'$Jf- &5%# &»* //&' /4&?*&£&+> &S pbvant of topw* UNITED STATES OF AMEKICA. TPIE MEDICAL FORMULARY BEfNG A COLLECTION OF PRESCRIPTIONS, DERIVED FROM THE WRITINGS AND PRACTICE OF MANY OF THE MOST EMINENT PHYSICIANS IN AMERICA AND EUROPE. TO WHICH IS ADDED AN APPENDIX, CONTAINING THE USUAL DIETETIC PREPARATIONS AND ANTIDOTES FOR POISONS, THE WHOLE ACCOMPANIED WITH A FEW BRIEF PHARMACEUTIC AND MEDICAL OBSERVATIONS. BY BENJAMIN ELLIS, M. D. LATE PROFESSOR OF MATERIA MEDICA AND PHARMACY IN THE PHILADELPHIA TOIIFOF n, PHARMACY. ■ MHK OF Morbos autem, non eloquentia sed remediis curari."— Cels. De Med. m, r SIXTH EDITION, REVISED AND EXTENDED. BY SAMUEL GEORGE MORTON, M, D. PHILADELPHIA: LEA & BLANCHARD. . 1842. Entered according to the Act of Congress, in the year one thousand eight hundred and forty-one, by LEA & BLANCHARD, in the Clerk's Office of the District Court of the Eastern District of Penn- sylvania. >D 13 GRIGGS & CO., PRINTERS. N. CHAPMAN, M. 1). PROFESSOR OF THE INSTITUTES AND PRACTICE OF PHYSIC AND CLINICAL PRACTICE, IN THE UNIVERSITY OF PENNSYLVANIA, ETC. ETC. WHOSE TALENTS AND URBANITY HAV. RAISED HXM TO THE KXRST R ANK IN HIS PROFESSION, A ND HAVE .CO.UIRED FOR HIM THE CONFIDENCE AND ESTEEM OF A LARGE AND ENLIGHTENED COMMUNITY, THIS WOKK IS VERY RESPECTFULLY DEDICATED BY HIS OBLIGED FRIEND, THE AUTHOR. CONTENTS. Class I. Emetics- ----- 17 II. Cathartics ----- 24 Enemata ----- 42 III. Diuretics - - - - - 45 IV. Antilithics - - - - - £6 V. Diaphoretics - - - - - 59 VI. Expectorants ----- 70 Inhalation ----- 84 VII. Emmenagogues ----- 88 VIII. Anthelmintics, ----- 95 IX. Epispastics - - . - - 102 Rubefacients - - - - 104 Baths, Fomentations, §c. - - - 119 Caustics, or Escharotics - 123 Mineral Acids . - - - 124 Moxa ------ 125 Stimulating Ointments, §*c- - - 126 Issues and Setons - - - 123 Bougies - - - - - 130 X. Stimulants - - - 132 XI. Narcotics - - - - . 141 XII. Antispasmodics - - - - 156 XIII. Sialagogues - - - - - 161 XIV. Tonics ------ 170 Alteratives - - - . - 188 XV. Astringents ----- 200 Injections ----- 209 XVI. Absorbents - - - - - - 222 Appendix, No. 1. Dietetics - 228 II. Poisons - - - 238 III. Endermic Medicine, Essentiae citri medicae, gtt. xv. Fiat unguentum. — Used in Herpes, attended by intense inflammation and itching. 22 ( 170 ) CLASS XIV. TONICS. Those medicines are considered Tonics which im- part strength to the system, without subjecting it to any preternatural excitement during their operation. They stimulate, however, in a secondary manner, by gradu- ally increasing the force of the circulation, and by re- storing the digestive and secretory functions to a more healthy state. Considerable perseverance is often ne- cessary in giving any one of this class a fair trial; and when one fails, we may often resort with success to another : much also may sometimes be gained by alter- nating them. POWDERS, &c Powder of Peruvian Bark, R. Pnlveris Cinchonae optimae. A drachm or a tea-spoonful to be taken every hour in port-wine, wa- ter, or milk, during the intermission of fever and ague. It is directed by some practitioners to suspend the bark till within a few hours of the expected paroxysm ; and by a few others to administer it during the hot stage of the disease. We have generally found it to be the most successful plan to commence immediately after the paroxysm has ended, and give every hour a TONICS. 171 dose of the remedy, until the expected period of its return ; and if the chill does not recur, to continue it in smaller quantities for several days. Powder of Peruvian Bark and Cloves. R. Pulveris Cinchonae, Super-tartratis Potassae, aa, 3j. Pulveris Caryophilli, 3j. Misce. — Dose. — A drachm and a half every second hour. This compound will sometimes succeed when the bark alone fails. Powder of Peruvian Bark and Sulphate of Magnesia, R. Pulveris Cinchonae, Sulphatis Magnesiae, aa. 3vj. Fiat pulvis, et divide in partes sequales iv. — One to be taken every two hours, where purging is required. Powder of Peruvian Bark, Snake Root, $c. R. Pulveris Cinchonae, 3ss. Serpentariae, 3j. Sodae Bi-carbonatis, gr. xl. Misce. — Divide in chartulas iv. — Signa. — One to be given every two hours. In obstinate intermittents. If the bark should purge when given alone, a little opium may be added : when it oppresses the stomach, cloves, as in a former prescription. If costiveness should follow, rhubarb, or sulphate of magnesia may be used. The alkali in the above preparation will cor- rect acidity. Powder of Augustura Bark. R. Pulveris Cuspariae febrifugae, gss. Divide in chartulas vj. — Of which one may be taken three or four times a-day, in water or any other vehicle. 172 TONICS. This remedy, we learn, has been successfully em- ployed in uterine hemorrhage. Powder of carbonate of Iron. R. Pulveris carbonatis Ferri praecipitati, gj. Divide in chartulas iv. — Signa. — One every six hours in molasses. In Chorea, Neuralgia, &c. The above remedy, we are told, has been success- fully used in these very painful affections, both in England and America. The dose is sometimes car- ried as far as gss. every four or six hours, after anti- phlogistic treatment, if the latter be required. Powder of Colombo, Ginger, f c. R. Pulveris Colombae, Carbonatis Ferri praecipitati, Rhei, Zingiberis, aa. 3j. Misce. — Fiant doses xij. — One to be taken three times a-day, in mo- Powder of Colombo, and Tartrate of Iron, R. Tartratis Ferri, 9ij. Pulveris Colombae, 3j. Fiant pulveres iv. — Signa. — One every three or four hours, in sirup. Powder with Rust of Iron, fyc. R. Sulphatis Ferri, 9ij. Carbonatis Ferri praecipitatis, 3iss. Divide in pulveres xij. — Signa. — One to be taken morning, noon and night, in sirup or molasses. Pills of Cinchona and Camphor. R. Extracti cinchona?, 3j. Opii, gr. j. Gummi camphorae, gr. xij. Pulveris cinchonae, q. s, Ut fiant nlulas xij. — One to be taken three or four times a-day. Ratier. TONICS. 173 Powder of Prussiate of Iron and Guaiacum. R. Ferrocyanatis Ferri, Pnlveris Guaiaci, aa. 5j« Misce et divide in chartulas xij. — Signa. — One three times a-day. This prescription has been successfully employed in obstinate intermittents. Pills of Extract of Bark, fyc* R. Extracti Cinchona?, Gentianse, aa. 3j. Sulphatis Ferri, 3ss. Pulveris Myrrha?, 3 j, Olei Carui, gtt. x. Syrnpi Zingiberis, q. s., ut fiant pilulae lx. Signa. — Three to be taken three times a-day. Pills of Sulphate of Quinia, 8rc. R. Sulphatis Quiniae, gr* x. Conservaa Rosarum, q. s., ut fiant pilulae x. Signa. — One to be given every hour in the apyrexia of intermittent fever. There is also another principle obtained from the cinchona lancifolia, or pale bark, which possesses very nearly the same powers as the first. This is called Cinchonia. These preparations produce all the effects of the Peruvian bark, and have now almost "entirely superseded it. The sulphate of quinia affects the chest of the consumptive patient with tightness in an equal degree with the bark ; and we have several times observed it to produce a soreness of the mouth exactly resembling that resulting from mercury. The obser- vations of some of our friends have confirmed this fact. A substance has lately been discovered in the bark of the willow, (Salix helix,) which is proved not to be alkaline, but which answers all the purposes of quinia in the cure of intermittent fevers. It is called salicine, 174 TONICS. and has been used both in France and Italy. — Vide Journal of the Philadelphia College of Pharmacy, Vol. II No. 3. Pills of Salicine. R. Salicinse, gr. xxiv. Mucilaginis, q. s. Ut fiant pilulae viij. — A pill to be taken three or four times a-day. Salicine is obtained from willow bark (salix helix.) It has been chiefly used in intermittent fever, and produces effects very similar to those of Quinia. Pills of Ammoniuret of Copper. R. Cupri ammoniati, 9j. Conservae rosarum, q. s., ut fiant pilulae xxx. Signa. — One or two to be taken at bed-time. In Epilepsy. Pills of Sulphate of Quinia and Carbonate of Ammonia. R. Sulphatis Quiniae, gr. xij. Carbonatis Ammonia?, gr. xxiv. Misce. — Fiant pilulae vj. — Signa. — One every hour, beginning six hours before the expected paroxysm. These pills are large, but we have succeeded with them when quinia alone and in smaller doses had proved unavailing. They may also be combined ad- vantageously with the oil of black pepper, or other essential oils, in cases of irritable stomach. Febrifuge Boluses. R. Pulveris Cinchonae, gj. Muriatis Ammoniae, Carbonatis Ammoniae, aa. gr. xij. Tartratis Antimonii, gr. xviij. Syrupi simplicis, q. s., ut fiat massa et divide in bolos xlviij. Signa. — One to be taken four times a-day, during the apyrexia of fever. Hotel Dieu. TONICS. 175 Pills of Piperina R. Piperinse purae, gr. xij. Extracti Gentianae, q. s., ut fiant pilulag xij. Signa. — One every hour during the apyrexia of fever. This is one of the new remedies lately introduced into practice. It is prepared from the black pep- per, and is said to possess considerable febrifuge powers. It sometimes vomits, purges, or produces diaphoresis ; and therefore requires caution in its ad- ministration. It may be given in mixture, if preferred. Pills of Arsenic, fyc. R. Acidi arseniosi, gr. ij. Pulveris Opii, gr. iij. Saponis venetae, gr. viij. Pulveris Glycyrrhizae, q. s., ut fiat massa in pilulas xx dividenda. Signa. — One four times a-day, increased gradually according to cir- cumstances. In intermittent fever and local diseases of an intermit- tent character. Dr. Meigs. Pills with the Sulphate of Copper. R. Sulphatis Cupri, gr. iv. Extracti Cinchonae, gr. xxxij. Syrupi simplicis, q. s., ut fiat massa, in pilulas xvj dividenda. One to be taken four times a-day. In obstinate intermittents. Pills of the Oxide of Bismuth. R. Sub-nitratis vel oxidi Bismuthi, 3j. Mucilaginis gummi Acaciae, q. s., ut fiant pilulae xxx. Signa. — One to be taken every two hours. In dyspepsia. Pills of Muriate of Ammonia, Arsenic, fyc. R. Muriatis Ammonia?, Jss. Pulveris Opii, gr. viij. Acidi arseniosi, gr. vj. Syrupi simplicis, q. s., ut fiant pilulae xxxij. Of which one may be given three times a-day. In intermittent fever. 176 TONICS These pills are strongly recommended by some practitioners. Great care is requisite in preparing them. Pills of Ammoniated Iron, fyc. R. Amraoniati Ferri, 9j. Pulveris Rhei, gr. viij. Conservae rosarum, q. s., ut fiat massa in pilulas v dividenda. This remedy is recommended in Rachitis, and is to be continued with one pill a-day for a fortnight, and then intermitted for the same length of time and again resumed. The intention of this direction ap- pears to be to prevent the system from becoming ha- bituated to the medicine. Pills of Oxide of Zinc. R. Oxidi Zinci, j}ij. Conservae rosarum, q. s., ut fiant pilules x. Signa. — One three or four times a-day. In epilepsy, chorea, &c. Dr. Chapman speaks favourably of this medicine, and recommends to begin with the above dose, and gradually to increase it. Pills of Steel Filings. R. Limaturae Ferri, gr. xvj. Extracti Gentianae, q. s., ut fiat massa. — Divide in pilulas vj. Signa. — One three times a-day, followed by a draught of some bitter infusion. Pills of the Extract of Quassia. R. Extracti Quassias mollis, Jj. Pulvaris Gentianae, q. s., ut fiant pilulae xx. Of which one may be taken three or four times a-day, succeeded by a wine-glassful of the infusion of quassia. This is one of the purest bitters, and where we wish the effect of this class only, we cannot select a more appropriate preparation. TONICS. 177 Pills of Nitrate of Silver, fyc. R. Nitratis Argenti, gr. iij. Pulveris Opii, 3ss. Camphorae, Nucis moschatae, aa. 9j. Mucilaginis Acaciae, q. s., ut fiat massa. — -Divide in pilulas xlv. Dose. — One morning and evening. In chorea and epilepsy. Pills of the Sulphate of Iron. R. Snlphatis Ferri, 5j. Extracti Gentians, q. s., ut fiat massa. — Divide in pilulas, xxx. One to be taken morning, noon and night. In dyspepsia. Pills of Nitrate of Silver. R. Nitratis Argenti, gr. iij. Micae panis, gss. Aquae fontanae, q. s., ut fiant pilulas xij. Signa. — One to be taken night and morning, gradually increasing them as the case may demand. The nitrate of silver should first be dis- solved in a little water, and the crumbs of bread afterwards added; and a glass mortar should always be employed to compound them in. Electuary of Cinchona, Rust of Iron, fyc. R. Pulveris Cinchonae optimae, Carbonatis Ferri, aa. §j. Balsami Copaivas, q. s., ut fiat electuarium. To be made (by the patient) into pills of the ordinary size. Of which four may be taken three times a-day. Pills of the Nitro- Muriate of Gold. R. Nitro-muriatis Auri, gr. v. Pulveris Glycyrrhizae, giss. Mucilaginis Acaciae, q. s., ut fiat massa, in pilulas Ixxv. divi- dends. Signa. — One or two thrice a-day. In syphilis, ijss. Fiat mistura. — Signa. — A tea-spoonful to be given every two hours, in a wine-glass of sweetened water. These acids, in the same proportions, are also em- ployed as a bath in hepatic derangements, and by- some are esteemed highly beneficial. To accomplish this end, put a tea-spoonful of the compound acid into a quart of warm water, and apply it to the region of the liver night and morning, by means of a soft sponge* Diluted Nitric Acid* R. Acidi nitrici, £j. Aquae destillatae, Oij. Sacchari albi, 5j« Fiat mistura. — Signa. — This quantity to be taken daily by the patient In Lues Venerea. Ferriar, Med, Hist. Mixture of Nitric Acid. R. Acidi nitrici, £iss. Pulveris Acaciae, Sacchari albi, aa. 3iij. Aquae destillatae, §vj. Fiat mistura. — Signa. — A table-spoonful pro re nata. Nitric acid may be prescribed as a tonic in the above form, or simply diluted with water, It is best TONICS, 199 taken through a quill, as the teeth suffer when it comes in contact with them. We have seen it arrest the col- liquative sweats of hectic fever when other remedies had failed. Mixture of Nitrous Acid, Laudanum, $c. R. Acidi nitrici, gj. Misturae Camphors, Jviij. Tincturae Opii, guttas xl. Misce. — Signa. — One fourth part to be taken every three or four hours. This compound is highly recommended by Mr. Thomas Hope, Surgeon, Chatham, in dysentery and cholera. — N. A. Medical and Surgical Journal? Oct. 1826. ( 200 CLASS XV. ASTRINGENTS. Doctor Cullen describes astringents to be "such substances as applied to the human body, produce contraction and condensation in the soft solids, and thereby increase their density and force of cohesion." "And by the operation of this corrugating power," adds Dr. Murray, " either directly exerted on a part, or extended by sympathetic action, the morbid affec- tions arising from a state of relaxation are supposed to be removed." In the use of this class of medicines there is one caution suggests itself; namely, that they should not be given to arrest evacuations that are critical, and designed by nature to relieve a plethoric state of the system ; unless, however, such evacuation exist to an alarming extent. PILLS, POWDERS, &c. Compound Powder of Slum. R. Aluminis, 9j. Pulveris Kino, gr. v. Misce. — Fiant pulveres, v. — Signa. — One every two hours. In ob- stinate diarrhoea. This compound, though much employed, and praised by some practitioners, contains substances incompati- ASTRINGENTS. 201 ble with each other. It is, nevertheless, very useful in menorrhagia, &c. Powder of Sugar of Lead and Calomel. R. Hydrargyri chloridi mitis, gr. ij vel iv. Acetatis Plumbi, gr. ss ad gr. j. Fiant pulveres iv. — One every three hours. In Cholera Infantum, The above dose is adapted to any period between ten and twenty months of age. Dr. T. D. Mitchell. Powder with Mum and Opium. R. Aluminis, 3ss. Pulveris Opii, gr. iij. Fiant pulveris vj. — Signa. — One to be taken every three or four hours. In diarrhoea. Powder of Blue Vitriol, fyc. R. Sulphatis Cupri, Boli Armeniae, aa. ^j. Camphorae, ^ij. Fiat pulvis. — Project 3j. of this powder into a pound of boiling water — filter the solution, and mix ^j. of it with gj. of clear water, and apply it to the purulent eyes of infants by means of a syringe, pro re nata. — See Cooper's Surgery. Pills of Acetate of Lead and Calomel. R. Acetatis plumbi, ^ss. C alomel, gr. v. Conservse rosarum, q. s. Ut fiant pilulas x. One to be given every two, three, or four hours, according to circumstances. In Hemorrhage, and especially in He- matemesis. Sugar of Lead and Opium. R. Acetatis plumbi, 9j. Gum Opii, gr. j. Misce, et divide in pilulas xij. — A pill to be taken every hour at first, and then every two hours. This is Dr. Graves's prescription for the treatment of Cholera. 26 202 ASTRINGENTS. Pills of Acetate of Lead and Opium. R. Acetatis Plumbi, gr. xij. Pulveris Opii, gr. vj. Conserve rosarum, q. s., ut fiat massa, in pilulas vi dividenda. One to be taken for a dose, according to circumstances. In haemop- tysis and other hemorrhages. Bolus with Mum and Extract of Bark, R. Aluminis, Extracti Cinchonas, Nucis myristicae, aa. 9ss. Syrupi simplicis, q. s., ut fiat bolus. To be given in uterine and other hemorrhages, and repeated pro re nata. Pills of Alum, Catechu, fyc. R. Aluminis, gr. vj. Extracti Opii, gr. j. Catechu, gr. j. Misce. — To be divided into six pills, one of which is to be given every two, three or four hours. In passive hemorrhage, and in atonic mucous discharges. Pills of Rhatany. R. Extracti Rhataniae, 9j. Pulveris kino, q. s. Ut fiant pilulae viij. — Signa. — A pill to be given every hour or two hours. In the Profluvia. Pills of Creosote. R. Creosoti, gtt. x. Pulveris glycyrrhizae, ^j. Mucilaginis, q. s. Ut fiant xx.— Dose— a pill thrice in the day. In Bronchitis, Neurah gia, &c. ASTRINGENTS, 203 Creosote Mixture. R. Creosoti, gtt. xij. Mucilaginis Arabici, giv, Sacchari albi, 5j. Fiat mistura. — Dose — a table-spoonful every two or three hours. In Hemorrhages. Alcoholic Solution of Creosote. R. Creosoti, gtt. j. Alcoholis rectificati, gtt. xvj. Misce. — A drop or two of this solution dropped into the cavity of an aching tooth, is said to afford immediate relief. Marinus. Tannin Pills. R. Tanninae purae, gr. ij. Gummi vel Syrupi, q. s. Ut fiant pilulse viij. One may be given every two or three hours. In Gonorrhoea, &c- Chalk Mixture. R. Cretae praeparatae: 3iss. Sacchari albi, Gummi Arabici, aa. q. s. Aquae destillatae, 3iv. Olei cinnamomi, gtt. ij. Tincture Opii, gtt. xl vel lx. Misce. — Dose — a table-spoonful every two hours. In Diarrhoea and Dysentery. Another formula for chalk mixture will be given under the head of Absorbents and Antacids. When a strongly astringent chalk mixture is desira- ble, we may add to the above formula Tinct. Kino, 3ij., or the same quantity of Tinctura Rhatanise, or Catechu, or Nut-galls. Camphor, Laudanum and Nitric dcid. R. Aquae eamphorae, ^iv. Acidi nitrici, gtt. iv. Tincturee Opii, gtt. xl vel lx. 204 ASTRINGENTS. Fiat mistura. Dose — a table-spoonful every two hours. In Diarrhoea and Dysentery. This is the well known and very efficacious prepa- ration called Hope's Mixture. If the nitric acid is added in larger proportion, it is very liable to defeat the object of the prescription. Camphor Water, Lavender, fyc. R. Aquae camphorae, §iv. Tincturae lavendulae compositae, ^ij. Tincturae Opii, gtt. xl vel lx. Fiat mistura. Dose — a table-spoonful every two hours. This prescription is employed in the same cases as the preceding one, and was strongly commended by the late Dr. Parrish. Electuary of Catechu and Opium. R. Electuarii Catechu, gj. Suited to cases of diarrhoea, in tea-spoonful doses. Ten scruples con- tain one grain of opium. Pills of Kino, Opium, #c. R. Pulveris Kino, gr. xx. Opii, gr. ij. Mucilaginis Acacias, q. s. ut fiant pilulae iv. Of which take one every four hours. In diarrhoea, pyrosis, &c. Monesia. This substance is the product of a tree which grows in Chili, but its botanical affinities are yet unknown. It is given in the form of Extract, twelve or twenty grains daily, divided into three grain pills. In Leucorrhcea, Diarrhoea, Menorrhagia, &c. &c. ASTRINGENTS. 205 COLLYRIA. These are preparations applied to the eyes; they are sometimes dry, but generally liquid— consisting of in- fusions, decoctions, or distilled waters, with the addi- tion of various substances. Dry Collyrium of Sugar, fyc. R. Sacchari albi, Oxidi Zinci, aa. partes equates. Tere in pulverem. M. Recamier. Dry Collyrium of Mercury, #c. R. Sacchari albi, gij. Oxidi Hydrargyri rubri, gr. x. Oxidi Zinci impuri praeparati, 9j. Fiat pulvis. M. Dupuytren. Dry Collyrium of Opium, #*c. R. Pulveris Opii, gr. iv. Hydrargyri chloridi mitis, Sacchari purificati, aa. 9j. Tere bene. These compounds are blown into the eyes for the removal of specks on the cornea resulting from inflam- mation. Alum Curd. R. Pulveris Aluminis, gss. Albuminem Ovi, j. Agitate them well until a coagulum be formed. — To be applied on a linen rag to inflamed eyes. It should be removed in three or four hours. Mum Collyrium. R. Pulveris Aluminis, gr. xij vel xx. Aquce rosarum, 5iv. Fiat solutio. — To be applied to the eye in chronic inflammation* 206 ASTRINGENTS Collyrium of Ioduret of Potassium. R. Aquae rosarum, ^vj. Iodureti potassii, gr. xxiv. Iodini, gr. j vel ij . Fiat collyrium. To be applied to the eyes three or four times in the day. In scrofulous ophthalmia, and ulcerations of the cornea and conjunctiva. Collyrium of Acetate of Zinc. R. Sulphatis Zinci, Acetatis plumbi, aa. gr. vj. Aquae rosarum, ^iv. Fiat solutio. In this prescription a double decomposition takes place. Acetate of zinc is held in solution, while sul- phate of lead falls to the bottom. It should be filtered, or used without shaking. Collyrium of Acetate of Lead, fyc. R. Liquoris plumbi acetatis, gtt. xij. Vini Opii, gtt. xl. Aquae rosarum, ^iv. Fiat collyrium. Collyrium of Vinegar, fyc. R. Aceti destillati, 3j. Spiritus Vini diluti, gss. Aquae rosarum, ^viij. Fiat mistura. — Signa. — To be applied to weak eyes, and in ophthal- mia after depletion. Collyrium of Acetate of Ammonia and Camphor, R. Liquoris Ammoniae acetatis, 3ij. Misturoe Camphorse, ^vj. Misce. — Signa. — To be applied to eyes requiring a mild astringent and stimulant remedy. ASTRINGENTS. 207 Collyrium of Acetate of Ammonia with Opium. R. Liquoris Ammoniae acetatis, ^ij. Aquae ferventis, §vj. Extraeti Opii mollis, gr. x. Dissolve the extract of Opium in the hot water — strain, and add the liquor of acetate of ammonia. Useful in acute ophthalmia when considerable pain remains after depletion. Collyrium of Sulphate of Copper. R. Sulphatis Cupri, gr. vj. Camphorae, gj. Aquae ferventis, gviij. Rub the camphor with the water — then strain, and add the sulphate of copper. This is nearly the same as the formula recommended by Mr. Ware in the treatment of purulent ophthalmia. Collyrium of Corrosive Su blimate. R, Hydrargyri chloridi corrosivi, gr. ij. Aquae destillatae, §viij. Fiat solutio. The above may be advantageously used in gonor- rhoeal ophthalmia, as also in that of a scrofulous cha- racter. Collyrium of Opium and Camphor. R. Extraeti Opii mollis, gr. x. Camphorae, gr. vj. Aquae ferventis, ^xij. Rub the camphor and opium well together in a mortar and add the water. Then strain before using. Collyrium of Poppies, fyc. R. Foment! papaveris capsularum, ?iv. Aquae rosarum, Misturse Camphorae, aa. ?ij. 208 ASTRINGENTS. Misce. — Either of the last two collyria may be employed in the early stages of ophthalmia. All of these remedies can be most successfully ap- plied to the eyes by introducing the point of a small syringe into the outer angle, and gradually injecting the collyria. Colly Hum of Nitrate of Silver, R. Nitratis Argenti, gr. ij. Aquse destillatae, ^ij. Fiat solutio. — To be applied at the close of acute ophthalmia, and to promote the absorption of nebulae of the cornea. Emollient Collyrium. K. Radicis Althaeae officinalis, 3ij. Aquae destillatae, fty. Infuse for three hours near the fire, and strain. — Employed in inflam- mation of the conjunctiva accompanied with violent irritation. Anodyne Collyrium. R. Colchici autumnalis, gj. Aquae Lini bullientis, §iv. Tincturae Opii, Jj. Fiat mistura. — Employed in opthalmia accompanied with great sensi- bility. M. Jadelot. Strichnine Collyrium, R. Strichniae purse, gr. ij vel iv. Acidi acetici diluti, Aquae destillatae, aa. ^j. Fiat solutio. — A drop or two, diluted or not according to circumstances, to be applied to the eye several times a-day. Commended by Dr. Ryan in Amaurosis. ASTRINGENTS. 209 INJECTIONS Injections are liquid compositions, containing emol- lient, astringent, or stimulating substances. The parts into which they are thrown are, the external auditory passages, the canal of the urethra, the bladder, and also fistulous cavities, the tunica vaginalis in the case of hydrocele, and the vagina. When employed in the cure of gonorrhoea, two circumstances merit especial attention, viz. the manner of throwing them up, and the frequency of using them. When the common syringe is used, the pipe should be perfectly smooth, short, and conical, so that it cannot pass more than a quarter of an inch into the urethra. The patient should oil the pipe before using it, seat himself on the edge of a chair so as to avoid pressing the perinseum, draw the penis forward on the syringe with the left hand, and throw up the injection to the seat of disease, (previously ascertained,) with the other. As respects the frequency of injecting, it may be observed, that six or eight times a-day are not too often, and that the cure will be retarded by using these remedies at longer intervals. We cannot forbear remarking, that gonor- rhceal inflammation, situated near the extremity of the penis, can be often cured by a routine plan; but when seated higher up the canal, and affecting Cowper's gland or the prostate, it becomes a serious disease, the cure of which ought not to be undertaken by those ignorant of the structure of the parts and the nature of morbid action. Injection of Pyroligneous Acid for the Ear. R. Acidi pyrolignei, 3ij. Aquae destillatae, ^vj. Fiat injectio. — Signa. — To be injected twice a-day with a silver syringe, in purulent discharge from the meatus auditorius. Buchanan on the Ear. 27 210 ASTRINGENTS. Injection for Catechu for the Ear, R. Extracti Catechu, gr. xij. Aquae bullientis, ^vj. Fiat injectio. — To be used four or five times a-day. Idem. Pyroligneous Acid, Ether, fyc.,for the Ear. R. Acidi pyrolignei, Spiritus iEtheris sulphiarici, Olei Terebinthinae, aa. partes equaies. Misce. — Signa. — Introduce two drops into the meatus auditorius every night, when the cerumen is deficient in quantity. — Idem. Injection of Sulphate of Zinc, fyc. B. Sulphatis Zinci, gr. x. Pulveris Acacias, £ij. Tincturae Opii, 3j. Aquae destillatae, §viij. Fiat injectio. — Used in gonorrhoea virulenta. Injection of Corrosive Sublimate, &c, R. Sulphatis Zinci, gr. x. Chloridi Hydrargyri corrosivi, gr. ij. Aquae rosarum, Sviij. Fiat injectio. — To be used in gleet. This powerful remedy should be employed with great caution. Peruvian Balsam, <$>c.,for the Ear. R. Fellis Bovini, Jiij. Balsami peruviani, 3j. Misce.— Signa. — To be dropped occasionally into the ear to correct a fetid discharge, syringing the ear every day with a weak solution of soap and water. Dr. Hugh Smith. ASTRINGENTS. 211 Injection of Muriate of Ammonia, &c. R. Muriatis Ammoniae, gr. j vel ij. Chloridi Hydrargyri corrosivi, gr. ij. Aquae destillatae, 3iv. Fiat injectio. — To be used in chronic gonorrhoea. Injection of Acetate of Zinc. R. Acetatis Zinci, gr. viij. Aquae rosarum, ^iv. Fiat injectio. — Used in gonorrhoea virulenta. For all these preparations, rose water is an admira- ble menstruum ; it possesses the advantages of being slightly astringent and rendered pure by distillation, and seems therefore particularly applicable to the for- mation of injections and collyria. Injection of Armenian Bole. R. Sulphatis Zinci, 9j. Boli Armeniae, 9ij. Pulveris Acaciae, 3ij. Aquae rosarum, I viij. Fiat injectio. — To be used in gonorrhoea. Injection of Calomel, &c. R. Hydrargyri chloridi mitis, 3J. Gummi Arabici, Tincturae Opii, aa. gss. Aquae destillatae, gviij. Fiat injectio. — Signa. — For gonorrhoea or gleet. Injection of Sulphate of Copper. R. Cupri sulphatis, gr. vj. Aquae destillatae, ^vj. Tincturae Opii, 3j. Fiat solutio. — Signa. — To be thrown up the urethra in chronic gonor- rhoea. 212 ASTRINGENTS. Injection of Tea, R. Theae viridis foliorum, 3j. Aquae ferventis, ^vj. Fiat infusio et cola. — To be used as an injection in gonorrhoea vim- lenta. Injection of Ammoniuret of Copper, R. Cupri Ammoniureti, gr. v. Aquae rosarum, gviij. Fiat solutio. — To be used in chronic gonorrhoea. GARGLES, MOUTH WASHES, &c. Gargles, like injections, are astringent and stimu- lating; to be of any service they must be frequently applied and persevered in for some time. Gargle of Brandy. R. Spiritus vini gallici, Aquae fontanae, aa. partes equales. Brandy and water form an excellent gargle for some cases of inflamed fauces. Gargle of Galls and Alcohol. R. Infusionis gallarum, gvij. Spiritus vini rectificati, ^j. Fiat gargarysma. — To be used frequently, in relaxation of the uvula and soft palate. Gargle of Infusion of Oak Bark. R. Corticis Querci falcatae, gj. Aquae fontanae, Jfejss. Boil to a pound, and strain ; then add — Sulphatis aluminis, 3ss. Spiritus vini gallici, gij. Misce. — To be applied to the uvula when swelled or relaxed, and to be used as an injection in fluor albus. ASTRINGENTS. 213 Gargle of Sulphate of Quinia, fyc- R. Sulphatis Quiniae, gr. xij. cupn, gr. xvj. Acidi sulphurici aromatici, 3j. Aquae fontanae, gviij. Fiat mistura. — Signa. — A table-spoonful to be used three or four times a-day, in obstinate sore throat. Br, Hartshorne. Gargle of Borax, fyc. R. Boratis soda?, 3j. Tincturae myrrha?, 3ss. Mellis despumati, gj. Aqua? rosarum, giv. Fiat gargarysma. — Signa. — To be used as a gargle or mouth wash, in ptyalism or scorbutic affections of the gums. Gargle of Sulphate of Zinc, fyc. **• Sulphatis Zinci, 3j. Mellis, gss. Tincturae Myrrha?, gj. Spiritus vini gallici, gj. Aquae rosarum, 5iv. Fiat gargarysma. — To be applied to ulcerated gums, occasioned by excessive salivation. Water can be added if it be too strong. In many cases of mercurial sore mouth, common lead water forms a most soothing and useful applica- tion. It, makes the teeth black — an effect which is only temporary. Br. Blake's Toothach Solution. R. Aluminis, 5y« (in pulverem subtillissimum triturandum.) Spiritus aetheris nitrici, 3vij. Fiat solutio. — Said by Dr. Blake, of London, to be an infallible cure for toothach, where this is not connected with rheumatism. Gargle of Mum. K. Sulphatis alumina? et potassae, 3ij. Aquae, 3iv. 214 ASTRINGENTS. Solve.— This is Dr. Cavarra's gargle for fa3tor oris, or offensive breath. Gargle of Pomegranate, R. Corticis punicae granati, gss. Petalarum rosae rubrae, 3ij. Aquae bullientis, gvj. Fiat infusio. — Cola et adde — Mellis despumati, gj. Aluminis, 3ij. Fiat gargarysma. — Signa. — To be used in inflammations of the throat and fauces. This gargle is highly praised by Dr. Meigs. Muriatic Acid Gargle. R. Infusionis Cinchona? , giv. Mellis despumati, gj. Acidi muriatici, gtt. xviij. Fiat gargarysma. — To be used in chronic inflammation, when pain and swelling have been reduced by depletion— also in cynanche maligna. Ratier's Formulary. Wash of Sulphate of Copper, 8fC. R. Sulphatis Cupri, 3ij. Pulveris Cinchonae, gss. Aquae destillatae, giv. Misce. — Signa. — To be used in the gangrenous sore mouth of children; and to be applied to the full extent of the ulceration and excoria- tion. Dr. B. H. Coates. Linctus with Muriatic Acid, fyc. R. Acidi Muriatici, 3j. Mellis, Aquae rosarum, aa. gj. Misce. — Signa. — To be applied to scorbutic gums three or four times a-day. Detergent Gargle— Sulphuric Acid, fyc. R. Decocti Hordei, giv. Mellis despumati, ^ss. Acidi sulphurici, gtt. xx. Fiat gargarysma. Ratiefs Formulary. ASTRINGENTS, 215 Mercurial Gargle, R. Chloridi Hydrargyri corrosivi, gr. ij. Mellis despumati, gss. Aquae destillatse, giv. Fiat solutio. — To be used in venereal sore throat. Idem. Acetous Gargle. R. Acidi acetiei, 3ij« Muriatis Ammoniae, 3j. Mellis, §iss. Aquae fontanae, Ixij. Fiat gargarysma. — To be used in inflamed fauces. Idem. Astringent Gargle of Acetate of Lead, fyc. R. Acetatis Plumbi, 3ss. Syrupi simplicis, §j. Decocti Hordei, Oj. Fiat solutio. — In mercurial sore mouth, &c. — Ratter's Formulary. MIXTURES, INFUSIONS, &c. Infusion of Galls. R. Gallae contusse, 3ij. Aqua3 bullientis, §x. Infuse for four hours, and strain. — Signa. — To be taken in doses of a table-spoonful every hour or two hours. In diarrhoea. It may be rendered more agreeable by the addition of some aromatic. Infusion of Galls and Chalk. R. Infusionis Gallarum, §iv. Cretae praeparatae, ^ss. Tincturae Opii, Jj. Gummi Acaciae, 3j. Fiat mistura. — Dose. — A table-spoonful every two hours. In diar- rhoea. Infusion of Logwood, R. Haematoxyli ligni, ?ss. Aquae bullientis, Oj. 216 ASTRINGENTS. Infuse for two or thee hours, and strain. — Of this a table-spoonful to be given to children every two or three hours. In cholera and diarrhoea. Mixture of Extract of Logwood, fyc. R. Extracti Haematoxyli, 3iij« Tincturae catechu, 5\j. Aquae fontanae, ^vij. Misce. — Signa. — Two spoonsful to be given once in three or four hours. In the advanced stages of diarrhoea and dysentery. Mixture with Extract of Bark and Alum. R. Extracti Cinchonae, ? ss « Aluminis, 9ij. Aqu3e Cinnamomi, 3v. Syrupi Limonis, ^j. Misce. — Signa. — Two spoonsful may be taken every two hours. In low diseases accompanied with hemorrhage. Mixture with Tincture of Catechu, fyc» E. Tincturae Catechu, ^j. Opii, gtt. lx. Pulveris Acaciae, 3ij. Aquae Cinnamomi, ^vj. Misce. — Signa. — A table-spoonful every two hours. In diarrhoea. Solution of Vitriolated Zinc and Alum, As under Emetics. Alum Whey. R. Lactis Vaccinae bullientis, Oj. Pulveris Aluminis, ^ij. Boil them until the coagulum separates, and strain. A cupful to be taken occasionally. In diabetes, &c. Peruvian Bark with Lime Water. K. Pulveris corticis Cinchonae, 3ss. Aquae Calcis, 3viij. Misce. — Signa. — A table-spoonful to be taken every two hours, or oftener if necessary. In diarrhoea and menorrhagia. ASTRINGENTS. 217 Sirup of Galls, Brandy, $c. R. Gallarum contusarum, 3ij. Spiritus gallici, §viij. Misce. — Set the brandy on fire and burn out the spirit; — then add— Corticis Cinnamomi, Macis, aa. 3y« While hot, add sugar by burning it over the inflamed brandy until a sirup is formed. — Decant the pure sirup. — Dose. — A table-spoonful every two hours. In chronic and obstinate diarrhoea. Br, Parrish. Clyster of Lime Water and Catechu. R. Electuarii Catechu, ^ss. Aquae Calcis, £.x. Fiat solutio. — Signa. — One-half may be injected at a time; in the diarrhoea of continued fevers. Solution of Sulphate of Copper, fyc. R. Sulphatis Cupri, gr. iij. Acidi sulphurici, gtt. xx. Aquae destillatae, 3ij. Fiat solutio. — Signa. — From twenty to forty drops to be given every one or two hours in sirup, pro re nata. In menorrhagia. Thatcher's Practice. Enema of Acetate of Lead, $c. R. Acetatis Plumbi, 9j. Tincturae Opii, gtt. lx. Aquae tepid ae, ^ij. Fiat solutio. — Signa.— To be thrown up the rectum in uterine hemor- rhage. Bewees^s Syst. of Mid., p. 420. Mixture of Extract of Rhatany Root, fyc. R. Extracti Rhataniae, ^j. Syrupi papaveris, Aquae rosarum, aa. Jj. Fiat solutio. — Signa. — A tea-spoonful for a dose, pro re nata. In passive hemorrhage and chronic dysentery. M. Fouquier. 28 218 ASTRINGENTS. LINIMENTS, LOTIONS, &c. Lotion of Lime Water, Zinc, fyc. R. Oxidi Zinci, gr. xij. Cupri sulphatis, gr. iij vel iv. Mellis rosacei, 3j. Aquae calcis, 2ij. Fiat lotio. — Recommended as very useful in phagedenic ulcers of the genitals. Vide Swediaur on Syphilis. Liniment of Lime Water and Linseed Oil. R. Olei Lini, giij. Liquoris Calcis, ^vj. Fiat linimentum. — To be applied to burns and scalds by means of a feather or soft rag. Lotion of Lime Water and Alcohol. R. Spiritus vini rectificati, §ij. Liquoris Calcis, Oss. Fiat mistura. — To be applied in the same cases as the above. Lotion of Goulard's Extract of Lead, &c. R. Liquoris acetatis plumbi, 3j. Spiritus C amphorae, Jiij* Aquae fontanae, Oj. Fiat lotio. — To be used as the former. Chloride of Soda. R. Chloridi Sodas, quantum placet. This compound is much recommended by some of the French surgeons, applied by means of lint in the treatment of old ulcers. Epithem of Acetate of Lead. R. Confectionis rosae, gj. Mellis, Liquoris plumbi acetatis, Tincturae Opii, aa. Bij. ASTRINGENTS. 219 Misce. — Signa. — To be applied to painful venereal ulcers, and to chancres after the use of lunar caustic. Compound Lotion of Sulphuret of Potash. R. Sulphureti Potassae, 3ss. Saponis venetae, ^j. Spiritus rectificati, 3iv. Tincturae Myrrhae, gss. Liquoris Calcis, Oj. Fiat mistura secundum artera. — To be applied to the head night and morning, in cases of tenea capitis. The hair must be shaved pre- vious to its employment. Astringent Fomentation. R. Radicis Bistortae, Corticis Punicae granati, aa. gij. Muriatis Ammoniae, 3ij. Vini rubri, Oj. Misce. — Signa. — To be applied to indolent inflammatory swellings. Ratier's Formulary. Lotion of Bark. R. Cinchonse rubrae contuse, 3j. Aquae fontanae, Oj. Boil for ten minutes, strain, then add — Alcoholis camphorati, ^viij. This preparation may be used whenever a tonic and stimulant lotion is required. Lotion of Sulphuret of Fotassa, fyc. 1. R. Sulphureti Potassae, gj vel ^ij. Aquae, Oj. Misce. — 2. R. Acidi hydrochlorici, 3j vel ^ij. Aquae destillatae, Oij. Mix one ounce of each lotion with four ounces of warm water, and apply by means of a sponge in cases of psora. — M. Mibert. 220 ASTRINGENTS OINTMENTS. Ointment of Alum, Calomel, R. Magnesias ustae, 3j. Aquae Ammoniae, jj. Spiritus Cinnamomi, 3iij. Aquae destillatae, gvss. Misce. — Signa. — A table-spoonful every two hours. Usually given in the sickness accompanying pregnancy. Mixture of Magnesia, Camphor, fyc. R. Magnesiae albae, 3j. Camphorse, £ss. Sacchari albi, Gummi Acacise, aa. 5ij. iEtheris sulphurici, 5ss. Aquae destillatae, 5iv. Misce. — Signa. — A table-spoonful for a dose four or five times a-day. In flatulency and irritable stomach. — Dr. E. Griffiths. Dyspeptic Lie. Take of Hickory Ashes ----- l quart, Soot ------ 6 ounces, Boiling Water 1 gallon. Mix and let them stand for twenty-four hours, frequently stirring the ingredients. A tea-cupful may be given of this liquor, (decanted,) three times a-day. It should be decanted always at the end of twenty-four hours, for by standing on the materials a long time the water acquires almost caustic properties, and may do serious in- jury. This domestic remedy we have thought best to couch in the English language. It deserves an inser- tion from the circumstance that it was employed by Dr. Physick in his own case, and we are informed was of decided advantage when the usual alkaline remedies had failed. 29 226 ABSORBENTS'OR ANTACIDS. Solution of Salt of Tartar, fyc, R. Carbonatis Potassae, j}j. Pulveris gummi Acaciae, £ss. g Olei Menthae sativae, gtt. ij. Tincturae Opii, gtt. x. Aquae aeratae, ^iij. Fiat solutio. — Signa. — A table-spoonful for a dose, pro re nata. In sickness of the stomach. — Dr. Meigs, Mixture of Colombo, fyc. R. Radicis Colombae, jss. Coque in aqua, ^iij ad Z v. Cola et adde — Carbonatis Potassae, 9ss. Succi limonis, jiij. Tincturae Opii, gtt. xij. Misce. — Signa. — From a tea to a table-spoonful may be given every hour. This mixture is said to be powerfully anti-emetic; and is much praised by Dr. Meigs. Anti-Emetic Mixture. R. Tincturae corticis Aurantii, jss. Aloes socotrinae, Castorei, aa. £j. Misce. — Signa. — The dose may be from forty to fifty drops, three or four times a-day. In chronic vomiting, occasioned by atony or spasm of the stomach, the above is strongly recommended in Hufeland's Treatise on Scrofula. ABSORBENTS OR ANTACIDS. 227 Mixture with Carbonate of Soda, fyc. R. Sodae carbonatis, 9iv. Infusionis Gentianae composites, Aquae cinnamomi, al. 3iij. Tincturae Cardamomi, §ss. Fiat mistura. — Signa. — A table-spoonful every two or three hours. In acidity and flatulency of the stomach, &c„ ( 228 ) APPENDIX, NO. L DIETETIC PREPARATIONS. The importance of an acquaintance with those pre- parations of diet peculiarly designed for the patient during disease and convalescence, is so obvious that it requires little or no comment. It was remarked by Dr. Rush, in his lectures, that a physician should spend six months in a kitchen before entering upon his practical career. As the medical attendant, there- fore, is called upon frequently to give directions and rules for preparing the diet for the sick, we have in- serted a few formulae for those articles which are in daily use. However apparently trifling such a class may appear to some persons, the physician will find that an attention to it will place the patient more completely under his own control, and inspire con- fidence in the relations and attendants. The rules to be observed in giving nourishment to the sick, will generally, present themselves; but there is one in par- ticular which should not be overlooked. In all low diseases, the nurse should be directed never to give too much at once, but frequently to repeat a small pro- portion. The lapse of a very short time without food, will frequently in cases of great prostration, reduce the patient very low, and may endanger his life. This rule is not intended to be applied to those DIETETIC PREPARATIONS. 229 chronic derangements of the digestive functions, which are to be remedied principally by a regulation of diet, and in which, the old adage, "a little and often," has too frequently, we are convinced, been perniciously advised. Decoction of Barley; 01% Barley Water, Take of Pearl Barley, - - - - - 2 ounces, Boiling Water, - - - - - 2 quarts. Before adding the boiling water, let the barley be well washed. Then boil it to one-half, and strain the liquor. A little lemon juice and sugar may be added, if desirable. To be taken ad libitum in in- flammatory diseases. Mice Water. Take of Rice, - - - - - - 2 ounces, Let it be well washed, and add to it — Water, - - - - - - 2 quarts. Boil it for an hour and a half, and then add sugar and nutmeg as much as may be required. To be taken ad libitum. Rice, when boiled for a considerable time, assumes a gelatinous form, and is a very excellent diet, mixed with milk, for children. It is believed by many per- sons to have a constipating property. This opinion, however, appears to be destitute of foundation. Infusion of Flaxseed. As under Expectorants. Mucilage of Gum Arabic. As under Expectorants. Decoction of Bran. Take of Wheat Bran, recent, - - 1 pint, Water, - - - - - 3 quarts. 230 DIETETIC PREPARATIONS. Boil down one-third, strain off the liquor, and add sugar, honey or molasses, according to the taste of the patient. Bran tea may be made by using; boiling water, and suffering the mixture to stand in a covered vessel for three or four hours. ' Sage Tea. Take of The dried leaves of sage, - - half an ounce, Boiling Water r 1 quart, Intuse for half an hour,, and then strain. Sugar and lemon juice may be added in the proportion required by the patient In the same manner may be made balm and other teas. These infusions form very agreeable and useful drinks in fever, and their diaphoretic powers may be increased by the addition of sweet spirits of nitre; or, what is better, by antimonial wine. Infusion of Malt. Take of Ground Malt, - - - - - 1 pint, Scalding Water,* - - - - - 3 pints. Infuse for two hours, and strain off the liquor, to which may be added sugar or lemon juice, if required. This is a favourite preparation with Dr. Parrish, and employed by him in inflammatory fevers. Lemonade. Take of Fresh Lemon Juice, - ■* - - 4 ounces, Fresh and very thin peel of Lemon, - - half an ounce, White Sugar, - - - - 4 ounces, Boiling Water, - - - - 3 pints. * Water not quite brought to the boiling point. DIETETIC PREPARATIONS. 231 Let them stand until cold, then strain off for use. When employed in fevers, a little nitrate of potash or sweet spirits of nitre may be added. This preparation, when freely taken by the patient, sometimes produces pain in the bowels. It must therefore be given with some reserve as a daily drink. Water Gruel. Take of Oatmeal, - - - - - -2 ounces., Water, - - - - - - 1 quart. Boil for ten or fifteen minutes, and strain, adding sugar and salt to make it agreeable. Milk for Infants. Take of Cow's Milk, - - - - - 1 part, Water, - - - - - -2 parts. Loaf Sugar as much as may be agreeable. It is necessary, when children are to be raised by the hand, to dilute the milk. These proportions may be altered as the child advances in age. The ob- ject is to make a diet as near the qualities of the ma- ternal milk as possible. Rice Gruel. Take of Ground Rice, - - - - - 1 ounce, Cinnamon, - - - - - 1 drachm, Water, - . - - - - 1 quart. Boil for forty minutes, adding the aromatic near the conclusion. Strain and sweeten it. Wine may be added if necessary. Panado. Take of Wheat Bread, - - - - - 1 ounce, Cinnamon, - - - - - 1 drachm, Water, - - - - - - 1 pint. 232 DIATETIC PREPARATIONS. Boil them until well mixed, then add a little grated nutmeg and sugar. Wine or butter may also be added if desirable. Compound Salep Powders. R. Salep, Gummi Tragacanthi, Sago, aa. giv. Cochineal, 3ss. Testae ostrearum preparatae, ^j. To be carefully mixed and divided into powders of 3j each. Stir one of these powders into a pint of milk, and boil them together for ten or fifteen minutes. To be drank freely in dysentery and diarrhoea. These are the dysenteric powders of Dr. Castanello. A somewhat analogous preparation which bears the same name, is prepared as follows : R. Pulveris gummi arabici, Gummi Tragacanthi, Marantae, Sago, Tapiocas, aa\ 3ij. Mix them well together, and boil in a pint of milk, flavoured with nutmeg or cinnamon. To be used as a diet in dysentery, diar- rhoea, &c. &c. Sago. Take of Sago, ----- 2 spoonsful, Water, ----- l pint. Boil gently until it thickens, frequently stirring. Wine, sugar, and nutmeg, may be added according to circumstances. Tapioca Jelly. Take of Tapioca, 2 spoonsful, Water, 1 pint. Boil it gently for an hour, or until it assume a jelly-like appearance. Add sugar, wine, and nutmeg, with lemon juice, to suit the taste of the patient and the nature of the case. DIETETIC PREPARATIONS. 233 Arrow Root. Take of Arrow Root, 1 table-spoonful, Sweet Milk, half a pint, Boiling Water, half a pint. Eoil them a few moments over the fire. Sweetened with loaf sugar it is one of the best ali- ments for children, and more especially when their bowels are irritated. Boiled Flour. Take of Fine Flour, - - - - - - - - a pound. Tie it up in a linen cloth as tight as possible, and after frequently dip- ping it in cold water, dredge the outside with flour till a crust is formed round it, which will prevent the water soaking into it while boiling. It is then boiled until it becomes a hard, dry mass. Two or three spoonsful of this may be grated and prepared in the same manner as arrow root, for which it forms an excellent substitute, and can be obtained in the country, when perhaps the other cannot. Vegetable Soup. Take one turnip, one potato, one onion. Let them be sliced, and boiled in one quart of water for an hour. Add as much salt as is agreeable, and pour the whole upon a piece of dry toast. This preparation forms an agreeable substitute for animal food, and may be given when the former is in- admissible. Chocolate. When this is desired by the patient, it should be suffered to stand until cold, after having been made in the usual way. The oily parts thus collect on the surface and should be taken off. The liquid may then be boiled again, and sugar, &c. added as much as may be agreeable. 30 234 DIETETIC PREPARATIONS. Beef Tea. Take of Lean Beef, cut into shreds, 1 pound, Water, -------- l quart. Boil it for twenty minutes, taking off the scum as it rises. After h grows cold, strain the liquor. This preparation is more nourishing than ordinary broths, and is very palatable. Hartshorn Jelly. Take of Hartshorn shavings, 4 ounces, Water, 1 quart. Boil over a gentle fire until one pint of the water be dissipated. Strain and add lemon juice, sugar and wine. This forms, either with or without the last ingre- dients, a very nourishing diet for the convalescent; and when mixed with an equal portion of cow t 's milk, is very useful in the bowel complaints of children. Isinglass, or fish glue, may be used instead of the hartshorn shavings, if preferred. Calves' Feet Jelly. Take two calves' feet, and add to them one gallon of water, which reduce by boiling to one quart. Strain it, and when cold skim the fat entirely ofT. Add to this, the white of six or eight eggs well beaten, a pint of wine, half a pound of loaf sugar, and the juice of four lemons, and let them be well mixed. Boil the whole for a few minutes, stirring it constantly, and then pass it through a flannel strainer, This forms a very nutritious article of diet for the sick and convalescent. When desired the wine can be omitted. DIETETIC PREPARATIONS. 235 Essence of Beef. Take of Lean beef, sliced. Put a sufficient quantity into a porter bottle to fill up its body, cork it loosely and place it in a pot of cold water, attaching the neck by means of a string to the handle of the vessel. Boil this for three- quarters of an hour, then decant the liquor and skim it. To this preparation may be added spices, salt, wine, brandy, &c, according to the taste of the patient and nature of the disease. It is greatly employed in low- fevers, and therefore every one should be able to di- rect its modus prceparandi. Chicken Water. Take half a chicken divested of all fat, and break the bones; add to this half a gallon of water, and boil for fifteen or twenty minutes. Season with salt. This water has been freely employed by some phy- sicians in the early stages of cholera. Taken warm it promotes vomiting and washes out the stomach. Suet Ptisan. Take of Sheep's Suet, - 2 ounces, Milk, 1 pint, Starch, - - half an ounce. Boil slowly for ten minutes. This may be used as a common drink in dysentery. Mucilage of Starch, §*c. Take of Starch, 1 ounce, Powdered Cinnamon, 1 drachm, Gum Arabic, - - - - 1 ounce, Boiling Water, - - - - - - 3 pints. Boil until reduced one-third, and strain. 236 DIETETIC PREPARATIONS. The above may be used as a common drink in dys- entery. Wine and Mustard Wheys. As under Stimulants. Rennet Whey. Take of New Milk, 1 quart, Rennet, a large spoonful. Warm the milk and then add the rennet. Boil until the curd sepa- rates and is all taken off. To many persons this forms a very agreeable nutri- ment. Vinegar Whey. Take of Milk, 1 pint, Vinegar, ------ half an ounce. Boil for a few minutes, and separate the curd. Tartar Whey. Take of Milk, 1 quart, Cream of Tartar, half an ounce. Boil until the curd separates. Sarsaparilla Beer, R. Sarsaparilla contusse, }^ij. Pulveris corticis Guaiaci, jfviij. Ligni Guaiaci concisi, Seminum Anisi, Radicis Glycyrrhizae contuss, ail. giv. Corticis radicis Mezereii, 3ij- Sacchari liquidi, |^ij. Caryophilli contusi, gss. Aquae bullientis, congios iv. DIETETIC PREPARATIONS. 237 Mix these ingredients, and agitate the vessel thrice a-day. When a fermentation has well begun it is fit for use, and may be taken in the dose of a small tumblerful twice or thrice a-day. "This is the Spanish recipe for the Jarave or diet drink, somewhat modified. If intended for old and obstinate complaints, as leprous affections, elephanti- asis, various anomalous ulcerations and foul disorders of the skin, there may be added to the jug, after fer- mentation has well begun, tartrate of antimony twelve grains, corrosive sublimate eight or ten grains, muri- ate of ammonia one drachm, dissolved previously in a little water. These remedies greatly increase the alterative powers of the vegetable infusion, and so effectually prevent its decomposition that it may be kept for a long time unaltered, even in a hot climate.'''' — See Hancock on Sarsaparilla, Journal of the Philadel- phia College of Pharmacy , Vol. I. No. 4. ( 238 ) APPENDIX, NO- II. POISONS. Cases of poisoning are so sudden and so awful that no time is to be lost in administering relief. To do this with judgment and effect, it is requisite to be familiar with all the usual antidotes : of these we have accord- ingly selected some which possess an acknowledged efficacy, omitting at the same time many others that are unworthy of confidence. For the purpose of con- venience we have arranged the Poisons alphabetically, with the appropriate antidotes attached to each. But, as has been remarked when speaking of Emetics, our chief reliance in these cases is upon free vomiting, in- duced by those articles which are most speedy in their effect. Dr. Beck prefers sulphate of zinc, whenever it can be procured, and adds, " but if vomiting be pre- sent, we may aid it by diluents or a vegetable emetic. Tartrate of antimony should never be given." Yet even from this treatment little can be expected where the deleterious substance has remained long in the sto- mach ; and the stomach tube and syringe will be indis- pensable. To protect the stomach and intestines from the di- rect operation of poisons, it is generally recommended to give milk, lime water, soap, or drinks sweetened with sugar or honey. Oils and other fatty substances are rather injurious than otherwise. poisons. 239 When the vomiting has ceased, and retching and pain continue, Mr. Hume advises the free administra- tion of carbonate of magnesia, with tincture of opium, suspended in water. ACIDS, NITRIC, MURIATIC, AND SUL- PHURIC. The proper antidotes to these are the alkalies, alka- line earths and soaps; common pearl ash, or carbonate of potash ; calcined, or carbonate of magnesia ; chalk ; soap in solution; accompanied, with copious draughts of warm water or warm flaxseed tea. While the an- tidotes are in preparation, use freely any mild fluid, milk or oleaginous matters being preferred. ALKALIES. The best antidote is common vinegar; it is always at hand, and its affinity for these substances is suffi- ciently strong to neutralize them. Also, a fixed oil, as olive oil should be given in large quantity — several pounds being required where a large portion of the alkali has been taken ; it acts by rendering the vomit- ing easy and free, and partly by converting the alkali into a soap. ANTIMONY. The preparation of this mineral by which poisoning is commonly produced, is Emetic Tartar. This of itself produces violent vomiting, and therefore our first efforts should be directed to keeping up the emesis by means of mild diluents and mucilaginous preparations. Its antidotes are the alkalies, bitter and astringent infusions, such as common tea, Peruvian bark, the Yellow Bark and its tincture— the administration 240 poisons. of the bark in pcnvder, before the decoction is ready, &c. &c. These, and especially the bark, decompose the antimonial salt. Where the vomiting is excessive, opium will often assist in allaying it. ARSENIC. Until lately there has been no known antidote to this deadly poison, and our sole dependence has been upon mild diluents, albumen, (such as the whites of eggs suspended in milk) or warm water and sugar. Various substances have been proposed as antidotes, but without success. It is best first (if vomiting has been delayed) to give an emetic of the Sulphate of Lime, and milk should be drunk liberally both before and after the vomiting has begun. The patient should never be allowed to exhaust his strength in retching, without some milk or other fluid in his stomach to act on. The hydrated peroxide of iron, freshly prepared, was announced in the year 1834, by Dr. Bunsen of Gottingen, as an antidote for poisoning by Arsenic; and its efficacy has been confirmed by M. M. Orfila, Lesueur, Soubiain and Miguel, and also in this city by various chemists, and by experiments upon the inferior animals. The antidote is thus prepared. Hydrated Peroxide of Iron. R. Sulphuric acid (67° Baume) 8 oz. - - 16 parts. Iron wire - - 8 oz. - 16 " Nitric acid - (49° Baume) 5| oz. - 11 " Water of Ammonia - q. s. Water - -' H gal. - - 384 " Mix the Sulphuric Acid with the water in a glass vessel; then add the iron, and after the effervescence has ceased, filter. Add the Nitric Acid in divided portions. poisons. 241 and apply heat so long as orange-coloured fumes are given off. To the heated solution, pour in the "Water of Ammonia until a decided excess has been added, then wash the precipitate by decantation, until the washings give no precipitate with Nitrate of Baryta. The w r ater is then to be drawn off until just enough remains to give the consistence of thick cream. Bottles of half a pint are the most convenient size for containing it ; to each bottle add two ounces of un- crystallizable sugar or honey to prevent the oxide from separating from the water. The following direction will enable the most igno- rant to use this antidote until medical advice can be obtained. " This antidote must be administered as soon as possible after the discovery that arsenic has been taken, and as it causes no bad effects itself, it should be given every five or ten minutes, until entire relief is obtained. The dose for a grown person is a table-spoonful; for children a tea-spoonful. The bottle must be well shaken before each dose. Should the patient survive (and he will, if the antidote prepared as above be faithfully given) the inflamma- tory symptoms must be combated on the general prin- ciples for treating inflammations. The diet should consist exclusively of milk, gruel, cream, rice and si- milar bland articles. In a case of poisoning in this city, where half an ounce of the powdered arsenic had been taken and which caused extreme thirst and vomiting, all the symptoms were allayed immediately after freely taking the Hydrated peroxide of Iron. Only a slight attack of Gastritis followed, which was subdued by the usual treatment, cupping, &c. &c. B. BARYTES. The carbonate of this earth is poisonous, and might possibly be taken by mistake. Its true antidote is sul- 31 242 poisons. phate of magnesia or soda ; with these a sulphate of barytes is formed, which is perfectly insoluble, and may be brought off by emetics and copious diluents, oleaginous or albuminous. COPPER. The sulphate of this metal is, perhaps, the only chemical preparation that is likely to be taken into the stomach. A more ordinary manner is the careless use of culinary vessels, or mineral water fountains. All saccharine preparations, and the prussiates of potash and iron are considered as antidotes. But our safest reliance is upon albumen, with copious draughts of warm milk, and brown sugar or molasses. Vinegar in all cases should be avoided. G. GOLD. The nitro-muriate of gold is a powerful poison. Its antidotes are sulphate of iron, (which throws down the gold in a metallic state,) and the free use of mucila- ginous drinks. L. LAUDANUM. Laudanum, when taken in too large quantity, must be withdrawn from the stomach by active emetics, or by tickling the fauces. The stomach-tube may be used to remove whatever remains of the poison. Di- luted vegetable acids, and vinegar in particular, are then necessary, and active stimulants are also often poisons. 243 required. Iodine, bromine and chlorine are stated by M. Donne, of Paris, to be antidotes for poisoning by mix vomica and opium. M. Orfila thinks that the de- coction of galls may with propriety be used as an im- perfect antidote, until the narcotic can be evacuated from the stomach. LEAD. The acetate is the only preparation which is resorted to as a poison. The sulphate of magnesia or soda is its true antidote, as it converts the poison into a sul- phate, which is inert; — the alkaline carbonates and particularly the bi-carbonates. Phosphate of soda is also a good antidote. If the patient does not vomit, it is best to give an emetic of the sulphate of zinc. M. MERCURY. All the preparations of this metal are poisonous, and corrosive sublimate in particular. Our chief and only dependence, according to M. Orfila, is upon the al- bumen of eggs, copiously swallowed, or introduced through the stomach tube, which should be resorted to on all occasions where the patient cannot swallow or vomit. Enemata of the same should also be employed. If the albumen be taken in sufficient quantities, it decomposes the sublimate, forming a triple compound of albumen, muriatic r acid and calomel. If the re- medy excite fresh vomiting, so much the better, and if symptoms of gastritis are present, blood-letting should not be overlooked. The gluten of wheat flour is also strongly recommend- ed, on the same principle, as an antidote to corrosive sublimate. To administer it, it is only requisite to mix the flour with water. The quantity taken must be 244 poisons. very considerable. This remedy reduces the muriate to the state of calomel. Gluten of wheat flour is best given in the form of an emulsion with soft soap— thus : by mixing partly in a mortar and partly with the hand, 5 or 6 parts of fresh gluten with 50 parts of soft soap. When neither albumen or gluten is at hand, milk is a good substitute. N. NARCOTICS. The remedies employed in all cases of poisoning from this class of substances, are nearly the same, viz: the most active emetics, as sulphate of zinc in large doses, sulphate of copper and ipecacuanha. In all cases where it is possible, the stomach tube should be em- ployed to wash out that organ. After these evacua- tions, coffee and the vegetable acids are proper. NITRE. This salt is often taken in mistake for Epsom or Glauber's salts. When this happens, vomiting should be excited as speedily as possible, and be followed by the free use of mucilaginous drinks. O. OPIUM. We cannot do better in this place than transcribe what Dr. T. R. Beck, of Albany, says of the antidotes to opium. " The experiments of Orfila have demonstrated that poisons. 245 the administration of vinegar, or other vegetable acids, previous to the evacuation of the poison by vomiting, will accelerate and aggravate the action of the opium ; but that when the opium has previously been expelled, water acidulated with vinegar, or any other vegetable acid, will tend to diminish and correct the effects. Cof- fee, when prepared in strong decoction or infusion, ra- pidly lessens the symptoms, but cannot be considered as an antidote. The result of his experiments led him to give the following directions for the treatment of a person poisoned by opium. Induce vomiting, if possible, with sulphate of zinc, or sulphate of copper : but the administration of watery liquors with the view of promoting the vomiting, should be forbidden, as they dissolve the opium and promote its absorption. In order to ensure the action of the emetic, the patient must be kept roused either by discharging cold water over the head and breast, yet cold affusion must be avoid- ed in the advanced stage, when the body is cold, and the breathing scarcely perceptible. To ensure success in every case, the patient must be kept awake, either by dragging him up and down between two men, or by flagellation on the back and soles of the feet. Arti- ficial respiration may be used in desperate cases with propriety. Bleed the patient immediately after the rejection of the poison, and repeat this if necessary. Afterwards administer alternately water acidulated with any vegetable acid, and a strong infusion of cof- fee warmed — and in ten or twelve hours exhibit an enema, and let the arms and legs of the patient be well rubbed. Purgative clysters should be continued, if it be suspected that any of the opium still remains in the large intestines." — Dr. Beck's Med. Jurisprudence, Vol. II. p. 403. OXALIC ACID. Death is generally sudden when this poison has been taken. A mixture of chalk and water is recommended 246 poisons. by Dr. Thompson, for the purpose of converting the acid into oxalate of lime. The alkalies must be avoided, as they act with an energy very little inferior to the acid itself. It is particularly necessary to avoid giving warm water with a view to accelerate vomiting; for dilution will promote the entrance of the poison into the blood, if it has not the effect of immediately expelling it. S. SILVER. The nitrate of this metal is sometimes taken by mistake: its antidote is common salt, largely given, with copious draughts of mucilaginous drinks to pro- mote vomiting. The salt produces an insoluble mu- riate which has no power on the system. Beck. T. TIN. When any of the salts of tin are taken, albumen of eggs, or milk given freely, is the appropriate remedy. Milk forms a coagulum with the muriate of tin, and renders it innoxious. Z. ZINC. The sulphate of this metal is occasionally taken in an over-dose. Warm water and emollient drinks are proper in such cases ; but milk is particularly useful, from its power of decomposing the sulphate. Also al- bumen. poisons. 247 The crystallized sulphate of zinc very closely re- sembles the sulphate of magnesia, and has been mistaken for it. This fact should be borne in mind by apo- thecaries and physicians. The following works have been referred to in forming this Chapter on Poisons. A Treatise on Poisons, by Robert Christison, M. D. Turner's Chemistry. Manuel de Medeeine Legale, par A. Brierre de Boismont. Orfila, Toxicol. Generale. Henry, Thompson, &c. &c. ( 2 43 ) APPENDIX, NO. III. ON THE ENDERMIC USE OF MEDICINES. " The science of medicine," says Dr. Gerhard,* " has recently received an important auxiliary to its resources, by the discovery that remedial substances when applied to the cutis, after the removal of the epi- dermis, produce their peculiar effects with nearly the same energy as if introduced into the alimentary canal. This mode of exhibition, which has received the name of the endermic method, or endermic medication, is al- ways found much more efficacious than the ialatreptic method of Christien, or the administration of medi- cines by means of frictions on the cuticle." The endermic method requires the previous separa- tion of the cuticle. This is best effected by a blister about four inches square. A small portion of the cuti- cle should be removed, and the medicine inserted into the opening so that it may come in contact with the vesicated surface. Substances used in this way, must be applied in two or three times the quantity requisite when given by the mouth. " The remains of the sub- stance applied are much less than the original quantity, and sometimes no trace of it can be perceived ; the whole * North Amer. Med. and Surg. Journ. April, 1830, ON THE ENDERMIC USE OF MEDICINES. 249 appearing to be absorbed or mingled with the secre- tions." We avail ourselves of Dr. Gerhard's valuable paper for the following facts in relation to those medicines which act most effectually in the endermic method. Sulphate of Quinia. — Blister to be applied to the epigastrium during the apyrexia; and if the paroxysm returns before the quinia can be used, defer it until the next apyrexia. Apply four grains of powdered quinia, (either alone or with an equal quantity of starch,) four times a-day, for two successive days. A less irritating- plan, however, is to dissolve sixteen grains of quinine in two ounces of water, with which the blistered surface is to be repeatedly wet during the day, by means of a soft linen cloth. There is no occasion to remove the loose epidermis; it is all-sufficient to puncture it in se- veral places to allow the solution to touch the denuded surface. Morphia. — The acetate and. sulphate act readily and effectually. The sulphate is preferable because more soluble and less irritating. It may be applied in pow- der, in solution, or in the form of cerate.— The dose varies from half a grain to two grains. Its effects are speedily perceptible. Digitalis. — Dose, two grains three times a-day. Aloes. — This medicine acts on the bowels with near- ly the same certainty as if taken internally. Dose, ten grains, to be repeated, if necessary, in a few hours. Gamboge, owing to its solubility, purges freely in the endermic method. Dose from five to eight grains. Rhubarb, Jalap, Elaterium and Croton Oil, contrary to what might be expected, do not produce catharsis, although they excite severe local irritation. Squills. — This medicine in powder, sprinkled on a blistered surface three times a-day in the quantity of •four grains at each application, causes copious diuresis. Its power is increased by combination with Digitalis, in the proportion of four grains of the former to one of the latter. 32 250 ON THE ENDERMIC USE OF MEDICINES. Emetics from the vegetable kingdom all produce their effect in the endermic method. The metallic medi- cines of this class produce merely local irritation. Mercury. — Every practitioner is well aware of the endermic action of mercury. Iodine. — This substance acts rapidly : it is best ap- plied in the form of ointment, made by rubbing a drachm with an ounce of cerate. INDEX. A. Absorbents, 222. Acetate of ammonia, 49, 162. of ammonia, embrocation, 107. of ammonia and camphor, 206. of ammonia and opium, 206. of lead with calomel, 201. of lead with opium, 201, 202. 217. of lead, epithem of, 218. of mercury, 152. of morphia, 142. 148. of zinc, injection of, 211. Acorn coffee, 184. Acid, prussic, 80. sulphuric, 166. nitrous, 198. nitro-muriatic, 198. nitric, 37. 198. pyroligneous, 209. linctus of muriatic, 187. Acids considered as poisons, 239. Aloes with canella, 26. 88. with rhubarb and soap, 31. with gentian, 31.186. with ipecacuanha, 32. with asafoetida and soap, 32. with blue pill, 33. with guaiacum and rhubarb, 34. Alcohol with lime water, (lotion,) 191. Alkalies considered as poisons, 239. Alkaline bath, 124. Alteratives, 188. Althea collyrium, 208. Aloetic enema, 100. Almond emulsion with squills, 75. Alum, burnt, 124. with kino, 200. with opium, 201. with extract of bark, 202. 216. whey, 216. curd, 205. collyrium of, 205. Alum and sulphate of zinc, 21. with oak bark, (gargle,) 212. 213. with spirits of nitre, 186. with calomel, 220. Ammoniated counter-irritants, 106. Ammonia, nitrate of, 67. carbonate of, with valerian, 134. acetate of, 48. 64. muriate of, with arsenic, &c. 175. muriate of, injection, 211. Amber oil, 1 1 6. salt with castor, 156. Ammoniac mixture, 84. and squills, 77. gum, with squills, 72. with conium, 72. and nitric acid, 80. Ammoniuret of copper, 174. 178. of copper, injection of, 212. Anodynes, 141. Anodyne draught, 147. pills, 64. Angustura bark, 171. 185. Antacids, 222. Anti-emetic mixture, 226. 18. Antilithics and lithontriptics, 56. Anthelmintics, 95. Antidynous lotions, 106. Antispasmodics, 156. Antimonial wine, 20. wine with nitre, &c.*64., wine with water of ammo. nia, 64. wine with tincture'of tolu, 64. powder, 62. powder with calomel, &c. 63. Antimony, antidotes of, 239. 252 INDEX. Aromatic Pills, 133. sulphur ointment, 221. Arsenic, white oxide of, 124. 197. ointment of, 124. Arsenic, pills of, 175. antidotes to, 240. Arsenical solution, 182. Arsenious acid, 124. Arsenical powder, 125. Arseniate of iron, 197. Arrow root, 233. Asafoetida with magnesia, 35. with aloes, 32. with tolu, &c. 77. milk of, with aq. ammonias. 78. with soap, 156. with castor, 158. mixture, 158. with valerian, &c. 158. enema, 159. Astringents, 200. B. Baths, 119. Bareges, 120. sulphureo-gelatinous, 120. nitro-muriatic acid, 120. emollient, 120. sublimate, 121. alkaline, 121. artificial Harrowgate, 121. Barytes, muriate of, 69. antidotes of, 241. Balsam copaiva, mixture of, 51. 54. copaiva with cubebs, 53. copaiva with calomel, 54. copaiva with Bolus, 54. copaiva with tolu, 78. copaiva in pills, 46. Peruvian, 210. 79. Barley water, 229. with muriatic acid, 56. with nitre, 69. Belladonna, 80. 112.152. 153. Beef tea, 234. essence of, 235. Bismuth with cubebs, 134. pills, 175. Blake's toothach solution, 213. Blister issue, 129. Blisters, 102. Blue pill, 164. Blue pill with jalap and aloes, 29. with rhubarb, 29. with colocynth, 32. with aloes, 33. Black wash, 127. drop, 151. Blood root, 78. Boneset, 68. 179. Boiled flour, 233. Boracic acid, 159. Borage flowers with sarsaparilla, 66. Bougies, 130. Sharp's, 130. Dr. Swediaur's, 130. Bole with sulph. copper, 211. with sulph. zinc, (injection,) 211. Borax, (gargle,) 213. Brown mixture, 74. Bran, decoction of, 229. Brucia, pills of, 194. tincture of, 194. Bromine, 195. Bromide of potassium, 195. of iron, 195. Butternut, extract of, 32. Burdock in decoction, 66. Burnt sponge, 193. Burnt alum, 124. C. Cathartics, 24. Calomel with jalap, 25. with jalap and rhubarb, 26. with rhubarb, 26. with rhubarb and opium, 30. with extract of colocynth, 33. with squills, 47. 72, 73. with squills and digitalis, 47. with nitre and tartar emetic, 60. with ipecacuanha, nitre, &c. 60. with opium, 61. with opium and antim. powder, 61, 62. with gamboge, 95. with pink root, 95. with lime water, 157. with iodine, 108. pills, 151. with acetate of lead, 201. with laudanum, (injection,) 184. with alum, ointment of, 220. with quinia and opium, 196. with quinia and tart, antimon., 220. Calves' feet jelly, 234. Camphor with emetic tartar, &c. 63. with guaiacum, 138. mixture, 92. 136. INDEX. 253 Camphor julep, 123. enema, 100. 135. and mercury, 104. liniment, 113. with cantharides, 132. in milk, 136. with magnesia, 136. with myrrh, 137. with musk, 157. with acetate of ammonia, 65. with opium, 204. with Hoffman's anodyne, 150. cinchona, 172. with nitric acid, &c. 203. water with laudanum, &c. 204. with magnesia, 225. Canella with aloes, 26. Carbonate of soda with ipecacuanha, 76. of soda with rhubarb, 223. of soda with magnesia, 223. of soda with gentian, 227. of potash with cochineal, 76. of potash, 87, 224. of potash with opium, &c. 224 226. of iron,' 96,157,172. Castor oil, 34. with spirits of turpentine, 35. enema of, 42. Catechu and alum, 202. injection of, 210. electuary, 204. mixture, 216. with logwood, 216 Castor with amber, 156. with asafoetida, 158. Cantharides, Dewees's tincture of, 92. with spirits of turpentine, 111. liniment of, 113. with camphor, 133. Cataplasm, antiseptic, 119. of pepper, &c. 116. of mustard, 117. of garlic, 117. of yeast, 118. of carbon, 118. of iodine, 117. of salt, 118. of y est, 118. antiseptic, 119. resolvent, 119. Caustics, 123. Caustic potash, 123. lunar, 123. Cayenne pepper and alcohol, 116. Cayenne pepper infusion, 130. in pills, 132. Charcoal, 29. Chicken water, 235. Chamomile infusion, 185. Chiococca anguifuga, 57. Chocolate, 233. Chalk with opium, 222. with rhubarb, 222. mixture, 203, 224. Cherry tree bark, 173. Chloride of soda, lotion of, 218. Chlorine fumigation, 87, 122. Cider with parsley, &c, 48. Cinchona, 170. with uva ursi, 55. with serpentaria, 171. with sulph. magnesia, 171. with cloves, 171. with camphor, 172. with Epsom salts, 159. extract of, with gentian, 173. electuary, 177. tincture of, 183. decoction of, 179,181. in Port wine, 181. with valerian, 184. extract of, enema of, 187. with lime water, 216. extract of, 182. lotion, 219. Cinchonia, 173. Cinchonina, 181. Citrate of ammonia, 67. of potash, 63. Cicuta. See Conium. Cloves, 118. Copaiva. See Balsam. Colchicum wine 39, 52. with Epsom salts, 40. with magnesia, 39. with elaterium, &c, 41. with squills and tobacco, 50. Cochineal with common salt, 96. with carb. potash, 76. Confection of sulphur, 32. Conium with tolu, paregoric, &c, 75. with ipecacuanha, 71. with hyoscyamus, 143. extract of, 144. with calomel, 145. with squills, 72. infusion of, 152. Collyrium, opiate, 205. of alum, &c, 205. of vinegar, 206. of acetate of ammonia and camphor, 206. 254 INDEX, Collyrium, of acetate of ammonia and opium, 206. of sulphate of copper, 207. of corrosive sublimate, 207. of opium and camphor, 207. of poppies, 207. of nitrate of silver, 208. of sugar, 205. of mercury, 205. of dry opium, 205. of acetate of zinc, 206, of acetate of lead, 206. of ioduret of potassium, 206. of strychnine, 208. emolient, 208. anodyne, 208. of colchicum, 208. Colocynth with calomel, 33. with antimony, &c, 33, 34. Confection of sulphur, 33. of opium, 160. Corrosive sublimate and lime water, 126. pills, 161. with hemlock, 1 62. mixture of, 165. solution of, 165, 166. collyrium of, 207. injection of, 210. Cowhage electuary, 97. Coxe's hive sirup, 23, 75. Copper, sulphate of, 175. ammoniuret of 174, 178. sulph. of, with bole, 211. sulphate, collyrium of, 207. antidotes of, 242. Cough lozenges, 73. mixture, 74. Columbo with ginger, 172, 183. with rhubarb, 172, 183. with magnesia, 223. mixture of, 226. Croton oil, pills of, 31. mixture of, 36. with potash, 36. Cream of tartar in solution, 48. with juniper berries, 49. and sulphur, 27. Creosote liniment, 115. ointment, 112. pills, 202. mixture, 203. alcoholic solution of, 203. Crabs' claws with rhubarb, 195. Cretaceous powder and opium, 222. Cubebs with copaiva, 53. with ergot, 47. Cubebs lozenges, 75. with bismuth, 134. with carb. of soda, 134. Cyanide of potassium, 83. of mercury, 163. D. Dandelion, infusion of, 55. pills, 47. with blue mass, 47. Denarcotized laudanum, 150. Decoction of burdock, 67. of cainca, 51. of pipsisseway, 55. of madder, 91. of cantharides, 111. of mezereon, 67. of lobelia, 67. of sarsaparilla, 68. of barley, 229. of barley, with nitre, 69. of Iceland moss, 81. of seneka root, 84, 90. of aloes, 39. of Geoffrea bark, 98. of pomegranate, 100. of turpentine and cantha- rides, 111. of sponge, 193. of bitter sweet, 152. -of stramonium, in milk, 153. of cinchona 179. of cinchona with valerian, 184. of Augustura bark, 185. of wild cherry bark, 185. of dogwood, 186. of bran, 229. Dewees's tincture of guaiacum, 92. tincture of cantharides, 94. carminative, 35. Deuto-iodide of mercury, 132, 168. Dietetic preparations, 228. Digitalis with opium and calomel, 46. with squills and colomel, 47. and acetate of potash, 51. tincture of, with opium, &c, 77. with opium, 144. tincture of, 151. infusion and tincture of, 50. Diaphoretics, 59. Diuretics, 45. Diuretic drops of Ferriar, 49. liniment 51. Doses of laudanum, 147. Dover's powders, 61. INDEX. 255 Dogwood bark, infusion of, 186. Dulcamara, decoction of, 152, Dupuytren's antisipiiilitic pills, 162. Dyspeptic lie, 225. Effervescing draught, 64. Elaterium with nitre and squills, 41. Electuary of senna and figs, 34. of Jalap, nitre, &c, 41. of sulphur and senna, 42. of tin, 97. of cowhage, 97. of cinchona, iron, &c. 177. of catechu, 204. Elixir paregoric, 151. vitriol with sulph. of iron, 171. Embrocations, 114. Emetics, 18. Emetina lozenges, 21, 74. solution of, 21. Emmenagogues, 88. Emulsion of phosphorus, 137. Endermic use of medicines, 248. Enema of castor oil, salts,