« PreviousContinue »
A Plea For Small Doses.
Hygeine for the Nervous. Dr. John Aulde, of Philadelphia, has pub- “ Nervous” people can do much to help lished his experience with small doses of medi- their condition, independently of the physicine. The following serve to show what small cian's aid. They should take plenty of opendoses will do: Quinine in doses of one-tenth air exercise, short of fatigue ; and it should of a grain, to those who, on account of idosyn- have an object in view ; an aimless exercise, as crasy, cannot take larger doses, will often be going for a walk,” etc., is not condusive to found sufficient. One drop of tincture nux
improvement of their mental condition. They vomica, or one-twentieth grain of the extract, should have a goal to attain, as for example, are frequently as serviceable as a tonic of larger rowing to reach a certain spot, walking to visit doses, while strychnine in doses of one-sixtieth
playing ball or what not to win the or one-hundredth of a grain will accomplish all
game. For food, oranges and baked apples that is desired, and be much safer than larger are useful before breakfast. Cocoa or boiled doses. Cannabis indica, in half drop doses at
milk in place of tea and coffee. Fish; not too intervals of five minutes, will cause the pain of much meat ; no soups as a rule, and little or no trifacial neuralgia to quickly disappear. Pro- beer or spirits. Some sound wine, as good fuse diaphoresis may be produced by the fre
port or sherry, is not objectionable. quent administration of half minim doses of extract of pilocarpus. Phosphorus, in doses of Cerebral hemorrhage may be induced by one-hundred and fiftieth of a grain, given softening of the brain, the vessels bursting three times daily, will produce such an effect through loss of their natural support from the that it may be tasted by a susceptible patient surrounding tissues; or increased pressure of for several days afterwards. Morphine, in tab- the blood within the vessels may be its cause, lets containing one-fiftieth of a grain, can be as occurs in chronic Bright's disease or as a given in many instances with marked benefit. result of over-exertion; or the walls of the One drop of a one per cent. solution of the fluid vessels may have become diseased, thro' degenextract of rhus toxicodendron is often an effi- eration, endarteritis, or aneurisinal dilatation. cient remedy in stubborn attacks of sciatica and It is mostly a disease of old age, and is usually other affections of a like character. One-tenth more frequent in men than in women. of a grain of calomel, given every hour, it is well known, will produce an effect on the bow- Dr. Lionel Beale (London), records a reels equal to ten grains given at one time. markable case, in which large quantities of pus rosive sublimate, one fiftieth of a grain three were discharged for years with the urine, no times daily, is an excellent remedy in disease physician being able to locate its source. Evenof the stomach with fermentation and eruction tually, numerous small gall-stones made their of gas. It is doubtful if we have any better appearance in the urine; and, after a long remedy for the treatment of boils and carbun- period of suffering, the patient got well. No cles than small doses of calcium sulphide, one
bile was discoverable in the water; yet the tenth of a grain every two hours.—Practice. presence of actual gall-stones demonstrated the
fact that there had been a direct communica
tion between the gall bladder and the urinary * Many things have been said, and very bladder. well, undoubtedly, on the subjection in which
For Suffocation from Gas. we should preserve our bodies to the government of our understanding ; but enough has
In cases of impending suffocation from charnot been said upon the restraint which our
coal fumes, or from “ blowing out the gas" in bodily necessities ought to lay on the extrava
bed-rooms, the forced inhalation of oxygen gant sublimities and eccentric rovings of our
suggests itself as a rational means of resuscitaminds. The body, or, as some love to call it,
tion by antagonizing the carbonic oxide. A our inferior nature, is wiser in its own plain rubber bag may be easily filled with the gas, way, and attends its own business more directly,
and fitted with a temporary tube. than the mind with all its boasted subtlety.”.
Cream. Edmund Burke.
Cream mixes with gastric juice in a perfect
manner, and thus aids digestion, and forms a Persistent vomiting, in cases of intestinal most available nutriment for invalids. obstruction, indicates almost always that the superior to butter, containing more volatile trouble is in the small intestine. If the vomit- oils, and is more fattening. It excels cod-liver ing occurs early, the strangulation is high up; oil, and is the best of all foods for consumpif stercoraceous, it is low down.
Diphtheria. A teaspoonful, or even less, of glycerine, in- In Jan. issue, pages 5, 6 and 8, we gave jected into the rectum with an ordinary glass some excellent treatments of this disease, besyringe, will produce a copious evacuation in sides the very successful one of Prof. Waugh, a few minutes. This is an old practice re- on page 10. We have noticed quite a discusvived, and is remarkably efficacious. The sion of the diseases among our exchanges. rationale of its action is the attraction of blood In The Medical Standard, Dr. Mansfelde, of to the parts by the property of glycerine to Nebraska, gives the following treatment: abstract water.
“Locally, a liniment is used composed of comIncompatibility of Chlorate of Potassium and
pound tincture of icdine 3 ss, chloral camphor Iodide of Iron.
3 ii and one ounce of castor oil, to be applied
to the neck. For the throat a gargle is ordered, Chlorate of potash should not be combined in prescriptions with syrup of iodide of iron;
also to be used as constantly as possible, with it liberates all the iodine from the iodide, and
the steam automizer. It is composed of a conthe heat of the stomach has tens the process.
centrated turpentine water, charged with lime Thus, the stomach becomes filled with iodine,
(aqua calcis ierebinth.) with from five to ten leading to severe gastric irritation.-British
grains of patassium bromide to the ounce. For Med. Journal.
patients, who cannot gargle, or with whom the
steam atomizer is imperfectly used, a large For Neuralgia.
camel's hai, brush is to be filled with the fluid,
and pressed gently against the posterior wall of Dr. Metcalf (J. T.), in the “ Boston Med. and Surg. Journal," offers the following remedy
the pharynx. This squeezes the fluid from the
brush, and the effort at gagging distributes it very for neuralgia: B Tinct. aconiti, tinct. col
effectively over the parts affected. Again, the chici sem., tinct. belladonnæ, tinct. actea
bed or crib is covered with an impervious coverracemosæ, of each equal parts. Six drops
ing, and this box is filled with the vapor of the every six hours, until relieved.
above mixture, thereby bringing the remedies,
which are deemed the most efficacious, conBROMIDE OF POTASSIUM was found in a stub
stantly in contact with the diseased surfaces. born case of ptyalism during pregnancy, says Certain it is that little spreading of the deMemorabilien, to be the only one of all the structive process need be feared, if these local remedies employed which produced permanent applications be persevered in. cure in doses of ten grains three times a day. In regard to internal medications, two points
must not be lost sight of: The specific con- Prof. Da Costa ordered the following treat- dition of the patient and the rapid loss of bodily ment for ulcer of large intestine: An emulsion energy. For the former no remedy ranks of turpentine, each dose containing ten drops of higher than potassium iodide, and for the latthe oil of turpentine, and three drops of de- ter, it would be difficult to find three better odorized tincture of opium, four times a day. ones than potassium bromide, alcohol and
milk. The potash salts can be given together Dr. Horace E. Bepe, of Detroit, Mich., and should be pushed to their local and syswishes some one to give a practical list of tematic action, i. e., locally, a loosening of the medicines for the pocket case, and also one secretions of bronchii-trachea and mouth, and, for the buggy case.
systematically, the substitution of tranquility
for the nervousness, which would otherwise Natural secretions may be increased, de- soon exhaust the patient. Alcohol, than which creased, or suppres-ed by the influence of there is no better remedy in existence for the certain passions. Tears are produced by sor- disease, can be given with the salts or with the row; perspiration by excitement; diarrhoea by milk. It should be always highly diluted-but fear; a nursing woman's milk may be altered in sufficient quantity to meet the indicationby temper; fright may render the urine watery which points to a quite remarkable tolerance of and copious; anger and grief may set up jaun- the drug. Milk, which is mentioned as the dice, by causing re absorption of bile; saliva is embodiment of nutritives, should not be lost increased by hunger; milk by emotional sight of. It is certainly true that in the conthoughts of the child; and se men by the con- valescent stage of bad cases of diphtheria, milk ception of voluptuous ideas.
and alcohol are as necessary, if not more so,
than in any other disease, for it is here where Migraine frequently attacks those who read the paralysis of the muscles (aid the heart is no studiously while digestirg their food.
exception) eaches its greatest dev-lopment. A sudden cessation of the heart's action, after all very useful in patients who have age and sense danger seems to be over, is a common occur- to use them, and the same may be said of atomrence. Alcohol will prevent this.
izing. All detached portions of exudation Of course, this is not intended for a complete should be carefully removed. Forceps and paper on diphtheria, for many points must here scissors are often required for this work. The be left unmentioned, which every practitioner terrible foetor arising from these when decomshould know. One in particular--sleep, sound posed is greatly modified by their early resleep, should always be had. Chloral and the moval. It is always safe and prudent to give bromides will procure this and (alcohol being two or three doses of quinine every twentyconstantly given) will not endanger the heart. four hours."
This course seems to the writer both humane, W. O. N. Mendenhall, M. D., Richmond, effective and in accordance with the indica- Ind. : “When I treat a typical case of diphtions derived from the pathology of diphtheria. theria I give two grains of calomel every three It certainly has served him well in his exper- hours until four doses are given. I have the ience of over twenty years with the disease.' throat gargled every three hours with hot water
In the same journal the following gentlemen made strong with soda bicarbonate, and once express themselves as follows:
every three hours I give a teaspoonful of equal John G. Meachem, M. D., Racine, Wis. : parts of turpentine and honey, so administered "I do not make local applications of silver
that each hour one of the three will be given. nitrate or iron persulphate to every case which
After the calomel is given I move the bowels comes under my care, as I did at that time, freely with castor-oil. I then give in place of since I found after awhile, that the fright given the calomel, a solution of potassium chlorate to many young children caused far more injury
and tinct. ferri. chlor. Diminish the turpenthan the application did good. I have hence tine as the diphtheric deposit clears away and almost entirely abandoned local applications to add quinine to the solution of potassium and that class of patients, and now give remedies so iron as the debility of the case demands. often that all indications for local treatment Liquid nourishment is given freely if necessary. are quite as well as they would be by probang For children the above dose must be diminished or brush. If patients suffer severe pain, let the according to age. I believe this treatment inlocation be where it may (and a great propor- telligently followed, will save almost every tion of cases in the early stages do so suffer), I
case. In my twenty years' practice I have not always begin with a good full anodyne, for lost a patient from diphtheria. I prescribed which I prefer Dover's powder if the stomach
this treatment for a young man a year ago, be in a state to tolerate it, but if not, I give upon whose throat I found a very diphtheritic morphine acetate. If, upon examination of the deposit. After I left him, he decided to gargle throat, the parts are found highly inflamed with his throat with pure spirits of turpentine which or without exudation, the patient is put at
he did freely and frequently; when I saw him once upon the following mixture :
the next morning the deposit was almost gone
and he was very much relieved. The deposit R Potass chlorat..
:3 i Tr, ferri mur.
rapidly and entirely disappeared and he made Aquæ pura..
a speedy and complete recovery." M. Sig. -A teaspoonsul every hour in a tablespoon- J. F. Kennedy, M. D., Des Moines, Iowa: ful of warm water and this is continued for twelve “ I treat the disease by antiseptics and supporhours, when it is given every two hours.
I seldom resort to stimulants, as I beIf the breath be fætid the following is alter- lieve they tend to depress and overtax the nated with the iron and potash:
heart. Quinine and milk are given freely. ☆ Pot, permanganat...
Where the larynx is invaded, free use of the Aqua dast.....
fumes of slacking lime gives the best results. M. S.-From five to twenty drops in a dessertspoon- Tincture of iron chloride is always given ful of water.
freely, usually with glycerin. Equal parts of If patients sleep quietly and nicely they are the iron chloride tincture and glycerin should not disturbed for the medicine.
be applied with a camel's hair pencil to the judgment is a point not sufficiently regarded in tonsils and nares, care being taken not to dethe treatment of many diseases of children. tach the membranes. The lime inhalations
I administer stimulants pretty early in diph. have yielded excellent results in my hands, theria, for which the alcoholic are preferred, although the cases treated were as severe as as they are much more easily administered than could be well imagined. Suffocation, at times, ammonia carbonate, though the latter is, no appearcd imminent, but quick relief was afdoubt, otherwise fully as effective.
forded by the inhalation at each recurring atCarbolic and alkaline washes and gargles are tack of dyspnea."
This in my
The Genu-Pectoral Position in Difficult Version. water before determined. Dr. Pinard has used
Dr. H. M. Cutts has recently looked up the it in thirty-four cases in primipara without literature on this subject, and after a careful difficulty, and without any deaths, which canstudy of a large number of cases concludes that,
not be said of Krause's sound. Another interin transverse presentations, at least, the genus esting point is that in twenty accouchements by pectoral position is an invaluable adjunct to the this method, thirteen of the children were saved, safety of both mother and child ; that version though they all occurred in mothers with dewith it may be undertaken any time after the formed pelvis. complete dilatation of the os, and without regard as to whether the membranes are ruptured
Intermittent Fever; Quinine and Ergotine. or not, and without waiting for an anesthetic.
Intermittent fever, associated with enlarged Some of the “helps" which this posture spleen, is successfully treated with ergotine and lends to version are : 1. The weight of the quinine combined. About 15 centigrammes child naturally drags the presenting part from of ergotine are advised three times a day, with the os uteri and pelvic cavity, and by so much
a moderate dose of quinine. relieves the impaction. 2. The abdominal cavity is elongated, putting the vagina upon the In a case of uncontrollable vomiting due to stretch, thereby giving it a cylindrical charac- pregnancy, the patient was placed under ether, ter, thus aiding to throw the head into line with and afterwards told that she had been delivered the superior straight. 3. The woman cannot, of a fetus. The vomiting ceased at once ; in this position, to any extent, exert her volun- and the physician arrived at the conclusion tary muscles in bearing down. 4. The liquor that in many instances these persistent vomitamnii is more likely to be retained until we ings are due to an affection of the nervous accomplish the version.-Practice.
system on the mind, rather than to any ab
normal condition of the genital apparatus. The Best Way to Induce Premature Labor. The Paris correspondent of the Philadelphia cares have much influence on the prolongation
Pleasant surroundings and absence of worldly Medical Times, referring to a recent lecture by of life in diseases of nutrition. Certain pasDr. Pinard on the subject of inducing prema- sions, as grief and intense suffering, speedily ture labor, states, first, that the usual remedies develop in persons predisposed to them that have heretofore been used for this purpose diseases of the heart, lungs and liver. are all of them inefficacious. Even electricity, friction and massage have been found wanting. The sponge tents, while they dilate, are danger
When tea is taken for breakfast, eggs should ous; septic infection being almost sure to fol
be boiled lightly; when coffee is the usual drink, low their use. The ascending vaginal douches, they should be boiled hard. of Keivisch, have been abandoned. Barnes' colpeurynters are, for many reasons, difficult
Oil of Turpentine in Diphtheria. for the general practitioner to use. Krause's Roese, of Hamburg, treated fifty-eight cases, sound is liable to be followed by separation of with a mortality of three (5 per cent), as folthe placenta and dangerons hemorrhage. For lows: Oil of turpentine was given in teaspoonthis reason preference is given to Professor Tar- ful doses three times daily; it was mixed with nier's method. It consists of a rubber tube spirits of either in proportion of 4 minims of terminated by a dilatable rubber bag and a me- ether to the teaspoonful of oil of turpentine. In tallic conductor. This conductor is a branch addition, a tablespoonful of a 2-per-cent soluhalf round in shape, and turned on the end like tion of sodium salicylate was given every two a male sound. The little rubber sac, when di- hours; externally an ice bag was used, and lated with water, is as large as an egg. To use locally gargles of 1-per cent warm solution of it, the rubber tube is fixed in the metallic car- potassium chlorate. The results were : rier, and injections of water are used to drive 1. Rapid diminution in pulse rate and temout any air that is in the tube and bag, and to perature. test the strength of the sac at the same time, 2. The subject symptoms were rapidly allenotice must be taken of the quantity of water viated. that is needed to dilate the sac. The introduc- 3. The duration of illness was shortened. tion is made into the cavity of the neck as 4. An axacerbation of the local process was usual, except that Tarnier's instrument need not not observed after the first dose of oil of turgo far in, as it is a dilator as well as an exciting pentine. agent. Having placed it, the syringe quickly 5. Danger of suffocation occurred but once, dilates the bag, with the proper quantity of when tracheotomy was done.
Roese considers penciling the throat to be -- The Lord hath created medicines out of generally futile as done in private practice. He the earth, and he that is wise will not abhor exercised great caution in pushing oil of tur- them. pentine in anæmic individuals and those hav- “ And He hath given men skill that he might ing diseased hearts. Excessive heart action, be honored in his marvelous works. With such from any cause, was carefully treated. The doth he heal men and taketh away their pains. nourishment given was bouillon, old port wine, “ My son, in thy sickness be not negligent, and milk; to quench thirst, ice and aerated but pray unto the Lord and He will make thee fruit juices were used. No intoxication was whole. Leave off from sin and order thy hands observed. Paralysis occurred once, and re- aright, and cleanse thy heart from all wickedcovery followed the use of potassium iodide.-- ness.
Then give place to National Druggist.
the physician, for the Lord hath created him ; let him not go from thee, for thou hast
need of him. There is a time in their Treatment of Placenta Previa.
hands there is good success. For they shall Dr. John Morris, of Baltimore, submits the also pray unto the Lord, that he would prosper following propositions: 1. No expectant plan that which they give for ease and remedy to is justifiable in cases of placenta previa. The prolong life. uterus must be emptied as soon as possible after
Tyis does not teach the “ faith cure'' method, the discovery of the trouble, no matter what the for its disciples claim that the cure is performed stage of pregnancy may be. A halting, hesitat. by the direct intervention or God, and no ing practice means danger both to mother and other means. This says that the Lord will child. 2. That the life of the child must not
prosper the prescribed methods of the physician. be considered in the treatment of the case.
“ He that sinneth let him fall into the hands 3. That the manner of emptying the uterus of the physician." must be left to the individual judgment of the
They sometimes do, these days, and it might medical man in attendance. 4. That in cases
be better for the community if they did so of central adherence of placenta the safest and oftener. best practice is to separate the placenta entirely. 5. That in cases where the placenta is adher
A New Local Anæsthetic. ent in the latero-cervical zone of the uterus par- Wiener Medicinischen Blaetter, Dr. Lewin tial detachment may be sufficient, but if the describes a new local anæsthetic of surprising hemorrhage is not arrested, the whole mass power and rapidity, viz. : Hayah or erythroshould be removed and means of delivery at fein. Its intensity says the doctor is uberraonce instituted. 6. That the colpeurynter is schend, and it is destined not merely to supthe only tampon that can be safely used in these plant but to quite overthrow and destroy the cases--that sponges, silk handkerchiefs and other reputation of cocaine. It is of African origin, forms of tampon are nasty, filthy and septic, and is found in the shape of a red mass called and should never be employed. 7. That the hayah. A minute portion placed upon the bimanual treatment, whenever possible, is the tongue renders the organ utterly devoid of the best and speediest form of delivery. 8. That sense of taste or even of sensation. Chemically chloroform must be administered in all cases in it is a glucoside. A drop or two of an aqueous which manual interference is necessary.--Prac- solution placed in the eye of a cat renders the tice.
organ absolutely insensible in fifteen or twenty
minutes, and it is more or less anæsthized from The Physician of the Apocrypha.
ten to twenty-four hours afterwards. IntravenIn the apocryphal writings of the Old Testa- ously or subcutaneously injected, it renders ment the thirty eighth chapter of the book of frogs and such animals inert, the frequency of Ecclesiastes, or a portion of the chapter, is de- heart-beat is lessened from thirty-eight down to voted to the physician, his duty, the divine eight beats per minute, and a spasm or cramp, character of his calling, and his dependence beginning at the eyes, passes over the entire upon the Most High, and the origin of his body every few moments extending to the very medicines, etc. The writer says: “Honor a end of the tail. The animals that vomit, this physician with the honor due unto him, for the reflex occurs within a few moments after injecuses which ye may have of him, for the Lord tion. The source of this wonderful medicahath created him. For from the Most High ment is said to be a plant described by Oertel cometh healing, and he (the physician) shall in the early part of this century under the name receive honor of the king. The skill of the of Erythroleum judiciale, the substance being physician shall lift up his head, and in the used in the native African trials by ordeal. In sight of men he shall be in admiration.
these trials the bark of the plant is powdered