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VARIETIES OF INSENSIBILITY.
Prepared by Louis Lewis, M.D., M.R.cs.
Pupils dilated (in danger contracted), eyes Horizontal posture, with head raised; cold to head, hot ile decay, valvular disease, Bright's disease..
staring, fushed, distorted face, teeth closed, slow, bottles to feet, sinapisms to legs; turpentine enema; Exciting.–Pressure on brain, abuse of
full pulse, incoherent speech, stertorous breathing leeches to anus, temples or nostrils; dry cupping to nuchæ;
(usually), epistaxis, partial paralysis of face, croton oil (m ij in mucilage), calomel, tincture of aconite,
body, palate or sphincters; high temperature, or of veratrum (m v), or ergotine (gr. 4) subcutanelar efforts, suppression of menses. may smell of liquor.
ously; bleeding (when the pulse is bounding).
One or both pupils contracted at first, then
Horizontal posture, with head raised; ice to shaved
Eyes staring and insensitive,
head, turpentine enema, croton oil (m ij) in mucilage,
catheterization, trephining, aspiration or perforation it ab-
scess is diagnosed; removal of tumors or other pressure.
1 In children, avoidance of operation if no brain symptoms tion. body, blood or serum from nose, ears or mouth,
present. indicating injury to base of skull.
I pallorcorreos and numbne O SUTERU
S pulse, shallow respiration, deafness, loss of mo. Ilorizontal posture, with head raised; hot blankets, and
tion, vomiting, partial unconsciousness, rigors, hot bottles to feet legs and sides; frictions, blisters to Concussion. Blows or falls on the head, of the ep ptiform seizures, sphincters relaxed, low
nuchæ, ice to head, bleeding. me
e to head, bleeding, mercury, beef tea and brandy
In protracted cases, setons to nuchæ.
In concussion of the spine, hiccough (if phre. In concussion of spine, prone position; counter irritation;
| Predisposing:--Heredity, scrolula, syph ilitic tumors of brain, cranial malformation.
Pupils dilated and oscillating, eyes rolling,
Horizontal posture, with head raised; gag between
teeth, sinapisms to nuchæ and calves of legs, removal of
spicula or pressing bone by trephine, pressure over caro. ration in ear, tumors, tape or other worms, *
woms, sensations in limbs, clenched hands, violent mus tids, nitrite of amyl inhalations, nitro-glycerin, antipyrin, (Nervous disturbance either suppressed excretions, over-eating, sun.
bromides, puncture of cerebral abscess.
smo cular jerkings, bounding pulse, vomiting, sharp bromides, puncture of ce centric or eccentric.) stroke, extreme excitement, cold, some
" outcry, profuse perspiration, cold extremities. In children's convulsion, hot baths, cold to head, spinal
In mild attacks only transient bewilderment. | ice-bag; bromide of ammonium (about gr. iij every ten
Pupils dilated, photophobia, twitching of
Horizontal posture; cold affusion, abdominal pressure,
compression of ovaries; nitrite of amyl or chloroform in-
halations, tincture of musk or valerian. tions.)
and palpitation. Gradual onset, “Globus hys. digestive disturbance.
Pupils contracted at first, afterwards dilated;
Horizontal posture, with head raised; cold affusion, zinc
helplessness, partial or complete insensibility, or mustard emetics, stomach-pump, turpentine or salt and (Poisoning of nervous centres its substitutes (tusel oil, etc.) in adulter
Aushed face (usually), soft, quick pulse; cold water enema, strong coffee, vinegar, solution of acetate of
surface, temporary paralysis, often involuntary ammonia, pilocarpine (gr. %), or strychnia (gr. 3), or
micturition, odor of liquor, low temperature. caffeine (gr. iij), subcutaneously.
Pupils dilated, pallor, cold, clammy perspira- Horizontal posture, with head low; cold affusion, stimu-
tion; vertigo, shallow respiration, almost imper-lating enema, frictions, ammonia to nostrils, snuffs, sina.
ceptible pulse, partial or total insensibility, sud. pisms, turpentine stupes over heart, nitro-glycerin (gr.do),
extreme heat or pain, surgical operations, den in outset, short of duration; cold extremi- ' galvanism, tinc ture of sumbul (m v), or hydrobromate of
ties, flaccid limbs, vomiting.
quinine (gr. iv in hot water), subcutaneously; artificial
respiration. In extreme cases, transfusion.
- Horizontal posture, with head raised; cold affusion (ex
Pupils contracted, eyes congested, vertigo, I mer
cept when skin is cold), ice to head, spine or in rectum;
quent micturition, pulse rapid, often full; high
blisters to nuchæ, chloroform, bromide of ammonium enenia,
(gr. xx), antipyrin (Ə j), or quinine (gr. vj), subcutane
ously; nitro-glycerin (gr. Ito) every ten minutes; digitalis.
Horizontal posture, with head raised; cold to head, sina-
Pupils dilated, amaurosis, urinous or ammonia-
pisms to loins, vapor baths, diaphoretics and purgatives, hot (Blood-poisoning by constit. albuminuria, obstruction of uterus, im- dropsy, delirium, epileptiform convulsions, coma,
blankets, bleeding, catheterization, chloroform, jaborandi,
nitro-glycerine, strophanthus, elaterium, oxygen inhalations, pacted stone, impassable stricture, extra- vomiting, low temperature. uents of urine.)
poultices of digitalis leaves to abdomen, transfusion. yasation of urine, suppression.
An Important Subject.
Biniodide of Murcury as an Antiseptic. Physic need not necessarily be nasty to make Dr. Rogée Saint Jean-d'Angely states that it efficacious. The influence of the mind over biniodide of mercury is not irritant to wounds, the body is such that the whims and fastidious and a more powerful antiseptic than carbolic ness of patients in respect of nauseous medicines acid. It has no odor, and an alcoholic soluhave to be taken into account. Moreover many tion 1-300 is soluble in all proportions in persons surreptitiously hide or throw away medi warm water. Lister's dressing is expensive and cines that offend their taste, even in serious not adapted for use in armies. Since 1885 the emergencies; and if they derive no benefit, or | author has employed exclusively the biniodide die, the doctor or the druggist gets the blame. with dressings of cotton and gauze, and in 108 Hence, palatability and convenient dosage are operations (32 major) had only one death. to-day subjects of supreme importance.
Translated irom Lemaine Medical.
Injuries to the brain are liable to be attended
A Disinfectant ot Air. by plastic effusion, causing adhesions or anchor age of the brain to its membranes, and of the
According to M. Keldyche, who has just membranes to the skull, so that the free play published the results of a series of experiments of the organ is impeded in the same way that
on the air drawn from his hospital wards, air the movements of the lungs are hampered by
which has been saturated with eucalyptol will adhesions to the pleura. This may also happen i no longer give rise to colonies of bacilli in gel. to the brain during the formation of cicatrix.
atine. The spores of fungi are able to pass un. Under these conditions, the least movement of harmed, but as their action on the higher anithe brain pulls on its membranes, and vertigo, mals is probably limited, it is not a matter of epilepsy, convulsiuns or inflammation ensue.
much importance. If confirmed by independ
ent observation, this valuable quality renders Pruritus vulvæ is relieved by the application the drug worthy of wide-spread employment, of a menthelene.
for no other disinfectant is known which can
be relied upon to effect its purpose without renAll wines, spirits, alcohols, ethers, fat-acids, dering the air irrespirable, besides acting very aldehydes, turpenes, benzires, paraffins, chloro injuriously on furniture, clothing, etc. - Medi form, iodoform, oils, fats, starches and sugars
cal Press. are carbo-hydrates.
A Hair-Restorer. In Japan, the art of massage is entirely rele
Make a pommade with three ounces of lanolin gated to the blind, who practice it as a means
and five drachms of lard, and a little essence of of obtaining a livelihood.
roses. Shake up seventy-five grains of subni
trate of bismuth, and forty-five grains of citric Bacteria are said to be brought to the sur
acid in three and a half drachms of glycerine, face of cemeteries by earthworms, who carry and add the mixture to the pommade. This is them up from the decomposing bodies of the
stated to restore white or gray hair to its pris. dead ; thus the poisons of scarlet fever, small
tine brown color. pox, diphtheria, malignant cholera, etc., are supposed to be returned among the living, for they are undoubtedly transmissible through the
CLASS-ROOM NOTES. body by more than one mode. It must be
From The College and Clinical Record. • remembered however that earthworms are not
-Ordinarily, one woman in eight is sterile ; found in the earth more than a few inches be
but in women who have fibroids, one in three low its surface.
is sterile. (Parvin.) Bleeding from the ear after a blow does not -In facial erysipelas, where you cannot of necessity mean fracture at the base of the conveniently apply ordinary means, paint the skull; it may arise from laceration of the meatus part with a ten per cent. iodoform collodion. or pinna, or from rupture of the membrana (Prof. Gross.) tympani. Bleeding due to cranial fracture is nearly always followed by the escape of clear Costa ordered five drops of tinct. of gelsemi
- For a case of trifacial neuralgia, Prof. Da watery fluid from the subarachnoid space.
num t. d., increased until double vision results;
also a full diet. Dr. R. D. Ramey, of Dayton, Cass Co., Mo., wishes our readers to send him “A good pre-i -In posterior displacements of the uterus scription for dissolving gall-stones."
always replace the organ before introducing a
pessary; the frequent failure of its use is gen -Prof. Da Costa recommends for the sore erally due to this cause. (Parvin.)
throat of scarlet fever :
R Thymol... -Where there is a collection of foreign mat
Glycerini, ter, or pus, in the antrum of Highmore, extract
āā..fl. oz. j the first molar tooth (or more, if necessary), M. Sig.Use as a wash (dilute surther, if necessary) and drain the cavity in this way. (Sajous.) -As an external application to enlarged
--For universal eczema in a child, Dr. Rex lymphatic glands in the neck of children the ordered bran baths and
following is efficient : R Acid salicylic......
R Potassii iodidi.
A. oz. j
.07.) M. Sig.-Use locally three times a day.
M. Sig.–Rub in thoroughly 3 or 4 times a day.
(Dr. O. P. Rex.) -For alopecia Prof. Bartholow recommends : B Extract. pilocarpi fuid......
A. oz. j
-For the constipation of children where the Tinct. cantharidis.
A. oz. ss
stools are clay colored and rd, for a child of Liniment saponis.
.fl. oz. jiss one year old, Dr. Rex recommends: M. Sig.-Rub in the scalp daily.
R Podophyllin ...
gr. z Spirit. vini rectificat.
. m xx _The following are the means of arresting Syrup
A. oz. j hemorrhage, arranged in their order of use
M. Sig.-A. dr. j ter die. fulness: ligature, torsion ; acupressure ; compression, forced Aexion of a limb; styptics;
- The proper thing to do for a case of sunand the actual cautery. (Prof. Gross.)
stroke or heat exhaustion is to remove or loosen
clothing about the neck; do not move unless -For specific vaginitis, Prof. Parvin ordered hospital is near; throw buckets of water upon mucilaginous injections and warm hip baths in patient, or, what is better, rub down with ice. the acute stage, followed by injections of i to Get the bowels open; turpentine injections or 1600 corrosive solution and tampons of boracic croton oil if not too much exhausted, or inject acid and glycerine.
cold water, or one-half drachm of glycerine,
into rectum. For the stroke, draw blood if --For fractures of the forearm in the middle
pulse is full and strong. Antipyrin is of great third or lower down, Prof. Forbes uses two
value, not only the immediate but subsequent straight splints extending beyond the finger result good. When he commences to recover, ends, thus keeping the fragments from being allow a bland diet. As one attack predisposes displaced by movements of the fingers, which
to another, patient should be careful in hot is liable to occur if a short splint, like Bond's,
weather; go to the mountains, if possible; is used.
keep the bowels open. To control convulsions, - Prof. Da Costa prefers the use of the bis
use morphine hypodermically, or inhalation of muth test for sugar in the urine. Take equal
small amount of chloroform. parts of urine and liquor potassæ, add a pinch
-For a case of quinsy seen in the first of bismuth subnitrate, boil thoroughly. If
twenty-four hours the treatment is simple. Add sugar is present, the powder turns brown or
one drachm of ammoniated tincture of guaiac black.
to a teaspoonful of milk; gargle and swallow - For ptyalism, Prof. Gross advises thirty every three hours; after the third or fourth grains of potassii chloras every four hours, and dose the swelling of tonsils subsides and patient & Liquor, plumbi subacet... .ff. dr. j
is much relieved ; most likely he will have a Aquæ destillat.......
viij diarrhea; this is the time to reduce the tincM. Sig.–Use as a mouth wash.
ture to one half drachm. When the case goes -For diabetes mellitus in a man aged 44
thirty-six hours without interference the treat
ment is different and difficult. Allow small years, in addition to the usual regulation of diet, Prof. Da Costa directed saccharine as a
pieces of ice in the mouth, while internally, substitute for sugar to sweeten coffee, etc. Also
twenty grains of bromide of potassium comhalf a grain of codeia morning and evening.
bined with fifteen drops of wine of ergot, or
six drops.of tincture of belladonna every three - As a substitute for iodoform, iodol or hours, although the latter frequently causes subiodide of bismuth, which are worthless as headache; if tonsil has a tendency to go to germicides, Prof. Gross directs the use of hy. abscess do not let it rupture spontaneously; dronaphthol to wounds which require it, as find tender spot with finger; take a curved lacerated wounds, where there is danger of bistory and open, not cutting deeply; bind sloughing.
with cloth. (Sajous.)
Help! Help! Here's a man in a fit,”—
in directions at right angles to each other. As I trudge my professional round,
Consequently spherical glasses are quite un“ His eye-balls are rolling, his tongue it seems bit, And he's wriggling about on the ground.”
suitable. They have to be cylindrical.
What Prohibition Does.
A gentleman who has spent several months His pupils dilated, his breathing abated,
in Kansas says: “Kansas boys ten years old All consciousness gone from his brain;
and under never saw a saloon since they can His fingers clenched tightly, his aspect unsightly, Though utterly heedless of pain.
remember. They never saw a man under the The people all tell that he suddenly fell,
influence of liquor. On arriving at man's es. And a man must indeed be a skeptic,
tate, they will have no more desire for drink Who would not agree in his verdict with me, than they will have for opium or hasheesh.” That this was a fit EPILEPTIC.
This is very true, for we believe that, in very Wild animals, such as rabbits, pigeons, squir- many cases, the habit of drinking liquor has
found its origin in the imitative propensities of rels, are found to frequently “throw back in their breed, or revert to their original form or
humanity; and where the example is not set, color. A white cross has been known to sud
the habit will not be acquired.-Annals of denly show itself in pigeon-breeding after years
Hygiene. of the most careful breeding: The same has occurred in other wild animals, and is termed
Sulphide of Calcium in Chronic Discharges. albinism. We also find white-haired, white
Dr. Mortimer Wilson lately called attention skinned, pink-eyed people occasionally among
to the beneficial action of sulphide of calcium ourselves, usually as the denizens of a Dime in leucorrhea, (" Therap. Gazette") and quotes Museum ; and these people assert that, as far over a hundred cases which have been either back as they know, their parents and progeni- cured or much ameliorated by this agent, given tors have been like other people. Can it be internally, without any local application whatthat we were all originally " albinos ?”
We would recall attention to Dr. Louis Lewis' Disinfection and Cleansing of Sponges.
statement in these columns some years ago, that Make a 2 per cent. solution of
the same treatment was useful and frequently
permanganate of potash, and a 2 per cent. solutlon of oxalic
curative in urethritis ahd chronic gonorrhea. acid (adding a few drops of sulphuric acid.)
Notes of Some New Remedies. Immerse your soiled or discolored sponges in the former for about ten minutes, then dip them
CHLORALCYANHYDRATE. in the latter. They will come out a brilliant
Formed by the action of hydrocyanic acid on canary-like color, and uninjured.
chloral, and proposed as a substitute for hydro
cyanic acid, of which it contains 1572 per cent. Why Not?
CANTHARIDIN. Some journals speak of the proposition that physicians wear a badge or other distinctive The active blister-producing principle of the mark as a matter of absurdity. We don't see Lytta vesicataria (cantharides) colorless, rhomit. There seems to be a growing fondness for bic, light refracting tablets, nearly insoluble badges of every description; and, if it be a in water or alcohol, more soluble in chloroform, matter of importance for Masons, Odd Fellows, ether or the fatty oils. Mollusks, G. A. R. members and numberless
ARBUTIN. others to wear a distinctive badge, which can benefit themselves, why not let the doctors be A glucoside in white acicular crystals, from as easily recognizable? - Phila. Med. Times. the leaves of Uva Ursi, soluble in water, odor
less and slightly bitter. Diuretic, useful in * The Medical World Visiting List and Ledger of catarrh of the urinary organs, urethritis, etc. Monthly Balances.
Dose, 15 to 20 grains three times a day. *. This visiting list, among other things, has the advantage of being printed and bound in many thin and
EPHEDRINE HYDROCHLORATE. easily-carried booklets, which can be inserted in and removed from the handsome Russia leather case. It is
A new mydriatic alkaloid obtained from not, for this reason, so cumberous as most visting lists
Ephedra vulgaris by M. Kinnossuke Minra. It
has to be employed in a solution, ten times ASTIGMATISM is caused by irregularity in the more concentrated than homatropine, but it curvature of the cornea. It is not as it should is much less costly. It does not paralyze the be—symmetrical, but has different curvatures accommodation for near vision.