
Pure Lard ℥ss
Rose water ʒss
[m] 
Dr Danach. 

49
For Vernal disorders
Castor oil in orange juice at night to remove a constipation
which occurs in feeble constitutions in the vernal
change of the human organism and inducing
hemorrhoids. I have for several years efficiently
treated vernal hemorrhoids from constipation
in this way. To cooperate with this coffee and
heavy meat diet should be put aside for tea
eggs and fish.
N.B. Ex Butternut [gr 20] ℈j
Aloes gr v
[made into X pills m ft pill] x [m] ft: pil: x.
to be repeated every fortnight.
Dr. Danachs Practice.
Swelling of the Lymphatics of the neck, cured by
Cod liver oil and Hydriodate of Potash along with
this were scalyness of the skin but was not supposed to be owing to the glands this affected
Convulsions in children from 243 years old and on; a use
from the brain and are often the cause of Hydrocephalus.
these are always dangerous. But in babies within
a year or two years; they usualy owe their cause
to some gastric disorder or teething. Plunge the
child in a hot bath, and follow by an emetic
composed of Sulphate of Zinc, and Ipecac. If the gums
appear puffy and swelled, [cross out]
and other signs of cutting teeth; the gums should
be lanced.
Local Application for Gout to remove pain
Lint Soaked in Spts: of wine.

50
A case of Cholera Asphyxia (fatal)
Mr. C.E. Hollinshead subject to looseness of the bowels
was attacked with a diarrhea which lasted
three or four days before the [Collapse] second stage
set in. Having eaten a piece of beef stake and
some potatoes at midday he was attacked with
[cross out]
[cross out]
[cross out]
[cross out]
[cross out]
[cross out] cut
in a thick black map but afterwards piped out in a stream
Symptoms.
Pulse scarcely perceptible at the [uit?] extremities
cold, but became warm before death. Extreme Dyspnea
Tongue cold. The Dyspnea seems come at intervals.
Extreme Debility Toping about the bed. After passing the
rice water discharges balls back on the bed exhausted
N.B. The last discharge was the colour of [cross out] weak tea
and had a slight foecal smell. Intellect clear to the last
fingers became shrivelled and corrugated as if they
had been in warm soap suds had one or two attacks
of cramp in the calve of the legs. The vomiting and
purging ceased 9 or 12 hours before death. Last before
death the face and extremities became warm
which was owing equilibrium of heat caused by death
arriving it from the centre to the circumference.

51
[March] April 10th.. Chronic inflammation of the Pharynx
A boy about 12 years of age one of my Fathers patients
Had applied to the lateral half arches a sponge
dipped in an 8 gr solution of Nitrate of silver.
Case 2nd..
At the same house a baby afflicted with scarlet
catarrh goith swelling in the one glymphatics
gave.
ꝶ
Antim Urine
Carbonate Soda
Mentha Aq:
Limp Syrup.
Case 3rd..
A case of Furfura. Tar Tint applied
Case 4th..
Deafness from an attack of Scarlet fever,
having first cleansed the ear with warm
water injected it with solution of Sulphate
Zinc
ꝶ
Sulphate Zinc 5 gr
Aqua fout [cross out] ℥ij
Asthma
Soak square pieces of Paste [illegible] in
and Dry, and hun in a close room
Aq: ℥iv
Not: A it: ℥ii
Pulv: Relled
’’ Stramonium 
’’ Digitalis
’’ Sobelia āā grs xx
Mynt
Olibanum āā ʒiiss
Mixture for Dilating pupil
Sulp: of Atropine grs ii
Aqua ℥i
A method of preparing Hydrated nin ox: of iron for
Immediate use. Mix Tr: Feni Mariatis with Aq: Ammonia Fortis and filter.


52
Wednesday April 10th..
A case of Furfura attended to
by myself.
Wed April 10th.. Clall’dto day and found [her]
the baby, better or ordered the mother to apply it
morning and evening and not keep the tar oint it on constantly
as before. April 12th.. Grest deal better oint still on. Ap 13th..
almost entirely gone. Ap 16th.. Tar still applied. Ap 21st..
almost well little yet over eyebrows
Mr Walson complained of want of appetite
and other disorders which he could not describe.
On percussion the pit of the stomach was tender
gave him the following perscription
Residing in Jefferson St which runs from Sch 6th.. to 7th.. ani bet spruce and
[illegible]
ꝶ
[Ex: Butternut. grs XV]
[Pulv: Aloes]
[m. ft. pil:]
ꝶ
Ex: Butter. grs XV
Pulv: Aloes. grs V
m. ft. pil:
Ap 11th.. / 49
Ap 14th.. Found him better for taking the Medicine
has a headache every afternoon.
Ap 16th.. About the same ordered croton oil to be applied
to pit of the stomach. and the same application
to his wife sist which was swelled
on account of an old chronic rheumatism
and daily lateral motion which was
impeded.
Croton oil gtts X externaly 

53
Ap 15 / 1549 Gave Mr W. Powers the following perscription.
labouring under disordered stomach.
ani [cross out] ꝶ
Lys: Tolu. ℥i
Tinct. Digitalis. ʒiss
Virnum Antimonii. ʒi
Laudanum. gts XL
M
Ap 16th.. / 149
Philada
A teaspoonful [every] an hour before each meal
and two at bedtime.
Ap 17th.. Found him complaining of swelling
and  coldness in his legs. Ordered [more]
more of the medicine.
Ap 23rd.. Nothing the matter except a[nd] pain and
tenderness upon pressure in the stomach
applied croton oil ten drops at one time
and 8 at another. his child doing well
Purgative pill
Oulv Rhei
“ Aloes āā grs X
Lapomi Castilo gr ij
Ol Cgoves gtts ij
Lyr Rhei g.r
M ft pil viii
Ointment for Piles
ꝶ
Ung: Galloe ʒi
Pulv: Opii grs X
Adeps ℥i
Oxetocic Remedies.
Ergot grs xxx every ten min
dissolve in boiling water
Borax, Cinamon [cross out]
(Tyler Smiten).
Siryclanine.
Dr Vernon.
G. M Wanach. 

54
Case of Scarlet Fever. (Son of Mr Powers)
Ap 17th..
Child 4 years old. Rash appeared on it’s cheek
Ap 18th.. Sore throat pulse 120 gave
P.S. give an emetic before the purge Sulp zinc grV Calomel grij
Ipecac grviii Castor oil ʒi
Ap 20 Eruptions appearing on the breat pulse 120
is taking the following mixture.
ꝶ
Ex: Belladonna grj
Super Carb: Soda ℈j
Vin: Ant: ʒss
[v], Ipecac: ʒi
Ap 21st.. Limp: Lyr: ℥ss
Aq: Menth: ʒss
’’ Font: ℥ss
[m]  ʒi q: [booh?]
Hydriodate of Petarh
[illustration]
Ap 22nd.. morning afternoon Pulse 110. the tongue little cleaner, skin normal
Ap 23rd.. Pulse 1 much better seemingly well.
Sequelœ.
Ap 28th.. Did not give the Hydriodate of Potarh
during the interval of calm. Found him
tonight with swelling in the neck ordered
the neck to be rubbed with soap liniment.
Ap 29th.. Stopt the lin: and gave the following prescription.
ꝶ Hydriod: Potap: ℈ij
Lyr: Simp: ℥ss
Aq: musm: ʒss
Teaspoonful hr before meal Aq: Font: ℥ss

55
Process of obtaining the Urea from
Urine.
1st.. Evaporate the fluid urine.
2nd.. make a solution with alcohol of the Beisidue.
3rd.. Filter this solution taking care to wet
the paper, thereby the soluble urea is
strained through
4th.. Takes this soluble urea and evaporate
by heat, and which leaves the urea, which
is of the consistency nearly of mollasses
5th.. Add nitric acid to the urea which
form the nitrate, which is easily kept
in a bottle.
Continuation of Scarlet Fever Case      
May 2nd.. 
Gave a teaspoonful of Cod liver oil 2 a day
lump in the neck no larger and not
so tender.
May 3rd.. Still takes the oil much better. Prescribed for Martin.
May 4th.. swelling about the same.
ꝶ
Rose leaves ʒii
In ice of 2 Cemons
Aqua ℥vi
to be added to a – 
℈ Sil: Circha a ℥viii
Cough mixture in Chr: Bronchitis.
Syr: Tolu ℥ii
[cross out]
Ant: espot: Tart: gri
Pulv: Digitalis [grs viii]
Tr: Opii. Camps: ℥iss.
Cement for Earthen Ware. Dissolve slake 2 lime in the white of an Egg

56
Internal Hœorrhage from the Penis and Phymosis
A Mr Fichian of the United states navy contracted
a pox [cross out], which resulted in a shanker appearing
on the penis below the glans penis; The prepuce
covered the gland entirely. About three weeks
after he had contracted the diseases, he was
alarmed when endeavouring to pass water
one morning to find the penis bleeding.
My [yeasher?] was sent for who applied a Bigature
around the body of Penis and let fall
upon the penis a stream of cold water
which stopt it for the time. During the
day there was an other hœmorrhage. &c
April 16th.. Penis painful. A large clot of black blood
formed around the head.
Ap 17th.. great deal of œdema blood still oozing
from the orifice of the Urethra.
found ice bags of use to stop hœmorrhage     
Ap 18th.. œdema still there on account of the
ligature. Blood still oozing . Clot came
off while endeavouring to pass water
a slight hœmorrhage ensured,
which was stopt by ice bags applied
directly to the part.
Ap 19th.. About the same hœmorrhage lessened
Ap 20th.. Ligature removed. and a mass of black
bloody matter expressed from the
penis. giving him calomel ¼ gr every
three hours. 2 [quecring?] the penis gave
him much pain.
Ap 21st.. Found him with an opening through
which matter run out. which was first 

57
discovered this morning still taking Calomel
¼ of gr three times a day
Ap 22nd..
The ulcer nearly three times larger and
extending around the penis. Still taking Calomel
in the same quantity
Ap 23rd..
Stopt the mercury as his pulse became
thready and quick, and he was begining
to be salivated. Ascertained that the
hœmorage came from a sloughing
[phagenearic?] ulcer just below the head
Of the Penis. Pulse full and moderate
Ulcer no larger.
Ap 24th..
Sloughing and mortification commencing
around the edges of the ulcer.
stopt the calomel, and using injections
of Acetate of lead and with about a gr
of morphia to the ounces.
P.S. The injections was not into the Urethre
But from the orifice of the Prepuce
and so around the inside of the ulcer
and also the outside was washed with
the acetate. A slough has formed.
Ap 25th.. The slough is begining to be thown off with
healthy granulations underneath.
still using sugar of lead injections.
Ap 26th..
Gave him an injection. Slough becoming
larger about the same state of affair.
otherwise. living Rye-mush. and Hecker Farina.
Y’keeps the Penis constantly wrapped 

58
lar linnen sags spread with an ointment
made of lard and Rose-water.
Ap 27th..
Injected the Penis. slough somewhat larger
Inflammation setting in around the
edges of the ulcer. Still keeping him on
farinaceous food.
Ap 28th.. morning.
Slough rather smaller than otherwise
with an appearance of Pus forming
underneath. Slept well. Always feels a
smarting pain after making water
which was considered a good sign by my Father.
suffers very little pain otherwise.
Ap 29th..
Slough gradually debseeing away. Began
to look little angry around the edge of the slough,
resumed the calomel two pills a day ¼ gr each
still keeping him in low diet.
Ap 30th..
Ulcer has found an opening into the
urethra. Resumed the Calomel.
May 1st..
Ulcer about the same extent. Sep of the slough
to be seen. feels a knowing sensation as
if the sore was eating. Still using Calomel [cross out]
in the form of pill.
May 2nd.. Still taking the pills. Slough still debseeing
off. Pulse rather full.
May 3rd..
Stopt the calomel. Slough still debseeing
away Complained of wind on his  

59
May 4th..
Stopt the rose water and lard application
and substituted for them cold applications
and filled up the ulcer with lint. Using the
lead water injections still. The aperture into the
urethra is now visible. The parts in the neighbourhood
of the slough are very tender
complains sometimes of a knowing
pair in the vicinity of the slough which
suppose to be owing to the inward of the
ulcer into the healthy tissue,
May 8th.. 
Treatment the same slough disappeared
Feels comfortable.
May 9th.. Idem
’’ 10th.. Giving him a pil every night. Still on low
diet. ordered some leaf tea, to be given.
’’ 11th.. Idem
’’ 12th.. Ordered him a supporter Sitting up. Slough entirely
gone. healing process set in. virus entirely disappeared
from his system. Continuing the same
treatment.
’’ 14th.. Ordered him to the parts which had been
separated by the slough together by mean
of tight bandaging opening not yet
closed up. The part not at all tender upper
prepare
Italian recourse to make Leeches
take hold.
Place over the mouth of wine
glass a cloth damp with wines, and having
made a cup like depression, put into it the leeches.
And invert over the spot on the epidermis.

60
Operation for Uterine tumor. (Failure in diagnosis)
25° the operation of which 8° in exposing the
tumor 5° in returning it when discovered to
be the uterus 12° min in introducing the 12
pins. the rest of the time in applying the strips
and bandages
Application for Burns.
1st.. Haxseed poultice. {3rd.. Linseed oil
Olive. {Lig Plumbi Sabaces Dil āā
{Apply with a liners sag and then cover
{oven with Lint soaked in the liniment.
2nd..
Lint, soaked in Linseed oil and Lime water.
3rd..
“Diagnosis of Syph: Loses
In general syphilitic ulcers are sound with violet
Hardened. Raised and Abrupt edges. The
ground is hollowed and greyish. The suppuration
bloody and in small quantity” 
Record.
Carmichael Recipe in the Inflammatory
Stage of Gonorrhæa
Ant: [efporap?] Yartrap    grij
Sulphat: magnesia ℥ij
Tablespoonful every 2 or 3 hours.
Tonic Tea
Tr: Gentcance ℥ssi
Bicarb: Lod: ʒij
Pub – Rhei ʒi
Tr: Candamon ʒij
Indellible Ink
Arg: nitras ʒi
Gum Acacia ʒss
Y: Gallarum gtts 80
Auna ℥i
[m]
[Boild in a pint of water and give a wine glassful]
[3 times a day.]

61
Operation of Dr. M Atlee (Case of Failure in Diagnosis)
In Chester street between Race and Nine streets and
Eight and Month.
[cross out] In the presence of [Drs Atlee]
Drs Fox. Grant Dilbert John Atlle. and
Messis Paddock Hirk Brown and myself
An incision was made from the pubis within
[an] 3 or 4 inches from the ensiform cartilage
of the sternum. through the parietes of the [cross out]
abdomen the tumor was removed from its
seat and on examination was found to be
within the uterus entirely filling up that
cavity it was then determined to [cross out] return
it again. which was done. [with great diffi]
and the incision sewed up. In this operation the
Chloric Ather was used which was in the proportion
of 2 [?oft?] the A:ther and one of chloroform.
25 min the operation & of which in exposing the
tumor 5 in returning it when discovered to be
the uterus. 12 in introducing the 12 pins the rest
of the time in applying the bandages.
Perfumery for Hd kfs
Aleohol ℥viij
Oli Saverde ʒij
Essence of Amber gris gtts v
ꝶ
Aqua Distill ola ℥j
Mucil Gum A c ℥ss
sgr: simp ℥ss
Tinct: Opii Camp gtti
ʒi at it one
1 E Hair Washes
Carb Ammoniæ ʒiv
[Aqu] a Boiling water oj
2.
Lod: Bicarb ʒij
Aqua ℥viij
3
Roseman steeped in water
4
White of an Egg beaten up in water.

62
A Case of Cholera Asphyxia.
June 14th.. 1849
C.E. Hollinshead Esg age 69 Newons Temp.
Large frame. Weak bowels for many years in embarrassed
mercantile circumstances, which for the last
fifteen years produced emaciation and dyspepsia
The last three weeks of his life he was harassed
with electionering for a public office. Last week
he returned from a visit of three days at Trenton
where he enjoyed himself among his friends
his usual health, but having indulged in no
impropriety of food. On Saturday last after his
return he ate what he had often eaten with impunity
mollasses pudding. On Sabbath he experienced
a looseness in his bowels which amounted to not
more than an ordinary lax. It increased on Monday
which induced him to take two ounces of Spiced
Rhubarb Syrup. In the after part of the day took an
other spiced preparation of Rhubarb. These preparations
aggravated the bowel complaint. So that on Tuesday
he sent for his Physician who prescribed Camphor
and Opium without any beneficial effect. Tuesday
night he was disturbed by frequent movements of the
bowels. On Wednesday morning June 13th.. vomitings
of a serous fluid with expulsive discharge of the
characteristic rice water discharge. So followed
by cramps of the gastrocnemii and these alone
Prostration of strength. Sense of internal heat
notwithstanding a positive cold sensation to the observer
from the tongue nose and hands which had the
characteristic shrivelled condition. A general distress and
anxiety were also manifested. The quantity of 

63
rice water discharge passed during the day was
within that of an ordinary bedchamber ball. The quantity
passed during the day was ℥iij.
Leech was the condition of the Patient when I
was called upon to act during the unavoidable
absence of his Physician. I covered the body with
bags of heated loats to effect a propuse sweat which
was quickly accomplished and that the same time
administered 20grs of Calomel with 2grs Opium and 2grs
of capsicum. These were quickly rejected. I tied up the
arm to bleed but was at first discouraged from
the extreme feebleness and contraction of the artery
at the sist and the smallness of the veins nevertheless
after a moment consideration I opened a
vein a small stream of black blood slowly tricked
down the arm. The blood retaining a deeply carbon
aceous character gradualy increased into a table stream
in this slow method at least 10 ℥ of blood was taken
which caused the pulse to become bullen and the
patient to experience some relief in his stomach
and bowels. I then was induced to give 20grs of Calomel
which was retained. Rubefacicuts were used
since the bleeding the vomiting ceased, and until
5 oclk next morning there was no movement
of the bowels. At 10 P.M. The bags of heated oats were
removed. and the skin dried by rubbing with bags
of dry boan and clean linner put on.
A teaspoonful of Brandy with 5 gtts of laudanum
was given every hour during the night. Diminution
of strength gradually manifested itself with
entire retention of intellect. The breathing became more
and more feeble and short.
He died 20 min before 9 oclk June 14th.. 1849

64
N.B. 
At half past three on the morning of his death
a mustard plaster extending from the epigastrium
to the pubis and about half foot wide was applied
to his abdomen.
The day of the collapse he had eaten for dinner
Some potatoes and a piece of beef stake.
[Diabetic Urine]
Means resorted to in a case of Death from
Chloroform mentioned in the London Lancet –
May 1852. Under Mr Loyd’s care in St Bartholomew
Hospital.
1st.. Percussion and Compression of the different
organs.
2nd.. Artificial Respiration.
3rd.. Galvanism.
4th.. Friction.
5th.. Tracheotomy and Inflation of the Lungs
6th.. V.P. of Jugulars
7th.. Warm Bath 104°
8th.. Stimulating Enhines
Pills for Mrs Hamilton
for Flatulency 
Pulv Rhei ʒi. 
Aq: Calus ℥iv 
ol: menth; Pip gtts v 
[m] fr:sol: ℥ss q:b.h. 
ꝶ
Pulv: Rhej
” Aloes
” Jalap
”  Scammony āā grsxv
” Grucas grssxv
Morphiæ Sulp” grs ij
Cal: grs xv

65
A definition of Life & Death
1 Life
Conjoined Action of Assimilation
and [cross out] Excretion
2 Death
Subtraction of the power of
Assimilation.
To keep leather from cracking:
Beeswax
Spts: Terebinth āā ℥ij
Bingundy Nitech ℥j.
Ol: Lim Oj
[m] per calorem:
Rub on the leather while warm
Condiment for Dyspepsia
Lig Potapœ
Chloride of Sodium āā ℥i
Lod: Phosphas ʒiss
Aqua ℥iij
[m] use as condiment at meals.
ꝶ
Iodine grj 
Iodide of Potapœ grs X 
Rose water ℥iij 
Sulp: Acid, Oil ʒj
Syr: Simp ʒj
Tr: Opii gtts XL
Aqua ℥vi
1/6 a dose

66
Formulæ for the cure of Intermittent and the
Hepdominal chill. 
ꝶ  
Red Bark ℥i 
Bitart: Potapœ} 
Aloves}  
Lerpentaria.} āā ʒi.
Talbot’s preparation
Rose leaves ʒii
Juice of 2 lemons
Cinchona ℥viii
Aq: Distillat ℥vi et add
Pulv: Opii
[m] ft pulv: iij one M n et N for 3 days.
Sulp: Quinia. Gr xij
Ext Gentium ʒi
Oil Rh Pepper gtts ij
[m] ft: pil: XXIV one g.h. & [at night]. This ti be given
During the Day, and at night.
ꝶ
Comp: Ext: Colocynth griij
Comp: Pil: Rhii griij
Pulv: Aloes griij
Ext Hyosciamus grij
[m] ft pil: iii g,n.
The above to be used for Intermittent Fever from
secondary causes 8 and to [pel???nt] Hebdominal
chill.
Bilious Disorders. Books to be perused.
Hippocrates. James Hamilton or Purging
Launders. Abernethy on the Tongue. Ayre. Dick on Dyspepsia.
Johnson. Armstrong. &c
Good Remedy in Cutaneous Affections
ꝶ
Sulphur ʒi
Bisrars: Polap ʒij
[m]

67
Case of Articular Rheumatism (Mr Petitt)
Ap 21st.. Pain in the knees. Pulse fine and thready
gave him 20 gtts of tinct of Colchicum – 4 times
a day. with the tinct of Amica, as a wash.
Ap 22nd..
Pulse fuller and larger and Rounder the effect
of the colchicum. Still has pain
Ap 23rd.. Pulse about the same still pain in the
knee and in the gastrocnemius and
Soleus muscles. Tongue while becoming
Ap 24th.. whiter in the middle
Ap 27th.. Scarcely any pain at all, no pain upon
pressure. It shifted from his knee to his
ankle. He now has no pain in either.
Tongue still white. Stopt the Colchicum on account
of Diarrhea.
Ap 28th.. Renewed the Colchicum the Diarrhea having
stopt. Always feels more pain in the afternoon.
May 2nd.. Evidently better, Complains of no pain
except at night then he says he has pain
regularly. Pulse full and strong.
Injections in Gonorrhœa, (Hunter)} 
ꝶ} 
Hydrarg: Bichloridi grsiv} 
Aqua ℥viij} 
ꝶ} 
Plumbi Acit: grsxiv} 
Aqua ℥viij} 
A Good Cough Mixture,
Sys: Senega
” Tolu āā ℥ss
vin: Ipecac: ʒij
Liq: Morphiæ sulp: ℥j
Styptic
Tr: Berizon ℥viij
Alum. Lbj
Aq: lbs x

68
Ricords treatment.
ꝶ
Hydrag Bichloridi gr x
Aq: ℥i
For the Cauterization of vesicated surfaces
in buboes
ꝶ
Sodæ Chlorinates ℥ij.
Aq: ℥vi
used in mucous tubercles. Soda may be increased
until a ting ling sensation is felt
ꝶ
Vin: aromat ℥viij
Ext Gum Opii ʒss
for dressing chancres and ulcers
Remedies for Tooth-Ache.
Pieces of mesere on held in the moth. Ol: Tiglii sabbed externally.
Ol: Caryophylli. Tinct of Sobelia [cross out] applied to the tooth
Pulv. Alumenis ʒi} Crease. Chlor of our applied
Subs: Etheris Nitrici ℥i} directly to the tooth.
[m] a apply on cotton to the tooth.
ꝶ
Syr: scillæ
Syr: senega
Syr: Tolu.
Syr: Psuni virginiani āā ℥i
Tr: Opii Camp ℥i
[mucilage] ℥
Phthisis
Pulmonalis
Gargles (Astringent)
Tr: Cinch
do Kino
do mynhæ āā ℥i
Alumen ℈i
[m] 

69
1st.. Lotions. Fomentations. Local or Partial
Baths
Emollients. – Decoct Althœa
Sedatives – “ ” et Poppy heads
Narcotics – Decoct of Conium Solanum or
Belladonna. To which may
be added opium or Tinct Opii
1 ꝶ
Decoct Conii et Solani ℥viij
Ext Gum Opii grs viij
2nd..
ꝶ
Plumbi Acet: Cust ʒi
Aqua ℥viij
For Balanitis and Lotion to oulva and
also as an application to Leech bites
ꝶ
3rd.. Aq: Lactuca ℥viij
Ext Gum Opii ʒi – ij
In gangrenous affections when the irritability
increases. the opium must be
decreased
4th.. ꝶ
Aqua ℥viij
Am..ice Hydrochlons ʒii
For resolutive applications and fomentations.
particularly applicable to the
treatment of Buboes 

70
5th.. ꝶ
Tr: Iodinœ ʒi
Aqua ℥iij
This tincture may be increased to ʒvi with
the same amount of water. It is employed
in the treatment of buboes and in
Hydrocele accompanying [epidi?m??]
6th.. ꝶ
Sodi: Chlorin ℥ij
Aqua ℥vi
The quantity of Soda may be increased
Until a slight tingling sensation
Is felt used in mucous tubercles. &c
7th.. ꝶ
Hydrag Bichloridi ℈i
Aqua ℥i
used [in] as a caustic for vesicated surfaces
in the treatment of buboes.
ꝶ 8th.. ꝶ Spec
[m]: Aromat ℥iv
Vin: Rubr lbij
Spirat Aromat ℥ij
To the above in order to increase its
Astringency  ℈ii of yannir may be added
ꝶ
vin: Aromat ℥viij
[cross out] Gum Opii ʒss
Used as a dressing for chancres and ulcer 

71
Superficial effusion of the Brain.
Extraordinary Sequela of Scarlet fever.
A baby seven months old, had scarlet fever.
In the third week a[nd] hard time as large as an
egg was felt upon the head over the anterior
fontanel.
Ap 29th.. Tumor hard ordered three doses of 1/30
of grain each of Elation. Parylysis of left Arm & Leg
Ap. 30th.. Had a tremendous flow of serum,
from the bowels. Tumor very much
diminished and soft breathing quick Eyes
open almost constantly with a fixed
unconscius stare. Has moved its
left leg up into a bent position. Ordered
or fly blister to the back of the head and
napes of the neck.
Died on the application of the blister.
II. Injections
The emollient sedative and narcotic
injections consists of the same liquors
as those mentioned above for Lotions
1st.. ꝶ per Urethra
Aqua Rosœ. ℥vi
Plumbi Acet: Crist ℈ij
Idem per vagina
ꝶ
Aqua lbii
Plumb Acet: Prist ʒiij ℥j
Gradually increased.

72
2nd.. Urethra
ꝶ
Aq: Rosœ ℥vi
Alum: et Potap Sulp grs xviij
Idem. Vagina
ꝶ
Aqua lbij
Alum et Potap Sulp: ʒiij
3rd.. Urethra
ꝶ
Aq: Rosœ ℥iv
Vin: Rubr: ℥ij
wine may be increased if it does not
cause any irritation may be used along
4th.. Urethra
ꝶ
[Aq:] vin: Rubr: ℥vi
Acid: Tannic grs xviij
when used for the vagina the tannin
should be increased according to the
effects produced.
5th.. ꝶ Urethra
Aq: Rosœ ℥viij
Zinc Sulph: ℈j
To which Tr: Opii ℈i may be added. 

73
6th.. urethra
ꝶ
Arg Nipatis grs ij
Aqua ℥viij
Silver may increased until a favourable 
result be obtained, if irritation be not produced
If a caustic solution be [reg?] 
ꝶ
Arg Nitatis grs x
Aqua ℥i
7th.. Urethra
ꝶ
Aqua ℥iv
Yeni Iodidi grs iii
The quantity may be increased to grs ix
to the ℥i but care must be taken
to avoid irritation
III Collyosia
For Emollient sedative and narcotic
Collysia the fluids under I must
be used
1st.
ꝶ
Aq: Rosœ ℥iij
Sulp Zincœ grs vi
To which Tr Opii gtts xx may be added
2nd.. ꝶ
Aq: Dest ℥iij
Arg: Nitratis grs iij

74
IV Gargasysmata
The Emollients, Sedative and Narcotic
gargles are prepared the same the fomentations
1st.. ꝶ 
Decoct. Conä et Solani ℥viij
Hydrag Bichloridi grs ij-viij
This used in ulcerations of the throats
after the acute period.
2nd.. ꝶ
Aqua Lacturea ℥vii
Sulp: Al: et Potap ℈i
Mel Rosat ʒi
Apthous affections and mercurial stomatitis
without too great inflammation
3rd.. ꝶ
Cost Cinchonæ Rubs ʒii
Aqua ℥xii
Boil to ℥viij to this when strained add
Ext: Opii grs viij in cases of gangrene or ʒii
Tr: Cochlearia. should there be a scorbutic
tendency or permanent ramollipment of
the [lungs] gums
4th..
ꝶ
Aq: Lactucæ [℥] ʒvij
Acid Hydrocholoric Fort gtts xx
Mel Rosat ℥i
[Apth??S] affections and mercurial stomatitis 

75
Analysis of the immediate treatment
for Convulsions.
1st.. Emetic ½ teaspoonful Antim urine for
a child 2 years old
2nd.. Purgative Calomel
3rd.. Bleed
4th.. Blister to the Occiput
5th.. Enemata Dr Danachs Practice
V Cerates
1st.. ꝶ
Axung lbi
Tr: Opii ℥i
2nd.. ꝶ
Cerat ℥i
Sig: Plumbi Subaces ʒss
4 ꝶ
Ung: Opiat
" Hydrag āā ℥i
used where the mercurial oint is too irritating
5 ꝶ Ung Digestion
Ol: Terebinth ʒi
Vitel ovi: ij
Ol: Hyperic ℥ss
6th.. ꝶ
Hydrg Chloridi grs vi
Cerat opiat ʒii

76
7th..
ꝶ
[Ung] Ext: Belladonnces ʒss
Axung ℥i
8th..
ꝶ
Hydrag Iodidi ℈i
Axung ℥i
Iodine may be increased to ʒii if too
Great irritation be not produced.
9th.. ꝶ
Mel ℥iss
Hydrag Iodidi ʒi
10th.. ꝶ
Potap Hydriod ʒss
Axung ℥i
If to the above be added Iodine grs ii
it form the Ung Potap Hydriod codatum
the Ung Plumbi Sodas is formed in the
same manner as the ung Potap Hydriod
vi Emplasha.
1st.. ꝶ
Emp Conii ℥i
Plumb Iodid ʒi
This used in the treatment of buboes and
especialy in chronic engorgements of
the Testicles. If ℈I of Ant: et Potap Yartrap
be sprinkled upon an emplastion Comic
of the size of the hand, It forms an [excellent?]
excitants fir indolent Buboes. 

77
VII Calaplasmata
Linseed Meal. Bread, Rice Oatmeal, made
with water or narcotic decoctions.
Emplatse de vigo c mercurio consists of
ꝶ
Emp: Simpl lb iss
Cerœ Pur
Resinæ āā ℥ij
Gum Ammon
Bdelii
Olibani āā ʒv
Mysrhœ ʒ
Pulvis Croci ʒiij
Hydrag ℥xii
Ol: Terebinths ℥ii
Styracis Lig ℥vi
Ol. Lavend ʒij
for this Emplastum Ammoniac -c- Hydrag
VIII Enemata
ꝶ
Ol: Copaiva ʒii-vi
Vitel ovi j
Ext Opii gr i
Aqua ℥vi
given where Copaiva cannot be given
by the mouth.

78
2nd..
ꝶ
Camphorœ gr x
Ext: Opii gr i
Vitel ovi i
Aquæ ℥vi
To prevent erections when pills do not
succeed.
IX Escharotics
Vienna Paste formed by adding to Caustic
Potapa 6 parts to 5 quick lime. When wanted
should be made into a paste by the addition
if Alcohol.
X Baths
Gelatinous baths are made by adding
from one to two pounds of glue. Alcaline
baths by a adding the same quantity
of sub carbonate of Patapa. If the sublimate
is used ℥ss may be mixed with the
the usual amount of water. increasing it to
℥ij or ℥iij [according?] 41 effects produced.
XI Pills
ꝶ
(Depughen)
Hgcl: Bichlorid gr 1/5 5 ¼
Ext: Aquos: opii gr ¼ - ½
Rein quaiaci grs iv
ꝶ
Taken at night 3 or 4
When the dose is increased
Night, and morning
Hyd Iodidi
Ext: Lactucæ āā ʒss
” Gum Opii – grs ix
” Guaiaci ℥i
[m] ft: mil xxxvi

79
ꝶ
Hgcl: chl: ℈i
Pulv: Tol, Conii
Lapon Castic āā ℈ij
[m] ft: pil xxiv
Begin with one a day and run up to 6. and in engorgement
of the Testicles when remain after gonorrhœl
epidymitis
ꝶ
Camp: ℈ij
Pulv: Opii gr. viij
Mucilage q.a
[m] ft: pil xvi
g 2 or 3 at night to allay irritation at the neck of
the bladder and erection of the penis
XII
ꝶ Liauor Van Livietenii
Hgcl Bichloridi grs viij
Sp: vin sect ℥iss
Aquæ ℥xivss
Dose ʒij daily increase to ʒiv. To be taken
so as not to interfere with the meals. May be
given in milk or any mucilaginous drink
to which small quantity of syr papaveris may
be added in it causes pain in the stomach or
intestines

80
XIII Tisanes. Diet Drinks
Tinct Laraparilla
” Guiaicuru.
Tisane de Felh
ꝶ
Rad: Sacrœ incis ℥iij
Gum Acacia ℥ss - ℈iij
[Ant: Sulphuret ℥iv]
Aquæ lbvi
Boil to half. Dose. 3 or 4 wine glassesful a day
Carefully observing the susceptibilities of the
Patient. This must be continued for 5 or 6 mos
seldom less than two
[The patient while taking this should not eat]
[salted food for fear of the decomposition]
[of the antimony.]
Zittmans Decoction. (Fort.) 1
ꝶ
Racl Larrœ ℥xij
Aquæ lbij
Lacchi: [alb] alumen ℥iss
Hgcl: chlor ℥ss
Cinnabar ℥i
Fol Sennæ ʒiij
Racl Glycyrrh ℥iss
Lem: Anisi
Teniculi āā ℥x
The sacraparilla and water should be briled
together a ¼ of an hour. Lach Alumen: Calomel
and Cinnabar [added] should then be added
enclosed in a linnen bag. And all boiled 

81
down one third. The other ingredients being
now added and allowed to stand for
a short time it should be strained for uses
This is the stronger Decoction
Zittmans Decoction (Mition) 2
[ꝶ] To the seridium of No Ist add
Rad Sanæ ℥ij
Aqua lbxxiv
Boil and add
Cost Citr
Cost Cannell
Sem Cardam minor
Rad glyenh āā ʒiij
on the first day the patient must
take a purgative. Each morning he is
to take half of number 1 to be drank
warm and to keep his bed. In the
afternoon a pint of No 2. And again ½
pint of No 1 in the evening the two latter
Doses to be taken cold. This is to be continued
two days on the fifth a purgative, the
treatment then to be repeated, and again
followed by a purgative. If then after
an interval of a week it be required the
foregoing treatment must be [required] repeated
Decoct alt
ꝶ
mix well in a  
mortar and boil
a ½ hour in a covered
vessel
[mix]
Phosp: Calcici ʒij 
Medullæ panis ʒvi 
Gum Arat ʒij 
Lacchi alt ʒi
Aqua ℥xxij 
Used externally
and Internally as
a vehicle

82
XIV Syrupi
1 ꝶ
Rad Sorœ
Lig Gucciaci āā ℥iv
Aq lb iv
Macerate 24 hours, and then gently boil down
to one half express and add from one to two lbs
of lump sugar.
Dose 2 to 4 ℥ per diem
2 ꝶ I Sarsœ de Cuisiner
Rad. sarsœ ℥xxx
Aq lb xxxiv
Infuse for 24 hours and then boil down to
lb viij Repeat this operation three times. Strain
and mix these decoct the add
Flor Borag. Off
Rosa alb
Sem Anis āā ℥ij
Sennæ ℥iss
Boil this down to half strain and add
Lacchr albet mel  āā lbij
[Dose] maximum Dose ℥ij-iv per diem. Suitable for patients who are
disposed to be [consumptive] constipated in bowels
when it purges gently it may be continue
but stopt if it gripes [and] or produces
diarrhœa. Sublimate may be added to the
above 6 ganide of mercury is better however as it
is not liable to be decomposed.
Usual Dose ʒi night and morning should it purge
Sudorific syrups [m] with grs viij ext Opii to the pound

83
may be added
3 ꝶ Syr: Teni Iodidi
Syr: Sudorific lbi
Teni Iodidi ʒi
Dose 2-6 Drachms per diem
4 ꝶ Syr Teni Roet Ratarhicæ
Syr Tolutan lbj
Teni sesquicarb
Ext: ratanhiæ āā ʒij
Dose 4-6 ʒ daily
Used in Gonorrhœa and mucous discharges
5 ꝶSyr Calmans
Syr papaver ℥iv
” Amy golal ℥ xiv
To this may be added ʒii of nitrate of Potash to be
given during the acute stage of gonorrhœa in
linseed tea or water.
Aromatic Wine
ꝶ Sage
Thyme
Hyrrop
Spearmint
Wormwood āā ʒxiv
Vin: Oporto Oiv
Van Levietens Liquor
ꝶ
Hydrarg Bichloid: grsi
Sub: oin: retefical ℥ss
Aqua ℥iss
[m]
Sq ʒii in milk if it
offends the stomach
add sgr: of poppies.
Smiths Min on Surgery [cross out] mat: med of Parevia vols [cross out]
Cancerous & Cancroid growths by 2. Hughes. Bennet.

84
Hurley Case of Hernia
Miche.. Hurley was operated for Inguinal Hernia
by Drs.. Page and Peace. [the nuration] on Saturday
July 5th.. cloud the wound with two stiches.
July 5th.. evening
slight fever but doing well. Ordered
a dose of oil. which operated, and heat mixture this
the night
July 6th..
Quite  comfortable. wound doing well.
June 7th.. has had cold applications all day [zerte?]    
day and to day. bowels opened without oil
June 8 Removed the plaster (adherine). and Dr Pate
Removed [the] ligature too soon and the wound gaped
open. seing which he did not removed the other
this is now the 4th. Day. the wound appeared to be healing
by the first intention like a simple cut. The man
is now taking good diet.
July 11th..
Doing well. the wound healing nicely. without
the slightest [supenation?] – applying cold water
applications.
ꝶ. X. C. Copaibæ ʒvi [℥ss] 
Num oil {ol: Cabeli   
Ol: Oliva ℥ssii x {Ol: Quniperi āā ʒi
spermaceti ʒiij {Spt. Etheris Nit. ʒiij
con. {Spt: Lavandulæ Comp ʒv
{Gum Acaciæ
{Sacch: Albæ āā ʒiii
[illegible] Aqua Cinnamomi ℥vi
m. fiat mist
Sqr ℥ss bis house œ
Scacice
Sacch: Alb - ʒiii
Mist: ℥viii
Dr Pathem

85
Lithic acid urine.
1 Colour dark, and coppery resembling
sherry wine 
2 Aciding
Very acid.
3rd.. Sediment,
Satentions or the Brick dust Sediment.
(the Lithate of Ammonia)
the fine [illegible] like
Crystal [illegible] Lithic acid
To Test Urine for Sugar.
1st.. Remove the Allumen by heat
2nd.. Filter 
3rd.. Stain the filtered urine with cupri sulphas.
4th.. Pour into the coloured urine a strong solution
of Caustic Potash, until a sed or yellow deposite
appears, which is sugar.
Scabies cured in 2 hours [cross out]
1st.. Rub with yellow soap a warm bath one hour
2 Rub for half an hour the patient all over
With
Lard 8 parts
Flowers q Sulp 2 parts
Potass: Carb 1 part
[m]
Lancet Feb 7 num 1852
Age 162

86
How to obtain Sugar from Diabetic urines Mch 15th.. 1852
1st.. Evaporate the urine to a syrup
2nd. Dissore the syrup in Alcohol and let stand
for some times until the other salts are precipitated
3rd.. Draw off the supernatant Alcohol.
4th. Evaporate wholly the Alcohol.
[2au] Properties of Diabetic Urine.
Acid. Colourless. Sp: 1041. Hmp: after standing
in cold at first after it was brought into a warm
room 35 afterward 52
1 Mooses Test
Liq: Potassæ ʒi urine ʒij
2 Yeast
3rd.. tinged the Urine with Sulp: Copper in rol: then add
after boiling Liq: Potassa until a red precipitate
is thrown down, this precipitate is [rol]: held in suspension
4 Pills of Mrs Hamilton
ꝶ
Pulv Rhei
” Aloes
” Jalap āā grs xxx
” Ipecac grs xv
” Scammony grs xxx
Calomel grs xv
Morp: sulp: grs ij
Ext: Gentianæ grs xv
” Hyoscyamus grs xv
Capicum Rubrum grs x
[m] opi pil 51 4 pills a dose.

87
Notes from chelius.
Dislocations.
[Wrist] Wrist.
1st.. The [spoke bone] Radius always fractured in a
backward dislocation of the hand.
2nd..
Dislocation of the ulnar more [rare?] than
that of the Radius
3rd..
If dislocations of Phalanges [cross out]
of the thumb and fingers have remained so for
even a short time they become inoducible.
4th..
Great force required in reducing dislocations
of the Phalanges [and] of fingers and thumb
Thigh.
1st..
Dislocation into Ischiatic Notch denied by many
authors. So rare is it
2nd..
Prognosis favourable after reduction.
Splitting of the Tendon in Ext. Oblique Muscles
A Commencement of the splitting
D Lower or Ext: Pillar
E Superior or Int: do
C. Intercolumnar
fascia
[L Laperior]   
R Right Pubis
L Left do
K Interpubic cartilage
[Illustration]
B Transverse fibres of Winslow 

88
Causes of the Urate of Ammonia in Urine
A Examples
Waste of tissue more rapid {Kiteuna Dr Koanth’s patient.?
than the supply of Nitro
genised food as in
B
Supply of Nitrogen in {Mrs.. Carion Dreyer? (Sanghen)
the fod greater than
is assimilated.
C
Digestive functions {Mr Carion Dreyer?..
unable to assimilate
all the nitrogenized
food.
D
when the Kidneys perform {Kiterina. Dr; Koanth’s patient? see aloe
the excreting 
function of the skin.
as well as their own.
E
Congestion of the kidneys. {
Or Anefler’s Powder of Infants
ꝶ
Rad Irid Florentini ʒi
” Valina Sylvestris əss
” Rhei optime grs viij
Semen Foeniculi əss
Crocus Aurentalis [?etime] grs viij
Nagnes Carton grs vi
Rad: Liquin a ʒi
[m] fiat pulv: dent ad Scatul 3 times a day on the
[cross out] want of the [knife?]

89
Chelius vol 1
Unnatural Joints.
Definition.
A fracture converted into a joint.
2nd..
A fracture becomes an unnatural joint
if at the end of six months from the time
it occured it is not united.
3rd..
Most frequent in fracture’s of numerus
4th..
Sir Astley Cooper believed that they
are caused by continuing cold application
too long after the fracture thereby not allowing
sufficient inflammation to unite
the ends of the fracture bone.
5th..
Amesbury denies that Pregnancy is a
cause of these joints, but that it is owing to the
impossibility of treating properly a fracture
in this state.
6th..
The indication in the cure of there joints is to set
up inflammation. John Hunter cut down to
the bone and applied remedies to bone itself.
other remedies have been used
(a) Rubbing the ends together casus
(b) Caustic’s to the skin off
(c) Blister d. d. d.
(d) Seton passed through the joint and drawn
backwards and forwards every day
7th..
Capsules have been formed in unnatural
joints.
8

90
8th..
If after passing a seton daily through an
unnatural joint for 4 months the joint does
not unite nothing further is to be done with
the seton.
9th..
Doctor South thinks that violent operations
for these joints useless.
Horse Colic
Symptoms in the order occurrence
Apparent lassitude. Desire to lie down on the side
and alternately lying the head on one side and then
raising it and looking towards the abdomen.
Restless pawing with the [four] feet bringing them
together before lying down. Futile efforts to roll
Dolorous expression of the face. Small belchings
of wind. Peculia tympanitic sound every now and
then in the throat resembling an effort to cough.
Costive. Diaphoresis (copious) Swelling of the Abdomen
which increases with the Colic. If these symptoms are
not checked the skin becomes cold and bathed
in a copious cold and clammy sweat; The Abdominal
tension and pain increases.
Treatment
The indication are two. 1st.. Move the bowels
2nd.. Relieve any subsequent irritation or inflammation
1st.. Indication may be not by either Laxatives. Cathartics or
Drastic (if necessary) Saxatives are Molapes and Milk Sulphur &c
Cathartics. Ol: Ricini ℥iij ol: Turbinth: ℥I Drastic Scam Gen go to
2nd.. Indication. V.S. fr: ¼ of gal: to 2 gal: External application by rubbing
briskly with mustard pepper and hot spts: Turbinth
when the skin is cold. Cover with a warm blanket and stabled with
free ventilation

91
Lec 11 Hare Lip.
No 1
May be caused by a wound or may
be congenital. In the former the edges are irregular
and callous, in the latter covered with a
delicate epidermis and the edge smooth.
No 2
8 months time to operate except
when the child can not suck. The operation has been
performed before a month. 3rd..
The parts are to be brought together
before the operation in order that the child
shall become accustomed to the after [dressing?]
4th..
The child must be kept awake
a long time before the operation in order that
the after dressing may not be disturbed.
5th..
This operation has been performed
before the child has been a month old.
6th..
Scissors with knife edges are to be used.
7th..
No fear of cutting away too much
as the two sides readily come together. if there is
a dragging upon the mucus membrane it
is to be cut.
8th..
Karlstad insect pins, the best
9th..
30 to 40 hours the longest time the pins
are to remain. of as soon as pus exudes from the side of the needles. 

92
No 10
In double hair where the fissures on each
side of the sound skin extend into the
nostril the mucous membrane must
be diffected up to correspond with the outside
fissure.
Dr: Love grove’s treatment for Inverted Toe nail
taken from Aug 1st.. Lancet 1856.
Scrape thin with glass. and then coat the
nail freely with Nitrate of Silver and allow[ed] a
hot Flax seed poultice to remain on over night.
Rheumatism
Tr: Quiaici Æeth ʒi
Can: Indica ʒi
Tr: Col Sem: ʒij
Mode of preparation
Tr: Can Ind. Æthe
ꝶ
Ext: Can; Ind: Alo ℥ss
Drinks in Alcohol ℥ji
[D?] add spts etheris Nit: grs ℥viii
Tr: Colch  Æthe
ꝶ
Rad: Colch pulv: ℥ss
Spts Etheris jij ℥iii
Maamte 7 days expup 6 filter
Tr: Quaiac Res: Æthe
Resin Quaici (selected) ℥i
Relap Carb ʒi
Spts Etheris Nit: ʒviij
Dissolve cold by frequent shaking & filter
Rheumatism.
No 1
Quaiacum Pulv: grs xxxii
Cannabis Ind: DExt: grs ij
Colchici Acet: ” ” iv
[m] ft: pil xvi
S. One every 3 hrs:
No 2
Quinice Sulp: grs xii
Pulv. Feni ” xvj
Acid Arsenici gr ½
Ext: Acomite grj
Opii Pulv grs iv
[m] ft. pil xvi
S. One pill after
each meal.
N.B The above ꝶ are
to be taken together
an hour apart

93
Operation for (left soft Palate
1 never to be performed in children
Solvent for Strychnine
Acetic Acid.
ꝶ for Dyspepsia with functional heart disease
Emma Brier.
Elizin Panus Pepsm ʒi
Chloroform gtts xv
Spts. Arnce.. Aromat ʒss
Acid Hydrochloric ʒi
Spts Etheris Sulp: Comp ʒi
Aqua ℥j
[m] Teaspoonfull every three hrs:
Rupture of the Perineum
1st..
1 When the Rectum is slit up an
inch or more, there is little hope of cure.
2nd..
Nearly every kind of suture has been
use in bringing the torn edges together
3rd..
Old cicatrices when the torn edges
have healed kindly, have [been] not been torn
as under during a labor.
4th..
The bowels are not to be moved for
2 or 3 days after an operation 

94
Ink Receipt
Ext: of Log wood 52 grs:
Bichromate of Potash 30 grs
Hot rain water one pint
1 grs xlviii
Carbonate of Ammonia 10 ounce
℈iv
Bi Chromate of Potassa 1/6 ounce
Log wood Ext 20 ounce
Hot Water 1 gallon
Stir until dissolved
Black Ink
Amia Carb 6 grs
Potapa Bichromate: 10 grs
Log wood Ext: [2grs] 2ʒ
Water Hot pt
Ulcers
Definition
“An ulcer is a long existing division
of organic parts, depending upon an irregularity
of the vegetative process, and accompanied with
the secretion of an sanious and ichorous
fluid and a continuing destruction of the parts
in which it is situated.”
2nd..
Ulcers often become when they
have existed for a long time natural secreting
organs.
3rd..
Prognosis depends first upon the nature of
the cause which sustains 2nd.. on the Locality

95
4th.. Ulcers in the skin and fleshy parts are
cured more easily than those in the tendons
or glandular organs.
5th..
The farther an ulcer is from the heart the
more difficult is the cure
6th..
The longer an ulcer has existed, the more
foul [cross out] copious the discharge the more
hard and everted the edge, the more snotty
the bottom. The more the destruction of the
soft parts [the more] the harder is the
cure.
7th..
An oval ulcer is easier cured than a
round one.
8th..
Atonic ulcer
Receipt for chicken Cholera
Ground Blk. Pepper
Gun powder
Soda
Sulphur āā ʒss
Laudanum
Coal Oil āā gtts xv
Flour
Water āā qs.
S.
Teaspoonfull twice a day

Of the treatment of Syphillis with Mercury
Indications Gen & Local
1 Local
1 Saturated solution of Mercury in Nitric Acid  
2 Strong solution of Bichloride.
“Mercury particularly applicable in indurated
chancre.” Laurence.
“Effect upon the mouth not a sign that enough mercury
has been given”
“Mercury is to be continued ten Days or 2 wks after
cicatrization of the sore.”
Laurence. 
“The system is to be kept under a continue but mild
mercurial influence”
Green
Lunar Caustic counter indicated where there is irritability.
In a sloughing Phagedena nitric acid is to be and
instead of mercury.
Secondary symptoms seldom appear after a sloughing
chancre.

97A [95?]
Bubo
Blister and touch the denuded surface with a
grs xx sol: of Bichloride to be vollured by a Bread poultice
Ricord Rynand & other
[The Pulse] The Pulse
indicates By Called
1 Strength of Heart’s action - Strenght or Weakness - Strong or Weak
2/ Quantity of blood thrown out – Fulness or Smallness – Full or Small 
3/ Number of Contractions – Frequency or Slowness – Frequent or Slow 
4/ Regularly of Cardiac action – Irregularity or Intermission – Irregular or Intermittent 
5/ Strenght of the action of Arteries – Hardness, Softness on – Hard, Soft, or
[6 Irritability of a] Redoubling Dichiotic
6/ Irritability of vessels – Quickness Jerking – Quick or Jerking.
7/ Medium diameter of
Vessels – Dilatation or Contraction, Great or Small
8/ Contraction of Capilaries --- Obstruction or Free – Obstructed or Free.
Remedies to dry milk in the breast
Bee’s wax & Camphor: Camphor & Sage. Camphor in some
form or other appears to be used by all. Tobacco powder
on a cake of [?ough].
Remedies to scatter the milk
[Penny] Penny Royal & Lard or Mutton suet.

96
Caries of Bone Necrosis of Bone
1st..
Attention to the appearance of the skin over
the spot of Pain will often assist in determining
whether the inflammation is in the
[the] fleshy or in the bony structure.
2
Escape of the Ichor must encouraged
3rd.
Caries attacks the spongy portion of Bones and
Necrosis is found in the hard portion.
Caries
1 Attacks spongy bones 
2 Stinking ichor exudes from the sore
3 Pieces of bone which come away are
small and easily crumbled up
4th.. Periosteum is destroyed
Necrosis
1 Attacks hard nation of [???ss]
2 Put exudes from the sore
3 Pieces of bone which come
away are layer like [cross out]
large and not easily
broken.
4th.. Periosteum not destroyed.

97
Caries of teeth
1 Concentrated Sulphuric Acid applied to
the nerve to allay pain.
2 Specific for Itching, non scabies,
External Glycerine & Alcohol, equal parts,
Internal {Sulphur [℈i]
{Pot: Bitart grsx āā ʒj
Molapes q.s.
Anti Malarial & Tonic ꝶ
ꝶ Quiniæ Sulp: Oij
Acidi Sulp: ʒss
[m] et adde
Tinct: Cinchonæ Comp:
” Quassia ”
” Gentinæ ” āā ℥ss
Leg: Potassæ Arsenitis ℥j
Lyr: Simp:
Aquæ menthœ āā ℥ss
” Rosari ʒi
” Distillat: ℥ij
[m] ft: sol:
Sig: Teaspoonfull tres die, after
eating.
[G.m.D?].

John Hunter on the Fundamental Principles of
Inflammation.
1st..
Parts when they perform their function
properly are said to be health.
2nd..
A part or organ may not be able to
perform its function either on account
of some deficiency depended up on the
peculiar change which has been effected
in the organ, which has not originated
from an external cause, but solely
from the peculiar change affecting the
normal condition of the organ 2ndly..
[3rd..] An organ or part may take on disease
from the sudden action of an
external cause, as when a limb is fractured.
&c
3rd..
Now an organ may or may not recover
itself [cross out] by its own vital energy.
4th..
This power depends upon the character
of the part or the distance from the
heart, or its situation
5th..
Difficulty of access of Blood, favours disease
except in Cancer and other specific diseases
6th..
There is difference of power in the same
parts of the body in the male from the
female. thus a spin will grow on the

99
head or comb of a cock but not on that of
a hen.
7th..
Susceptability for Inflammation may either be
original or acquired
8th.. “Fever and Inflammation are closely
allied”
9th..
Climate is not so much a cause of disease
as mode of life.
10th..
We now live “above par” at the “utmost
stretch of life.” so that when disease attack
as we have no vitality to resort to it has
all been extended in living.
11th..
A disease which is caused by a certain
habit is only by the removal of that
habit or habits.
12th..
The cure of a part is in direct proportion
to the amount of vital principle in that
part except in vital organs.
13th..
Vital organ of necessity require and make use
of all their vital energy to perform[ing]
their functions.
14th..
When great constitutional excitement accompanies
a local disease there is a want of strength
of the vital protective principle in the part 

102 100
2 Analyse’s of Milk (Womans) by Simon.
1000 parts
1 {2
Water 883.6 {894.0
Solid constituents 116.4 {106.0       
Butter 25.3 {38.0
Casein 34.3 {34.0
Sugar of milk & Ext matters 48.2 {40.5
Fixed Salts 2.3 {18.
Calorificient 1-2
Nutritive. 1
Thompson
Maximum.
Analysis of Urine (Healthy) by Berzelius.
1000 parts.
Water 933.00
Solid residue 67.00
Urea 30.10
Uric Acid 1.00
Free Lactic Acid 17.14
Mucus 0.32
Sulphate of Notash 3.71
As do Soda 3.16
Phosphate Soda 2.94
Biphosphate of Ammonia 1.65
Chloride of Sodium 4.45
Do Do Ammonium 1.50
Phosphate of Lime & Magnesia 1.00
Silicic Acid 0.03 } Fixed Salts

103 101
Analysis of Bile (Human.)
1000 parts
Berzelius
Water 907.4
Pilin Felinic Acid &c 80.0
Mucus dissolved in a free alkali 3.0
Free Alkali & Ordinary Salts 9.6
Thenard
Water 909.0
Yellow & a very bitter resin 37.3
Brown pigment & mucus 1.8-9.0
Albumen 38.2
Soda holding resin in solution 5.1
Salts of Potash and Soda, & Pexoxide y Bron 4.1
Analysis of Human Blood by Secanu
1000 parts
Water 780.15
Fibrine 2.10
Albumen 65.09
Colouring matter 133.00
Chrystalizable Fat 2.43
Fluid fat 1.31
Ext matter of an uncertain nature 
Soluble in both water and alcohol } 1.79
Albumen combined with soda. 1.26
Chlorides of Sodium and Potassium 
Carbonates Sulphates, & Phosphates
of Soda and Potash } 8.37
Carb. Lime & Maq: Phosphates of Lime may & EE. Ec2O3 2.10

Analysis of Mucus. (nasal) by Berzelius
1000 parts
Water 933.7
Mucin 53.3
Alcoholic Ext: Alkaline Lactates 3.0
Chlorides of sodium & Potassium 5.6
Water extract with traces of albumen 3.5
and Phosphates [3.9]
Soda combined with mucus 3.9
Analysis of Normal Pus from a Psoas abscess
by Golding Bird Sp: gr: 1040.9
1000 parts
Water 898.00
Solid constituents 102.00
Fat 5.00
Water ext: with alkaline lactates 8.00
Albumen 75.00
Chlorides of sodium & Potassium with
carbonates 5.75
Phosphates of Lime and Iron 7.50
Analysis of Saliva by Dr Usight
1000 parts
Water 988.1
Ptyalin 1.8
Fatty acid .5
Chlorides of Sodium & Potassium 1.4
Albumen with soda .9
Phosphates of Lime .6
Albuminate of Soda .8

103
Lactates of Potash and Soda .7
Sulphocyanide of Potassium .9
Soda .5
Mucus with Ptyalin. 2.6
Analysis of Cows Milk
100 parts
Water 85.7
Solid: Constituents 14.3
Butter 4.0
Casein 7.2
Sugar & Extractives 2.8
Fixed Salts 0.62
[Gastric Juice] vicarious secretion
[of] (1000 parts) of milk from a womans thigh.
Water 982.64
Solid Constituents 17.36
Butter with traces of Cholesterin 2.77
Sugar of milk sol: salts, Alc: ext: 7.29
Casein & Insoluble salts 6.25
Fragments of linseed from poultices 1.06
Gastric juice
Lactic Acid & Acetic Acid (free)
Hydrochloric Acid not free
[(Simon)] see
Dr Thompson
experiments. Lon: Med: Ga
Oct: 1845 on Half yearly Abet:
of med: lances vol 11 pge 347-51
Turn over to pge 115

B.l. Bodie on the Joints
Synovia
Bone Cartilage Adipose tissue and
Synovial membrane and its fluid make up
the composition of the Joints of the human
body
2nd..
A Joint may be filled with fluid
without inflammation preceeding, arising
either from deficient absorption or from a
hyper secretion of the synovial fluid.
3rd..
This fluid may dry up and leave
the joint stiff and easily again inflamed
4th..
Suppuration rarely takes place except
where the joint received mechanical injury
5th..
Old persons are more liable to synovial
inflammation.
6th..
Mercury and Rheumatism predispose
to this complain. also Cold. Sprain and injuries.
7
Knee joint oftener affected than the others
on account of its greater liability to Cold
8th..
At the first the pain is referred to one spot
9th..
When suppuration has taken place amputation
is necessary.

105
10th..
Tension and swelling require warm fomentations   
and Poultice. but otherwise cold
applications are better
11th
[Lini] Olic Olivœ ℥iss
Acidi Sulphurici ℥i
[m] fr: linimentum or
Where the cuticle is tender this
Ol. Olivœ ℥iiss
Acidum Sulp: ʒiv
again
Ant: et: Pot: Tart ʒi
Ceratum simplex ℥i
12th..
Issues and Setons are only of use where
ulceration has set in
13th..
Free motion and Friction when the limb
has be come stiff and swollen, caution in
the latter
14th..
Not of water let fall upon the point also for
stifness.
15
wine  of Colchicum
16 Joint to remain undisturbed for 5 days after 1st.. cheping.
17 The needle in sewing up a wound in a joint ought not
pierce through the integument, but only 2/3rds so that the internal
lining membrane, does not come in contact with the needle,
or ligature, which being a foreign body, would cause inflammation
of the synovial membrane.

Cellular formation
Peculiarities.
[illustration]} An old and young cancer cell from
[illustration]} Bennett work. [2 nuclei] 2 nuclei
[illustration] The Fibro-plastic cell. Form. & one nuclei 
[illustration] Epithelial cells. Flat. & in clusters
[illustration] Pus globules. Round
[illustration] Fat cells. Crystals of margaric 
as nuclei
often seen in them
[illustration] Granular cell. filled with granular
[illustration] Cartilaginous cell. Blasterma.
Daily Amount of food to a healthy man
Maximum 35 ℥I ¼ of which Nitrogenous
Minimum 25 ℥I do do
Fodd & Bowman’s Phipiology 

103
107
Analysis of Urine passed during one
day.
6 ½ A.M. Well. Slept well. Spts good
Colour. Clear. Ruce amber
Sp: gr: 1035.
Quantity. ℥iv ʒii Acidity. very much so
Heat & NO5. No effect, latter made it rather darker
11 ½ oclk.
Colour very pale. in the test tube looks like
milky water
Sp: gr 1025
Temp 95° Fah
Acidity not no much as in the morning
Heat & NO5 usual effect
Pulse 80 and regular
Quantity ℥viii
3 ½ Immediately after dinner, of Roast Beef
Asparagus, Homing, and Rhubarb
Pie
Colour Darker than at 11 ½ not so dark
as in the morning.
Sp: gr: 1015
Heat & NO5 usual effects
Acidity more than at 11 ½ not as much
as in the morning.
Quantity ℥v

104
[Illegible]
Soak cotton in this
Oleaginous Mixture} 
Ol: Ricini ℥ss } 
Sacch: Alb: qs.} 
Aq: Menth: ʒss} Aqua [Oss.] ℥ss
Acaciæ Pulv: q.s.} vel whisky [Oss] ℥ss
Tr: Opii Camp: ”}
Corpse Mixture
Pot: Nitratis ʒss
Bradady [Oss.] ℥ss
Aqua [Oss.] ℥ss
vel whisky [Oss] ℥ss
Remedies for vomiting
Hydrocyanic Acid
Carbolic Acid one drop in ℥ of symp
Ipecac One drop of the wine in a teaspoonfull of water
Pot: Nitrate
Oxalate pf Cerium
Opium
Hoffman  

105
109
Urine in Measles 3rd.. day} 
Colm greenish} 
Heat & NO5 No effect} 
The urine was cloudy}
Chilblains
Ol: Olivœ ʒiiss
Sulph: Acid 3 grs xv
Spts: Turbinth: Ven: ʒi
Remedy dor Nodulated Creasts of Inpents.
ꝶ Hydrochlorate of Am ia/ii  ʒss
Aquæ Destill at;
Acidi Acœti [??pur] āā ℥ij
[m] ft: zol:
S. Wet a linnen rag in a warm solution, and lay it upon the tumefied breast.
1st.. Face to the North
2nd.. Rubbing soles of feat
3rd.. [Illegible]
4th.. [Illegible]
5th.. [Illegible]
6th.. [Illegible]

106
Tabular view of the Tissue of the Human Body
Character
1 Simple membrane, homogeneous, or nearly so,
employed alone, or in the formation
of compound membranes.
2
[2] Filamentous tissues the elements of which
are seal or apparent filaments
3.
Compound membranes composed pimp
membranes, and a layer of cells of various
forms (epithelium or Epidermis) or of
areola tissue and epithelium.
4
Tissues which retain the primitive
cellular structure, as then permanent
character.
5
[cross out] Sclerous or hard tissue
6
Compound Tissues
A
Composed of tubes, of homogeneous
membrane, containing a peculiar
substance
b.
Composed of white fibrous tissues
and cartilage
Examples
[Posterion?] layer of Cornea
Capsule of Lens,
Sarcolemma of muscle
White & Yellow fibrous
tissues – Areola tissue
Mucous membrane – Skin
True or secreting gland
Serous, and Synovial
Membranes
Adipose tissue – Cartilage –
Gray nervous
matter
Bone – Teeth
Muscle – Nerve
Fibro – cartilage.

111
Vehicle for Cod’s Liver Oil.
Mix up [the[ oil with anow root into
a bolus
Brights pill for Dropsy.
Hyd: chl: mite grs
Pil: Scillæ Comp grs xij
Opii Purificate. grj
[m] fr: pil: iij
The amount of secretions of the human
body (Daily) 24 hrs)
Urine 25 to 30 ℥i
Saliva 10 6 12 ℥ Simon chemistry (not certain)
Feces [10/60 93]
Mucous [52/8]
Skin 2 lbs of matter Seguin ) nearly 4 lbs wm.. wood Newport(ing)
Bile 9.640 grs solid conct 964 grs (Bird Ane’s of Urine)
Youngs Table 1/12 + 1  1/13
at 12. ½ Dose
under 12 mate the [cross out] age the numerator
and the age + 12 the denominator
thus if 2 yrs is the age 2/12 + 2 = 2/14 or 1/7 the dose
3/12 + 3 = 3/15 = 1/5 4/12 + 4 = 4/16 = ¼ 5/12 + 5 = 5/17 = 1/3 2/8 6/12 + 6 = 6/18
= 1/3 12/12 + 12 = 12/24 = 1/2

108
Table for discovering the nature of
terinary deposits by chemical Reagents
{Deposit white
{Do Coloured
{do Soluble by heat Urate of Ammonia
{do Insoluble do do
{do Soluble in Lig: [Am?] Cystine
{do Insilble do do
{do Soluble in Acetic Acid Earthy Phosphates
{do Insoluble in Do oxalate and oxalate of [Ci???]
{do Visibly crystaline Uric Acid
{do Amorphous
{do Pale and readily sol: by heat Urates
{do Deeply coloured slowly sol by heat Do stained by
Purpurine.
(Bind Analysis)
Decidous Teeth
From 5 to 8 mos 4 central Incisors
7 ” 10 ” do lateral do
12 ” 16 ” do Anterior molares
14 ” 20 ” do Cuspi doti
18 ” 36 ” do Posterior molares
Permanent Teeth
6 yrs Anterior molares
7 do Central Incisors
8 do Lateral do
9 do Anterior Bicuspides
10 do Posterior do
11-12 do Caspidata (from Pancoast’s Crestal)
12-13 do 2nd.. molares 
17-19 do 3rd.. do or [Den?] [Sapientice?]

109
Genealogy of Hippocrates.
Aesculapius was the father of Podalirius
who was the father of Hippolochus, who was
the Lostratus, who was the father of Dardarms
who was the father of Crisamis who was
the father of Cleomyhades who was the father
of Theodorus, who was the father of Lostralu
II who was the father of Theodorus II who
was the father of Lostratus III [cross out]
who was the father of Nebrus, who was
the father of Gonosidicus who was the
father of Hippocrates I who was the father
of Heraclides, who was the father
of Hippocrates II. or Great Hippocrates
Founder of Medical Profession
Two Animals, were given the equal quantities of
poison. one was placed [cross out] in air 75 to 86°Fah
The other in 46 to 50° The former recovered
the latter died from Smith journal Sept: 1852
Chossat found the temp: diminished in [cross out] a dog
whose veins had been injected with opium
from 105° to 62 Fr idem
The Crystalline is render opaque lower Temp and light
Becomes transparent when opaque by high temp:
idem
Temp: of Human Body 102 Fah
idem

110
vallsix anangement.
Copied from Ranking Semiannual Abstract of
June 1852 July 29th.. 1852
I Positive signs of Phthisis at an early stage
Dry cough for sometimes; sometimes mucous expects at
More or less dyspnea
Pain in the chest
Nocturnal Sweats
Debility and emaciation
Dull percussion under one or both clavicles
Weakness or other modifications of Resp” murmur
Hœmoptysis in a number of cases.
II Positive signs at the end of the first stage
Cough more frequent
Expectoration grey, opaque or greenish sputa
Hœmoptysis
Night sweats
More or less diarrhea
Emaciation more marked
More dulness on percussion
Blowing resp: subcepitant rales increased vocal resonant
III Positive signs during the 2nd.. period
Obstinate cough
Sputa grayish, irregular inform, tinted or streaked with blood
Emaciation and marasmus increased.
Dulness in percussion extended
Tracheal and cavernous resp:
Mucous rales, gurgling pectoriloquy.
[IV Distinctive signs of incipient Phthisis and]
[Pulmonary catarrh.]

111
Distinctive signs of Phthisis and Pulmonary Catarrh
Phthisis. Pulmonary Catarrh.
Cough Dry Mucous expectoration
Moist sweats No night sweats
Emaciation No marked emaciation
Hœmoptysis No Hœmoptysis.
Moderate dyspnœa Greater dyspnœa
Dulness under the clavicle Percussion normal
Modified resp: Resp: Murmur normal under clavicle
Respiration in lower lobes normal. Subcrepitant in the inferin
and posterior lobes.
Distinctive signs between Phthisis [and] at the end of
first stage and chronic [catarrh] pneumonia
Phthisis. Chr: pneumonia
Is developed spontaneously. Term: of Acute Pneumonia
Situated at the apices of the lungs. In inferior and posterior lobes.
Dr Wm.. Danach’s Fever Scheme
ꝶ
Tyson’s powd griij
1 mass: Sulp: gr 1/8
[m] ft: pil: at bedtime.
ꝶ
Quinia Sulp: əi
2 Sulp: Morp: gr 1/8
[m] ft: pil X
S. one every hour from 12PM.
ꝶ
Tyson’s Powd əi
3 [m] ft: pil X
S. one every 2 hours.
[Illustration] 

Empire Spring} 
in a gal:} 
Chloride of Sodium grs 215.756}  
Bi-Carb: of Lime 24.678} 
Do do Mag: 113.459} 
Do do Soda 33.584} 
Hydriodate of Potassa 9.600} 
Iron .500} 
Silex & Alumina 1.3} 
Solid contents 399.877} 
Carbonic Acid 260.132} 
Atmospheric Air 3.314} 
Gaseous contents 263.440} 
Benedict’s Spring
Temp 48°
Chloride of Sodium grs 38.816
Carb: of Mag 17.712
Crb: of Soda ”
do do lime 14.555
do do Iron 2.000
Silex of Alumina 1.000
Solid contents of a gal: 74.143
Carbonic Acid 77.000
Atmospheric Aci 4.000
Sulphuritted Hydrogen 1.000
Gaseous cont: 84.000
White Sulphur Spring
Temp 48°: Contents of a gal
Sp: gr: 1000.5
Sulphuritted Hydrogen 0.5
Atmospheric Air 4.
Silex & Alumina grs 3

117
Dried Meconium
100 parts
Cholesterin 16.00
Ext: Matter, bilifellinic Acid 14.00
Casein 34.00
Bilifellinic & Bile 6.00
Biliverdin, & bilifellinic Acid 4.00
Cells. Mucus, albumen 26.00
Fœces, of a healthy child just born
100 parts Water 72.7
Mucous & epithelium Scales 23.6
Cholestering & Margarin 0.7
Colouring & rapid matter of bile & olein 3.0
Fœces of an Infant 6 Days old
(100 parts of dried mass.)
Fat 52.00
Bile pigment with fat 16.00
Coagulated casein with mucus 18.00
Moisture & loss 14.00
Fœces in consistent mass.)
1000 parts
Water 733.0
Sol: constit. 267.0
Bile 9.0
Albumen 9.0
Pecalia Ext: 27.0
Salts 12.0
Bisol: residue of food 70.0
Substances added in the intestinal canal as mucus 140.0
biliary resin, fat, a peculiar animal matter, & c

Calomel Stools
100 parts of solid residue
Green fat containing cholesterin 10.0
Salivary matter sol: only in water and} 
Slightly precipitated by tannic acid and}
Acetate of lead.} 24.3
Bilin, Bilifellinic acid & biliverdin collectively – 21.4
sol: in Abs: alc:
Ext: sol: vn spt: 11.0
Albumen mucus, & epithelium scales 17.1
Salts. 12.9
Sweat:
1000 parts
Water 995.000 987.500
Epidermis & salt of lime .100 .250
Aq: ext. Sulphates 1.050 2.625
Spt: ext: Chli sodii et Pot: 2.400 6.000
Alc: ext: acetales, Sactales and} 
free acetic acid.} 1.450 3.625
Ultimate composition of Albumen from Blood
C. 54.84 Albumen of Eggs contain only ½ amt of Sulp/
H. 7.09 the only differences between the two
N. 15.83
O. 21.23
P. 0.33
S. 0.68
Fibrin
C.54.56}  
H. 6.90}
N. 15.72}
O. 22.13}
P. 0.33}
S. 0.36} identical with Alb: of Eggs
Casein fr Cow milk
c. 54.96
H. 7.15
N. 15.86
C. 21.73
S. 0.36

119
Pepsin Urea Uric Acid Cholic Acid
C. 57.718 19.9 Prout 39.875 Prout 68.5
H. 5.666 6.65 2.225 9.7
N. 21.088 46.65 31.125 21.8
O. 16.064 26.63 26.775
Chondim. Glutin Cystin. Stearic Acid
C. 49.96 50.05 29.875 76.71
H. 6.63 6.48 5.125 12.86
N. 14.44 18.35 11.850
O. 28.59 25.12} 
Sulp:} 53.150 10.46
Phosp: 0.38
Margaric Acid. Sactic Acid Glycerin
C. 75.64 44.92{ Anhydrous 43.84{ Anhydrous
H. 12.86 6.55 8.35
O 11.50 48.53 47.84
Protein Erythropiotid. Seucin. Protid
C. 54.99 56.63 55.64 59.20
H. 6.87 5.93 9.30 6.62
N. 15.66 10.23 10.51 10.56
O. 22.48 27.21 24.55 23.62
Crystalin from Eye Gelatin Sugar Hœmatin
b. 55.39 34.27 66.49
H. 6.94 6.51 5.30
N. 16.57 19.84 10.54
O. 20.91 39.38 11.01
S. 0.25 Iron 6.66
turn over

118
Hippuric Ac: Uric Oxide
C. 60.63 39.28
H. 4.98 2.95
N. 7.90 36.35
O. 26.49 21.42
Diseases of Infants – from Condic Pge 120
Spring & Fall
Scarlatina, Measles, Pertussis.
Hot whether or Summer
Cholera Infantum. Diarrheas &c
Winter
Small Pox.
For Retrocession in Eruptive diseases
Pot: Acet ʒss
Tinct: Asclepias Tuberosa ʒi
Aqua ℥iij
ʒi tres housœ.
Menorrhagia
Argenti Oxydum gr ¼
Atonic of Stomach
Hydrastin grj to grs V
Hœmorrhoids
Ol: pip: Nig: gtts xx
Adeps ℥ss
To relieve pain burning.
Epilepsy
Tinct: Cimicifuga ℥j
Inf: or.. Caulophyllum ℥j
ʒss tres die.
Bromide of Aminœ grs iij
tres die.

119
121A
Characteristic Pain of the different Tissues
of the Body when Inflamed
1 Cellular – Aching.
2 Serous – Sharp.
3 Fibrous – Rheumatic.
4 Fibro-Cartilaginous – Little known
5 Cartilaginous – Almost painless
6 Cutaneous – Burning Tingling
Itching or
Pricking.
7 Mucous – Usually at the
end of the membrane.
Acute
less severe than
in Cellular or
Serous.
(Ext from Woods Practice) 

120
Practical hints. July 4th.. 1852
[ꝶ My “Fathers” practice (30 yrs)]
[Syr Tolutani ℥i
[Vin: Antim: ʒi]
[Tr: Digitalis ʒiss]
[Ext: Belladdonnæ grs iij]
[Tr: Opii gtts XL]
[ʒi an hour before meals & ʒii at bedtime]
[Remarks]
[I have used the above effectually many]
[years in protracted coughs, which seemed
[To be chronic catarrhs. Warrants]
Pertussis
Carb Amiœ.. əi
Ext: Bellad: gri
Aq font ℥ij
“ Menth ℥ss
Lyz: Simp ℥iss
℥ss anhan before meals
and at bedtime
Constipation
Palv Aloes grs X
[m] pil X
S. meat [bed] day time
Chorea 
Capsi Amia.. Sulp: ʒi
Aq Tint ℥i
3 to 15 gtts in a teasponful
of water immediately after
meals, to slightly sicken
Ascarides
Tr: Assefet  ʒi
Aq: Font ℥ss
[m] ft: injected
ꝶ
ol: Turbint ʒss
Aq: Tint ℥ss
“ Merth  ʒi
Sys: hurp ʒiij
[m] ʒj q.t.h
Bread & milk
Morning & evening
Potatoes & milk at
midday 

121
Phenomena of Chill.
1 Uneasiness
2 Restlessness
3 Ueasiness
4 Tawning
5 Stretching
6 Horripilation.
7 Blueness
Nails.
Fingers.
Toes.
Lips.
Under Eyes.
8 Headache or Stusion or Coma
9 Aching in the Loins
10 Do do do Extremities.
11 General Chilliness.
12 Extremities
Back
Thorax
Abdomen
12 Pulse contracted & Frequent.
13 Trembling of the Jaws.
14 Chattering of the Teeth.
15 Universal Internal & External
Tremor Amounting to an uncontrolled
motion of the limbs
or convulsions in children &
muscular tumor in men.
Autopsy.
Congestion.
Liver.
Brain.
Spleen.
Vena Cava.
16 Shrinking & Schinelling of
External Surfaces
17 Short, Humid, and Oppressed
breathing.
18 Short. Hard & Dry Cough
19 Sternal Weight
20 Loquacity
21 Clammy & Schinelled skin
22 Billious Vomiting
23 Urine collourless & Copious
24 Spirits depressed
25 Mind Confused.
26 Delirium Stupend Coma
27 Intense aching in Joints
28 Features, pale & shrunken
29 Eyes dull & hollow
30 Sensation of cold Imparted
to other persons.

122
ꝶ
Hyd: chl: mite grj
Pulv: Ipecac et Opii grj
Lacch: albœ əj
[m] ft: pulv: viij
To be taken one every 5 min at bed time
Rem
I have found the above effectual in
primary stage of cholera Infantum and
when given in association with sea air 
has arrested or at least controlled it and
prevented the sequel. [of that] in inactivity
of liver meteorism and marasmus
and chi: venous congestion.
2nd..
When this Chronic condition exists
the treatment is the cal: without the powder
it in due time (2wks: treatment,) bring on
bilious alvine discharge removes
meteorism, Hippocratic face, restores
appetite, secondary  digestion, removes
venous congestion, restores [several action]
blood to dermal capillaries. the child
recovers a healthy appearance
N.B.
Antiseptic Ointment
Salycylic acid
Sod: Bilorate āā
Mutton Tallow

123
Moore’s Test for Diabetic Sugar
Place in a test tube ʒiiss of the Suspected Urine
and add nearly half it’s bulk of Lig: Potassa.
Heat it over a spirit lamp, and allow actual
elulition to continue for a minute or two; The
previously pale Urine will become an orange
brown or even bistre tint according to the
proportion of sugar present. The subsequent
of molasses generally causes the evolution of
an odour resembling boiling molasses.
[If] N.B.
If the Lig: Potassæ contains lead the Sulphur
in the urinary secretion produces a dark
colour with the lead, and might lead to a
suspicion of the presence of sugar when
none exists: Hence it is important to presence
the test liquor in bottles free lead.
Prof: Bottcher’s Test.
Add a little Carb: Sod: and little Bismuthi Sub-nitratis,
and boil briskly, the Bismuth will
precipitated in the form of a ven: powder
at the bottom, if there is sugar
Trommers Test.
Add to the urine enough Salp: Cup: to give
a slight blue, a slight deposit of sulp: Cup:
generally falls. Lig: Potass must be added
then in great excess. On heating the mixture
gently until it boils, the red sub oxide
of copper is thrown down. 

124
Caperzocoli’s Test
Add a few grains of [hydrated] blue hydrated
oxide of copper to urine contained
in a conical glass vessel, and render
the whole alkaline by Lig: Potass:
the fluid becomes reddish, and if this
is allowed to stand, a yellow deposite
is seen.
Meumene’s Test.
Pieces of woolen. rags, or mauris, are
[cross out] soaked and carefully dried in a solution of Bichloride
of Tin. or wetting a piece in the urine
and drying it over a shrint lamp
a brown or black shot will appear.
Pettenk offer’s Test.
A violet is produced when a mixture
of SO3 + HO and Bile is added
Polarized light.

125
Difference between Ovulation & Menstruation
Menstruation 
1st.. Periodical 
2nd.. Does not take place before Puberty 
Ovulation
1st.. Occurs at any time
" before Puberty.
Extracts from Bery: Rush’s Introductory Lectures
Faculties of the mind
Memory. Imagination, - Understanding
the principle of Faith. – Will – Passions; Moral faculty.
Conscience. Sense of the Deity.
Operations of the Mind
Perception, Association. Judgment
Reasoning & Volition with several minor operations.
Modes of acquiring Knowledge.
Observation, Reading
Thinking Experimenting, Conversing, Recording,
Composing.
Systems of Medicine in 1800.
1st Stabl.
Vis Medicatrix Naturœ, cures diseases.
2nd.. Boerhaave.
Acrimony, or Disease of the Blood causes all diseases.
3rd.. Cullen.
Derangements of the Nervous system cause disease.
4th.. Brown.
Debility causes all diseases.
Popular remedies in different countries from Rush’s Introduction
Pge 148
England. Cordial & sweating medicines.
France. V.P. Injections & diluting drinks.
Italy. Caps & Leeches.
Russia. Hot & Cold baths.
China. Frictions.



127
Synopsis of Remittent Fever
Remittent Fever is a compound disease;
embracing a general miasmatic Fever, and
and an irritation of either the stomach,
Liver, Duodenum, and Small intestines.
It is found in place where there is Intermittents;
the remittent often being the
disease in the small toans, where the 
subjects leave a debilitated stomach;
while the persons in the country have
intermittents.
Remittents may be divided into
A. Mild
B. Malignant.
A mild Remittent is one in which not
much local irritation exists, not much
constitutional disorder, except during
the exacerbation. This is called Infantile
Remittent.
A. Malignant Remittent is one in which the
local irritation almost amounts to an inflammation
demanding active antiphlogistic
measures. as leeches Blister &c as
in Yellow Fever and Remittents of
New Orleans West Indies Italy and Africa
Remittents may be again subdivided into
a. Pure Remittent
b. Remittent caused by Bark
c. Sporadic Remittent
d. Congestive Bilious Remittent of Md. S.C. N.C.
e. ” ” ” Geo: Alabama & Mississippi

f. Yellow Fever of New Orleans. West Indies. &c
g. Remittent which will become before it Cases an
intermittent.
H. ” ” ” not ” ” ”
Persons may either on account of some
idiosyncrasy or manner of living or Trade
give rise to a debilitated state of stomach,
which will predispose them when in
malarious districts to be more subject
to Remittent Fever than Intermittent.
Treatment.
Indications
2.. 1st.. Special and Primary. or
Calomel. & Absorbent
Poultice
2nd.. General
In treating Remittents the local irritation
is the most important symptom to be attended
anything that will aggravate this aggravates the
disease. The patient is to be put upon Calomel
at once. and afterwards upon small doses
of Sennæ and mannæ and small doses
of calomel.
A good plan is to begin with a good purge
of ꝶ Calomel grs X
Pulv Aloes Socot
Pulv: Jalap āā grs V
[m] ft: pulv: iv
one every 2 hours.
This to be followed by small doses of Calomel
Sennæ and mannaæ. during the next day

129
should this purgative either through the Doctors
or the patients or haves carelessness be carried
on until frothy stools make their appearance
it is immediately to be stopt and
the following powders to be given
ꝶ
[Pulv.] Hgd: chl: mite
Pulv: Ipecac et Opii āā grs viii
[m] ft: pulv iv. q.b.h.
where there is much heat and wakefulness
and Restlessness. the following
ꝶ
Spts: Ethan’s nitrici
Lq Lig: Ammoniæ A cet āā  ℥ss
Teaspoon full every two hours
where wakefulness is the prominent symptom
ablution is the remedy. sponging &c
Extraordinary Sequela from Scarlet Fever
This morning a boy 9 yrs of age, was brought in
before the class, with his right hand permanently
flexed, which was according to his mother’s account.
caused by abscesses which followed an
attack of Scarlet Fever. 

130
Notes from Ashwell on the diseases of Females.
Amenorrhœa
1 In cases of Retention the menus in the
Utems where all means have failed the utems may
be punctured from the Utems.
2
Instances are on record where patients
have only menstruated once in a year or in two years
3
In cases where after Depletion has been caused
to its fullest extent. the flow does appear immediately
we must wait a month or so before emmenagogue
are given. which are to resorted to if chlorosis [are]
is threatened
4
The indications of chronic suppression are a
scanty and irregular flow of the menses. Sometime
before there is complete suppression
5
Except where leucorrhœa is present when the
general health does not suffer the suppression is
not to interfered
6th..
Emmenagogue are only to be used in cases
where there is no plethora or Debility on where
in chronic suppression all other means of cure have
failed.
7
Mercury is not to be given in cases where there is
any tendency to Phthisis or in irritable constitution on
where there is a diarrhœa.

131
Ergot is to be given at the time when determinate
efforts are being made to produce the menstrual
by the woman.
Remedy for Ague
Bark ʒvi
4 Cloves
1 Large nutmeg
One Tablespoonful of Blk: pepper
Coarse Brown Sugar tablespoonfull
[m] ft: electuary et add
Spts: vin. gal: opt
Lig
Tablespoonful every two hours when the fit
is on. From Miss Mary Dary.
Tests for a Corpse
1st.. Place a minor over the mouth if breath
mark is on the minor, there is life.
2nd.. Tie a ligature around a finger, if [a]
swelling or redness is produced life
is not extinct
3rd.. If a corpse is punctual with a needle,
the hole will remain open.
4th.. Rigor is s Test
5th.. Odor (Cadavorous) is a Test.

132
ETIOLOGY { Aitia Cause = Discourse on Causation
{ Aoyos Discourse
In respect to medicine the exposition of the causes
of Disease.
Two great antagonistic principles
1 Protective } or by Schoenlein { Planetary
2 Destructive { Egoistical
Health.
The result of the successful resistance
of the planetary over the Egoistical.
Disease
An Undue influence of the Destructive
or Egoistical over the Protective
or Planetary
Varied forms of Disease are owing to the
varied degrees of said under influence.
Distinctive character of each disease
1 Nature of the Destructive agent.
2 Particular Organ on which said agent acts
3 Temperament &c of the diseased Individual
Hence there are three parts of
Etiology
1st.. Subjective
1 Affected organ.
2 Temperament.
2nd.. Objective.
External injurious pours
1 Mechanical causes
1 Bruising. 
2 Cutting.
3 Streching } Instruments

133
2nd.. Chemical Causes
1 Mineral Poisons &c 
3rd.. Alimentary Causes
Articles of food unassimilable
from 1 Quantity.
2 Quality.
3 Untimely use.
4th.. Cosmical Cause
Influence of the Earth relative
to the Planetary system, exerted upon the
human body through
1 Climate.
2 Season.
3 Length of Day.
5th.. Atmospherical Cause.
1 Undue Levity or Gravity.
2 Extra & Protracted moisture
3 ” ” Dryness.
4 Sudden changes in Temperature,
5 Extra positive and negative state of
Electricity.
6 Inordinate increase, or duration of
heat, light and magnetism
7 Currents.
8 Calms.
9 Mixtures.
A Miasm the great febrile principle
a Exterial miasm.
1 Necro.
2 Lumate.
3 Elev.
4 Hudalnœro.
5 Elio Sumato. 
C Internal miasm
1 2 dis. 

134
NOSOLOGY. { Noros Disaese
{ Discourse of disease
{ Noyos Discourse.
Principles and Arrangement of diseases
1 Duration of Disease
2 Supposed location of disease
3 ” ” Cause ” ”
4 Pathogic symptom.
5 Category of symptoms
6 Initial letter of the name of the disease.
Application of said Principles
1st.. Pathognomonic symptom
A Hippocratic arrangt: of Fevers
1 Causos.
2 Lipemia.
3 Epialus.
2nd.. Duration of Diseases
A Arrangt: of Themison Arætus &c
1 Acute 
2 Chronic  } Diseases  
3rd.. Category of symptoms
A Praxis Medica of Plater
1 Functiones Lesiones
2 Dolores
3 Vitia
4th.. Triple principle of Cause Pathogic: symtom
and Location.
A Nosologal / Method of Sauvage
1 vitia
2 Febres
3 Phlegmasiæ
4 Spasm
5 Anhelationes
6 Debilitates.
7 Vesania.
8 Doloses
9 Fluxes
10 Cachexia.

135
Modifications of the Nosological method
1st.. by Linnæus 2nd.. by Vogel 3rd Sagar.
Cullen’s nosology.
1st.. Pyrexia. 2 Neuroses 3 Cachexia 4 Locales
Rudimenta &c by Selle. Plonquet’s outlines
M Pincl’ Philosophical nosography.     
Mac bride classification of Crichton’s nosography
Zoonomia of Darwin. Pans system
Physiological system of Dr. John Mason Good.
1 Cœlica
2 Pneumatica
3 Hœmatica
4 Nerotica.
5 Genetica
6 Ecotritica.
7 Tychica.
5th.. Initial letter of the name Disease.
1 Medical Dictionaries.
2 ” by clopœdias
6th.. Common Consent.
The arrangt: adopted in Peuna: Med.
College 1852
1 Fevers
2 Phlegmasiæ
3 Chronic Diseases
4 Nervous ”
Van Buren’s Pil Salutis for Constipation
Ext: Aloes ʒss
.. Nax Vomica grs vj
Ext: Hyos: əj
Pulv: Ipecac grj
[m] ft: pil xx
S. one at bedtime

136
Semper, Ubiano et ab omnibus.
FEVER Terveo To Burn.
Synonyms.
Pysetus nvgetos [cross out] n2o heat. Hippocrates
Febris ” Galen & Celsus.
Fierse ” French.
Ficber ” German.
Calderza ” Italian.
Calentura ” Spanish
Drift Driving Anglo Saxon
Increased vascular action
Increased Animal heat.
Pathognomonic Syrup Corn.
Ancient Doctrines
Hamoral Pathology prevailed from 460 A.C time of
Hippocrates to 1620 Harverian discovery – 2080 yrs
diological Dogma No 1
Hamoral mode morbific matters.
Imagined existence of them in
the system the Destructive Principle.
Praxagoras
The morbific matters originate in
the Vena Cava.
Refutation
The vena cava being a
part of the medium of the circulation
cannot originate
morbific matter.
Hippocrates Galen.
A disproportionate combination
of Phlegm. Blood, Bile
and Blk. Bile.
Refutation
Discovery of the circulation

137
and Dalton atomic theory of Definite
proportions.
Paracelsus.
Salt for solidity Sulphur
for Inflammation and mercury
for fluidity.
Reputation
Modern doctrines of vascular
dilatation, Transudation by  
Endosmose. Ubiquitous combustion
of oxygen and Carbon
Abstraction by exosmose of fluids
from secretions.
Tubular and Cell structures
Spontaneous coagulation of
transuded fibrine.
Sylirus Le. Boe
Numerous morbific matters in
Alkaline vitriolic and mucilaginous.
Tartarous, Corrosive,
Acid, Saline, Putrid
Rancid, &c in accordance
with certain newly discovered
chemical substances.
Refutation.
The supposed morbific matters,
are effects, and nor causes, 

138
Tabular Views of the Substances found
in Urine with the cause of their appearance.
Class 1st..
Carb: of Lime
id ” Magnesia
Acut: Phosp: of Lime
Ammoniaco – magnesian }
Phosphate. (nevt: Triple)
Occasionally {
Re Arrange of elements of Urea
and water producing Carb: Amia..
(a) Previous to secretion
II     
Rearrangement of the elements
of urea and water
producing carb: of Amia..
(b) Subsequent to secretion
change taking place out of Bladder
III Rearrange of the Urea and HO
Producing carb: of Amia..
(c) Subsequent to secretion, change
taking place out of Bladder.
Occasionnally {
IV Some kinds of Indigestion
V Immediately are of Alkalis
VI Internal administration of mercury
{ A Low kind of inflammation
or irritation of the kidneys
{ Enlarged prostate
Structure of urethra
injury to or dis of spinal masm
Injury to Loins
Depression of vital powers.
neurus irritability or exhaustion
Disease of or stone in bladder
{Natural decomposition
Class II
Organic matters
A Organized.
Blood
Result of { 1 External violence applied to the Lumbar Hypogastrium [illegible]
2 Injury to the inesters, bladder or urethra from bony spiculœ for fractures
3 Laceration of the lining membrane of the urethra from the introduction
of instrument
4 Calculus either in the kidneys, ureters or bladder.
5 Irritation of the kidney produced by stimulating diuretics
6 Inflammation, congestion, tubercular degeneration & cancer
of the kidneys.
7 distinction of the renal vein
8 Inflammation and ulceration of the mucous membrane
of the bladder.
9 Fungus hœmatodes and cancer of the bladder.
10 Inflammation of the urethra.
11 Diseased state of the blood, in malignant fevers and [sanous?] 

139
Pus. 
Result of { 1 Abscess in some parts – of the urinary apparatus.
2 ” in neighbourhood of the urinary apparatus
and communications with it.
3 Inflammation, and ulceration of the gem to
urinary mucous membrane
4 Purulent absorption.
Mucus in excess
result of { 1 Chronic inflammation or catarrh of bladder
2 Irritation of the bladder from calarlus.
& Torulæ result of 1 Lachaine matter in the urine
c vibriones cause, unknown apparenth, connected with
great prostration of strength
Spermatoræ
result of { 1 Involuntary seminal emissions
2 Coitus
3 Passage spermatic fluid in the bladder
in consequence of stricture in urethra
B Now organized
g Albumen 
result of { congestion of kidneys from { External injury
Retrocession of cutaneous eruption.
Febrile states of system
Impeded respiration
checked  do
weakness of vessels.
Pressure on renal veins.
Large doses of mercury and stimulating
diuretics
{ Granular degeneration of kidneys.
Inflammatory state of kidneys in Scarletina (Prout)
Diseased state of Blood.
Bile
result of { Certain diseases of Liver
Obstruction to the flow of bile into the intestines.

140
Milk and oil. mixed with urine to deceive
Kiestien. Pregnancy
Fatty matter. Mal assimilates of albuminous matters.
False membranes. Blister of Spanish fly (morel Lavallee).
Sugar. 1 mal assimilation of saccharine matters. (P)
2 Fermentation of Epitheliums [Aldinge?]
Oxalic acid 1 Slight deoxidation of the elements of urea
and water (Bird)
2 Oxidation of uric acid.
4 mal assimilation of certain articles of food.
Sugar and oxalic acid
{ Improper or perverted assinic – cation
{ 1 If sacch matters
2 ” gelatinous do
3 ” Alb: and Oleaginous
Carbonic acid. { Deoxidation of the elements of urea and water.
Carb: of Amia..
Acetic acid { Fermentation of Extractive matters.
Ambia.. { ” ” Epithelium
Lactic Acid. ” ” ”  
Uric or Probably perverted assimilation of alb: tissue.
Xanthic Oxide. ” ” ” Nitrogen of food
1 Of Probably perverted assimilation of the alb:
Cystine. and gelatinous tissues.
2 Of Imperfect secretion of bile.
3 Of Oxidation of tissues in chlorosis. (Sheaman)
Inorganic matters.
Silicio Acid From water drank. (Berzelius)
Iodine, Iron Their internal administration.
Indigo

141
Arsenic, Antimony mercury. { Internal or endermic administration.
Cyanomine { unknown
Mercyanide of Iron { 1 Rearrangement of the elements of urea an
watery, after secretion, producing cyanate
of Amia.., and presence of Iron in urine.
2 Rearrangement of the element 5 [of the]
[elements] of urea and water, before
secretion, producing cyanate of
ammonia, which acts on the iron of
the blood.
Melanourine { unknown
N.B.
The above table embraces the most comprehensive
view of the ingredient of urine
1 ever saw, and is very valuable.
Copied from the Mark wick’s [look] manual on Blood an
Urine. 

142
Hypophosphites. new remedy for Phthisis 1859
Articles of Diet to be avoided reduce Obesity.
Sweets, Fats, Milk Beer, Potatoes, Turnips, Corn.
Hepatic Stimulants form Experiment; on the Dog
Strong.
Podophylin
Aloes
Eu on you
Sanguinarin
Indin
Ipecacuan
Colocynth
Ialap
Sodum Sulp:
Potassium ”
Sodium Phosp:
Dilute Nitro hydrochloric aa i
Bichloride of Mercury
Baptism
Phytolaccin
Sodium Benzoate
Sodium Salicylate
Weak.
Rhubarb
Colchicum
Septandica
Calabar bean
Ammonium Phosp:
Hydrastin
Inglandin
Ammonium Benzoate
Very weak.
Croton vil
Senna
Taraxacum
Scammony
Rochelle salts.
Sodium Chloride
Potassium Bicarb
Jaborandi 
Copied from Hay’s America
Journal. Pge 537 April 1879
Experiments on the Dog by
Dr. Wm.. Rutherford.
Splint Mixture
Gum Shellac lbi. }
Sodium Borate ʒi
Alcohol (98 p.c.) Oi
Salinate cloth with the above

143
Fasting (Tanner.)
The amount of food Tanner ate on the third day.
after fasting forty days (40) in July 8 Aug. 1888
was as following –
Wine 11 oz
Milk 44 ”
Beef 16 ”
Potatoes 16 ”
Water melon two large slices.
Bananas 2
Water 3 oz.
Oysters raw 18.
Crackers 4. 

144
Headache (Remedies for)
Nervous
Caffein citrate of grs: at a dose
Zinci Oxydum 2 grs to V grs tus die after meals
Nurces Vomica gr ¼ after meals
Bismuth Subcarb:
Bromides when the nervous system is irritated, but
not when exhausted.
Phosphates especial zinci Phosphates
Arsenic 

145
My Darling
The will of God be one?
But my burning tears will start,
And, from morning’s dawn to setting sun.
I walk on the ways of life like one.
With a bruised and bleeding heart.
I remember as in a dream
That the sunshine once was bright;
That I loved the stars and the golden gleam
That barred the valley and bound the stream
On a purple summer night.
I remember the bird, & flowers
That came in the sweet spring time
When I threaded a path through farry bowers
And hand in hand, with the long bright hours
Went humming some simple song
And chen (oh, the days were fleet!)
I remember a cottage [hearts?]
When I heard the path of little feet,
And the voice of my darling low and sweet,
That I hear no more on earth.
Turn over
To my Sainted Wife. Died Nov. 1905 

146
She stayed (it seemed) but a little while
In the garb that mortal wear
And we never knew ‘til’ we missed her smile
And the tender love that knew no guile,
That an Angel had been there.
She was tired and needed rest
When her earthly task was done,
And the folded robe on her gentle breast
[humbles?] no more with her hearts unrest.
Since the Crown of Life is worn
She sleepes with bright brown hair
Shading her pale pyre brow
And her face has a meek forgetful air.
Like that of a Saint absorbed in prayer.
From Life and its interests now
She went in the dreamy night,
And She seemed to ho alone
For we could not see, with our human sight
The Angel that of hided her steps aright
To the feet of the Holy One.
She will open her weary eyes.
That were closed so dim and cold,
To behold with wonder and glad surprise,
The beautiful fields of Paradise,
And the streets of burnished gold, 

147
To see by the Jasper light.
The the one of the great [cross out] I Am:
And the walls of beryl, and chrysotile.
And the martyred Saints, in robes of white,
That follow the blessed Lamb:
And there where “the ransomed dwell
And the weary, find repose,
I shall meet the Darling I loved so well.
With a love that tongue can never tell
That only a husband knows,
And though my feet are slow
To follow the path She had
While I linger along these vales below
In the core of my heart of hearts I know
That me Darling, has gone to God.
Copied from. Sarah. T. Bolton’s Poems
3 months after my Darling’s
death. 



149



151



153



155



157

Result of Dr Beaumont’s Experiments with regard
to the time required by the Stomach to digest
certain articles of food.
Article of Diet. Mode Reparation Time required for digestion  Hour Min
Rice. 
Lago. 
Tapioca 
Milk 
Do 
Gelatine 
Pigs feet sounsed
Toope
Venison steak.
Turkey Domestic
do wild
Goose
Liver Beef’s fresh
Lamb. Fresh
Chicken full grown
Eggs fresh
do do
do
do
do Whipped.
Custard.
God fish cured
Trout Salmon fresh
Catfish fresh
Oysters fresh
do do
Mode of Preparation.
Boiled
do
do
do
Unboiled.
Boiled.
do
do
Broiled
Roasted
do
do
Broiled
do
Fricasse.
Hard boiled
Soft ”
Fried
Roasted
Raw
Baked
Boiled
do
Fried
Raw
Roasted.
Time required
for Digestion
Hour Min
1
1. 45
2.
2.
2. 75
2. 30
1.
1.
1. 35
2. 30
2. 18
2. 30
2.
2. 30
2. 45
3. 30
3.
3. 30
2. 15
2.
2. 45
2.
1. 30
3. 30
2. 55
0. 15

159
do do
Beef. Fresh
do. Steak
do. Fresh lean
do. Old hard salted.
Pork steak
Pork fat and lean
do recently salted
do ---
do ---
do ---
do ---
Mutton fresh
do.
do.
Veal fresh
do
Foul domestic
Ducks. do.
do wild
Butter
Cheese. old. strong.
Soup. beef. veg. & bread.
do. Marrow bones
do. Beans
do. Barley
do. Mutton
do. Chicken.
do Oysters.
Green Corn and beans
Hash. Meat & Veg
Sausage. fresh
Heart. Animal
stewed 
Roasted.
Broiled
Fried.
Boiled
Broiled
Roasted
Boiled.
Fried.
Broiled.
Raw.
Stewed.
Roasted
Broiled.
Boiled.
Broiled
Fried
Boiled
Roasted
do
Melted.
[Raw]
Boiled
do.
do
do
do
do
do
Boiled
Warmed.
Broiled.
Fried.
3. 30
3.
3.
4.
4. 15
3. 15
5. 15
4. 30
4. 15
3. 15
3.
3.
3. 15
3.
3.
4.
4. 30
4.
4.
4. 30
3. 30
3. 30
4.
4. 15
3.
1. 30
3. 30
3.
2. 30
3. 45
2. 30
3. 20
4. 

Tendon
Cartilage.
Aponeurosis
Beans. pod
Bread. wheat fresh
do Corn
Cake do
do sponge
Dumplings Apple
Apples sour hard
do. do. Mellow
do sweet. do
Parsnip
Carrot
Beet
Tarnips. flat
Potatoes. fresh
do do
do do
Cabbage head
do with vinegar
do do
Suet. Beef fresh
do Mutton
Brains
Spinal marrow
Boiled.
do.
do.
do.
Baked
do
do
do
Boiled
Raw
do
do
Boiled
do
do
Boiled
Do
Roasted
Baked
Raw
Raw
Boiled
Boiled
do
do
do
5. 30
4. 15
3.
2. 30
3. 30
3. 15
3.
2. 30
2. 50
2. 50
2. 50
1. 30
2. 30
3. 15
3. 45
3. 30
3. 30
2. 30
2. 30
2. 30
2.
4. 30
5. 3
4. 30
1. 45
2. 40
It appears from the foregoing table that the following
articles ought to be considered as easy of digestion 

161
[Articles easy of Digestion]
[Nitrogenous]
Articles difficult to Digest.
hrs: Min
Boiled Pork (recently salted)
do Mutton suet
Wild Ducks (roasted)
Fresh veal (fried) āā 4. 30
Kd hard slated Beef (boiled)
Pork recently slated (fried)
Soup (marrow bones boiled)
Cartilage āā 4. 15
Boiled soup, Beef veg & Bread
Animal heart
Foul (Domestic) boiled
Ducks (Roasted)
Fresh veal (Broiled)   
Fresh lean Beef fried āā 4
Beef suet, fresh, 5. 3
Arteasyto Digest
[N??? Nitrogenous]
Rice hrs. m
Pigs Feet (Loused)
Tripe do āā 1.
Trout Salmon (Fresh)
Barley
Sweet Apples āā 1. 30
Venison steak 1. 35
Sago 1. 45
Brains 1. 45
Medium articles

162
C.O.S.V.1 [Cross out]
Classification of Skin Diseases.
[Drder] 1st.. Division Order 1st.. Discolouration of the skin
[ader] 1st.. Those diseases which are manifested simply
by discolouration of the skin begining with the simpled
Class [cross out] 1st.. Maculæ.
do 2nd.. Exanthematæ.
do 3rd.. Squamæ.
[Order 2nd..] [Disease] Order 2nd.. Those manifested by clavation of sinpad.
Order 1st.. Those diseases which are manifested by elevation
of the surface. [beginning with the least] contains no fluid.
Class 1 Pamulæ
do 2 Tuberculæ
vomiting
[Order 1st..] 2nd..
Those which are manifested by elevations
containing serum begining with the least.
Clas 1 vesiculæ
do 2 Bullæ.
vomiting
[Order 2nd..] 3rd..
Those which are manifested by elevation
containing Pus
Class 1st Pustulœ.
[Grutsanach?] Feby 4th.. 1853         
Skin Diseases (wood)
Contagious
A [cross out] vesiculæ
(a) Scabies
[cross out]
[Tubercle]
[cross out]
Cryptogamous Afflictions
(a) Ponigon Fiarus
(b) Trichoris
Doubtful.
Pustulæ
(a) Sycoris
Scalæ
(a) Pitgriasis.
(b) Ichthyosis
Tubercle
(a) Elephantiasis (Secian)
(b) [Mol] Molluscum
Normal Contagious
Rashes.
Papulœ.
Vesiculæ
a. Rupes
b. Eczema
c. Sudamina
{d. pemphigus} Balla
{e. Russia}
Pustular
(a) Ecthyma
(b) Impetigo
(c) Arne
(d) Rosacea sone
Scalæ
(a) Psonans.
(c) Lepra. 
Tubercle [(a) cross out]
(a) Sugar
[(b) cross out]
[(c) Jaws]
Tubercle
(a) Jaws Raspleny
(b) [mollarcum]
(c) 
This page rewriter on the next.

163
Contagious Doubtful Vin contagious
Maculæ.
Unclassified Diseases
(a) Elephantin (Arabia
(b) Peliagra
New Classifications of skin diseases. 
1st.. Class. Discolourations of surface.
1st..  Species
Maculæ [cross out]
2nd.. Class Elevation of surface.
Order 1st.. Solid [cross out]
(a) Species a Rashes
(b) Papulœ [cross out]
(c) Tubercle.
Order 2nd.. Pustular   
1st.. Species (a)
Ecthyma
Impetigo
Acne
&c
S 
Order 3rd Serous
1st Species. (a) Vesiculæ
(b) Bullæ
Non Contagious.
Rashes. – all
Papulœ. – do
Vesiculæ. –
Pustuœ. – [all]
Scalœ.
Tuberculæ
(a) Supus
Maculæ
Unclassified
Cryptogamœ
Doubtful
(a) Sycosis
(a) Pityriasis
(b) [????thyosis]
(a) Elephantiasis (Gresian)
(b) Molluscum
Contagious.
- (a) Scabies
(d) Jaws or Frambsia
(a) Pomgo
(b) Trichiasis

164
Classification of Skin Diseases
Class 1st.. Discoloration
Species 1st.. maculœ
” 2 Eva
Class 2nd.. Elevation of Surface.
Order 1st.. Solid
Species 1st.. Papulœ
2nd Tuberculœ
Order 2nd.. Pustular
Species 1st.. Pustulœ
Order 3rd.. Serous
Species 1st vesiculæ

165
Father’s Prescriptions 1858.
Tetter Oint:
Tar Oint
Iodine Oint āā ʒi
Arg: Nit grs x
Morp: Sulp: grs iv
[m]
Tonic to the Genital system. Used in Nocturnal
Emissions Leucorrhea. Protracted Lochea &c. &c.
ꝶ
Bromide of Potassium əiv 
Aq: Cinnam ℥jss
Lyr: Simp: ℥ss
[m]
S. Teaspoonful an hour before meals, and at bedtime.
Febrifuge in Exanthems, Influenza, & Fevers
ꝶ
Tyson’s Ant: Powd: (Tellow ox: of Ant with Phosp: of lime) grs iij
Sacch: Alb: grs vj
[m] in a teaspoonful of water, every 4 or 6 hours.
Ascarid
Tr: Asafetida ʒj
Aq: Font: ℥ss
[m] injection [afterward]
bl: Turbinth qth x
Three times a day.

166

167
Bioliography
Typhus Fever.
1st.. British. Uillis. Hux ham Grant Pringle
Locus. Chomel. Andral Bowel.
land.
R. Chlorate of potash... 1 to 2 drachms.
Mur. tinct. Iron... 1 to 3 drachms.
Quinine... 15 to 20 grains.
Hyposulphite of soda... 1 drachm.
Water... 7 ounces.
Teaspoonful to dessertspoonful to be used three times a day by those
exposed to the disease.    
2nd.. Irish

glycerine. The application with glycerine is painful, and, I
think, possesses no advantage to compensate for the irritation.
The strength of the solution is from ten to twenty drops of bromine
to the ounce of oil, used by rubbing gently on the affected
part three or four times a day, and especially on going to bed at 

American.
Gerhard. Pennack.

169



171



173



175



177

Prof Chapman’s Recipe for Gonorrhea
ꝶ
Balsam Cobaiba
Tinct Cubebs āā ʒiv
Honey
Loaf sugar āā ʒiv
Gum Acacia
Comp Spts Lavender āā ʒij
Aqua font ℥[iii]viii
To which add Spts Nitre  ʒij
Take ½ fluid ounce three times a day.
Another
ꝶ
Cobaiba
Spt Æther Nitric āā f℥ss
Acacia Pulv
Sugar ” āā ʒj
Tinct Lavender Comp f℥ij
Tinct Opii fʒj
Aquæ [Distilla?] f℥iv [m]
Tablespoon three times a day.

179

[Illustration]
A. The Testicle with the Seminiferæ and Rete-teste
C. Vasa efferrentia
D. Globus minor
E. Epididymus
F. Vast aberrans.
G. Inguinal ring
H. Glands seminalis
J. Spermatic Cord.
K. Vas Deferens. 
Washington’s expenses of Revolutionary War
*taken from his own diary £ s. d.
1775 } 3719.17.3
1776 } $16.731.
From 1777 to 1783 $ 169.074

181
[Illustration]
Sys: Senega
” Scillæ āā ℥j
Sys: Foln ʒij
Vin: Antimim ʒi
Vin: Ipecac ʒiss
Sig: Maphiæ Sulphas ℥ij
Aqua menth ℥ss
[cross out]
Sys: Senega
” Scillæ āā ℥j
Sys: Tolu ʒij
Vin Antim ʒi
Vin Ipecac ʒiss
Morphiæ sulphas grsij
Aqua menth ℥ss



183

2 grs
20 water
18 Weight of so much water
2
18 grs urine
16 weight of so much urine
18
16
2 sp. gr.
A Class – Animal
a Order - Vertebratœ
a Species - [cross out]
a’ Variety – Caucasian  
a” Individual – G.M. Darrach
[Illustration]









Germantown, Mo. 18
To J. E. RHOADS, Dr..
For professional attendance during 18
$ 

Take of lime recently burned 4 & av.
” ” ” Phosphorus 1 & ” 
” ” Water 5 Gall
slack the lime with a gallon of the water, put
the remainder in a deep boiled, and as soon as
it boils add the slacked lime and mix to a
uniform  milk. The Phosphorus is now added
and the boiling is kept up constantly, adding
hot water from time & time so as to preserve
the measure as nearly as may be, until it
is all oxidized and combined, and the strong
order of the gas has disappeared. Then filters
the solution through close muslin, wash out
that portion retained by the calcareous residue
with water, and evaporate the filtrate till
reduced to six pints. The concentrated  liquid
should soon be refiltered to remove a portion
of Carbonate of Conic which has resulted from the
action of the air on the time in [illegible], and
again evaporated till a [frelbile?] forms, when it
may be crystallized by standing in the Drying
room, or the heat may be continued with stirring
till the salt granulates, when it should be introduced
into bottles. Hypophosphite  of Iodine is
a white salt with a pearly  margarin like lustre
and crystallized in Holland prisons Its composition

according to Warls is CaO, + 2HO, PO. This evales
being essential to the salt.
To prepare Hypophosphite of Soda    
Sake of Hypophosphite of Ionic ox ℥
” ”  Crystallized Carb o Soda SO ℥
Water 2.S. disolve the Hypophosphite six
four fruits of water, and  the Carbonate on a
pint and a half mix the solution, pour the
mixture on a filter and liberate the precipitate
up carbonate of lime after draining with water,
till the filtrate measures six pints, evaporate
this carefully till a frelbile forms, and then stir
constantly, continuing the heat till it granulates
It crystallizes in real angular tables, with a pearly 
Puslar, in it digestion when exposed in the air.
Its composition is NO + 2HO, PO.
Hypophosphite of Potassa is prepared in the
same manner as that given for the soda salt, substituting
5343 granulated Carbonate of Potassa in place of the SO3 bad soda
and using half a pint instead of a pint and a half of
water to dissolves it. It is a white opaque, deliquescent salt,
very soluble in water and Alcohol. Its composition is
KI + 2 HO, PO. Hypophosphite of Ammonia
Sake of Hypophosphite of lime 4 ℥ Sesqui carbonate
of Ammonia [(illegible)]  7-23 ℥ - Water 2.S.
dissolve the lime salt in four pints at water, and the

Ammonia in two pints, mix the solution drain
The resulting carbonate of lime, and wash out the retained
solution with water. The fibral should then be evaporated
carefully to dryness, disolved in Alcohol filtered, evaporated,
and Crystalliziol. Its compositive so it NH3 + NO, PO.
Hypophosphite of sesquioxide of Iron. This salt may
be obtained in the form of a white gelatinous hydrate,
by precipitating a solution of Hypop. Soda or Ammonia
with one of sesqui-sulphate of Iron. The precipitate
should be well washed with water and dried at a
moderate temperature. It is necessary o avoid using a Hypoph,
containing any alkaline carbonate or the precipitate will
be contaminated with free sesquioxide, It is soluble in
Hydrochloric and free Hypophosphorous acid.
Hypophosphorous Acid – Takes of
Hypophosphite of Lime 480 Groins
Crystalized Oxalic Acid 350 ”
&c is tilled Water 9 fluid o℥
Disolve the lime salt in six ounces of the water and
the acid in the remainder, with the aid of heat
mix the solutions, pour the mixture on a white paper filter
and when the liquid has passed add distilled water carefully,
till it measures ten fluid ounces, and evaporate this to
8 ½ fluid ounces. A Teaspoonful referent six grains of
the acid – which contains 2 ½ [hrs?] of Phosphorus.

Camp. Symp of Hypophosphites
Hypophosphite of Lime [50?] Grains
do ” Soda 132 ”
do ” Polassa 128 ”
do ” Iron (recently precipitate  94 Grains
Hypo phosphorous  Acid Solution 240 grs or 2O, S.
White sugar 12 ℥ Ext Vanilla ½ ℥
Water 2O, S2. Disolve the salts of lime, soda
And Potassa in six ounces of water; Put the Iron
salt in a mortar and gradually add solution
of Hypo phosphorous Acid till it is disolved, to this
add the solution of the other salts, after it has
been resident in slightly acid silvers  with the same acid,
and then water, till the [which?] measures of fluid
occurs [illegible] This the sugar and flavor with
the vanilla. The dose is a Teaspoonful three
or four limes a day. Each Teaspoonful contains
2 grains of the lime salt, 1 ½ of the soda salt and of
the potassa salt and ¾ gr of Iron salt besides a
little Hypo phosphorous  Acid. 
From,
{ Am. Jour. Phar.

May 3rd.. 1852
ROUTE 
OF THE 
Philadelphia Fireman’s Parade.
The Line will be formed on Arch Street, the right at Front, at 8 o’clock and commence
moving at 9 o’clock.
Countermarch in Arch street, up Arch to Schy’l. Eighth. up Schy’l. Eighth to
Vine, up Vine to Schy’l Fourth, down Schy’l. Fourth to Walnut, down Walnut
to Sch. Fifth, down Sch. Fifth to Pine, down Pine to Broad, down Broad to
South, down South to Eighth, down Eighth to Fitzwater, down Fitzwater to Sixth,
down Sixth to Christian, down Christian to Second, up Second to Shippen, up
Shippen to Third, up Third to Chesnut, up Chesnut to Sixth, down Sixth to
Spruce, up Spruce to Twelfth, up Twelfth to Race, down Race to Third, up Third
to Coates down Coates to Front, up Front to Maiden, down Maiden to Frankford
Road, up Frankford Road to Queen, up Queen to Shackamaxon, up Shackamaxon
and Frankford Road to Master, up Master to Second, down Second to Franklin
Avenue, up Franklin Avenue to Sixth, down Sixth to Poplar, up Poplar to Tenth
up Tenth to Girard Avenue, up Girard Avenue, south Side of the Market, to
Eleventh, down Eleventh to Brown, up Brown to Broad, down Broad to Ridge
Road, down Ridge Road to Spring Garden street, down Spring Garden, South   
side, to Tenth, down Tenth to Vine, down Vine to Franklin Square and dismiss. 

MEDICAL SCIENCE.
We glean the following scraps from the London
Lancet, republished in New York by Stringer &
Townsend :
ANTIDOTE TO STRYCHNIA.— Dr. ISAAC PIDDUCK,
of London, recommends camphor as an effectual
antidote to the terrible poisin, strychnia. The
recommendation, however, is founded merely
upon a single case, in which a man, who had by
mistake, swallowed one-fourth instead of one-sixteenth
of a grain, which had been prescribed for
neuralgia, and was convulsed in consequence,
with tetanic spasms, was almost immediately
relieved by a dose of five grains of camphor dissolved
in almond mulsion.
CHOLERA  PREVENTION. — Mr. NISBET, of Egremont,
formerly a surgeon in the Company’s service,
at Calcutta, Bombay, &c., considers the best
prevention of Cholera to be wearing “a flannel or
woollen belt round the stomach and bowels. ”He
remarks : — “A saying prevails in the East, that
people accustomed to flannels are not subject to
Cholera; and certainly they are less liable: but
the wearing broad elastic worsted sash or belt
round the body is more effectual, from giving direct
warmth and support to the organs of digestion.
Flannel, from wrinkling and slight elasticity,
and the common double cravats, from thickness,
are objectionable for belts; and to overcome
these defects, the manufacture of an article something
like ribbed worsted hose would confer a public
benefit; and it can readily be formed in the
stocking loom, or knit by the hand.”

they are now made there is no secre-harbor for insects 
which is a valuable consideration in many houses.
All kinds of Cabinet Furniture made in the best manner
to order.
Also all kinds of repairing Furniture and Chairs in the
neatest manner and on short notice, 410 MARKET street,
Girard Stores, up stairs, below Twelfth street.
ja5 B. EASTMAN, Agent.
300 TONS No 1 SCOTCH PIG IRON – Gartsherrie
and Glengarnock, landing from ships Alexander
And Harwood; 250 tons Beaver Furnace Charcoal Pig
Iron, No. 1,2 and 3; 300 tons Harrisburg Anthracite Pig
Iron, No. 1 and 2; 100 tons Northern and Pennsylvania
warranted Wire Blooms; for sale by
. E. J. ETTING & BROTHERS, 93 N Water st.
FIRE BRICKS – From the Garnkirk Works, Scotland,
made by an improved process which renders them capable
of resisting the highest heat, and are now extensively
used for building anthracite smelting furnaces,
steel reverbatory, and Chemical Furnaces, and for setting
steam engine boilers, with clay of the same material
for mortar. Imported and for sale by
s30 J E MITCHELL, 14 Old York Road.
MAGNIFICENT GRAPES. — The subscriber  has constantly
on hand during the season, GRAPES of the
most approved varieties. The Black Hamburg and Sweet
Water are now very fine and peculiarly luscious. Parties 
can be supplied, or individuals served on application
to ISAAC NEWTON,
jy12-tf Chestnut st, opposite the State House,
DRUGS—30 bales Honduras Sarsaparilla;
5 casks Cream Tartar: 3 do Verdigris in sacks; 
1 cask Gurn Eleme; 10 bales Althea Flowers;
1 bale Elder Flowers; 2 do Colt’s Foot;
2 do Iceland Moss; 3 do Tit leaves and flowers;
1 do Saline Beans; 3 do Rosemary:
2 do Succory Root; 2 do Saponaria Root;
12 do Cevadilla Seed; 4 cans powdered liquorice;
3 cans powdered Gentian. On hand, for sale by
Au19 dtf WORKMAN & CO, 81 S. Front st.
MANUFACTURED TOBACCO. – 600 boxes Manufactured
Tobacco, comprising lbs, half lbs, 5s, 8s,
16s and 32s lump of the following desirable brands:
David Newton, W Weir, F Burges,
H E Reed & Co, Hobart Roy, A Thomas,
S & B Green, G J Blair, R E Paxton,
L Apple, L Winipee, T Jackson,
H Wirt, Joshua & Lewis, J Evington,
H Erskin, Ricardo, B Johnston,
E S Thompson, H Hosmer, R Otis,
[illegible] Dal *idge, A Buck,

Tirt [ni??zen] Iron 25 [3]
Dr. W Danach presents 
to our emprise and agent
our prejudgment the tongs
presorted, a bloodless surface
on removing them the dorse
portions presorted moderate
venous congestion form
gravitates all the crostin
of the heats were intevity
emty of blood and instant
clods of fi boin, but upon
opening the trachea its
membran was found reduced
from cipptrary congestion
on the surface the was mucopurulent
[t??esordation] on
opening the bifurcations
of the trachea there were
to revise found redness
form cippatory congestion
and coated with mucopurulent
matters, the

Larger bronchia were then
also opened and these were
also redness for cappillary
congestion and coated with
mucopurulent matter –
several of the lesser bronchia
were apertural
these also were redness
for cippilling congestion
and contained mucopurulent
matter, the minute
bronchia presented no
plugs nor coated one
detect redness  N13
here is evidently [Cappillary?] 
congestion of the
lining membous of the
nir passages for the
torchin to the [extreme?] 
bronchia but then last
without congestion

Formula for making the
Tincture –
 

Jr. Cannab Ind, Aeth.
ꝶ
Ext. Cannab Ind Alc. ℥ss
Dissolve in Alcohol - ℥ij
& add Spt Int q.s. ℥viij
Jr. Colch. Aeth.
ꝶ
Rad Colch pulv ℥ss
Spt. Aeth. Int. ℥iij
Macerate 7 days, express, & filter
Jr. Guazac Rev. Aeth.
ꝶ
Resin. Guazac, Selected ℥j
Potass. Carb. ʒj
Spt. Aeth. Int. ℥viij
Dissolve cold by shaking frequently & filter 

Conclusions in regard to the Ovular theory of
menstruation.
1st.. Menstruation is a Periodical function of the
Ovaries.
2nd.. Ovulation is a constants function of the Ovaries.
3rd.. Ova are matured in the Ovaries at all ages,
but more rapidily during menstrual life.
4th.. Ova are discharged at all periods of life, in the
Internal as well as the times of menstruation
5th.. Ovulation and Menstruation being often concurrent
indicate, that they are both the result of
the attainment of a certain point in the development
of the female economy.
6th.. The Jaw of periodicity is the one and not in
other leaves still wanting the link in the
chain of causation whereby menstruation can be
proved to be result of Ovulation.
7th.. In the menstrual period the Ovaries experience
an extension of the Uterine congestion, and
become with the Uterus the seat of increased
functional activity.
8th.. The menstrual flow is a true hamorrhage as
shown by chemical Analysis, and by the phenomena
of disease.
9th.. Menstruation and Elimination of vesicles are both
functions of the ovaries dependent on their specific
action as gland. This action in the healthy nongravid
or lactaliris woman sustaining a periodical 
exaltation of power which extends to the vascular
nervous and absorbing tissues of the ovaries occasioning 

occasioning the maturation and discharge of vesicles, and to the
uterus and vagina giving rise to decidons vesicles
and the menses
An Ovary.
[Illustration]
Peritoneum
Stroma
Ovary coat
Graafian Vesicle
Ovulation & Menstruation.
Important paper