An American vehicle for the administration of medicines. Spirit of orange (oil 1, rect. spt. 9), Rectified spirit, Distilled cinnamon-water, Syrup, . 3ss. Zivss. 3vj. 3vj. Mix and filter. Twenty drops to be added to any mixture. The proportions will vary with the age of the child; equal parts will be borne by children over ten. For younger children, or for more extensive application to scattered patches, the carbolic and citrine ointments must be diluted with two, three, or four parts of sulphur ointment. The pure crystallized carbolic acid must be used, or the ointment will change color; and the citrine ointment must be quite free from any excess of nitric acid. The carbolic acid is to be thoroughly mixed with the sulphur ointment first, and the citrine ointment rubbed in last—no heat is to be applied. The ointment should be freshly made every week or ten days. (Alder Smith.) Fresh elder flowers, separated from the stalks (or an Water,. Distil one gallon.-ED. mxij. 3j. 10 pounds. 2 gallons. 52. Directions for making Artificial Human Milk," from Playfair's" Science and Practice of Midwifery." "Take half a pint of skimmed milk, heat it to about 96°, and put into the warmed milk a piece of rennet about an inch square. Set the milk to stand in a fender, or over a lamp, until it is quite warm. When it is set, remove the rennet, break up the curd quite small with a knife, and let it stand for ten or fifteen minutes, when the curd will sink. Then pour the whey into a saucepan, and let it boil quickly. Measure one-third of a pint of this whey, and dissolve in it, when hot, 110 grains of sugar of milk. When this third of a pint of whey is cold, add to it two-thirds of a pint of new milk and two teaspoonfuls of cream, and stir. The food should be made fresh every twelve hours, and warmed as required. The piece of rennet, when taken out, can be kept in an egg-cup, and used for ten days or a fortnight. "N.B.—It is often advisable during the first month to use rather more than a third of a pint of whey, as the milk is apt to be rather too rich for a newly born child." To this I would add that rennet can be procured of any butcher that kills, but in large towns these may be difficult to meet with. In this case some liquid essence of rennet may be used instead. * Spiritus rosmarini, Br. P., contains: Oil of rosemary, Rectified spirit, I fluid-ounce. 40 fluid-ounces. Dissolve.-ED. 53. Directions for the Artificial Digestion of Milk. (Roberts.) A pint of milk, diluted with a quarter of a pint of water, is divided into equal parts-one part being heated to boiling and the other remaining cold, and the two mixed. In this way the required heat is procured-an essential point, for the ferment is destroyed by a temperature of over 140° F. The dilution prevents the curdling of the milk on the addition of the digestive fluid. Into the milk thus prepared are put two teaspoonfuls of Benger's or Savory and Moore's liquor pancreaticus and twenty grains of bicarbonate of sodium, and the milk is then placed under a cosy near the fire. It is to be tasted occasionally, and as soon as a bitter taste is perceptible, the whole is boiled, to arrest any further action. It is then ready for use. It may be made more palatable by using skimmed milk, and restoring the cream after the digestion has been accomplished and the process stopped by boiling. If the digestion be allowed to proceed too far, the product is too bitter and unpalatable. [I prefer to peptonize, or artificially digest, milk by solid pancreatin. That prepared by Fairchild, Brothers and Foster, of New York, has proved most efficient in my hands. The mode of preparation is as follows: Into a clean quart bottle put 5 grains of Extractum Pancreatis, 15 grains of Bicarbonate of Sodium, and a gill of cool water. Shake; then add a pint of fresh cool milk. Place the bottle in water so hot that the whole hand can be held in it without discomfort for a minute, and keep the bottle there for exactly thirty minutes. At the end of that time put the bottle on ice, to check further digestion and keep the milk from spoiling. The degree of digestion is very easily regulated by the length of time in which the milk is kept warm. When the milk is digested so long that it acquires a slightly bitter taste, it is because the caseine has been entirely converted into peptone. It is very rarely necessary to carry the peptonizing to this point. Partially peptonized milk has no bitter taste-has, indeed, little apparent evidence of any change. After the contents of the bottle get warm, then 'every moment lessens the amount of caseine-the ingredient which is difficult to digest, and the degree of peptonizing necessary in each case is best determined by the readiness with which it is assimilated by the patient. Great heat destroys, or cold stops, the digestive action. It must be borne in mind that this is not a cooking or chemical process. The object is to subject the milk to the action of the digestive principle at a temperature similar to that of the body. Always use fresh sweet milk. Peptonized milk may be sweetened to taste, or used for punch, with rum, etc., or made into jelly; it may be employed also in the preparation of such foods as ordinarily require the use of milk. In the preparation of food for bottle-fed infants, it is perfectly feasible to prepare the milk for each meal in the nursing-bottle. Thus, for an infant of five or six months: S.-Put one powder into the nursing-bottle with four ounces of water and four ounces of fresh sweet milk, keep warm for about half an hour before feeding; sweeten a little.] 54. Routine for Choreic cases treated by Massage, etc. At 5.30 A.M., half a pint of warm milk; 7 A.M., half a pint of milk and three slices of bread and butter (each slice an ounce in weight); 9.45 A.M., half an ounce of Kepler's malt extract in lemonade; 10 A.M., massage (fifteen minutes) followed by half a pint of warm milk; 12.30 P.M., rice pudding, half a pint of milk, green food and potatoes; 4.15 P.M., half a pint of warm milk, three slices of bread and butter, and an egg lightly boiled; 7 P.M., half an ounce of Kepler's malt extract in lemonade; 7.30 P.M., massage, followed by half a pint of milk. At the end of ten days or a fortnight the bread and butter is increased to four slices at 7 and 4.15; a lean chop is added to the midday meal, and an extra pint of milk is distributed over the twenty-four hours. I am indebted to Dr. John Phillips, Assistant Physician to the Chelsea Hospital for Women, for working out this diet. We have found it very useful. |