Heart, Palpitations of.SeePalpitations.
SeePalpitations.
Heartburn.Often yields to Lime Water (221) given with milk or with Omum Water (317); or with Chiretta (98), if associated with indigestion.
Often yields to Lime Water (221) given with milk or with Omum Water (317); or with Chiretta (98), if associated with indigestion.
Hepatitis.SeeLiver, Inflammation of.
SeeLiver, Inflammation of.
Hoarseness.May be treated by inhalations of the vapour of Hot Vinegar (377*), or Decoction of Abelmoschus (3), by gargles containing Capsicum (78*), Black Pepper (300), or Moringa root (238); by chewing Ginger (158), or allowing a piece of Catechu (89) to dissolve in the mouth.
May be treated by inhalations of the vapour of Hot Vinegar (377*), or Decoction of Abelmoschus (3), by gargles containing Capsicum (78*), Black Pepper (300), or Moringa root (238); by chewing Ginger (158), or allowing a piece of Catechu (89) to dissolve in the mouth.
Hooping Cough.In the early stages regulate the bowels with Castor Oil (83), and give Country Ipecacuanha (370) and Sal Ammoniac (329). As soon as the feverish symptoms have subsided give Alum (28*); should this fail, try Sulphate of Iron (180), with or without Asafœtida (37). If weakness and emaciation exist, or in very obstinate cases, give Fish Liver Oil (140); Mustard Poultices (252) and friction withOpium Liniment (291) to the spine seem useful in the chronic stage.
In the early stages regulate the bowels with Castor Oil (83), and give Country Ipecacuanha (370) and Sal Ammoniac (329). As soon as the feverish symptoms have subsided give Alum (28*); should this fail, try Sulphate of Iron (180), with or without Asafœtida (37). If weakness and emaciation exist, or in very obstinate cases, give Fish Liver Oil (140); Mustard Poultices (252) and friction withOpium Liniment (291) to the spine seem useful in the chronic stage.
Hydrocephalus (Water on the Brain).Occurring in weak, emaciated children of a scrofulous habit occasionally improves under Fish Liver Oil (139).
Occurring in weak, emaciated children of a scrofulous habit occasionally improves under Fish Liver Oil (139).
Hysterical Affections.Amongst the means useful in controlling these are Asafœtida (35*), Aloes and Asafœtida Pills (19), Jatamansi (184), Omum Water (318), Turpentine Enemas (364), and Cold Water Affusion (386).
Amongst the means useful in controlling these are Asafœtida (35*), Aloes and Asafœtida Pills (19), Jatamansi (184), Omum Water (318), Turpentine Enemas (364), and Cold Water Affusion (386).
Indigestion, or Dyspepsia.Tonics, as Chiretta (98, 99*), Sweet Flag Root (12), Country Sarsaparilla (163), and Guluncha (352), combined with stomachics, as Cloves (105), or Cinnamon (102), Capsicum (79), and Omum Water (318*), offer the best prospect of success.With great increased Secretion, Butea Gum (62).With acidity of the Stomach, Lime Water (221).With torpidity of the Bowels, Tincture of Kariyát (192), Without strict attention to diet, and careful regulation of the bowels and other secretions, medicines will have comparatively little effect.
Tonics, as Chiretta (98, 99*), Sweet Flag Root (12), Country Sarsaparilla (163), and Guluncha (352), combined with stomachics, as Cloves (105), or Cinnamon (102), Capsicum (79), and Omum Water (318*), offer the best prospect of success.With great increased Secretion, Butea Gum (62).With acidity of the Stomach, Lime Water (221).With torpidity of the Bowels, Tincture of Kariyát (192), Without strict attention to diet, and careful regulation of the bowels and other secretions, medicines will have comparatively little effect.
Inflammations, Local or External.Require, according to circumstances, Leeches (212), Hot Water Fomentations (393), Water Dressings (394), Evaporating Lotion (380), Sal Ammoniac Lotion (332), and Rice-Flour or Rice Poultices (322) as external applications. A solution of Acetate of Lead (30 grains in a pint of water) forms an excellent soothing lotion, and onewhich may always be resorted to with safety. The inflamed parts should be kept constantly wet with it by means of moistened cloths.
Require, according to circumstances, Leeches (212), Hot Water Fomentations (393), Water Dressings (394), Evaporating Lotion (380), Sal Ammoniac Lotion (332), and Rice-Flour or Rice Poultices (322) as external applications. A solution of Acetate of Lead (30 grains in a pint of water) forms an excellent soothing lotion, and onewhich may always be resorted to with safety. The inflamed parts should be kept constantly wet with it by means of moistened cloths.
Influenza.Give plentifully of Solution of Nitre (264), and treat otherwise as described inCatarrh.
Give plentifully of Solution of Nitre (264), and treat otherwise as described inCatarrh.
Insanity.A free action on the bowels by Croton Pill or Croton Oil (120, 121), and the employment of a Mustard Bath (249), are of service in the early stages. No time should be lost in placing the patient under proper medical care.
A free action on the bowels by Croton Pill or Croton Oil (120, 121), and the employment of a Mustard Bath (249), are of service in the early stages. No time should be lost in placing the patient under proper medical care.
Insensibility.From whatever cause arising, may be treated in the first instance by the cautious use of Cold Water Affusion (386). A Turpentine enema (364) may also be of service.
From whatever cause arising, may be treated in the first instance by the cautious use of Cold Water Affusion (386). A Turpentine enema (364) may also be of service.
Irritation of the Genital Organs.SeeGenital Organs.
SeeGenital Organs.
Itch.Use Sulphur Ointment (341), or Kerosene Oil (416).
Use Sulphur Ointment (341), or Kerosene Oil (416).
Jaundice.Mild cases often yield to Sal Ammoniac (331), and the free use of purgatives, as Kaladana (187), or Myrobalans (256).
Mild cases often yield to Sal Ammoniac (331), and the free use of purgatives, as Kaladana (187), or Myrobalans (256).
Joints, Injuries or Enlargement of.In the early stages apply lotions of Alum (32), and Sal Ammoniac (332), and subsequently liniments of Camphor (68), and Turpentine (366).In Chronic Enlargements,Croton Liniment (122).Scrofulous affections of the Jointsimprove under the use of Fish Liver Oil (138).
In the early stages apply lotions of Alum (32), and Sal Ammoniac (332), and subsequently liniments of Camphor (68), and Turpentine (366).In Chronic Enlargements,Croton Liniment (122).Scrofulous affections of the Jointsimprove under the use of Fish Liver Oil (138).
Kidneys, Irritable state, and painful affections of.Give plentifully of diluents, as Decoction of Abelmoschus (2), Ispaghúl Seeds (305), or RiceConjee(322). These, with Opium (286), and the use of the Hip Bath (392), are calculated to afford great relief.
Give plentifully of diluents, as Decoction of Abelmoschus (2), Ispaghúl Seeds (305), or RiceConjee(322). These, with Opium (286), and the use of the Hip Bath (392), are calculated to afford great relief.
Bleeding from.SeeHæmorrhage.
SeeHæmorrhage.
Labours.Don't interfere unnecessarily; Nature, if left to her own unaided efforts, will accomplish her work in natural, uncomplicated labours. Many a woman haslost her life through meddlesome interference on the part of ignorant midwives. Should the labour be very prolonged, apparently for want of action or power in the womb, a few doses of Borax and Cinnamon (58) may be given.For Flooding(hæmorrhage during or after labour) lose no time in resorting to Cold Water Affusion (388), and subsequently use Vinegar locally (379).To promote the Lochial Discharge, if scanty or arrested, use Hot Water Fomentations (393).For After-painsgive a dose of Opium (289).Convulsions, attendant on, seeConvulsions.
Don't interfere unnecessarily; Nature, if left to her own unaided efforts, will accomplish her work in natural, uncomplicated labours. Many a woman haslost her life through meddlesome interference on the part of ignorant midwives. Should the labour be very prolonged, apparently for want of action or power in the womb, a few doses of Borax and Cinnamon (58) may be given.For Flooding(hæmorrhage during or after labour) lose no time in resorting to Cold Water Affusion (388), and subsequently use Vinegar locally (379).To promote the Lochial Discharge, if scanty or arrested, use Hot Water Fomentations (393).For After-painsgive a dose of Opium (289).Convulsions, attendant on, seeConvulsions.
Leech Bites, to arrest bleeding from.See Paragraph 205.
See Paragraph 205.
Leeches, to dislodge from nose and other passages.See Paragraph 206.
See Paragraph 206.
Leprosy.Chaulmúgra (94), Gurgun Balsam (161*), Hydrocotyle (169*), or Mudar (242); with these may be advantageously conjoined a prolonged course of Fish Liver Oil (142), or the latter may be tried alone.For the ulcerations, poultices of Hydrocotyle (169) or Ním Leaves (261) may be applied with advantage. Opium (283) is often necessaryto relieve pain and procure sleep. Whatever other treatment may be adopted, diligent oily frictions over the whole body should form an essential part of it(161-338). Carbolic Acid promises to prove a most valuable agent in this disease. The treatment of Leprosy by Carbolic Acid Vapour Baths, introduced by Surgeon-General W. Johnston, M.D. (Times, June 3, 1882), promises good results, and seems well worthy of further trials. All that is required is an ordinary vapour bath apparatus (397), in which the patient sits, andoutside a chattieor vessel of sufficient size to contain about a quart of liquid, and made with a lengthened curved spout, to fit accurately on an elastic tube of sufficient length as to pass within the vapour-proof envelope. The calibre of this elastic tube should be such as would admit of a continuous and abundant supply of the vapour as it comes from the vessel, resting on a spirit-lamp having a flame sufficient to keep the fluid in the vessel boiling briskly. Prior to the use of this bath, sponging the body with tepid water, holding a piece of washing soda in solution, seems to aid the absorption of the vapour. The Carbolic Acid should be Calvert's Disinfecting Fluid, of which a mixture of three or four parts to six or seven of water may be employed. Inthis vapour bath the patient should remain from 30 to 60 minutes (care being taken that a continuous supply of vapour is kept up from outside), and it may be repeated every second or third day according to circumstances. Dr. Johnston informs me that he has never seen any ill effects result from the use of this carbolised aqueous vapour, even in cases presenting extensive ulcerated surfaces. Some care is requisite in arranging the fold or frill round the aperture through which the head protrudes. "Were the patient to breathe a little of it," Dr. J. remarks, "little injury would result, possibly good, but still, for obvious reasons, he should not be allowed to breathe too much." Dr. Aitchison directs leprous ulcerations to be treated with a solution of Carbolic Acid (one to seven or ten of Sweet Oil, according to circumstances), and that at the same time the whole body should be rubbed with a weaker solution (1 to 20). This treatment, he remarks, at once removes the horrid odour usually attendant upon these cases, and the patients will readily adopt it, when they distinctly refuse to wash or clean themselves. With a change in diet, under this treatment, these cases, he adds, improve remarkably.
Chaulmúgra (94), Gurgun Balsam (161*), Hydrocotyle (169*), or Mudar (242); with these may be advantageously conjoined a prolonged course of Fish Liver Oil (142), or the latter may be tried alone.For the ulcerations, poultices of Hydrocotyle (169) or Ním Leaves (261) may be applied with advantage. Opium (283) is often necessaryto relieve pain and procure sleep. Whatever other treatment may be adopted, diligent oily frictions over the whole body should form an essential part of it(161-338). Carbolic Acid promises to prove a most valuable agent in this disease. The treatment of Leprosy by Carbolic Acid Vapour Baths, introduced by Surgeon-General W. Johnston, M.D. (Times, June 3, 1882), promises good results, and seems well worthy of further trials. All that is required is an ordinary vapour bath apparatus (397), in which the patient sits, andoutside a chattieor vessel of sufficient size to contain about a quart of liquid, and made with a lengthened curved spout, to fit accurately on an elastic tube of sufficient length as to pass within the vapour-proof envelope. The calibre of this elastic tube should be such as would admit of a continuous and abundant supply of the vapour as it comes from the vessel, resting on a spirit-lamp having a flame sufficient to keep the fluid in the vessel boiling briskly. Prior to the use of this bath, sponging the body with tepid water, holding a piece of washing soda in solution, seems to aid the absorption of the vapour. The Carbolic Acid should be Calvert's Disinfecting Fluid, of which a mixture of three or four parts to six or seven of water may be employed. Inthis vapour bath the patient should remain from 30 to 60 minutes (care being taken that a continuous supply of vapour is kept up from outside), and it may be repeated every second or third day according to circumstances. Dr. Johnston informs me that he has never seen any ill effects result from the use of this carbolised aqueous vapour, even in cases presenting extensive ulcerated surfaces. Some care is requisite in arranging the fold or frill round the aperture through which the head protrudes. "Were the patient to breathe a little of it," Dr. J. remarks, "little injury would result, possibly good, but still, for obvious reasons, he should not be allowed to breathe too much." Dr. Aitchison directs leprous ulcerations to be treated with a solution of Carbolic Acid (one to seven or ten of Sweet Oil, according to circumstances), and that at the same time the whole body should be rubbed with a weaker solution (1 to 20). This treatment, he remarks, at once removes the horrid odour usually attendant upon these cases, and the patients will readily adopt it, when they distinctly refuse to wash or clean themselves. With a change in diet, under this treatment, these cases, he adds, improve remarkably.
Leucorrhœa ("Whites").Cubebs (125), Nitre (269), Gurjun Balsam (160), or Sulphate of Iron (174*), internally; with vaginal injections containing Babúl Bark (9), Alum (30*), Galls (149), or Lime Water (224), are indicated.
Cubebs (125), Nitre (269), Gurjun Balsam (160), or Sulphate of Iron (174*), internally; with vaginal injections containing Babúl Bark (9), Alum (30*), Galls (149), or Lime Water (224), are indicated.
Lice infesting the hair on various parts of the body, especially the pubes.May be destroyed by Cocculus Indicus Ointment (107), Vernonia Seeds (373b), or Kerosene Oil (416). Carbolised Oil (1 Acid to 20 of Sweet Oil), applied night and morning, is said to be an effectual remedy.
May be destroyed by Cocculus Indicus Ointment (107), Vernonia Seeds (373b), or Kerosene Oil (416). Carbolised Oil (1 Acid to 20 of Sweet Oil), applied night and morning, is said to be an effectual remedy.
Lime, Particles of, in the Eye.May be dissolved and removed by dilute Vinegar (382).
May be dissolved and removed by dilute Vinegar (382).
Liver, various Affections of.Are often greatly benefited by Sal Ammoniac (331).Enlargement of, Sal Ammoniac (331*), Papaw Juice (296).Congestion of this organ, especially if arising from over-feeding, often subsides under a dose of Calomel (three or four grains) at night, followed, in the morning, by an active aperient of Kaladana (187), or Castor Oil (83). Further relief may be obtained by Hot Water Fomentations (393), Turpentine Stupes (362), or Betel Leaves (48) over the region of the liver; if these fail, Leeches to the same site, or to the verge of the anus (211), may afford manifest relief. All, however, will be useless without strict attention to diet, and careful avoidance of all stimulating articles of food and drink.
Are often greatly benefited by Sal Ammoniac (331).Enlargement of, Sal Ammoniac (331*), Papaw Juice (296).Congestion of this organ, especially if arising from over-feeding, often subsides under a dose of Calomel (three or four grains) at night, followed, in the morning, by an active aperient of Kaladana (187), or Castor Oil (83). Further relief may be obtained by Hot Water Fomentations (393), Turpentine Stupes (362), or Betel Leaves (48) over the region of the liver; if these fail, Leeches to the same site, or to the verge of the anus (211), may afford manifest relief. All, however, will be useless without strict attention to diet, and careful avoidance of all stimulating articles of food and drink.
Lock-jaw.SeeTetanus.
SeeTetanus.
Loins, pain in the.SeeLumbago.
SeeLumbago.
Lumbago.Sal Ammoniac (326) internally, with Liniments of Camphor (68), Lemon Grass Oil (217),Opium (291*), Datura Liniment or Poultices (130), or Turpentine (366) externally, often succeed in affording relief. Turpentine Stupes (362) may be tried in severe or obstinate cases.
Sal Ammoniac (326) internally, with Liniments of Camphor (68), Lemon Grass Oil (217),Opium (291*), Datura Liniment or Poultices (130), or Turpentine (366) externally, often succeed in affording relief. Turpentine Stupes (362) may be tried in severe or obstinate cases.
Lungs, Affections of.SeeCoughs,Consumption,and Bronchitis.Bleeding from.SeeHæmorrhage.
SeeCoughs,Consumption,and Bronchitis.Bleeding from.SeeHæmorrhage.
Maggots on surface of Ulcers, to destroy.Butea Seeds (65).
Butea Seeds (65).
Maggots in the Nose (Pecnash).Injections of Oil of Turpentine (363b).
Injections of Oil of Turpentine (363b).
Measles.An occasional mild aperient, just sufficient to keep the bowels gently open, the plentiful use of Lemonade (232), or RiceConjee(322), with or without Nitre (264), together with confinement to bed in a cool, well-aired apartment, and farinaceous diet for a few days, will generally suffice for recovery in mild, uncomplicated cases.To allay irritation of the surface, sponge with diluted Vinegar (376) or Water (385), and dust the surface well over with Rice Flour (322).Should Cough occur, use some of those means enumerated under Coughs.The advanced stages, in bad cases, characterised by great exhaustion, call for the use of Camphor (74), Brandy Mixture (426), and plentiful nourishment.
An occasional mild aperient, just sufficient to keep the bowels gently open, the plentiful use of Lemonade (232), or RiceConjee(322), with or without Nitre (264), together with confinement to bed in a cool, well-aired apartment, and farinaceous diet for a few days, will generally suffice for recovery in mild, uncomplicated cases.To allay irritation of the surface, sponge with diluted Vinegar (376) or Water (385), and dust the surface well over with Rice Flour (322).Should Cough occur, use some of those means enumerated under Coughs.The advanced stages, in bad cases, characterised by great exhaustion, call for the use of Camphor (74), Brandy Mixture (426), and plentiful nourishment.
Menstrual Discharge, Suspension, or Irregularity of (Amenorrhœa).Aloes (18), Borax (58), and Sulphate of Iron (174*), alone or combined, may prove serviceable.Try also hip bath with Sesamum Seeds (338a).Excessive or long-continued Menstruation, Alum (25) and Vinegar (379).When attended with much pain and distress(Dysmenorrhœa), Opium Liniment (291) or Datura Poultice or Liniment (130) to the loins; also hip bath containing Sesamum Seeds, which also may be tried internally (338a).
Aloes (18), Borax (58), and Sulphate of Iron (174*), alone or combined, may prove serviceable.Try also hip bath with Sesamum Seeds (338a).Excessive or long-continued Menstruation, Alum (25) and Vinegar (379).When attended with much pain and distress(Dysmenorrhœa), Opium Liniment (291) or Datura Poultice or Liniment (130) to the loins; also hip bath containing Sesamum Seeds, which also may be tried internally (338a).
Mercury, salts of, as Corrosive Sublimate, Poisoning by.If vomiting is not already present it must be excited by a Mustard (246) or other emetic, and the stomach having thus been emptied of any of the poison it may contain, prompt recourse should be had to the white and yolk of raw eggs, which may be given alone or beaten up with rice-flour into a paste with milk or water. The after-treatment consists in the free use of RiceConjeeand other demulcent drinks, gargles of Alum (29) or Borax (55), to control the salivation; small doses of Opium, should there be much pain, and a milk or farinaceous diet.
If vomiting is not already present it must be excited by a Mustard (246) or other emetic, and the stomach having thus been emptied of any of the poison it may contain, prompt recourse should be had to the white and yolk of raw eggs, which may be given alone or beaten up with rice-flour into a paste with milk or water. The after-treatment consists in the free use of RiceConjeeand other demulcent drinks, gargles of Alum (29) or Borax (55), to control the salivation; small doses of Opium, should there be much pain, and a milk or farinaceous diet.
Mesenteric Affections of Children.Are best treated with Fish Liver Oil (139).
Are best treated with Fish Liver Oil (139).
Milk, for Increasing the Secretion of.Leaves of Castor Oil Plant (85), or of Physic Nut Plant (302);for Diminishing or Arresting the Secretion of, Betel Leaves (49), or flowers of Jasminum Sambac (Aiton).
Leaves of Castor Oil Plant (85), or of Physic Nut Plant (302);for Diminishing or Arresting the Secretion of, Betel Leaves (49), or flowers of Jasminum Sambac (Aiton).
This twining plant is cultivated throughout India for the sake of its white fragrant flowers, which are used as votive offerings. The lactifuge property of these flowers was first brought to notice by Mr. J.Wood (Ph. of India, p. 136), who speaks of the fact being well known in Madras. Two cases illustrative of their efficacy occurring in the practice of Dr. Mackenzie, C.B., are recorded by Dr. Bidie (Madras Jour. Med. Sci., Aug. 1870). In one case especially, an English lady, all ordinary means had failed to arrest the flow of milk before the flowers were applied; within a few hours they afforded complete relief, and the secretion of milk, which had been unusually copious, was from that time entirely arrested. The results of the other trial were equally satisfactory. For this purpose two or three handfuls of the fresh flowers bruised are to be applied unmoistened to each breast and renewed once or twice a day. The secretion is sometimes arrested in twenty-four hours, though this generally requires two or three days (Wood). The native names of these flowers are Mogra ka phúl (Hind.,Duk.), Mogra phúl (Beng.,Guz.), Malligraip-pú, Mallip-pú (Tam.), Mallelú (Tel.), Mullup-pú (Mal.), Pich-chi-mal (Cing.), Múgra (Punj.).
Milk Abscess.In the early stages apply either Sal Ammoniac Lotion (325), or hot Vinegar Stupes (381). Should matter form, treat asAbscess.
In the early stages apply either Sal Ammoniac Lotion (325), or hot Vinegar Stupes (381). Should matter form, treat asAbscess.
Mouth, Ulceration of.Try first Sulphate of Copper (112) or Lime Juice (231); if these fail use some of the other remedies mentioned in Art.Gums, Ulceration and Sponginess of.For Aphthous Ulcerations, i.e., small white specks or ulcers in the mouths of infants and young children, apply Borax (55*), or Alum (29),or Sulphate of Copper (112); Country Sarsaparilla (163) may at the same time be advantageously given internally.In severer forms(Ulcerative Stomatitis), try Alum (29).
Try first Sulphate of Copper (112) or Lime Juice (231); if these fail use some of the other remedies mentioned in Art.Gums, Ulceration and Sponginess of.For Aphthous Ulcerations, i.e., small white specks or ulcers in the mouths of infants and young children, apply Borax (55*), or Alum (29),or Sulphate of Copper (112); Country Sarsaparilla (163) may at the same time be advantageously given internally.In severer forms(Ulcerative Stomatitis), try Alum (29).
Mumps.Beyond a dose of Castor Oil (83) or Infusion of Senna (336), so as to keep the bowels gently open, little is required beyond keeping the swollen parts covered with a piece of flannel, to protect them from cold draughts of air, and the use of a farinaceous diet for a few days. Should there be much pain, Opium Liniment (291) may be smeared over the surface of the swollen gland at bedtime. Should there be much fever, heat of skin, &c., a few doses of solution of Nitre (264) may be given.
Beyond a dose of Castor Oil (83) or Infusion of Senna (336), so as to keep the bowels gently open, little is required beyond keeping the swollen parts covered with a piece of flannel, to protect them from cold draughts of air, and the use of a farinaceous diet for a few days. Should there be much pain, Opium Liniment (291) may be smeared over the surface of the swollen gland at bedtime. Should there be much fever, heat of skin, &c., a few doses of solution of Nitre (264) may be given.
Muscles, Pains in.Give Sal Ammoniac (327) internally, and use Liniments containing Camphor (68), Lemon Grass Oil (217), Opium (291), or Turpentine (366) externally.
Give Sal Ammoniac (327) internally, and use Liniments containing Camphor (68), Lemon Grass Oil (217), Opium (291), or Turpentine (366) externally.
Mosquito Bites, to relieve the irritation.Try Lime Juice (235), or Vinegar (380).
Try Lime Juice (235), or Vinegar (380).
Nettle-rash, to allay irritation.Apply Borax Lotion (57).
Apply Borax Lotion (57).
Neuralgia.Try Sal Ammoniac (326), or when the pain returns periodically, Sulphate of Iron (177), or better still Cinchona Febrifuge (402*). When Neuralgia of the Head or Face (Tic Douloureux) recurs at stated periods, and is apparently of malariousorigin, no remedy is equal to Quinine, which may be given in one large dose (ten grains) shortly before the time when the pain is expected to return. Should it not yield after three or four doses, no advantage will be gained by continuing it. Another plan is to give it in three-grain doses in a glass of wine thrice daily between the paroxyms of pain. Some obstinate cases which resist these and other remedies yield to a course of Fish Liver Oil (141). Among external applications are Datura Liniment or Poultices (130), Lemon Grass Oil (217), Mustard Poultices (253), and the Camphorated Opium (291), or Turpentine Liniment (366).
Try Sal Ammoniac (326), or when the pain returns periodically, Sulphate of Iron (177), or better still Cinchona Febrifuge (402*). When Neuralgia of the Head or Face (Tic Douloureux) recurs at stated periods, and is apparently of malariousorigin, no remedy is equal to Quinine, which may be given in one large dose (ten grains) shortly before the time when the pain is expected to return. Should it not yield after three or four doses, no advantage will be gained by continuing it. Another plan is to give it in three-grain doses in a glass of wine thrice daily between the paroxyms of pain. Some obstinate cases which resist these and other remedies yield to a course of Fish Liver Oil (141). Among external applications are Datura Liniment or Poultices (130), Lemon Grass Oil (217), Mustard Poultices (253), and the Camphorated Opium (291), or Turpentine Liniment (366).
Nipples, sore or cracked.Are benefited by Borax Lotion (56), or Castor Oil (84), or Lime Water (225), locally applied. As a preventive use Infusion of Catechu (90). [To ensure prevention, the nipple should be carefully washed and dried immediately the child is removed from the breast, and the tissues may be hardened by washing them for a short time before delivery, and after each application to the breast, with a little brandy and water. It is also a useful practice to wear over the nipple a metallic shield, which should be constantly applied when the child is not at the breast.—Prof. Ringer.]
Are benefited by Borax Lotion (56), or Castor Oil (84), or Lime Water (225), locally applied. As a preventive use Infusion of Catechu (90). [To ensure prevention, the nipple should be carefully washed and dried immediately the child is removed from the breast, and the tissues may be hardened by washing them for a short time before delivery, and after each application to the breast, with a little brandy and water. It is also a useful practice to wear over the nipple a metallic shield, which should be constantly applied when the child is not at the breast.—Prof. Ringer.]
Nodes, or Painful Swellings on the Shin-bone.Apply Datura Poultice (130), or other means mentioned inTumours, painful.
Apply Datura Poultice (130), or other means mentioned inTumours, painful.
Nose, discharge of Matter from.Use injections of Lime Water (225), or tepid Milk and Water, and giveFish Liver Oil (138) internally.Maggots in, seePecnash.
Use injections of Lime Water (225), or tepid Milk and Water, and giveFish Liver Oil (138) internally.Maggots in, seePecnash.
Nux Vomica, Poisoning by.Follow the treatment advised for poisoning by Cocculus Indicus (seeIndex). Bland Oils,e.g., Til, Cocoa-nut, or Ground-nut Oil, seem to retard its action, hence may be given largely.
Follow the treatment advised for poisoning by Cocculus Indicus (seeIndex). Bland Oils,e.g., Til, Cocoa-nut, or Ground-nut Oil, seem to retard its action, hence may be given largely.
Ophthalmia.SeeEyes, Diseases of.
SeeEyes, Diseases of.
Opium, Poisoning by.The stomach having been emptied as speedily as possible by an emetic of Sulphate of Copper (117) or Mustard (246), every means should be adopted for rousing the patient; this is to be effected by dashing cold water over the head and chest, walking him quickly about, supported by two attendants in the open air, applying strong salts, &c., to the nostrils, irritating the leg by flagellation with a wet towel, and administering strong coffee,café noir, or if there should be great depression, a little brandy or other stimulant. When the patient can swallow, Decoction of Galls should be given as directed in Paragraph 152. In extreme cases artificial respiration (subsequently described in Appendix, in Art.Drowning, Recovering from) must be tried. These measures shouldbe long persevered in; as longas life lasts, hopeof recovery isnot to be banished.
The stomach having been emptied as speedily as possible by an emetic of Sulphate of Copper (117) or Mustard (246), every means should be adopted for rousing the patient; this is to be effected by dashing cold water over the head and chest, walking him quickly about, supported by two attendants in the open air, applying strong salts, &c., to the nostrils, irritating the leg by flagellation with a wet towel, and administering strong coffee,café noir, or if there should be great depression, a little brandy or other stimulant. When the patient can swallow, Decoction of Galls should be given as directed in Paragraph 152. In extreme cases artificial respiration (subsequently described in Appendix, in Art.Drowning, Recovering from) must be tried. These measures shouldbe long persevered in; as longas life lasts, hopeof recovery isnot to be banished.
Pains, Muscular.SeeMuscles, Pains in.
SeeMuscles, Pains in.
Palpitations of the Heart, Nervous.These may in a great measure be controlled by Asafœtida (35),Camphor (70), or Infusion of Jatamansi (184), either alone or used conjointly.Palpitations or flutterings in the region of the Heartwhich occur in weak, nervous, hysterical subjects, often yield to Bromide of Potassium, in dose of five to ten grains dissolved in water, twice or thrice daily.
These may in a great measure be controlled by Asafœtida (35),Camphor (70), or Infusion of Jatamansi (184), either alone or used conjointly.Palpitations or flutterings in the region of the Heartwhich occur in weak, nervous, hysterical subjects, often yield to Bromide of Potassium, in dose of five to ten grains dissolved in water, twice or thrice daily.
Paralysis.Little can be done by non-professionals beyond giving internally Fish Liver Oil (142), alone or with Sulphate of Iron (177), in anæmic or debilitated subjects, and applying irritants, as Croton Liniment (122), Petroleum (410), externally.
Little can be done by non-professionals beyond giving internally Fish Liver Oil (142), alone or with Sulphate of Iron (177), in anæmic or debilitated subjects, and applying irritants, as Croton Liniment (122), Petroleum (410), externally.
Pecnash (Maggots in the Nose).Oil of Turpentine (363b).
Oil of Turpentine (363b).
Phthsis.SeeConsumption, Pulmonary.
SeeConsumption, Pulmonary.
Physic Nut, Poisoning by.SeeCroton Seeds.
SeeCroton Seeds.
Piles.Sulphur (344) internally, and Gall Ointment (148), or astringent enemas, as Decoction of Babúl Bark (9), or Galls (148), suffice in ordinary cases. In old debilitated subjects Confection of Pepper (300) proves very useful.When inflamed and painful, the Hip Bath, or sitting over the steam of hot water (392), and the application of a solution of Borax (56) and soft Rice Poultices (322), with or without the addition of Opium (293), give great relief. The Acetate of Lead Solution advised forInflammations(seeIndex) is peculiarly serviceable in these cases. It may be used cold or warm, as ismost agreeable to the patient's feelings.To control bleeding from, use Alum (25), or enemas of Sulphate of Iron (179). When bleeding from piles in residents in hot climates has been long continued, it is unadvisable, so long as it remains within moderate bounds, to take any means of arresting it suddenly; the suppression of the discharge having in some instances been known to be followed by congestion and even abscess in the liver, and in others by congestive headaches and determination of blood to the head. It seems to be an effort of nature to relieve the abdominal circulation, which it is unwise to interfere with, unless the discharge be so profuse as to debilitate the patient, and then the object should be rather to moderate than to arrest it altogether. Persons subject to Piles will do well to avoid the use of coffee, as this often appears to aggravate the severity of the symptoms. Cleanliness in these cases is of the greatest importance: the parts should be well washed with soap and water after each motion, and if the piles are internal and protrude during evacuations, they should be washed before they are returned.
Sulphur (344) internally, and Gall Ointment (148), or astringent enemas, as Decoction of Babúl Bark (9), or Galls (148), suffice in ordinary cases. In old debilitated subjects Confection of Pepper (300) proves very useful.When inflamed and painful, the Hip Bath, or sitting over the steam of hot water (392), and the application of a solution of Borax (56) and soft Rice Poultices (322), with or without the addition of Opium (293), give great relief. The Acetate of Lead Solution advised forInflammations(seeIndex) is peculiarly serviceable in these cases. It may be used cold or warm, as ismost agreeable to the patient's feelings.To control bleeding from, use Alum (25), or enemas of Sulphate of Iron (179). When bleeding from piles in residents in hot climates has been long continued, it is unadvisable, so long as it remains within moderate bounds, to take any means of arresting it suddenly; the suppression of the discharge having in some instances been known to be followed by congestion and even abscess in the liver, and in others by congestive headaches and determination of blood to the head. It seems to be an effort of nature to relieve the abdominal circulation, which it is unwise to interfere with, unless the discharge be so profuse as to debilitate the patient, and then the object should be rather to moderate than to arrest it altogether. Persons subject to Piles will do well to avoid the use of coffee, as this often appears to aggravate the severity of the symptoms. Cleanliness in these cases is of the greatest importance: the parts should be well washed with soap and water after each motion, and if the piles are internal and protrude during evacuations, they should be washed before they are returned.
Pregnancy.For Pains in the Loinsuse Camphor (68) or Camphorated Opium Liniment (291).To allay the Vomitingtry Infusion of Cloves (105), Mustard Poultice (251). A cup of hot coffee and a piece of dried toast should be taken in bed very early in the morning, after which the woman should remain quiet until the usual hour for rising; by this means the vomiting may often be prevented. When procurable,a glass or two of Sparkling Moselle is often productive of the best effects, allaying the vomiting, and enabling the patient to retain and digest food.
For Pains in the Loinsuse Camphor (68) or Camphorated Opium Liniment (291).To allay the Vomitingtry Infusion of Cloves (105), Mustard Poultice (251). A cup of hot coffee and a piece of dried toast should be taken in bed very early in the morning, after which the woman should remain quiet until the usual hour for rising; by this means the vomiting may often be prevented. When procurable,a glass or two of Sparkling Moselle is often productive of the best effects, allaying the vomiting, and enabling the patient to retain and digest food.
Prickly Heat.May in a great measure be relieved by Solution of Borax (57) or Sulphate of Copper (115), and subsequently dusting the surface with Rice Flour (322) or finely powdered Sandal Wood (333).
May in a great measure be relieved by Solution of Borax (57) or Sulphate of Copper (115), and subsequently dusting the surface with Rice Flour (322) or finely powdered Sandal Wood (333).
Pyrosis.SeeWater Brash.
SeeWater Brash.
Rectum, Stricture and Painful Affections of.Castor Oil (83), Fish Liver Oil (139).
Castor Oil (83), Fish Liver Oil (139).
Rheumatism, Acute.Rheumatic Fevermay be treated much in the same way asArdent or Continued Fever(seeFever, Index); by confinement to bed in a cool, well-ventilated apartment, farinaceous diet, and abstinence from alcoholic and other stimulants. Nitre (270) should be given freely, with Lemonade (232) as an ordinary drink. The bowels should be carefully regulated, one or two motions procured daily by a dose of Calomel (three or four grains) and Opium (one grain, or even two grains if there should be great pain or restlessness) at bedtime, followed by Infusion of Senna (336), or Castor Oil (83), in the morning. To the swollen and painful joints a strong solution of Nitre (270) should be kept constantly applied; it generally affords great relief; if not, a Datura Poultice or moistened Datura leaf (or Tobacco leaf), applied as directed in Paragraph 130, may be tried.
Rheumatic Fevermay be treated much in the same way asArdent or Continued Fever(seeFever, Index); by confinement to bed in a cool, well-ventilated apartment, farinaceous diet, and abstinence from alcoholic and other stimulants. Nitre (270) should be given freely, with Lemonade (232) as an ordinary drink. The bowels should be carefully regulated, one or two motions procured daily by a dose of Calomel (three or four grains) and Opium (one grain, or even two grains if there should be great pain or restlessness) at bedtime, followed by Infusion of Senna (336), or Castor Oil (83), in the morning. To the swollen and painful joints a strong solution of Nitre (270) should be kept constantly applied; it generally affords great relief; if not, a Datura Poultice or moistened Datura leaf (or Tobacco leaf), applied as directed in Paragraph 130, may be tried.
Rheumatism, Chronic.Here Sal Ammoniac (327) and Country Sarsaparilla (163) promise to be of much use. Chaulmúgra (94), Mudar (242), and Gulancha (352), have been advised, but in long-standing cases more benefit may be expected from Fish Liver Oil (142). The action of the skin may be kept up by Camphor, both internally and in the form of Vapour Bath (69), and by hot Infusion of Ginger (156) at bedtime, and by constantly wearing flannel next to the skin.Amongst external applications, Camphorated Opium Liniment (291) and Lemon Grass Oil (217) are the best; the others comprise liniments containing Camphor (68), Croton Oil (122), Oil of Country Nutmeg (274), Petroleum (410), Physic Nut Oil (302), Sulphur (343), and Turpentine (366); Piney Tallow (373) has been well spoken of. Should one or more joints be specially attacked, make trial of the applitions advised in Acute Rheumatism, or of Flour of Sulphur, as directed in Paragraph 343.
Here Sal Ammoniac (327) and Country Sarsaparilla (163) promise to be of much use. Chaulmúgra (94), Mudar (242), and Gulancha (352), have been advised, but in long-standing cases more benefit may be expected from Fish Liver Oil (142). The action of the skin may be kept up by Camphor, both internally and in the form of Vapour Bath (69), and by hot Infusion of Ginger (156) at bedtime, and by constantly wearing flannel next to the skin.Amongst external applications, Camphorated Opium Liniment (291) and Lemon Grass Oil (217) are the best; the others comprise liniments containing Camphor (68), Croton Oil (122), Oil of Country Nutmeg (274), Petroleum (410), Physic Nut Oil (302), Sulphur (343), and Turpentine (366); Piney Tallow (373) has been well spoken of. Should one or more joints be specially attacked, make trial of the applitions advised in Acute Rheumatism, or of Flour of Sulphur, as directed in Paragraph 343.
Rickets.Fish Liver Oil (138) may be used with great advantage: it may be combined with Sulphate of Iron (177) if the child is weak and anæmic. Lime Water and Milk (222) forms an eligible ordinary drink.
Fish Liver Oil (138) may be used with great advantage: it may be combined with Sulphate of Iron (177) if the child is weak and anæmic. Lime Water and Milk (222) forms an eligible ordinary drink.
Ringworm.Apply Borax and Vinegar (60), Cassia alata Ointment (81), Unripe Papaw fruit (295), Sulphate of Copper (115), Oil of Turpentine (367), or Kerosene Oil (416).
Apply Borax and Vinegar (60), Cassia alata Ointment (81), Unripe Papaw fruit (295), Sulphate of Copper (115), Oil of Turpentine (367), or Kerosene Oil (416).
St. Vitus's Dance.SeeChorea.
SeeChorea.
Salivation.Use gargles of Alum (29) or Borax (55), or try Catechu in substance (89).
Use gargles of Alum (29) or Borax (55), or try Catechu in substance (89).
Scalled Head.SeeRingworm.
SeeRingworm.
Scarlatina or Scarlet Fever.Commence with an emetic of Country Ipecacuanha (368) or Mudar (241); place the patient in a cool, well-ventilated apartment; give plentifully of Lemonade (232) or riceConjee(322) to allay thirst and feverishness, and give Capsicum Mixture (78) internally.For the sore throat, inhale the fumes of hot Vinegar (377), and use Capsicum gargle (78). Sponging the surface with diluted Vinegar (376) or Water (385) is attended with great comfort to the patient, and is otherwise beneficial. The advanced stages, complications, and subsequent debility, are treated in the same manner as in Fevers (seeIndex).
Commence with an emetic of Country Ipecacuanha (368) or Mudar (241); place the patient in a cool, well-ventilated apartment; give plentifully of Lemonade (232) or riceConjee(322) to allay thirst and feverishness, and give Capsicum Mixture (78) internally.For the sore throat, inhale the fumes of hot Vinegar (377), and use Capsicum gargle (78). Sponging the surface with diluted Vinegar (376) or Water (385) is attended with great comfort to the patient, and is otherwise beneficial. The advanced stages, complications, and subsequent debility, are treated in the same manner as in Fevers (seeIndex).
Sciatica.SeeNeuralgia. Enveloping the whole of the painful limb in the "Wet sheet" (397b) proves sometimes successful when other remedies fail. Quinine in full doses, five to eight grains thrice daily, may be given at the same time.
SeeNeuralgia. Enveloping the whole of the painful limb in the "Wet sheet" (397b) proves sometimes successful when other remedies fail. Quinine in full doses, five to eight grains thrice daily, may be given at the same time.
Scorpions, Stings of.Alum (32). See alsoBites, Venomous.
Alum (32). See alsoBites, Venomous.
Scrofula.Fish Liver Oil (138) proves most useful in cases in whichAbscesses, Ulcers, or Skin Diseasesare present.Scrofulous Ophthalmiais also greatly benefited by it. When the patient is debilitated andanæmic, the Oil may advantageously be combined with Sulphate of Iron. Chaulmúgra (94), Hydrocotyle (169), and Lime Water (225), are amongst the remedies occasionally useful. A dose of Opium (283) or Tincture of Datura (128) may be given at night, if the pain or irritation from ulcers or skin disease occasion sleeplessness. A liberal animal diet, gentle outdoor exercise, and sea-bathing are valuable adjuncts to the above remedies.
Fish Liver Oil (138) proves most useful in cases in whichAbscesses, Ulcers, or Skin Diseasesare present.Scrofulous Ophthalmiais also greatly benefited by it. When the patient is debilitated andanæmic, the Oil may advantageously be combined with Sulphate of Iron. Chaulmúgra (94), Hydrocotyle (169), and Lime Water (225), are amongst the remedies occasionally useful. A dose of Opium (283) or Tincture of Datura (128) may be given at night, if the pain or irritation from ulcers or skin disease occasion sleeplessness. A liberal animal diet, gentle outdoor exercise, and sea-bathing are valuable adjuncts to the above remedies.
Scurvy.Lime-juice (231) holds the highest rank both as a curative and preventive agent. All acidulous fruits, Lemons, Oranges, Tamarinds (346), &c., may be used with the greatest advantage. As a preventive of Scurvy in jails, &c., Lime Juice and other analogous agents will prove of comparatively little use unless attention is paid to hygienic measures,e.g., the cleanliness, ventilation, dryness of the building, reduction of numbers in cases of overcrowding, and the use of a liberal and wholesome diet, containing a large proportion of fresh vegetables.Diarrhœa of, give Bael (44).
Lime-juice (231) holds the highest rank both as a curative and preventive agent. All acidulous fruits, Lemons, Oranges, Tamarinds (346), &c., may be used with the greatest advantage. As a preventive of Scurvy in jails, &c., Lime Juice and other analogous agents will prove of comparatively little use unless attention is paid to hygienic measures,e.g., the cleanliness, ventilation, dryness of the building, reduction of numbers in cases of overcrowding, and the use of a liberal and wholesome diet, containing a large proportion of fresh vegetables.Diarrhœa of, give Bael (44).
A new antiscorbutic calledÁm-churhas lately been brought into use amongst our native troops in India, and promises to be a powerful rival to Lime Juice. It consists of green Mangoes, skinned, stoned, cut into pieces, and dried in the sun. According to Dr. Clarke, Deputy Surgeon-General Eastern Frontier District, Ám-chur not only maintains the digestive energy of the men, but its use amongst troops, where neither a variety of food nor vegetables is obtainable,commends itself strongly as a result of practical experiment to the military authorities. One ration should be half an ounce, which would be equivalent to an ounce of Good Lime Juice. (British Med. Jour., Sept. 30, 1882.) Another anti-scorbutic well worthy of attention, especially as an article of diet on long voyages, consists ofdried or preserved Bananas. When carefully prepared, they are agreeable to the taste, much resembling dried figs, of small cost, and will keep good for a lengthened period.
Sweet Mango pickle,freelyeaten with the diet, is an excellent method of administering Ám-chur.
Seminal Discharges, Involuntary.Give Camphor (72) at bedtime. When attended with much sexual excitement, a full dose of Bromide of Potassium, 20 to 30 grains in a wineglassful of water at bedtime, is often most serviceable. These discharges being sometimes due to irritation caused by Thread Worm in the lower bowel, attention should be directed to this point. SeeWorms.
Give Camphor (72) at bedtime. When attended with much sexual excitement, a full dose of Bromide of Potassium, 20 to 30 grains in a wineglassful of water at bedtime, is often most serviceable. These discharges being sometimes due to irritation caused by Thread Worm in the lower bowel, attention should be directed to this point. SeeWorms.
Skin Diseases.Country Sarsaparilla (163*), Chaulmúgra (94), or Mudar (242); or where the affection occurs in debilitated, scrofulous, or leprous individuals. Fish Liver Oil (138) may be given internally. One of the following may at the same time be applied externally: Cassia alata (81), Chaulmúgra (94), Lime Liniment (225-229), Myrobalan Ointment (257), Sulphur (342), Turpentine (367), Kerosene Oil (414*), or Petroleum (411). The Vapour Bath (396) is oftenvery useful where the skin is hard, dry, and rough. Borax lotion (57) in many instances will allay the irritation.
Country Sarsaparilla (163*), Chaulmúgra (94), or Mudar (242); or where the affection occurs in debilitated, scrofulous, or leprous individuals. Fish Liver Oil (138) may be given internally. One of the following may at the same time be applied externally: Cassia alata (81), Chaulmúgra (94), Lime Liniment (225-229), Myrobalan Ointment (257), Sulphur (342), Turpentine (367), Kerosene Oil (414*), or Petroleum (411). The Vapour Bath (396) is oftenvery useful where the skin is hard, dry, and rough. Borax lotion (57) in many instances will allay the irritation.
Sleeplessness in Head Affections.Mustard Bath (249). A full dose of the Bromide of Potassium, 20 to 30 grains in a wineglassful of water, taken at bedtime and persevered in for days and weeks, will often be found more effectual and less hurtful than the most powerful narcotics.From pain attendant on Ulcers, Rheumatism, &c., Opium (283) or Tincture of Datura (128) at bedtime. [N.B.—Sleeplessness, arising from no evident cause, as bodily pain, mental anxiety, &c., is often dependent on an empty state of the stomach, and many a sleepless night may be prevented, and many a wakeful hour obviated, by the simple process of eating a few biscuits or a crust of bread before going to bed, or during the night as occasion may require.]
Mustard Bath (249). A full dose of the Bromide of Potassium, 20 to 30 grains in a wineglassful of water, taken at bedtime and persevered in for days and weeks, will often be found more effectual and less hurtful than the most powerful narcotics.From pain attendant on Ulcers, Rheumatism, &c., Opium (283) or Tincture of Datura (128) at bedtime. [N.B.—Sleeplessness, arising from no evident cause, as bodily pain, mental anxiety, &c., is often dependent on an empty state of the stomach, and many a sleepless night may be prevented, and many a wakeful hour obviated, by the simple process of eating a few biscuits or a crust of bread before going to bed, or during the night as occasion may require.]
Small-pox.Commence with a mild aperient of Castor Oil (83) or Senna (336); place the patient in a cool, well-ventilated room, and give freely Lemonade (232), RiceConjee(322), &c., with solution of Nitre (264); sponge the surface daily with diluted Vinegar (376) or Water (385); and, still further, toallay irritation, dust the eruption freely with Rice Flour (322). The Carbolic Acid treatment promises the best results. Carbolic Acid, as an external application in Small Pox, is strongly recommended by Dr. Aitchison. He directs that from the veryearliest stage of the disease the whole body be rubbed with a mixture of the Acid (one part) and Sweet Oil (ten parts) twice daily. "This application," he remarks, "relieves the patient marvellously—the oil soothing and cooling the skin, the acid deodorising the stench, and destroying the contagious influence of the particles thrown off from the skin. The oil is as much a part of the treatment as the disinfectant, and is an old Egyptian remedy for this disease. In many cases the application seems to destroy the Smallpox poison to the extent that the disease does not reach the pustular stage; the vesicles form themselves into hard lumps, dry up, and disappear, without the usual Small-pox pustular cicatrix." (See Appendix C for details of treatment.) With the view ofpreventing pitting, apply Lime Liniment (229).In the advanced stages, attended with great exhaustion, delirium, &c., give Camphor (74), Brandy Mixture (426), and other stimulants, with nutriment.Subsequent debility and Convalescence, treat as in Fever. (SeeIndex).
Commence with a mild aperient of Castor Oil (83) or Senna (336); place the patient in a cool, well-ventilated room, and give freely Lemonade (232), RiceConjee(322), &c., with solution of Nitre (264); sponge the surface daily with diluted Vinegar (376) or Water (385); and, still further, toallay irritation, dust the eruption freely with Rice Flour (322). The Carbolic Acid treatment promises the best results. Carbolic Acid, as an external application in Small Pox, is strongly recommended by Dr. Aitchison. He directs that from the veryearliest stage of the disease the whole body be rubbed with a mixture of the Acid (one part) and Sweet Oil (ten parts) twice daily. "This application," he remarks, "relieves the patient marvellously—the oil soothing and cooling the skin, the acid deodorising the stench, and destroying the contagious influence of the particles thrown off from the skin. The oil is as much a part of the treatment as the disinfectant, and is an old Egyptian remedy for this disease. In many cases the application seems to destroy the Smallpox poison to the extent that the disease does not reach the pustular stage; the vesicles form themselves into hard lumps, dry up, and disappear, without the usual Small-pox pustular cicatrix." (See Appendix C for details of treatment.) With the view ofpreventing pitting, apply Lime Liniment (229).In the advanced stages, attended with great exhaustion, delirium, &c., give Camphor (74), Brandy Mixture (426), and other stimulants, with nutriment.Subsequent debility and Convalescence, treat as in Fever. (SeeIndex).
Snake Bites.See Appendix B.
See Appendix B.
Sneezing, when violent or prolonged.Insert lightly into the nostrils a small piece of cotton wool. A case in which this gave instantaneous relief, when all other remedies had failed, is recorded by Dr. Bradley. (British Med. Jour., Dec. 1879.)
Insert lightly into the nostrils a small piece of cotton wool. A case in which this gave instantaneous relief, when all other remedies had failed, is recorded by Dr. Bradley. (British Med. Jour., Dec. 1879.)
Spermatorrhœa.SeeSeminal Discharges.
SeeSeminal Discharges.
Spleen, Enlargement of, "Ague Cake."Give Sulphate of Iron and purgatives, as advised in Paragraph176, or Papaw juice (296), or, better still, Cinchona Febrifuge (402). Extract of Gulancha (353) is worth a trial. Quinine, in doses of five to eight grains thrice daily, produces the best effect in these cases; it may be advantageously combined with Sulphate of Iron (176). The most effectual local application is Biniodide of Mercury Ointment (16 grains of the Biniodide to simple Ointment, one ounce). In obstinate cases change of air is the best and only remedy.
Give Sulphate of Iron and purgatives, as advised in Paragraph176, or Papaw juice (296), or, better still, Cinchona Febrifuge (402). Extract of Gulancha (353) is worth a trial. Quinine, in doses of five to eight grains thrice daily, produces the best effect in these cases; it may be advantageously combined with Sulphate of Iron (176). The most effectual local application is Biniodide of Mercury Ointment (16 grains of the Biniodide to simple Ointment, one ounce). In obstinate cases change of air is the best and only remedy.
Sprains, Blows, and Bruises.Solution of Sal Ammoniac (332), Hot Water Fomentations (393), or Evaporating Lotion (380) are most suitable applications for the early stages. Should there be much swelling and heat of skin, Leeches (212) may be necessary. When the active symptoms have subsided, Liniments of Camphor (68), Opium (291), Lemon-grass Oil (217), or Turpentine (366), are indicated.In Sprains, warm applications, with perfect rest of the part, are best suited for the first few days. The sprained part should be kept in a raised position, well supported, and should on no account be allowed to hang down. The following treatment is highly spoken of in cases ofSprained Ankle. As soon after the accident as possible immerse the foot in a tub ofhotwater for ten minutes, and then into a tub of cold water for a similar period. Afterwards put on a wet bandage pretty tight, and cover with oil-silk, plantain leaf, or other impermeable covering.To remove subsequent swelling, apply Alum Lotion (32).To remove discoloration, Solution of Sal Ammoniac (332).
Solution of Sal Ammoniac (332), Hot Water Fomentations (393), or Evaporating Lotion (380) are most suitable applications for the early stages. Should there be much swelling and heat of skin, Leeches (212) may be necessary. When the active symptoms have subsided, Liniments of Camphor (68), Opium (291), Lemon-grass Oil (217), or Turpentine (366), are indicated.In Sprains, warm applications, with perfect rest of the part, are best suited for the first few days. The sprained part should be kept in a raised position, well supported, and should on no account be allowed to hang down. The following treatment is highly spoken of in cases ofSprained Ankle. As soon after the accident as possible immerse the foot in a tub ofhotwater for ten minutes, and then into a tub of cold water for a similar period. Afterwards put on a wet bandage pretty tight, and cover with oil-silk, plantain leaf, or other impermeable covering.To remove subsequent swelling, apply Alum Lotion (32).To remove discoloration, Solution of Sal Ammoniac (332).
Stiff Neck.Apply Opium Liniment (291).
Apply Opium Liniment (291).
Stomach, Acidity of.Give Lime Water (221).Bleeding from.SeeHæmorrhage from internal organs.Pains in.SeeFlatulence, Flatulent Colic, and Bowels, Spasmodic Affections of.
Give Lime Water (221).Bleeding from.SeeHæmorrhage from internal organs.Pains in.SeeFlatulence, Flatulent Colic, and Bowels, Spasmodic Affections of.
Stomatitis.SeeMouth, Ulceration of.
SeeMouth, Ulceration of.
Sunstroke.Employ Cold Water Affusion and other measures advised in Paragraph 386. Artificial Respiration, as described in Appendix A, is worth a trial where the insensibility is deep and prolonged.
Employ Cold Water Affusion and other measures advised in Paragraph 386. Artificial Respiration, as described in Appendix A, is worth a trial where the insensibility is deep and prolonged.
Syphilis.On the first appearance of a chancre or ulcer on the penis, sprinkle its surface with a little very finely powdered Sulphate of Iron, and this having been removed, dress subsequently with Black Wash (225) till the sore shows signs of healing. As a local application, Dr. Aitchison advocates Carbolic Acid. "No time should be lost," he remarks, "in obtaining medical aid when an ulcer on the penis has formed. But when it is impossible to get such aid, touch the sore with pure Carbolic Acid, taking care that the healthy parts are not touched with it. Apply Sweet Oil to the parts after burning the ulcer, and then dress it as you would any healthy ulcer until the slough caused by the acid falls off." Mercury (if at hand) should be given so as to induce slight soreness of the gums.
On the first appearance of a chancre or ulcer on the penis, sprinkle its surface with a little very finely powdered Sulphate of Iron, and this having been removed, dress subsequently with Black Wash (225) till the sore shows signs of healing. As a local application, Dr. Aitchison advocates Carbolic Acid. "No time should be lost," he remarks, "in obtaining medical aid when an ulcer on the penis has formed. But when it is impossible to get such aid, touch the sore with pure Carbolic Acid, taking care that the healthy parts are not touched with it. Apply Sweet Oil to the parts after burning the ulcer, and then dress it as you would any healthy ulcer until the slough caused by the acid falls off." Mercury (if at hand) should be given so as to induce slight soreness of the gums.
To effect this, give one grain of Calomel, with a quarter or half a grain of Opium, night and morning, and should the gums at the end of a week not be affected, the dose of Calomel may be doubled. Soreness of the gums, with a peculiar (mercurial) fetor of the breath and metallic taste in the mouth, may be taken as an indication that the remedy has been carried to the required extent, and this condition it is desirable to maintain until the sore heals or the symptoms subside; this may occupy four or five weeks. No good, but rather great harm, will result from carrying the use of mercury beyond this point. Should it cause much increased flow of saliva (which is very undesirable), use the remedies advised forSalivation, or if during a course of mercury, the sore, instead of improving, becomes worse, it should at once be discontinued. Stimulants and all kinds of excitement, as well as exposure to atmospherical changes, especially wet, should be avoided during its use; in fact, this treatment requires the greatest care throughout, and should, if possible,be never undertaken except under proper medical supervision.
Country Sarsaparilla (163), Hydrocotyle (169), and Mudar (242), are better suited for the more advanced stages of the disease, or when it becomes constitutional. The use of the Country Sarsaparilla, however, may well be conjoined with the mercurial treatment from the very commencement. N.B.—Avoid all the crude preparations of Mercury in use by the native doctors, or sold in the bazaars; they are likely to doincalculable mischief.
Tetanus (Lock-jaw).Try Datura (131). The treatment of Tetanus by smokingGunjah(Indian Hemp), introduced by Assistant-Surgeon A. C. Khastagir (Indian Medical Gazette, August 1878), promises to supersede all others in India if it were only from the fact that the remedy is procurable at a trifling cost in every bazaar throughout the country, and that its application is simple in the extreme. A pipe,hookah, or Indian hubble-bubble, charged with about 15 grains of dried Gunjah leaves, alone or mixed with twice as much tobacco leaves, is to be kept in readiness, and immediately on the indication of a spasm coming on it is to be lighted and handed to the patient with directions to smoke. By the time this is finished, or even before, the spasm relaxes, the eyes close, and the patient falls into a kind of slumber. The pipe is again charged, and kept in readiness for the approach of the next spasm, when the process is repeated with similar results. In this way the drug is administered day and night uninterruptedly, during which the irritation of the nervous system slowly but steadily yields to its influence. Mr. K. details five cases successfully treated in this manner. No auxiliary medicine, beyond an occasional purgative if required; no solid food allowed; milk and soup the only nutriments. This treatment is further advocated by Dr. J. C. Lucas, of the Bombay Medical Service (Med. Times and Gaz., February 21, 1880). The advantages which he claims for it are—(1) the spasms are cut short; (2) they reappear gradually at longer and longer intervals; (3) they graduallybecome not only less frequent, but less severe; this (4) saves the patient's vital powers, and thus, by prolonging life and preventing death, life, which would otherwise have succumbed, may eventually be saved. He places the dose at from eight to thirty grains, commencing with the smaller dose, and gradually increasing it as tolerance is established. He insists, properly, on the vast importance of quiet,perfect quiet, in a pure air (without too much breeze or draught), and he directs that the patient should onno account be disturbed to take his food or for any other reason, for which opportunity is to be taken when the patient awakes of his own accord, or from the recurrence of spasm. In the case of very young children, this mode of treatment cannot, of course, be carried out, but in all others it seems well worthy of a fair trial.
Try Datura (131). The treatment of Tetanus by smokingGunjah(Indian Hemp), introduced by Assistant-Surgeon A. C. Khastagir (Indian Medical Gazette, August 1878), promises to supersede all others in India if it were only from the fact that the remedy is procurable at a trifling cost in every bazaar throughout the country, and that its application is simple in the extreme. A pipe,hookah, or Indian hubble-bubble, charged with about 15 grains of dried Gunjah leaves, alone or mixed with twice as much tobacco leaves, is to be kept in readiness, and immediately on the indication of a spasm coming on it is to be lighted and handed to the patient with directions to smoke. By the time this is finished, or even before, the spasm relaxes, the eyes close, and the patient falls into a kind of slumber. The pipe is again charged, and kept in readiness for the approach of the next spasm, when the process is repeated with similar results. In this way the drug is administered day and night uninterruptedly, during which the irritation of the nervous system slowly but steadily yields to its influence. Mr. K. details five cases successfully treated in this manner. No auxiliary medicine, beyond an occasional purgative if required; no solid food allowed; milk and soup the only nutriments. This treatment is further advocated by Dr. J. C. Lucas, of the Bombay Medical Service (Med. Times and Gaz., February 21, 1880). The advantages which he claims for it are—(1) the spasms are cut short; (2) they reappear gradually at longer and longer intervals; (3) they graduallybecome not only less frequent, but less severe; this (4) saves the patient's vital powers, and thus, by prolonging life and preventing death, life, which would otherwise have succumbed, may eventually be saved. He places the dose at from eight to thirty grains, commencing with the smaller dose, and gradually increasing it as tolerance is established. He insists, properly, on the vast importance of quiet,perfect quiet, in a pure air (without too much breeze or draught), and he directs that the patient should onno account be disturbed to take his food or for any other reason, for which opportunity is to be taken when the patient awakes of his own accord, or from the recurrence of spasm. In the case of very young children, this mode of treatment cannot, of course, be carried out, but in all others it seems well worthy of a fair trial.