LIBRARY OF CONGRESS, • —.--'■ ®jpqu..*. x - @q^ri# fa Shelf. UNITED STATES OF AMERICA. OUTLINE OF TipTipT WITH D0?IMETI(I[! flpIULEp: From the Stand Point of the General Practitioner. BY W. F. Waugh, A.M., M.D., Late Professor of Practice, etc., Medico-Chinirgical College ; Secretary of Section of Medicine, Ninth International Medical Congress ; ex-President Medico-Legal Society, of Philadelphia ; Member of the American Medical Association ; Pennsylvania State Medical Society ; Editor of Times and Register, of Philadelphia, etc. published by The Medical World, 1520 Chestnut Street, Philadelphia, Pa. 1892. -wJ d i rr~x i \ INDEX. -[^,3* PAGE. Preface, 3 Dosimetric Remedies, 5 Mode of Administration, 5 Doses for Children, 5 Number to be Dispensed, 6 Cautions in Using Powerful Alkaloids, - - 6 Doses of Dosimetric Granules (Arranged Alpha- betically), 9 Index of Diseases, Arranged Alphabetically, with Dosimetric Treatment, - - - 21 Copyright,.i892, by C. F. Taylor. PREFACE. THIS is an outline of dosimetric medication, not a complete system of medical practice. There are many valuable medicines that cannot be put into the granule form, and many affections that require very different treatment. For instance, in case of puerperal septicemia, such indications as can be met by the use of the granules are men- tioned, but I would be very sorry to have any reader think I would rely on these and neglect to first clear out all decomposing matter from the uterus. With this understanding, it must be added that a great majority of the affections a physician is called upon to treat with drugs can be treated with these granules. They are easily administered, they can be readily dissolved in water, and thus given to little children. When desired, they may be given hypodermically. Consisting of the active princi- ples, they are arms of precision, bearing the same relation to the old-fashioned galenical preparations that the rifle does to the shot-gun. The former re- quires a careful aim, but is much more likely to hit the mark, Further than this, there is nothing in dosimetry to warrant its elevation into a special system of medication. No new properties are im- parted to drugs by putting them up in this form. 4 PREFACE. Dosimetric aconitine has just the same therapeutic value as aconitine as put up by the pharmacist on the doctor's prescription, and no more ; with the exception, however, that it is likely to be in more accurately divided doses, and more pure and uni- form in quality, since a reliable manufacturer of granules, handling drugs in large quantities, has better opportunities of selecting them than the or- dinary retail pharmacist has. DOSIMETRIC REMEDIES. FOR the physiological action of medicines, we must refer our readers to the great works of I^auder Brunton, Wood, Ringer, Gubler, and Hare. Our present limits confine us to a few hints as to the use of these remedies in the form of dosi- metric granules. The doses are small enough to allow very fre- quent repetition. If a strong effect is desired, several granules can be given at once. When a quick effect is desired, they should be given in hot water. In gen- eral, it is best to give small doses, frequently repeated, until the desired effect is obtained ; but sometimes a powerful effect is desired speedily, when full doses should be given. When several different granules are indicated, it is best to dissolve them in a single glass of water, allowing a teaspoonful to each dose. Very few persons will complain of the taste, but for those who do, it is well to have a vial of saccharine in the case, and shake a few particles into the solu- tion. If solution does not occur at once, the gran- ules may be crushed with a spoon. For children, the dose should be regulated by the ordinary rule, giving such a proportion of the adult dose as is represented by the age, divided by the age plus 12. Thus, a child one year of age should receive 1&12 = ii of an adult dose. I have never seen any calculation of the dosage of infants under one year. The following is suggested, in the absence of a better : Two -thirds of the dose for one year may be given to a child from nine to twelve 5 6 OUTLINE OF TREATMENT months old. From six to nine months, the dose should be one-third that for a year ; from three to six months, one-fourth ; and under three months, one-eighth the dose for a year, making due allow- ance in using drugs that are borne better, and those that are not so well borne, by children, in propor- tion to age. Sufficient medicine should be left to last until the next visit, and no more. This gives a chance to change without the appearance of vacillation — always disastrous to the doctor. Children should be seen frequently, especially when we are trying to abort or " jugulate" a fever. If several different granules are given at the same time, but at different intervals, they should be dispensed in separate pack- ages. Directions as to each should be given in writing. It is incredible how little consideration a nurse may be giving to your orders, although her attitude expresses rapt attention. In the following table the ordinary doses are given ; exceptional ones are noted when treating of the dis- ease. In general, the granules are best given singly, or not more than three at a dose, repeated at short intervals. Thus, aconitine, anemonine, antimony and veratrine should be given in hot water every ten to thirty minutes, until the effects on the pulse are manifested. They may then be given whenever the pulse rises over the limit determined upon. Ipecac, apomorphine and expectorants generally, should be given in the same way. The arseniates and heart tonics should be given in single granule doses, repeated every two hours, except glonoin, which may be repeated every ten minutes. Reme- dies given for insomnia, enuresis and night-sweats, should be given in a single, full dose at bed-time. Bitter tonics are best given in cold water, before WITH DOSIMETRIC GRANULES, 7 meals. Remedies for gastric^catarrh should be given in hot water, one-half hour before meals. Emetics, cathartics, pilocarpine when its full effect is desired, should be given in a single, full dose. Remedies for hemorrhage, as digitaline, ergctine, etc., full doses every four hours. Laxatives, in sin- gle doses, before meals. For vomiting, single granules, repeated every fifteen minutes. Tissue reconstructives, such as the lime salts, single gran- ules every hour. Remedies for neuralgia, full doses every hour. For chronic catarrhs, medium doses every two hours, unless the patient is hard to manage, when give a full dose on rising, and on going to bed. " Blood purifiers," like iodoform, calcium sulphide, one every hour. To relieve pain, full doses, in hot water, repeated very often. For malaria, delirium, nervous paroxysms, chorea, asthma, hysteria, palpitation, etc., full doses in hot water. For syphilis, small doses, repeated often. For diarrhea, a dose after each stool. For atonic dyspepsia, small doses before and after meals. In many cases the physician can take the quantity he would use of ordinary preparations, and simply give it in broken doses ; for instance, if he would give 1-50 grain of digitaline every five hours, he can give 1-500 every half hour, leaving a " stop order" in all such cases. Burggraeve gives the strychnine salts, one granule every half hour, for acute diseases, and digitaline every one-fouith hour. I do not like this use of digitaline ; its action lasts too long for such a rapid administration, audit is best used in full doses. Acetanilide should be given cautiously to weakly people ; veratrine, aconitine, tartar emetic, likewise. Colchicine is a dangerous drug for the old, the young, or the weakly. It is a priceless remedy in all plethoric states. Heart tonics should be 8 OUTLINE OF TREATMENT watched, and given till the pulse comes up like a fiddle-string in tune. Arsenic acts best on an empty stomach. It should not be given after it has caused puffiness of the eyelids, with itching or eczema. Apomorphine should be given to children in emergencies only. Atropine is not good for blondes. Curarine, daturine, duboisine, canthar- idine, elaterin, emetin, glonoin, hyoscine, hyos- cyamine, mercury cyanide, muscarine, napelline, rhus, sanguinarin, scillitoxin, zinc cyanide and zinc phosphide, are drugs that should be handled care- fully, and not entrusted to children, or to those who are untrustworthy. These few suggestions may serve as an introduc- tion to the use of dosimetric granules. WTDH dosimetric granules, DOSES OF DOSIMETRIC GRANULES. In this list the ordinary doses for adults are given. Absinthine, gr. i, two granules before meals, for constipation and anorexia. Acetanilide, gr. i, one to two every hour. Max- imum dose for sunstroke or hyperpyrexia (105 or over) 15 grains. Acetanilide y gr. \ y for children. Acid arsenious, gr. T J T , one every one to four hours. Acid benzoic, gr. 1, one every half hour, to re- lieve irritable bladder. Acid carbolic, gr. ^ , one every half hour. Acid phosphoric, gr. \, one to three every half hour, to relieve thirst of fevers. Acid valerianic, gr. \, one every ten minutes, until nervousness has been subdued. Aconitine, gr. 5^, one every half to two hours, till fever drops. Adonidin, gr. ^ 7> one every half hour, for pains of heart disease, and as a heart tonic and diuretic. Agaricin, gr. gV, five to eight between tea and bedtime, for night-sweats. A loin, gr. y 1 ^, one to three before each meal, as a laxative. Aletrin, gr. \, three before meals as bitter tonic ; one every hour for chronic rheumatism. IO '. OUTLINE OF TREATMENT Ammonium iodide ', gr. i, one every half to two hours. Anemonine, gr. ^ 7 , one every ten minutes, for pain ; less often for chronic maladies. Antimony arseniate y gr. ^ 7 , one every two to four hours. Apocynin, gr. y 1 ^, one every half hour, as expec- torant ; less often for scrofula or chronic rheu- matism. Apomorphine, gr. -fa, one every half hour, as ex- pectorant ; six as an emetic. Arbutine, gr. -J, three to six every half hour, for bladder troubles. Arnicin, gr. J, one every half hour, as cerebral stimulant. Arsenic bromide, gr. -fa, one every two to four hours. Arsenic iodide, gr. ^ 7 , one every two to four hours. Arsenic sulphide, gr. -£ 1% one every two to four hours. Aristolochin, gr. \, one every half to two hours, as stimulant. Asclepiadin, gr. J, one every quarter to one hour, as expectorant ; less often as alterative in rheuma- tism, catarrh, asthma. Asparagine, gr. ^ 7 , one every half hour, as diu- retic. Aspidospetmin, gr. y 1 ^, one every hour, as res- piratory stimulant in asthma or dyspnea. Atropine, gr. 3 J ¥ , one every half hour, till pupils begin to dilate. Baptisin, gr. \, one every hour, in gangrene, WITH DOSIMETRIC GRANTEES. II diphtheria, or anginous scarlatina ; two before meals as appetizer. Barium chloride, gr. i, one every four hours, for scrofula or worms. Barosmin, gr. i , one every four hours, for urinary diseases. Berberine, gr. \, one every half hour, for dyspep- tic pains. Bismuth subnit., gr. i, one every ten minutes, for heartburn, waterbrash, diarrhea or nausea. Brucine, gr. £ Jf one every half hour, as heart or nerve tonic. Breine, gr. y 1 ^, one every hour or two ; less often for hemorrhage or serous effusions. Btyonine, gr. ^ one every half hour, till purg- ing occurs. Cactus tinct.y m. l A, four to eight every two to four hours. Caffeine citrate, gr. \, one every half hour; heart tonic and nerve stimulant. Caffeine arseniate, gr. -gV, one every one to two hours, for heart pains. Caffeine valerianate, gr. \, one every ten min- utes, to restore nervous equilibrium. Calcium lactophos., gr. i, one every hour, to check tissue waste or repair it. Calcium sulphide, gr. ^ one every hour, to pre- vent suppuration. Calcium iodide, gr. */, one every hour, for scrof- ula. Calomel, gr. ^ one every half hour, when a quick impression on system is desired ; or for vomiting. One every four hours for bowel diseases. 12 OUTLINE OF TREATMENT Camphor monobrom., gr. x / ly one every half hour, for whooping-cough, Cannabin tannate, gr. \, one every half hour, as palliative ; two to six at once to produce sleep or relieve severe pain. Cantharidate potassium, gr. T J ? , one every one to four hours, cautiously. Caulophyllin , gr. y 1 ^, one every half hour, as etn- menagogue or antispasmodic. Capsicum, gr. \, one every half hour. Calumbin, gr. J, one every half hour, as an ele- gant tonic, or for vomiting, flatulence, or dys- pepsia. Cerium oxalate, gr. \, one every five minutes, for vomiting. Chelidonin, gr. |, three every two hours, for scrof- ula, or as stimulant to all excretions. Chelonin, gr. \, stimulant to liver, one every hour. Chimaphilin, gr. \, one every hour, for urinary disorders. Cicutine, gr. T J ¥ , one every one to three hours, as muscular sedative. Cocaine, gr. y 1 ^, one every half hour, as nerve " steadier," soother of irritability wherever applied and a heart tonic. Codeine, gr. y 1 ^, two to four for severe pain, dia- betes, or insomnia ; one every half hour to relieve slighter pain. Colchicine, gr. ^ m one everyone to three hours, carefully watched (see preface), for gout, or urice- mic headache ; less often for other cases. WITH. DOSIMETRIC GRANULES. Ij Collinsonine, gr. £, one every half hour, as astrin- gent and diaphoretic. Convallamarin y gr. \ t one every two to four hours, as heart tonic and diuretic. Colocynthine, gr. T V, one every hour, as cathartic. Cornine, gr. \ t one every half hour, as tonic anti- pyretic. Corydalin, gr. y 1 ^, one every half hour, as altera- tive in cachexias. Copper sulphate, gr. y 1 ^, one every half hour, as astringent. Copper phosphate, gr. |, one every hour, for phthisis. Copper arsenite, gr. 1 ^ J , one every hour or two. Cotoin, gr. \, one every half hour, for colliqua- tive diarrhea, sweating, or bronchorrhea of con- sumption. Creasote, gr. T ^, one every half hour, in phthisis. Cubebin, gr. i, one every hour, for gleet or chronic catarrhs. Curarine, gr. T J T , one every half to two hours, in tetanus. Croton oily gr. T V, one to three every hour, as cathartic. Cypripediin, gr. y 1 ^, one every half hour, as nerve stimulant. Daturine, gr. 5^, one every hour, till pupils dilate. Delphiniin, gr. ^g-, one every half hour, till nausea begins ; for asthma or rheumatism. Digitaline, gr. ^ T , one to three every four hours, as hemostatic or heart tonic ; one every four hours, for hectic or septic states. 14 OUTLINE O* TREATMENT Dioscorein, gr. \, one every half hour, for pains in abdominal organs. Dover's powder, gr. i, one every half hour, as expectorant. Duboisin, gr. - 5 ^- Uf one every half hour, till pupils dilate. Elaterin, gr. T \±, one every hour, for free pur- gation. Ergotinine, gr. T J ¥ , one or two every four hours, as hemostatic ; ten as a maximal dose in emergencies. Ergo 'tine , gr. i, one to four every four hours. Emetine, gr. ^io> one every hour, as expectorant. Erigeron oil, gr. y 1 ^-, one every half hour, for paresis of bladder neck, or hematuria. E serine, gr. T J ¥ , one every hour or two, for chorea ; double for tetanus. Eucalyptol, gr. \, one every half hour. Euonymin, gr. \, two to six every four hours, as mild physic. Fupatorin, gr. \, one every half hour, as diapho- retic, to break up colds. Eupurpurin, gr. \ } one every half hour, for rheu- matism or cystitis. Felbovis, gr. i, one after meals, for acholic stools. Fraserin, gr. \, three to six before each meal, as tonic and appetizer. Gelseminine muriate, gr. -^\^, one or two every half hour, for neuralgia, colds or dysmenorrhea ; less often for sexual excitement ; carefully watched. Glonoin, gr. ^io) one every ten minutes, for heart failure, asthma, angina pectoris, fainting or dyspnea. WITH DOSIMETRIC GRANULES. 15 Gold bromide, gr. fa one every two to four hours, for epilepsy, syphilis, chorea, etc. Gold chloride y gr. fa one every two to four hours, for epilepsy, syphilis, chorea, etc. Geranin, gr. J, one every half to two hours, for diarrhea or intestinal hemorrhage. Gossypin, gr. \, one or two every half hour. Guaiacol, gr. -J, one every hour, or three every three hours, for consumption. Hamamelin, gr. \, one ever} half hour, as hemo- static in all passive hemorrhages ; and in dysen- tery, phlebitis, hemorrhoids and purpura. Helonin, gr. J, one every half hour, for leucor- rhea and genital atony. Hydra?i gein, gr. \, one every hour, in calculous affections. Hydrastine, gr. \, one every half hour, for catarrhs or hemorrhages. Hyoscyamine, gr. o^r, one every one or two hours, as an antispasmodic. Hyoscine, gr. 3-^, one every hour or two, for delirium or mania. Inulin, gr. fa one every half hour, for chronic cough, atonic dyspepsia or debility. Iodine, gr. fa, one every half hour, for strumous affections. Iodoform, gr. fa one every hour, for headache or gastric pain. lodol, gr. J, one every half hour. Ipecac, gr. fa one every hour, as expectorant ; every two hours for dysentery ; every four hours for hectic, dyspepsia, or catarrhs. l6 OUTLINE OF TREATMENT Iridin, gr. T ^, one or two every half to one hour, as stimulant to liver, cathartic, etc. Iron iodide, gr. \, one every half hour, for scrofula, and to carry off remains of inflammations. Iron arseniate, gr. ^ y , one to four every two to four hours, as a tonic. Iron phosphate, gr. \, one every half hour, for anemia and wasting. Iron valerianate, gr. \, one every half hour, for anemia with hysteria. Juglandin, gr. \, one every half hour, as mild laxative. Jalapin, gr. \, one every half hour, as cathartic. Koussein, gr. \, full dose in morning, fasting, for tapeworm. Leptandrin, gr. \, one every hour or two, for mild stimulant to liver. Lead acetate, gr. \, one every half hour. Liatrin, gr. \, one every half hour, for gleet. Lithium salicylate, gr. \, one every half hour, for gout, gravel, rheumatism, or uricemia. Lobelin, gr. T J ¥ , one every hour, as antispas- modic, expectorant, diaphoretic, or for asthma, dypsnea, whooping-cough, etc. ; one every two hours, for costiveness. Lycopin, gr. \, one every half hour, for dysentery or cough. Macrotin, gr. J, one every half hour, for chorea, rheumatism, lumbago, after-pains, hypochondria, etc. Manganese binox, gr. i, one every hour, for heartburn, waterbrash, duodenal catarrh, or anemia. WITH DOSIMETRIC GRANULES. 17 Menispermin, gr. \, one every half hour, as "blood purifier/ ' Mercury biniod, gr. -g a 7 , one every two hours. Mercury protiod, gr. -|, one every three hours. Mercury salicylate, gr. y 1 ^, one every two hours. Mercury cyanide, gr. T \^, one every hour. Mercury bichloride, gr. T J ¥ , one every hour. Mercury and chalk, gr. \, one every hour. Morphine sulph., gr. y 1 ^, one every two hours. Morphine sulph., gr. ^ 7 , one every quarter hour. Morphine muriate, gr. y 1 ^, same dose as sulphate. Morphine muriate, gr. ^ 7 , same dose as sulphate. Muscarine, gr. -^ 7 , one every half hour in even* ing, for night sweats. Myrtol, gr. \, one every half hour, for fetid sputa. Napelline, gr. T tjW one ever y four hours. Naphthol beta, gr. -J, one every half hour, as in- testinal antiseptic. Narceine bimeco?iate, gr. \, one to three every half hour, as hypnotic. Nickel bromide, gr. \, one every hour, for epi- lepsy. Nicotine, gr. ^i ¥ , one every half hour, in tetanus. Panduratin, gr. \, one every hour, in gravel. Papoid, gr. i, one every quarter hour, for " lob- ster poisoning, " and two after meals to insure digestion. Pelletierin sulph., gr. i, two to four in morning, fasting, for tape-worm. Pepsin pure, gr. i, one after each meal. l8 OUTLINE OF TREATMENT Physostigmine salic, gr. ^^, one every hour, for tetanus, or poisoning by strychnine. Phenacetine, gr. i\, one every hour or two, for fever. Phytolaccin, gr. \, one every half hour, for scrofula, obesity, mastitis, abscess in any gland. Picric acid, gr. J, one every hour, for ague, albuminuria or headache. Picrotoxin, gr. T J ¥ , one every hour or two, for night sweats, laryngeal paralysis, morphine or chloroform poisoning. Pilocarpine, gr. T \, one every hour, for agalactia, two to four at once to break up febrile attack, etc., by profuse sweating. Piperin, gr. T ^-, one every half hour, for atonic dyspepsia. Platinum bichlor., gr. ^ T , one every half hour, for syphilis, scrofula, sexual weakness. Podophyllin, gr. T \-, one every one to four hours. Populin, gr. \, one every half hour, for debility of malaria dysentery, dyspepsia, etc. Potass, arseniate, gr. £ Yi one every two to four hours. Potass, bichromate, gr. jfe, one every hour. Potass, permanganate, gr. T V> one every hour, for amenorrhea. Potass, cyanide, gr. ^ T , one every half to two hours, for consumptive cough and hectic. Quassine, gr. -gj, one every half hour, for appe- tite, or six before each meal. Pyro gallic acid,~gr. ^, one every half hour, for hemoptysis. WITH DOSIMETRIC GRANULES. 1 9 Quinine hydroferrocyanite, gr. fa one every half hour, as tonic. Quinine arseniate, gr. fa one every half hour, for malaria. Rhus tox Unci., drop \, one every half hour. Rumici?i, gr. |, one every half hour, as "blood purifier." Sanguinarine nit., gr. - 1 -, one every half to two hours, as stimulant expectorant ; less often as sex- ual stimulant or for chronic catarrhs. Santonin, gr. i, one to four every four hours, for round worms. Salic in, gr. 5, one every two to four hours. Salol, gr. i, one every half hour. Scutellarin, gr. \, one every half hour, for nerv= ousness. Seneci?i, gr. |, one every half hour, for urinary diseases. Silver oxide, gr. fa one to three before each meal. Sodium arseniate, gr. - 1 -, one every two hours. Sodium succinate, gr. 5, one before each meal, to dissolve gall-stones. Stillingin, gr. J, one every hour, in cachexias. Spartein, gr. 4-, one to three every four hours, as heart tonic. Strophanthi?ie, gr. T oVu> one every two to four hours, carefully watched ; or four every four hours. Strychnine arseniate, gr. t^, one every half to two hours. Strychnine sulphate, gr. T | T . Strychnine valerianate, gr. jf^. 20 OUTLINE OF TREATMENT Tannic acid, gr. \, one to three every half hour. Tartar emetic, gr. ^ 7 , one every half hour. Terpine hydrate, gr. 3, one every four hours. Thymol, gr. \, one every half to two hours. Thiol, gr. 1, one every hour or two. Ulexine hydrobrom., gr. T J ¥ , one every half to two hours as diuretic. Uranium nitrate, gr. \, one every half hour, for diabetes. Veratrine, gr. -^\^, one every half hour. Viburnin, gr. -|, one or two every half hour. Xanthoxylin, gr. \, one every half hour. Zinc oxide, gr. \, one every hour, for nervous af- fections, or four before each meal for gastric dis- eases. Zinc phosphide, gr. ^ 7 , one every hour. Zinc sulphocarbolate, gr. \, one to three every ten minutes. Zinc valerianate, gr. \, one every half hour. Anodyne for Infants, one every half hour. (Nickel brorn., codeine sul., ipecac, aa gr. T ^ ¥ ; lithium carb., gr. ^\ ol. anise., gr. T | ¥ .) Laxative granules, aloin., atropine, strychnine, oleores. capsicum. Dover's, morphine sul., gr. T J ? ; emetine, gr. ^ ; camphor monobrom., gr. ^. Trinity granule, aconitine, gr. 3-^ ; veratrine, digitaline, each gr. - 1 \-^. Repeat frequently for fever and inflammation. WITH DOSIMETRIC GRANULES. INDEX OF DISEASES, ARRANGED ALPHABETICALLY, WITH INDICATIONS FOR TREATMENT WITH DOSIMETRIC GRANULES. ABDOMINAL PLETHORA. Podophyllin, I granule twice a week. Colchicine \ 4 granules daily, three days of each week. Saline, in cold water, before breakfast. Fruit diet, exercise before breakfast. ABORTION. Morphine hy drobr ornate y 8 to 16 granules, in hot water. Gelseminine mur., 1 to 2, or Viburnin, 4 to S every hour or two, to pre- vent threatened. Mercury protiodide, or gold bromide, 4 granules a day, to stop habit of aborting. If abortion be inevitable, plug vagina firmly with inflated rubber bag, and give ergot hie, 1 to 4 every hour. Mac rot in, 2 to 4 every four hours, to prevent abortion in hysterical or nervous persons. Hydrastine or digit aline t 1 to 2 every two hour* for hemorrhage, 22 OUTLINE OF TREATMENT ABSCESS. Calcium sulphide, to prevent suppuration. Aconitine, for fever and headache. Digitaline, for hectic, i every four hours. Quinine, i every half hour, for hectic. Arseniate iron, i every hour or two, for debility, Calcium hypophosphite, after opening. Arseniate of strychnine, i to 3 before each meal, as a tonic. Iodoform, 1 to 4 every four hours, in scrofulous or cold abscess. ACIDITY. (Acid indigestion from decomposition of starches.) Silver oxide, 1 or 2 before meals. Papoid, before meals, in Maltine, Salicylic acid, 6 to 12 granules before meals. Bismuth, 1 every five minutes after meals. Zinc sulphocarbolate, 1 every five minutes. For constipation, aloin or Waugh's Laxatives. For after-treatment, bryonine, quassine, strych- nine, arseniate, lithia salicylate, hydrastine, eme- tine, euonymin, combined as required. Acids before meals. ACNE. Strychnine arseniate, ergotine, brucine, 1 or 2 thrice daily. Veratrine, lithia, euonymin, leptandrin, 1 of either, six times a day, for phlegmatic persons. Iodoform, iron or manganese arseniate, calcium lactophos., 1 of either, four times a day, for scrofu- lous or catarrhal. Bromide of arsenic, or of gold, 1 granule four times daily, for obstinate cases. Calomel, 1 granule every morning. WITH DOSIMETRIC GRANULES. 23 Sulphide of calcium, or of arsenic, 4 to 8 granules daily, for rosacea. ADDISON'S DISEASE. Iron, strychnine or manganese arseniate, zinc phosphide, full doses. ADENITIS. Iodoform, phytolaccin, calcium sulphide, to pro- mote resolution. Iron or ma?iganese arseniate, 6 daily. Calcium hypophosphite, 12 daily, to build up tissues. Brucine, to restore tone to tissues. AFTER-PAINS. Atropine, 1 granule every four hours. Morphine, full dose, every four hours. Gelseminine mur., 1 to 2 every two hours. Bromated camphor, 1 to 4 every half hour. Ergotine or macrotin, 1 to 4 every two hours. These may be given separately or combined. AGALACTIA. Pilocarpine, 1 to 4 every half hour, until sweating begins, then every two to four hours. ALBUMINURIA. Nitroglycerin, 1 every two to four hours, to dilate vessels and relieve heart. Elaterin, pilocarpine, 1 every two to four hours, to relieve kidneys. Arseniate iron, 4 to 6 daily, as tonic. Gold,/\ to 6 daily. ALOPECIA. Pilocarpine, 4 to 12 daily, or more ; to produce slight sweating ; recommended highly. 24 OUTXJNE OF TREATMENT AMAUROSIS AND AMBLYOPIA. Strychnine, in functional form, from lead, to- bacco, or alcohol. Santonin may be tried. AMENORRHEA. From exposure to cold or wet, aconitine ; from anemia, iron ; in general, potas. permanganate, mercury biniodide, macrotin, arsenic ; gold, for functional inactivity; brucine, for hysteric; colo- cynlhin, for chlorotic ; ergotin, for plethoric ; sanguinarine, for functional. ALCOHOLISM. The arseniates, i every two hours, for dyspeptic symptoms. Strychnine, brucine, as " bracers," to relieve the relaxation left when alcohol is stopped, and for tremors, katzenjammer, or insomnia. Gold salts, atropine, trinitrin, to cause a full- ness of the head that renders alcoholic drink dis- tasteful, as it is to plethoric persons. Cocaine, to relieve the craving for drink and the gnawing sensation. Capsicum, to restore the power to digest food. Zinc phosphide, for tremors, and to stimulate nerves when prostrated after ceasing drink. Ficrotoxin, for tremors. Silver oxide, zinc sulphocarbolate, for catarrh of stomach. In general, large doses are necessary; the full daily dose of the U. S. P., though best given in small and frequent doses. If the desired effect is not produced, it is necessary to increase the doses boldly. WITH DOSIMETRIC GRANULES. 2$ ANEMIA. Strychnine, iron, or quinine arseniatein general ; phosphorus, gold, to begin with ; calcium salts for growing children or nursing mothers ; iodide of iron for the scrofulous. ANEURISM. Veratrine to depress heart ; ergo tin to favor co- agulation ; morphine to relieve pain ; dry diet and absolute rest. ANGINA PECTORIS. Arsenic, in intervals ; nitroglycerin for pains — i granule every ten minutes till relieved. Arseniate of iron, strychnine, quinine or caffeine for pro- longed use. Phosphorus, a short course at first to open treatment. Cocaine is sometimes effectual. APHONIA. Brucine, in relaxed states ; atropine for hys- teria ; emetin in laryngeal congestion ; iodine for chronic. APOPLEXY. Aconitine for congestive cases ; elaterin as a purge. ASCITES. Pilocarpi?ie, elaterin, digitaline, as eliminants. ASTHMA. Aconitine at beginning of attack. Emetin, lobelin, atropine, cocaine, pilocarpine, antimony, cannabin tannate, nitroglycerin (this is the best j, apomorphine, morphine, axe remedies for the paroxysm. For the intervals, the arseniates, strychnine, qui- nine, brucine. In gouty cases, colchicine. In humid asthma, sauguinarine. 26 OUTLINE OF TREATMENT ATHEROMA. Zinc phosphide \ for an occasional week; not to be used in plethoric cases. Arsenic iodide ', best for most cases ; long con- tinued. Arsenious acid, for cases with kidney complica- tions. BRONCHITIS, CAPILLARY. Emetine, in emetic doses, or as expectorant. Sanguinarine, to stimulate expectoration when deficient, in aged. Lobeline, for paroxysms of dyspnea, use with utmost care, if at all. Aristolo chine, as stimulant expectorant for chil- dren. Camphor monobrom, stimulant. Digitaline, as stimulant for failing heart. Strychnine, as stimulant for failing heart. Also employ poultices to whole chest, steam in- halations, ammonia and coffee. Quinine, throughout as a tonic, in full doses, but best by suppository. Ammonium iodide, for very young infants. BRONCHITIS, CHRONIC. Quinine arseniate, for spasmodic or emphyse- matous cases. Calcium sulphide, for profuse purulent sputa, with — Calcium lacto-phosphate, to be given continuously for months. Lobeline, for dyspnea. Aristolochine, to stimulate lungs when secretion is profuse and not ejected freely. Sanguinarine, to stimulate lungs when secretion is profuse and not ejected freely. WITH DOSIMETRIC GRANULES, 27 Hydrastine, for dry catarrhs. Senegin, for the aged, to stimulate. Ammonium iodide, to loosen. Colchicine, for gouty or plethoric. Acid benzoic, to check profuse thin secretion, Cubebin, to check profuse thin secretion. Camphor monobrom, to allay cough and loosen. Morphine, for same purposes. Codeine, preferable to morphine. Strychnine arseniate, tonic and stimulant to lungs. Creosote, for fetid sputa. Digit aline, for fever. Arseniate of iron, for a tonic, if anemic. Many other remedies are useful that cannot be given in granules, as eucalyptus, copaiba, myrrh, cod-liver oil, thymol, myrtol, terpinehjdrate, tere- bene, poultices, or mush-jackets, etc. BRONCHITIS, ACUTE. Aconitine, for fever. Emetine, for cough, or for dry and scanty sputa. Lobe line, for spasmodic dyspnea. Quinine, for fever. Codeine, morphine, for cough. Apomorphine, an excellent expectorant. Cimicifugin, a useful expectorant after acute symptoms subside. Sanguinarine, to clear away when threatening to become chronic. Scillitoxine, when free sputa are hard to expel. BRONCHIECTASIS. Calcium lactophosphate, as a tissue-builder, throughout. Eucalyptus, to prevent decomposition of sputa. 28 outline; of treatment Quinine, as general tonic. Gold, to prevent pulmonary fibrosis. Arsenite of iron or strychnine, for same use. Sanguinarine, to stimulate expectoration. Digitaline, for fever. BRONCHORRHBA. Arsenic iodide, as stimulant. Phosphorus, powerful stimulant. Calcium lactophosphate, full doses persisted in for months. Acid benzoic, cubebin, myrrh, myrtol, to check . secretion and stimulate expectoration. Carbolic acid, creosote, eucalyptol, for fetid sputa. BURNS. Phytolacca, to relieve pain. Strychnine, to combat depression. Digitaline, to subdue fever. Morphine, to relieve severe pain. BRIGHT'S DISEASE, CHRONIC. Hydrastine, to lessen albuminuria. Trinitrin, to lessen arterial tension. Cannabin tannate, for hematuria. Pilocarpine, for uremic symptoms. Elaterin, for uremia when pilocarpine cannot be used. Iron should generally be given throughout, ex- cept when uremia is present. Gold, recommended for chronic interstitial form. Arsenic, recommended for chronic interstitial form. Mercury, recommended for chronic interstitial form. Diet : Milk, grapes, oranges, shaddocks. WITH DOSIMETRIC GRANULES. 29 BRIGHT'S DISEASE, ACUTE. Can than 'dine, for hematuria. Digitaline, as the best diuretic, as long a9 dropsy lasts. Cannabin tannate, for diuretic and hemostatic. Pilocarpine, in full doses, for uremic symptoms, or excessive dropsy, contra- indicated in weak hearts, or to be given with digitaline. Elaterin, for cases where pilocarpine cannot be employed. Whey, distilled water, especially if charged with carbonic acid, as diluents ; vapor baths or packs to aid sweating. BREATH, FETID. Zinc su!phocarbolate y allowed to dissolve in mouth and then swallowed. Potass, permanganate, -^ gr., same directions. BONE DISEASES. Iodoform, in strumous or syphilitic cases. Iodine, in strumous or syphilitic cases. Iodide iron, in strumous or syphilitic cases. Calcium lacto phosphate, long continued in all wasting diseases. Phosphide zinc, a short course, occasionally in all cases. Mercury biniodide, in syphilitics. BOILS. Calcium sulphide, to abort. Arsenic sulphide, to stop suppuration after opening, or for succession of boils. Arseniate of iron, for anemic cases, salines, with antiseptic lotions, plasters or ointments are also needed, SO OUTLINE OF TREATMENT BLADDER— PARALYSIS. Cannabin tannate, for retention due to spinal disease. Ergotin, for sphincter-paralysis, and dysuria ; or for over-distention paralysis. Strychnine, useful for paralysis of detrusor. Brucine, for same cases. Cantharidine, for atony. Salol, if urine be offensive. Arsenic sulphide, if pus be present. BLADDER— IRRITABLE. Atropine, for nocturnal incontinence ; given after supper. Cantharidme ', for nervous irritability in women. Benzoic acid, is useful for most cases ; especially in elderly persons. Gelseminine, for irritable, hysteric women, or for inflammatory cases. Cannabin tannate, for spasmodic cases, and as a hypnotic when sleep is disturbed. Salol is good in most cases, especially if ca- tarrhal. BILIOUSNESS. Podophyllin, if stools be deficient in bile. Euonymin, is still better, and not so irritant. Leptandrin, is best if there is any inflammation of stomach or bowels. Aconitine, is said by Ringer to enhance the action of these drugs, given occasionally. Calomel, occasionally, is useful, especially in syphilitic, malarial or cachectic cases. Bryonine, for bilious headache with vomiting. Hydrastine, for catarrhal cases, should be long continued. WITH DOSIMETRIC GRANULES. 3 1 Diet of skimmed milk, or absolute fasting for one or two days. CACHEXIA. Calcium lactophosphate, for all. Arseniate iron, for splenic, malarial, anemic, phthisical, cancerous. Hydrasline, in malarial and splenic. Mercury biniodide, in syphilitic or saturnine. Gold, in syphilitic and cancerous. Arnica, as a stimulant, in all. Manganese, sometimes useful in any. CATARRH, ACUTE NASAL. Aconitine, for fever, in severe cases, also in mar- bilious ; best at beginning. Atropine, for profuse coryza. Strychnine, brucine, for dry forms. Morphine, 1 , - . . , - ., r I at beginning, to abort, Camphor monobrom, r Quinine, J taken together. Codeine, useful throughout as palliative. Tartar emetic, in febrile forms, in plethoric persons. Arsenic, in cases with itching of nose and frontal headache. Veratrine, for same cases, with fever and strong pulse. Macrotin, for rheumatoid pains. Pilocarpine, the best of all remedies to abort. Colchicine, for frequently recurring catarrhs, in gouty, plethoric or corpulent persons of sedentary habits. CATARRH, CHRONIC NASAL. Sanguinarine, useful locally and internally. 32 OUTLINE OF TREATMENT Hydrastine, best in dry forms. Give in doses enough to cause irritation ; also good in ulcera- tion. Gold, in syphilitic or mercurial catarrhs. Senegin may do good sometimes as a stimulant. Calomel, in syphilitic cases. Calcium lactophos, in strumous cases, and youths who have overgrown their strength. Calcium sulphide, for ulcerative cases with fetid discharge. Arsenic sulphide, for ulcerative cases with fetid discharge. Euca 7 yplol, for fetid discharges. Colchicine, for plethoric or gouty cases. Arsenic iodide, long continued, one of the best alteratives. CEREBRAL ANEMIA. Iron arseniale, for chronic forms. Trinitrin, for sudden attacks. Aristolochin, for chronic forms. Camphor monobrom, for headaches. Strychnine arsemate, for feeble heart with struc- tural disease. Phosphide zinc, a short course to open treatment. Gold, in melancholic cases or vertigo. CEREBRAL CONGESTION. Aconite, for active forms, headache or excitement. Veratrine, for active forms, headache or excite- ment. Atropine, for less active forms, an excellent remedy. Gelseminine, for all cases where heart is too weak for veratrine, and yet there is excitement or pain. WITH DOSIMETRIC GRANULES. 33 Elaterin, whenever it is well to lessen blood pressure. Colchicine, in plethora or gout. Arsenites, for sluggish, torpid cases. Sparteine, for chronic cases of passive congestion, with weak heart. Digitaline, for chronic cases of passive conges- tion, with weak heart. Strychnine, for relaxed vessels. CEREBRAL SOFTENING. Phosphorus, in incipient stages, if due to ex- haustion. Gelseminine, to allay excitement. Strychnine, to follow phosphorus. Veratrine, for fever. Iron arseniaie, for a tonic, to follow active treat- ment. CHLOROSIS. Iron arseniate, strychnine arseniate, as steady tonics, singly or combined. Ergotin, manganese, in amenorrheic cases. Calcium lactophos, continuously for months. Laxative granules, to regulate bowels. CHOLERA ASIATICA. Copper arsenite, as a preventive, for children. Zinc sulphocarbolate, full doses, given frequently. Morphine, to relieve pain and cramps, and for cholera diarrhea. Creosote, for cholerine, and as preventive. Strychnine arseniate, as prophylactic, and when pulse weakens. Strychnine sulph., tonic for failing heart. Prucine, tonic for failing heart. 34 OUTLINE OF TREATMENT CHOIvBRA INFANTUM. Emetine, for greenish stools, with mucus and blood ; tenesmus. Copper arsenite, tonic for convalescence. Zinc sulphocarbolate, the best remedy, give freely and often. This has superseded ipecac and mercury in my practice. Calomel, for offensive stools and vomiting (not equal to zinc). Morphine, rarely needed, and dangerous, except in light forms, or for fever in early stages. Silver oxide, for an astringent. Cotoin, has been highly praised. Caffeine, best heart tonic. Camphor monobrom, allays griping. Creosote, sometimes relieves nicely. Brucine, for collapse, and as a tonic after acute symptoms subside. Arsenic, for cases where fever continues, with Wasting and unhealthy stools during convalescence. CHOLERA MORBUS. Zinc sulphocarbolate, full and frequent doses, the best of all remedies. Calomel, excellent to allay vomiting ; especially "dry retching.' ' Camphor monobrom, for cramps. Copper arsenite, sometimes relieves vomiting, and a useful tonic after attack passes off. Creosote, said to be very useful for vomiting. Morphine, best given hypodermically. Quasseine, for vomiting, persisting after other symptoms subside. Apomorphine, in full doses, to relieve stomach of noxious contents. WITH DOSIMETRIC GRANULES. 35 Emetine, for same use ; or, in small doses, to allay vomiting. CHORDKK. . Aconitine, gives more relief the more active the inflammation. Atropine, camphor monobrom, the best internal remedies in all but the very feverish cases. Cantharidine, cannabin tannate, said to prevent ; the latter preferable. Morphine, best hypodermically at bedtime ; apt to be followed by severe return. Cocaine, useful locally and by mouth. CHOREA. Macro tin, excellent in many cases ; menstrual, rheumatic, and those resisting other remedies. Strychnine, in cases due to fright or beginning with puberty ; or with weak heart. Iron arseniate, in anemic cases, or in those where puberty is delayed. Strychnine arseniate, in neuralgic, hereditary or hysteric cases. Hyoscyamine, in obstinate cases. Veratrine, for severe cases, with great and strong jerking. Picrotoxine, has been said to cure. Cicutine, sometimes useful. Morphine, in some obstinate and severe cases. CHOROIDITIS. Mercury biniodide, cautiously given to toler- ance. Atropine, locally. 36 OOTUNE OF TREATMENT CLIMACTERIC DISORDERS. Aconitine, for " fidgets.' ' Macrotin, for headache and mental wandering. Trinitrin, for flushes, followed by chilly skin and cold sweat. Ergotin, for flooding. Digilalin, better for flooding. Cannabin tannate, for headaches and insomnia. Euonymin, for constipation and melancholy. Iron arseniate, for irregular heart, full head, sense of weight at vertex, flushes, alternating hot and cold sweats. Physostigmine, for flatulence. Camphor monobrom, for headache. Elaterin, for drowsiness. Colchicine, for dullness, with full head, in ple- thoric cases. # Aloin, for religious melancholy. Brucine, for a tonic in all cases requiring a tonic. COLIC, INTESTINAL. Strychnine, said to relieve promptly. Atropine, for children. Morphine, for severe cases. Arsenic, for neuralgic cases. Pilocarpine, when due to cold, or very severe, give in full doses. COLIC, LEAD. Morphine, for pain ; give enough. Calomel allays vomiting. Elaterin, to open bowels ; a dangerous proced- ure ; best done by repeated enemas of cold, salt water, or glycerine. WITH DOSIMETRIC GRANULES. 37 COLIC, RENAL AND HEPATIC. Morphine, in full doses. Apomorphine, sometimes gives relief, if no better remedies are at hand. Camphor monobrom, to relieve mind, while wait- ing for better remedies. Pilocarpine, in strong persons, to relieve, if mor- phine and chloroform are not at hand. COMA. Elaterin, at once ; quickly repeated. Apomorphine, in poisoning. Strychnine, to sustain heart. CONSTIPATION. Strychnine, in glass of cold water, before meals. Podophyllin y for plethoric people. Calomel, for acute indigestion, biliousness or in syphilis. Jfydrastine, for dryness of intestines, and in chronic catarrhs, with alternate, diarrhea and con- stipation. A loin, for chronic cases, with hemorrhoids, but not when active. Emetine, for great torpidity. Physostigmine, for paretic cases. Atropine, for habitual cases. Elaterin, for cases requiring strong and prompt action. Waugh's Laxative, is thought, by him, the best remedy for chronic constipation, if the directions are followed carefully. All cathartics are best taken before meals, with cold water. 38 OUTUNK OF TREATMENT CONVULSIONS, INFANTILE. Atropine, in teething, or congestive fits. Strychnine, for intestinal irritation. Emetine, repeated nntil vomiting ensues, will often reveal the cause and produce a cure. Apomorphine, repeated until vomiting ensues, will often reveal the cause and produce a cure. Valerianic acid, for fits due to worms. Morphine, useful, but dangerous. Pilocarpine, for uremic, and fits at beginning of fevers. Veratrine, for fits with high fever. Trinitrin, sometimes succeeds when other rem- edies fail. Calomel, for syphilitics. Elaterin, for fits with constipation. Use with greatest caution. CORNEAL OPACITIES. Cadmium, has been recommended. Iodine, long continued. Calomel, very often useful. Auric salts, very often useful. COUGH. Morphine, for nearly all coughs, especially dry coughs, and at beginning of colds. Codeine, to be preferred to morphine, in the same cases, if it answers. Cannabin tannate, to be preferred to morphine, in the same cases, if it answers. Apomorphine, for dry hacking, with tough, scanty sputa. Aconitine, for spasmodic or asthmatic cough. WITH DOSIMETRIC GRANULES. 39 Atropine, for spasmodic and nervous coughs, and bronchorrhea. Hyoscyamine, for dry, night- cough. Cicutine, for spasmodic cough, in hearty persons. Emetine, for acute cases, children, winter cough, night cough, and obstinate cases. Lobelin, for dry, tickling cough, in sleep. Sanguinarine, for cough of late phthisis, with free secretion, little strength or sensation, dusky or cyanotic face. Sen e gin, for subacute and chronic cases. Gelseminine, for incessant, convulsive, reflex or nervous cough. Strych?iine, for nervous, periodic, or night coughs. Anemonine, for irritative and asthmatic coughs. Creasote, for fetid sputa, and bronchorrhea from mycosis, winter cough. Camphor monobrom, for laryngeal cough. Scillitoxin, for cough, after acute symptoms have passed. CROUP, CATARRHAL. Aconitine, to reduce fever. Apomorphine, as emetic, in full doses. Emetine, as emetic, in full doses. Codeine, to allay laryngeal irritation. Gelseminine, to relieve nervous restlessness. Strychnine arseniate, as tonic in convalescence. CROUP, MEMBRANOUS. Morphine, in first stage, to allay restlessness. Aconitine, to allay fever, in first stage. Brucine, as heart-tonic, when failing. Sanguinarine, stimulant expectorant, in late stages. 40 OUTLINE OF TREATMENT Apomorphine, as emetic, in the rare cases that need it. Emetine , as emetic, in the rare cases that need it. [As soon as the retraction of the epigastric region during inspiration begins, intubation or trache- otomy should be done at once.~\ CAIXUU, BILIARY. Morphine y Atropine, together, for pain in parox- ysms ; full doses, in hot water. Sodium succinate, taken long as a preventive, to dissolve calculi. Euonymin, to dissolve calculi ; small doses, long continued. CALCULI, URINARY. Lithia, to cause solution. Potassium tartro -borate, long continued. Hydrangin, to cause solution. Morphine, Atropine, together; full doses in hot water, for pain. Salol, to relieve irritated bladder. Gossypin, to relieve irritated bladder. Quassine, for vomiting. CANCKR. Arsenic, in some form, for irritable stomach ; and in all forms of cancer, to retard growth. Cicutine, to relieve pain. Hydrastine, as an experiment. Mercury bichloride, small doses, long continued, to retard growth. Cundurango, in gastric cancer, sometimes cures. Iodoform, to relieve pain and check vomiting of gastric cancer. WITH DOSIMETRIC GRANULES. 41 Morphine, the last resort, except chloroform. Codeine, to be used before morphine, as analgesic and hypnotic. Cannabin tannate, to be used before morphine, as analgesic and hypnotic. CANCRUM ORIS. Quinine arseniate, as tonic. Strychnine arseniate, as tonic. Brucine, as tonic. Digitaline, as tonic. CARBUNCIvE. Calcium sulphide, to check suppuration. Quinine arseniate, as tonic, to be given through- out. Iron arseniate, as tonic, to be given throughout. Strychnine arseniate, to support heart, Digitaline, for fever. CATALEPSY. Apomorphine, to cut short paroxysms. Strychnine arseniate, in intervals. CATARACT. Phosphorus, to promote absorption. CYANOSIS. Trinitrin often gives relief. A spido spermine ', for cyanosis of phthisis. Sparteine, for heart weakness. Sanguinarine, for cyanosis from secretions not being coughed up. ■ 42 outline; otf treatment CYSTITIS, ACUTE. Atropi7ie, to relieve irritability. Cantharidine, for irritability, with weak sphincter. Aconitine, for acute inflammatory cases, with fever. Morphine, very useful in all forms, but should be given with alkalies. Cannabin tannate, substitute for morphine. Codeine, substitute for morphine. Salol, the best of all remedies for most cases, es- pecially in catheter cases, and whenever the urine contains bacteria. CYSTITIS, CHRONIC. Benzoic acid, useful in many cases, most when urine is alkaline. Triticin, said to be very useful. Cubebin, a good stimulant. Salol, suitable for pyuria, fetid urine and most cases of all forms. Ergotine, for paresis of bladder detrusor. Strychnine, for paresis of bladder detrusor. DEAFNESS. Quinine is said to be of use, when relaxation is present. Pilocarpine, vaunted highly ; still on trial. Colchicine, for gouty or plethoric cases. DELIRIUM. Atropine, for severe forms of fever delirium. Hyoscine, for fever delirium, milder type (?). Daturine, delirium of puerperal or suicidal ma- nia, wild forms. WITH DOSIMETRIC GRANULES. 43 Tartar emetic, very rarely required in wild, " fighting" delirium of typhoid or malarial fever. Morphi?ie, for traumatic delirium, especially with insomnia and pain. Cannabin tannate, for cerebral softening and paresis. Camphor monobrom, for low, muttering delir- ium. Caffeine, for coma-vigil and low delirium. [Prevent delirium in fevers, by food and sleep.] DELIRIUM TREMENS. Atropine, for cerebral congestion. Daturine, still better for same. Hyoscine, sometimes useful. Aconitine, rarely permissible, but, in some furi- ous cases, indispensable. Tartar emetic rarely permissible, but, in some furious cases, indispensable. Morphine, rarely permissible, but^ in some furi- ous cases, indispensable. Cannabin tannate, sometimes acts like a charm. Capsicin, \ the most generally useful combination Cocaine, 5 known ; in every form of the disease. Strychnine, is indicated in all but the furious and febrile cases. Strychnine arseniaie, to be used as a tonic almost from the first. Caffeine, often usefully added to capsicum and cocaine. Digitaline, for older cases, with feeble heart, and dropsy. Macrotin, for excitable persons, after acute stage is past. Quinine hydrofer, useful tonic in anemic cases. 44 OUTUNE OF TREATMENT Zinc phosphide, for convalesence, where other tonics do not seem to benefit ; for old drunkards, worn-out men. Zinc sulphocarbolate, for the dyspepsia and gas- tric catarrh, in all cases and all stages. Colchicine> for plethoric cases. DEMENTIA PARALYTICA. Calomel, for syphilitic cases. Physostigmine, said to retard progress. DENGUE. Emetine, at beginning. Pilocarpine ; to break up attack. Brucme, as tonic, throughout. Gelseminine, for pains and delirium. Atropine, useful in sweating stages. Aconitine, for febrile stages. Quassine, tonic for convalescence. Strychnine arseniate, tonic for convalescence. Quinine hydrofer, tonic for convalescence. Macrotin, for joint pains. DENTITION. Atropine, for convulsions. Hyoscyamine, for irritability. Quassine, for thirst and nausea. Calcium lactophos., nutritive tonic, to be given often and long during teething. Macrotin, for restlessness. Emetine, for gastric disorder. Valerianic acid, for worms. Aconitine, for fever and sleeplessness. Camphor monobrom, for cough, restlessness or sleeplessness. WITH DOSIMETRIC GRANULES. 45 Aloin, for constipation. Pilocarpine, for threatened convulsions. Apomorphine, for threatened convulsions. Elaterin, for threatened convulsions. DIABETES INSIPIDUS. Codeine ', morphine ', the latter is by far the best of the two. Ergo tin, probably the best remedy known. Strychnine arseniate, useful as a tonic. Iron arseniate, useful as a tonic. Quinine arseniate, useful as a tonic. Valerianic acid, a good palliative. Muscarine, sometimes cures. Pilocarpine, reduces urination greatly. After its use, other remedies may do better than before. DIABETES MELLITUS. Arsenious acid, for dyspeptic, bilious and ema- ciated cases. The arseniates, for dyspeptic, bilious and emaci- ated cases. Arsenic bromide, for dyspeptic, bilious and ema- ciated cases. Morphine, reduces sugar greatly. Salicylic acid, has cured cases. Ergotin, lessens flow. Auric chloride, said to have done good. Iodoform, claimed to have cured. lodol, substitute for iodoform. Uranium nitrate, caused improvement in some cases. Aloin, for constipation. Calcium lactophos, useful in most cases, given throughout as a reconstructive. 46 OUTLINE OF TREATMENT Pilocarpine \ reduces flow of urine, and often does good. DIARRHKA. Aconiiine, for fever, in cases due to taking cold. Calomel, for fetid stools ; and for straining. Corrosive sublimatey for slimy, bloody stools, with tormina and tenesmus. Camphor inonobrom y for summer diarrheas. Emeline, for greenish stools, frequent and painful, nervous cases, with vomiting. Quinine arseniale y for malarial, periodic and re- current cases. Podophyllin y for morning diarrhea. Bromide arsenic , for irritative or lienteric diar- rhea ; food undigested ; for chronic and diphtheritic cases. Brucine y tonic, for weak cases; for flatulent diar- rhea, alternating with constipation ; scybala ; as a preventive in epidemics. Calcium lactophos. y for rachitic diarrheas and phthisis ; colliquative. Pepsin, for rachitic diarrheas and phthisis ; col- liquative. Zinc sulphocarbolate, for all forms of summer diarrhea, typhoid, phthisical, ulcerative and fetid diarrheas ; flatulent, with melancholy, gastric ca- tarrh, vomiting or nausea ; choleraic forms. Co loin f for tubercular diarrhea. Arnica y for exhausting diarrhea. Silver oxide y for obstinate cases, needing astrin- gents. Codeine y for frequent, painful stools, as adjuvant. Quassine y for a tonic, when diarrhea continues from weakness. Copper ar senile y of much value, but neither so WITH DOSIMETRIC GRANULES. 47 safe, so effectual, nor so widely applicable as the zinc sulpho-carbolate. Ergotin, in chronic, relaxed cases, but less use- ful than brucine. Tannic acid, a good astringent, for use after in- flammation has subsided, and diarrhea continues. Salol, useful in fermentative cases, but less than zinc. Creasote, same as salol. DIPHTHERIA. Atropine, said to be useful if given early, to abort exudation ; later, to sustain heart. Corrosive sublimate, for a systemic remedy. Calomel is thought to combat toxemia. Pilocarpine, of possible utility, but to be used cautiously ; not at all in weak heart. Quinine, as a tonic. Strychnine arseuiate, for malignant, sloughing cases. Strychnine sulph., for threatened paralysis. Sanguinarine may be of value. Calcium sulphide, given from the first. Brucine, to sustain weakening heart. Caffeine, to sustain weakening heart. Digitaline, to sustain weakening heart. Mercury cyanide, for systemic effect. DROPSY. Arseuiate strychnine, as a tonic in cardiac dropsy. Strychnine, in dropsy of old age. Brucine, in dropsy of convalescence, anemia, and in ascites. Digitaline, in dropsy of acute B right's ; and for tricuspid regurgitation. 48 OUTLINE OF TREATMENT Sparteine, for dropsy of weak heart. Apocynin, a good diuretic. Caffeine ', diuretic, for cardiac dropsy. Calomel, useful adjuvant in cardiac dropsy, and acute renal. Bryonine, drastic, for ascites. Veratrine, a doubtful remedy for scarlatinal dropsy. Iron arseniate or quinine hydrqfer. should be given continuously in all chronic dropsies, to keep blood normal. Better results are obtained and life lengthened by iron than by evacuants. Elaterin, drastic, for ascites, if patient be strong, or for uremic symptoms. Pilocarpine, for same cases as elaterin. DUODENAL CATARRH. Copper arsentte, a useful remedy for chronic cases. Leptandrin, the mildest stimulant to liver, for acute cases. Podophyllin, for cases with congested liver, ple- thoric people. Hydrastine, useful in all chronic cases. Euonymin, for chronic cases without inflamma- tion ; best given occasionally, during a course of leptandrin. Codeine, to relieve pain. Cannabin tannate, to relieve pain. Irisin, for all but weakly cases ; an excellent cholagogue. DYSENTERY. Aconitine, for fever and cutting pains. Calomel, for infantile cases. WITH DOSIMETRIC GRANULES. 49 Corrosive sublimate, for slimy and bloody stools ; morning dysentery, chronic or becoming so. Ipecacuanha, for acute cases, epidemic, or trop- ical, or with malaria. Also for children, with fetid, unhealthy stools and nausea. Strychnine, for vital depression in all forms ; also when dysentery continues after acute symptoms pass, and patient has not strength to recover. Iron arseniate, a good tonic during convalesence. Quinine, in malarial cases. Arnica is praised for depression of vitality, by Waring. Silver oxide, as astringent, after acute symptoms pass. Morphine, dangerous in early stages ; if used, give only small doses, not too often. Useful as palliative in chronic. Lead acetate, best astringent in early stages. Copper arsenite, of doubtful value. Copper sulphate, best astringent in chronic. Ergotin, for relaxation of tissues, after acute. Zinc sulphocarbolate, excellent preventive, espe- cially in epidemic forms ; also useful as an enema in hot flaxseed tea, in acute and chronic cases. DYSMENORRHEA. Anemonine, for scanty discharge, with pain first day. Atropine, for spasmodic pains, chills, dark and fetid discharge. Aconitine, for pains due to catching colds with delayed discharge, fever and headache. Macrotin, for congestive forms, less febrile than those needing aconite. Gelseminine, one of the most generally useful drugs ; relieves neuralgias. 50 OUTLINE OF TREATMENT • Colchicine, for plethoric women, with scanty dis- charge. Sanguinarine, for " cold-blooded " women, with little or no flow. Ergotine y for subinvolution. Camphor monobrom y a good, safe remedy in doubtful cases. Caulophyllin, said to be useful, if taken in inter- vals, for spasmodic form. Viburnin } possibly useful in mild cases. Arsenic y in whatever form indicated ; the best remedy for intervals, in all but plethoric and con- gestive forms. Iodoform, to be taken in intervals for congestive forms. lodol, to be taken in intervals, for congestive forms. Cannabin tannate, for hemorrhagic cases ; a good palliative in all but those with scanty flow. Hydrastine, good in intervals, in congestive, hemorrhagic or fat and relaxed, but not plethoric women. Lobelin, for plethoric women. Strychnine y for hysteric, neuralgic, or "worn," broken-down women. Tartar emetic, for congestive cases, near climac- teric, with headache, but no fever. Iron y for anemic cases. DYSPKPSIA. Strychniney in atonic cases, in the aged, drunk- ards, dilatation of stomach, malarial, and many other cases. Strychnine arseniatey for drunkards. Brucine, for convalescents. WITH DOSIMETRIC GRANULES. 5 1 Arsenite soda, for irritation and gastralgic cases. Bryonine, for bilious cases, and those following alcohol excess. Calomel, for syphilitics and cachectics. Ipecacuanha, for nausea ; vomiting of food unal- tered by digestion ; late dyspepsia of drunkards ; of travelers ; following excess of eating ; weight after eating. Hydrastine, for atonic cases ; dry catarrh, ano- rexia, hemorrhoids not acute ; chronic cases ; worn-out stomachs; should be given to cause slight irritation and long continued. Anemonine, for pasty tongue, uneasiness, gas- tralgia, catarrh, with mental depression, flatulency. Quinine, for aged atonic, malarial, sedentary persons. Atropine, for accompanying constipation. Manganese, for pyrosis. Silver oxide, y . Zinc oxide, } *>r pyrosis ; best. Zinc sulphocarbolate, for septic cases, bad breath, fermentation, flatulence, acidity, pyrosis, gastral- gia, nausea, eructations, cardialgia, free mucus formation. Sanguinarine, dyspepsia of spermatorrhea. Xanthoxylin, an appetizer in atonic. Quassin, tonic in anorexia. Aloin, for constipation. Capsicum, for drunkards. Cocaine, to allay vomiting. DYSPNEA. Morphine, for all cases except uremic. Aspidospermine, probably the best remedy in all cases. 52 OUTLINE OF TREATMENT Macrotin, for heart cases. Valerianic acid, for nervous and hysteric. Trinitrin, for urgent cases, asthmatic, emphy- sematous, etc. Strychnine arseniate, for feeble heart, with fre- quent paroxysms. Sparteine, for intervals in cardiac cases ; best in aged. Strophanthine, for same ; best in young. Digitalme, for heart cases, except fatty ; best remedy for constantly recurring, as an opening prescription ; but as soon as relief occurs substitute some other. Cactus grand, for weak heart with palpitation. KCZKMA. Arsenic sulphide, for pustular form. Arseniates, for all chronic forms. Calomel, an occasional dose helps arsenic. Rhus rapidly cures some cases ; best in acute and when it irritates. Zinc phosphide, to open treatment, in chronic cases. Creosote, when arsenic fails. Calcium lactophos., for strumous and scrofulous children. Phytolaccin, alterative in obstinate cases. Irisin, chronic, gouty or bilious cases. Colchicine, in heavy meat eaters. Iodoform, in scrofulous children of consump- tives ; give with lime. EMACIATION. Calcium lactophosph., for cachectic, weakly scrof- ulous children in very large families, tedious con- valescences. WITH DOSIMETRIC GRANULES. 53 Arsenic, useful in all cases with which it agrees. Mercury biniodide, for syphilitics. EMPHYSEMA. . , . 'V together for dyspnea. Atropine, I s J r Strychnine arseniate, steady tonic for long pe- riods. Daturine, a dose at bedtime may prevent attack. Aspidospermine, for paroxysms of dyspnea; also as special tonic. Digitaline, occasionally, for dropsy. Lobeline, for dyspnea with bronchitis. ENDOCARDITIS. Aconitine, for early symptoms. Digitaline, for irregular heart action. Veratrine, for high febrile movement (rare). Quinine hydrofer., for pyemic symptoms. Bruci?ie, to sustain heart. Hydrastine, for weak pulse. ENURESIS. Atropine, for night wetting of children ; full dose at bedtime. Santonin deserves a trial. Cantharidine, for old people and paretics. Strcyhnine, if atropine fails in children, and for aged and paretic. Rhus, said to be very useful. Scutellari7i, for day-cases. Ergotin, for paresis of sphincter. Salol, to lessen irritability. Iron iodide, for strumous children. 54 OUTLINE OF TREATMENT EPILEPSY. Cicutine, good adjuvant to bromides. Trinitrin, at beginning of attack, to prevent it. Aloin, for constipation. Colchicine, adjuvant to bromides in plethoric cases. Atropine, for nocturnal epilepsy, in persons who sleep too soundly ; also for petit mal, and as adju- vant to bromides. Arseniates, for epileptiform vertigo from gastric disorder. Cannabin tannate, for petit mal, nocturnal epi- lepsy, and as adjuvant. Argentic oxide t for cases where bromides fail ; menstrual epilepsy. Picrotoxine, anemic, nocturnal epilepsy, and that from or with masturbation. Copper ar senile, might be tried in cases with gas- tric affections. Strychnine, said to be useful when bromides fail, in anemic and nocturnal. Digitaline, in cases having cardiac trouble. Bromide gold has been highly praised. Bromide arsenic, worth trying in any but ple- thoric cases. ERYSIPELAS. Pilocarpine, in full doses to abort; not to be given when heart is feeble, eruption pale without fever, or when the drug depresses, but does not cause sweating. Aconitine, for high fever and delirium. Atropine, for superficial, non-vesicular forms; cerebral erysipelas, adynamic cases. Quinine hydrofer, for all cases where pilocar- WITH DOSIMETRIC GRANULES. 55 pine is contra- indicated ; but the tincture of iron in large doses is best. Tartar emetic, for sthenic cases, with wild delir- ium ; rarely met. EXOPHTHALMOS. Digitaliney very good, but can only be continued one week. Strophantus, best to follow digitalis. Atropine, 1 succe danea to preceding. Duboisine, J Quinine hydrofer, for steady tonic. FLATULENCE. Strychnine, j excellent tonics to relaxed mucosa. Brucine, ) Zinc sutphocarb., to stop fermentation. Aloin, to relieve constipation. Hydrastine, to relieve costiveness. Capsicin, stimulant to secretion. Calomel, ^ Irisin, \ for clayey stools, and melancholy. Euonymin, ) Quassine, stomachic tonic. Physostigmine, for climacteric flatulence. GASTRALGIA. Morphine, to relieve pain, if all else fails. {I never use it.) Atropine, for neuralgic pains, Strychnine arseniate, good tonic. Silver oxide, good for pain following food. Aconitine, for febrile symptoms. Zinc sutphocarb., for fermentation, and in nearly all cases cures. Creasote, for pain after food. Trinitrin, sometimes gives quick relief. 56 OUTUN3 OF TREATMENT GASTRIC DILATATION. Zinc sulphocarbolate, to prevent or cure fermen- tation. Strychnine arseniate, stomachic and nervous tonic. Brucine, to restore tone of stomach. Ipecacuanha, -\ Capsicin, \ to restore secretion of gastric juice. Hydrastine, J GASTRITIS, ACUTE). Zinc sulphocarb ., for all forms except phlegmon- ous and toxic. Calomel, to allay vomiting. Morphine, to relieve pain. GASTRITIS, CHRONIC. Arseniates, to stop vomiting ; often cure. Aconitine, for fever. Hydrastine, to excite secretion, especially in al- coholics. Ipecac, to excite secretion, especially in alcoholics. Strychnine, useful as a tonic in a wide variety of cases. Quassine, appetizer. Zinc sulphocarbolate y zinc oxide, silver oxide, to subdue catarrh ; should be first remedies used. Aloin, for constipation. Euonymin, for constipation. Caffeine, for the headache. GASTRIC ULCER. Arseniates, relieve pain and vomiting, and con- duce to cure. Zinc sulphocarbolate, one of the best remedies in use. WITH DOSIMETRIC GRANULES. 57 Silver oxide, cures speedily, sometimes. Atropine, sometimes gives relief. Morphine, nearly always relieves pain. Ergotine, for hemorrhage. Digitaline, for hemorrhage. Corrosive sublimate, sometimes very speedily curative. GLAUCOMA. Atropine, dangerous, as increasing tension. Eserine, reduces tension ; useful in all cases. GLEET. Cantharidine, for irritable weakness, and relaxa- tion. Piperin, for relaxation. GLOSSITIS. Elaterin, as revulsive. Pilocarpine, to abort. GLOTTIS, EDEMA. Apomorphine, as emetic. Ergotin, as astringent. GOITER. Iodoform, internally, long continued. Iodol, internally, long continued. Mercury biniodide, a good remedy, if carefully watched ; kept just within point of toleration. Strychnine, has produced cure. GONORRHEA. Aconitine, for acute stage, to keep down fever. Gelseminine, for acute stage ; sometimes better than aconitine. 58 OUTUNE OF TREATMENT Cannabin tannate, relieves pain and lessens dis- charge. Colchicine, useful in acute and sthenic cases, and for chordee. Cantharidine, for chronic stages. Anemonine, for subacute stages. Calcium sulphide, for suppurative discharge. Camphor monobrom, for chordee. Tartar emetic, for chordee, in acute cases, where gelsemine fails. Irisin, purgative in bilious cases. Euonymin, purgative in ordinary cases. Salol, best of all remedies by the mouth ; should be given throughout. GOUT. Antipyrine, to relieve pain at once. Morphine, if preceding fails. Aconitine, for high fever. Atropine ; very effectual for joint or stomach pain. Colchicine, best remedy known, in all cases able to take it ; must be given with care to old, chronic cases, with feeble hearts. Arseniates, for intervals, in old chronic cases, with feeble hearts. Irisin, a valuable purgative in gouty persons, still strong and plethoric. Macrotin, valuable for cases in which colchi- cine is doubtful. lodol, for intervals, in young subjects. HAY FEVKR. Arseniates, for catarrhal cases, in intervals. Atropine, for profuse coryza. Euphrasine, for catarrhal cases, paroxysms. WITH DOSIMETRIC GRANULES. 59 Ipecac, sometimes cnrative. Aconiiine, best in true neurosis. Morphine, relieves, but fatally • as habit is almost a certainty. Strychnine, valuable in some cases. HEADACHE, BIIvIOUS OR SICK. Antipyrine, I be8t general remedies. Acetanilide, J Strychnine arseniate, excellent for intervals, of paroxysmal. Atropine^ valuable to break up attack in heavy meat consumers. Irisin, for cases with true biliousness. Bryonine, for vomiting. Picrotoxine, in intervals, of paroxysmal. Podophyllin, for dark stools and biliousness. Sanguinarine, for gastric disorder. Hydrastine, for costiveness. Calomel, to prevent impending attack. Corrosive sublimate, for light colored diarrhea. Colchici?ie y for plethoric and sedentary meat eaters. HEADACHE, CONGESTIVE. Aconitine, for fever and full, hard pulse. Veratrine, for menstrual cases. Atropine, for photophobia. Calomel, for syphilitics. Cannabin tannate, for climacteric. Hydrastine, for costiveness. Irisin Elaterin \ aS P 111 "^ 11 ^ 8 >* Z™^& in strength ~ \ to exisrencv of case. Euonymin, J b Trinitrin, for flushing heats in head, in weakly persons. 60 OUTLINE OF TREATMENT HEADACHE, NERVOUS. Cannabin tannate, in intervals. Atropine, for brow-ache, overstudy or fatigue and menstrual headaches. Strychnine arseniate, for gastric symptoms. Silver oxide, for hysteric and gastric headaches of brain workers. Brucine, for clavus. Trinitrin, for pallor, cerebral anemia. Arseniates, for temple throbbing, and as tonics in intervals ; strychnine best in most cases, iron for anemics, quinine for malarials. Macrotin, for menstrual and rheumatic or hysterical. Caffeine, for nervousness or exhaustion. Zinc phosphide, best remedy to break up an in- tractable headache ; with strychnine, arsenic and quinine ; for one week only. Potassium cyanide, for reflex headaches. Camphor monobrom, for sexual excess. Irisin, to prevent a menstrual or severe bilious periodic headache. Podophyllin, to prevent a menstrual or severe bilious periodic headache. HEART DILATATION. Digitaline, as a remedy, for a week only ; is the most powerful of heart tonics. It should not be given longer, but may be repeated occasionally. Sparteine, good to follow digitalis ; probably the best tonic for steady use, especially for the aged. Dose should reach one grain a day. Morphine relieves dyspnea, if given occasionally. Trinitrin, for dyspnea. Hydrastine, a good astringent tonic. WITH DOSIMETRIC GRANULES. 6l Quinine arseniate, a useful heart tonic, to accom- pany sparteine. Iron arseniate, to alternate with the preceding, or accompany it and keep up standard of blood. Elaterin, to reduce volume of blood. Cactus grand. , best remedy to alternate with sparteine. Strychnine ', to add to sparteine when the latter be- gins to lose effect. The indications for the use of these cardiac tonics are not clear. Ascertain by trial which answers best, and when it begins to fail, add another ; but always give iron, arsenic or quinine, to keep up the nutrition of the organ. HEART, FATTY DEGENERATION. Iron arseniate y alternated weekly, as nutritive tonic. Quinine arseniate, alternated weekly, as nutri- tive tonic. Macrotin, occasionally for a week at a time, as a tonic to the heart. Hydrastine, a better heart tonic for steady use. Strychnine, useful for slight cases, like digitalis, unsafe in advanced stages. Trinitrin, for dyspnea and syncope. Cactus grand., a valuable tonic. Strophanthus y useful for a steady tonic. HEART, HYPERTROPHY. Aconite, for simple hypertrophy, or over action, but dangerous if valves or cardiac muscle are dis- eased. Veratrine, for severe cases, with headache and threatened apoplexy. 62 OUTLINE OF TREATMENT Digitaline, for false hypertrophy with palpita- tion, an occasional do se only, followed by hydras- tine. Camphor monobrom, for hypertrophy with dila- tation, palpitation and dyspnea. Iron arseniate, for anemia in later stages. Elaterin, to quickly and powerfully deplete blood, in threatening cases. HEART, PALPITATION. Aconitine, for hypertrophy. Digitaline, for dilatation and very many condi- tions, the best palliative. for nervous and emotional persons, Capsicum, and alcoholics, or when due to Cocaine, r coffee, tobacco, venery, excessive exercise. Zinc valerianate, for nervous and hysteric women. Zinc sulphocarbolate, for gastric disorder. Iron arseniate, for anemia or debility. Quinine arseniate, for malaria. Vtratrine, for plethoric, threatened apoplexy. Colchicine, to follow veratrine. Aspidospermine, for dyspnea, with valvular dis- ease. Strychnine, tonic for the intervals, in all but hypertrophic or plethoric cases. Hydrastine, tonic for the intervals, in all but hypertrophic or plethoric cases. Hy os cine, for, cerebral excitement. Atropine, for irregular rhythm ; relieves many cases ; not plethoric. WITH DOSIMETRIC GRANULES. 63 HEART, VALVULAR DISEASE. Digitaline, for mitral insufficiency, with debil- ity ; give for a week at a time. Sparteine, to follow digitalis. Cactus, to alternate with sparteine. Morphine, for dyspnea of mitral disease, and as remedy for aortic insufficiency. Aconitine, useful as hypertrophy predominates, with tense pulse. Hydrastine, in all cases with relaxed pulse, where no other remedy is better indicated ; not in aortic insufficiency. Strophantus, the best for aortic disease ; can be given long. Veratrine, for hypertrophic symptoms, with headache and tense pulse. Trinitrin, for heart pains and tense pulse. Caffeine, tonic, diuretic, for weak heart and scanty urine, headache, dyspnea, and heart pains. Adonidine, for irregular rhythm. Barium chloride \ tonic, diuretic, gives tone to pulse, lessens heart pain. Elaterin, for over full veins ; use occasionally. HECTIC FEVER. Quinine, digitaline, and ipecacuanha, full doses, given together form one of the best pre- scriptions. Phenacetine, an occasional dose, when fever rises above 105 , to help the above. Aconitine, useful in irritative fever and re- crudescences. Morphine, very small doses allay fever due to mental irritation. Quassine, good appetizer. Salicine, for fever and perspirations. 64 OUTLINE OF TREATMENT HEMATBMKSIS. Ipecacuanha, for vicarious menses. Ergotin, best for most cases, except for hemor- rhagic diathesis. Acid chromic, for gastric ulcer. HEMATURIA. Erigeron, for persistent cases. Ipecacuanha, said to be effectual. Hydrastine, for nearly all cases. Ergo tin, for free bleeding. Cannabin tannate, for strangury and dysuria. Camphor monobrom, for toxic cases. HKMERALOPIA AND NYCTALOPIA. Strychnine, for night-blindness. Elaterin, moderate doses, followed by Quinine, large doses, for both. HEMICRANIA. Atropine, for pale face, reflex cases, vaso-motor spasm. Iridin, for supraorbital, blinding cases, with liver affected. Cannabin tannate, to prevent threatened attack, and in intervals. Camphor monobrom, for hysteric. Guaranine, useful to break force of attacks, and lengthen intervals. Caffeine, same as guaranine, useful in stomach cases. Antipyrin, to break up severe attacks. Acetanilide, to break up severe attacks. Podophyllin, for bilious cases. Digitalin, for congestive headaches Ergotin, for atheromatous people. WITH DOSIMETRIC GRANULES. 65 Caffeine arseniate, for throbbing pain in one brow. Aconitine, for throbbing or congestive cases. Trinitrin, for pale faces, tense pulse. Sanguinarine, for stomach cases. Ipecacuanha, for dyspeptics. Strychnine arseniate, for a tonic, dyspeptics ; the best remedy for intervals. Macrotin, cures some cases ; generally nervous. Phosphorus, strychnine arseniate^ and quinine, given together for a week will usually break up severe and long continued cases. HEMOPTYSIS. Ergotin, at once, for all cases of severe hemor- rhage. Digitaline, the best hemostatic known, for all but the most severe cases, where a quick remedy is required. Morphine, to allay excitement. Ipecac, to relax tension of pulse. Aconitine, for fever following. Trinitrin, to relax tension of pulse in active hemorrhage. HEMORRHAGE. Iron arseniate, for intervals only, in anemic cases ; it increases hemorrhage when active. Quinine hydrofer, for malarial cases, with ane- mia. Ergotin, useful in nearly all forms, but less so than digitalis ; best in cases demanding quick re- lief ; not for diathetic cases. Hamamelin, useful in passive forms. Ipecac, for all cases with fever or tense pulse. Atropine, for bleeding from rectum, not dysen- teric 66 OUTLINE OF TREATMENT Digitalis, the best general hemostatic, for all but diathetic cases. Strychnine, for diathesis. Aconitine, to reduce pulse, in active hemorrhage with strong pulse. Cocaine, for hemorrhagic diathesis. Hydrastine, for uterine and diathetic hemor- rhages. HEMORRHAGE, INTESTINAL. Atropine, for rectal ulcer. Hamamelin, for bleeding in small bowels and persistent passive form. Ergotin, for serious bleeding from large vessel. Silver oxide, for intestinal ulcer and typhoid fever. Ipecac, for bleeding in large bowel. HEMORRHAGE, POST-PARTUM. Hamamelin, for persistent oozing. Ipecac, for flooding. Irinitrin has acted promptly ; for thready pulse. Ergotin, best internal or hypodermic remedy. Macrotin, for persistent bleeding, continuing in spite of ergot, though lessened. Digitalis, for slight, but continuous bleeding. Strychnine, for bleeding with soft, relaxed pulse. HEMORRHOIDS. Euonymin, to soften stools and open bowels ; useful in all forms, with pain and contracted sphincter. Lavative granules, to regulate bowels in inter- vals, and for hemorrhoids with relaxed sphincter and rectal protrusion. WITH DOSIMETRIC GRANULES. 67 Hamamelin, for same cases as the laxative gran- ules ; best taken together. Strychnine ', for same cases, when aloes in laxa- tive is too strong. Podophyllin, for hemorrhoids with cirrhosis, or other obstructive disease of liver. Aloin, for cases following childbirth. Hydrastine, for chronic cases. Ergotin, for large, soft enlargements, itching piles in people not plethoric. Colchicine, for same form in plethoric people. Atropine, for pain with hemorrhoids, and con- tracted sphincter. Iridin, for all cases where euonymin is insuffi- cient to keep bowels open, and aloes is not suit- able. HEPATALGIA. Bryonine, in all cases except dysenteric. Strychnine, in cases recurring paroxysmally, given in intervals for long time. Trinitrin, to relieve paroxysm. HEPATIC CIRRHOSIS. Arsenious acid, given steadily for long periods, in small doses. Bryonine, when bowels are confined, with fever and pain. Corrosive sublimate, same as arsenic. Gold Chloride, in cases with anemia and sexual debility. Iridin, -to open bowels, when ascites threatens, or hemorrhoids. Podophyllin, when heart labors and headache, dizziness, or confusion of ideas occur. Strychnine arseniate ) when heart weakens. 68 OUTLINE OF TREATMENT Iron arseniate, for anemia. Hydrastine i for gastro-intestinal troubles. HEPATIC CONGESTION. Bryonine, for febrile cases. Iridin, for jaundice and offensive stools. Podophyllin, for severe cases, requiring speedy relief. Colchicine, for plethoric, overfed, sedentary and gouty persons. Sanguinarine, for passive cases, and when relax- ation follows acute, and for fat, amenorrheic wo- men. Euonymin, for subacute cases, when active symptoms are relieved, but not cured. Leptandrin, for chronic cases. Ipecac, for sluggish digestion, with pain after food. Laxative granules, for chronic constipation, often the cause of hepatic congestion. Elaterin, for severe cases, following overfeed- ing ; with symptoms of impending apoplexy. HEPATIC DISEASES. Podophyllin, only suitable for strong persons, with sluggish liver and bowels hard to move. Hydrarg. biniodide, for syphilitic or malarial chronic enlargements. Ipecac , for ordinary derangements the best of stimulants. Leptandrin, for long use, or when the liver is too irritable for any but very mild remedies. Iridin, less irritant and as useful as podophyllin. Euonymin, for torpid liver, with headache. Bryonine, for fever and head pains, with liver disease. WITH DOSIMETRIC GRANULES. 69 Quassine, for functional debility. Iron arseniate, for amyloid. Sanguinarine, for fat, amenorrheic women. HERPES. Iron arseniate ) long- continued, for any form in adults. HERPES ZOSTER. Zinc phosphide ; to control pain and abort erup- tion. Strychnine arseniate, to follow preceding, when it has been used for one week. HICCOUGH. Strychnine, full doses to prevent recurrence. Morphine i for nervousness. Pilocarpine, full doses, to break attack. Apomorphine y full doses, to break attack. Elaterin, to clear bowels and remove irritation. Trinitrin, for nervous cases, that continue after emesis and catharsis. Camphor monobrom, for men, to prevent recur- rence and relieve fear. Zinc valerianate, for women, to prevent recur- rence, Atropine ', add to either of last two. HYDROCEPHALUS. Calomel, till stools are green. Corrosive sublimate, to follow calomel, and to promote absorption of effusion. Iridin, to overcome constipation. Veratrine, for acute symptoms, with strong, hard pulse and delirium . Iodoform, to promote absorption. 70 OUTLINE OF TREATMENT Camphor monobrom, for weak or irritable delir- ium. Pilocarpine ', to abort, at outset. HYDROPHOBIA Pilocarpine, in full doses, has been claimed to cure. Hyoscine, for delirium. Trinitrin may be tried. Phyostigmine, is said to have given temporary relief. Cicutine, has failed, but could be tried again. Morphine, to give relief. HYDROTHORAX. Digitaline, for weak heart ; give with pilocarpine. Elaterin, as hydragogue, if strong enough to bear it. Pilocarpine, to relieve oppression, if heart be not too weak. Sanguinarine , is one of the best remedies when patients are too weak for active depletives. Aspidospermine , for dyspnea. HYPOCHONDRIA. Strychnine arseniate, the best general tonic, es- pecially for the aged. Aloin, laxative for the aged. Macrotin, for puerperal and spermatorrhea cases. Gold chloride, for cerebral anemia, impotent, alcoholic and venereal excess cases. Zinc valerianate, ^together, for flatulence Zinc sulphocarbolate, J and gastric dyspepsia. Hyoscyamine, for syphilophobia. Laxative granules, for constipation. WITH DOSIMETRIC GRANULES. 71 Caffeine, as cerebral stimulant. Cocaine, for nervous trepidation, and in alcoholic or narcotic habitues. Iridin, for biliousness and jaundice. Hydrastine, one of the best general tonics here. Iron arseniate, for anemics. Sanguinarine, for fat and flabby anemic amenor- rheas. Colchicine, for plethoric sedentaries. HYSTERIA. Strychnine arseniate, for tonic in neuralgics, middle-aged, with flatulence, flushes and sweating. Camphor monobrom, for excitement, insomnia and headache. Macrotin, for headache and chorea, subinvolution and climacterics. Zinc valerianate, best for dyspeptic cases and for form due to grief, disappointment and excitement generally, for climaterics and cases not coming under other heads. Ergotin, \for uterine subinvolution with Iron arseniate, J anemia. Atropine, for aphonia and puerperal cases. Zinc phosphide, for paralysis. Sanguinarine, for sexual debility. Pilocarpine, full doses to break up acute attack. Apomorphine, for sexual excitement. Laxative gramiles, required in nearly all cases. Podophyllin, for religious excitement. Cocaine, to sustain hysterical women appearing in public under trying circumstances. IMPETIGO. Arsenic sulphide, taken for long time. 72 OUTLINE OF TREATMENT IMPOTENCE. Phosphide zinc, given cautiously, for a week only. Gold chloride, for men becoming impotent after forty. Cantharidine, for weak erections. Strychnine arseniate, to follow phosphorus ; given in small doses for long time. Sanguinarine, for frigid women, fat and anemic ; for functional cases and for old men. Aristolochine, for feeble erections and relaxation ; can be given long. Ergotin, for premature discharge of semen. Cannabin tannate, best for women of the ener- getic, frigid type. Iron arseniate \ for anemics ; best for women. Hydrastine, \ about the safest of all drugs for Brucine, J long continued use. INFLUENZA. Quinine hydrofer., for anemic cases. Brucine, for the vaso-motor paresis, debility, etc. Sanguinarine y stimulant expectorant in obstinate catarrhs. Macrotin t for headache — aching anywhere. Cubebin, for cough following. Ipecac, for early cough, and for the man who will not remain quiet. Camphor monobrom, for early headache, insom- nia and excitement — delirium. Cocaine often gives great relief. Aconitine, for initial fever. Atropine, for headache and acute symptoms, with profuse sweating. Euonymin, when laxative is needed. WITH DOSIMETRIC GRANULES. 73 INSOMNIA. Camphor monobrom, for excitement, sexual or nervous. Hyoscyamine, for children. Hyoscine, for insomnia of fevers, with nocturnal delirium. Caffeine, for insomnia of fatigue, take in hot water ; or chronic alcoholics ; after long mental labor. Cannabin tannate, for many forms, when no special indications exist for others. Atropine ', for relaxed pulse, contracted pupil, frontal headache, over-use of eyes. Strychnine, for nervous erethism ; for sexual ex- citement. Gelseminine, for alcoholic mania, aged with dis- eased arteries, over-excitement, sexual excitement, or in acute fevers with headache. Cocaine \ for insomnia from worry, sexual excess. or overwork. Codeine ', "> I never use them for insomnia, ex- Morphine, J cept in convalescence. Zinc phosphide ', insomnia of the aged. Colchicine ', for insomnia of plethora. INTERMITTENT FEVER. Quinine hydrofer., as prophylactic in anemic cases. Morphine, hypodermically, to break chill. Iron arseniate, in full doses to prevent chills ; best in quartans and chronics. Capsicum oleores, to aid other remedies. Strychnine arseniate, in convalescence. Hydrastine, useful in all forms and stages — full doses — nearly equals quinine. 74 OUTIJNE OF TREATMENT Pilocarpine, full dose breaks up chill. Narcotine, deserves trial as substitute for quinine. Calomel, to precede quinine, and with it for children. Brucine, in convalescence. Quasseine, for the appetite. Iridin, to unload liver in bilious cases. Ergotin, for enlarged spleen. INTESTINAL OBSTRUCTION. Morpine, \ Atrophine, } m a11 forms > S iven to S ether - Caffeine, relaxes muscular fibers. INTUSSUSCEPTION. Atropine, ~\ Morphine, } alwa y s required tcgether. IRITIS. Alropifie, locally internally, to dilate pupil. Calomel, for syphilitic form ; push rapidly to be- ginning of salivation. Duboisine, acts quicker than atropine. Morphine, to relieve pain. Quinine hydrofer., for all anemic and weakly cases. JAUNDICE. Calomel, for acute bilious attacks. Zinc sulphocarbolate, for fermentation and ca- tarrh of duodenum. Hydrastine, for catarrhal cases, best in young people — may be continued long. Caffeine arseniate, for malarial, alcoholic, and catarrhal cases ; best in old people to break up habit. Euonymin, for sluggish liver, clayey stools in ildren. WITH DOSIMETRIC GRANULES. 75 Podophyllin, for acholic stools in hearty adults. Aloin } for rectal atony, jaundice and hypochon- dria. Iridin, in malarial and catarrhal. Pilocarpine, for the itching. Leptandrin, to be given with arsenic or hydras- tine to prevent recurrence. KERATITIS. Atropine, to contract vessels and limit inflam- mation, if intra-ocular tension is low enough. Calomel, for syphilitic cases. Calcium sulphide, \ Arsenic sulphide, i to P revent suppuration. E serine, to lower intra-ocular tension. LABOR. Morphine, in first stage, when pains keep patient awake, and os opens very slowly. Give full dose, and when she awakes dilatation will go on rapidly. Macrotin, for mental troubles and suppressed lochia after labor, also for post partum hemorrhage. Gelsemine, to relax rigid os. Quinine, tonic to uterus. Cannabin tannate, stimulates pains. Ipecac, for rigid os. Irinitrin, for hour-glass contraction, collapse, fainting. LACTATION. Pilocarpine, to bring back or increase milk. ^ 7 % \ \ to lessen or stop flow of milk. Phytolacctn, y Calcium lactophos. should be taken during preg- nancy and lactation to prevent debility and furnish bone material. Aconitine, for milk fever. 76 OUTLINE OF TREATMENT LARYNGISMUS STRIDULUS. Aconite relieves the spasm. Atropine is a better remedy. Apomorphine, full dose, cuts attack short; as does any emetic. Trinitrin, very useful and acts rapidly. Quinine hydrofer.,\ in intervals to prevent at- Quinine arseniate* ) tacks. Cicutine, sometimes gives great relief. LARYNGITIS— ACUT^ CATARRHAL. Aconitine, useful in proportion to fever present. Apomorphine, very useful if pushed to nausea. Morphine, to allay irritation and cough. Pilocarpine, full dose, to break up attack. Ipecac, useful when stronger remedies are unsafe. Tartar emetic, for older children with high fever and great distress. LARYNGITIS— CHRONIC. Cubebin, for relaxation. Hydrastin, for dry forms of long standing. Lobelin, for profuse secretion. LEPROSY. The arseniates, are recommended by many. LEUCOCYTHEMIA. Digitahne, | for the youngj to contract spleen. Ergo tin, > Zinc phosphide, occasionally useful. The arseniates, should be tried in all cases. Calcium lactophos. y in all cases, to be given per- sistently. WITH DOSIMETRIC GRANULES. 77 IvEUCORRHEA. Anemonine, for accompanying uterine conges- tion. Macrotin, for young girls, at puberty, with cho- reic symptoms. Lobelin sometimes helps to dry up profuse flew. Iron arseniaie, ^ Brucine, \ § eGerall y useful m weakl ? Calcium lactophos., J cases. Hydrastin, for flat and flabby women. LOCOMOTOR ATAXIA. Atropine, l are Brown _ S £ quar( i> s remedies. Ergotme, ) Silver oxide has cured a few cases. Corrosive sublimate is recommended by French military surgeons, who believe all cases syphilitic. Gold chloride, said by DaCosta to retard progress. Zinc phosphide, \ Physostigmine, l have each been used with as- Hyoscyamine, J verted benefit. Pilocarpine does good at beginning. Antipyrine relieves pains. Strychnine cured one recent case for me. LUMBAGO. Macrotin often succeeds. Veralrine,-) for acute febrile cages Aconittne, j ^S , } together ' hypoden,lically - LUNGS, GANGRENE. Creasote, for fetor. 78 OUTLINE OF TREATMENT LUPUS. The arseniates, for nearly all cases but syphilitic. Zinc phosphide may be used as a tonic. MALARIA, CHRONIC. Iron arseniate, one of the best remedies, and prophylactics. Strychnine arseniate, for splenic enlargement. Brucine, a very useful tonic. MANIA. Daturine, for insomnia, wild delirium, and nymphomania. Duboisine, for acute mania. Atropine, for monomania and hyperemia. Hyoscyamine, non-congestive delirium of wild type, hallucinations and monomania. Veratrine, excitement of acute. Cannabin tannate, sexual excitement. dentine, for violent delirium with great strength. Digit 'aline, for chronic cases, insomnia and noise at night ; general paresis and epilepsy, coinciding or not. Ergotin lessens excitement, shortens attacks, and lessens frequency of recurrent mania. Iron arseniate, useful as a tonic. G 'elseminine ,for motor excitement and insomnia. Elaterin, for great cerebral congestion. Macrotin, for puerperal or pregnant mania. MASTITIS. Atropine, to relieve pain. Phytolaccin, best remedy known. Calcium sulphide, to abort suppuration. Acomtine, for fever and headache. WITH DOSIMETRIC GRANULES. 79 MASTODYNIA. Cicutine, has specific virtues. Macrotin, for old maids' breast pains. MEASLES. Aconiiine, for fever and to check catarrhal pneu- monia. Pilocarpine, to bring out eruption. Asclepiadine, same use. Anemo?iine, for naso-pharyngeal catarrh and eyes. Ipecac, for cough. Euonymin, as a purgative. Phenacetine, has specific virtues. Brucine, for heart tonic. MELANCHOLIA. Gold chloride, for cerebral anemia. Gold bromide, for women. Cocaine, for nervous despondency. Macrotin, puerperal or uterine cases. Strychnine, for relaxation, after excesses. Strychnine arseniate, for the aged. Morphine, for suicidal. Cannabin 1 annate, for insomnia. Zinc phosphide, for overwork. Zinc valerianate, for hysterical or suicidal. Caffeine, for cases not benefited by other rem- edies. Aloin, relieves most cases, and is generally needed as an adjuvant to other remedies. The laxative granules are especially useful. MENINGITIS, CEREBRAL. Aconiiine ^ for fever and hard pulse. 80 OUTLINE OF TREATMENT Atropine, for cerebral hyperemia with excite- ment. Hyoscyamine, for subacute form. Hyoscine, for delirium. Gelseminine, for all but the most acute cases. Calomel, for acute cases ; give to salivation. Ergotin, to lessen blood in brain and subdue excitement. Morphine, the sedative, for first stage, before effusion, and for collapse. Bryonine, for effusion. Anemonine, for acute form at menstrual periods. Elaterin, j use f u l at onset, to abort attack. Pilocarpine, > MENINGITIS, CEREBRO-SPINAL. Morphine, until effusion occurs. Aconitine, add to morphine, for fever and hard pulse. Gelseminine, especially useful to control deli- rium. Atropine, to reduce hyperemia and excitement. Digitaline, 1 in early stages, to abort by con- Ergotin, i tracting arteries. Corrosive sublimate, to promote absorption. MENINGITIS, SPINAL. Aconitine, for fever. Ergotin, to force out blood. Atropine, useful in all cases. Bryonine, to promote absorption. Corrosive sublimate, same use. Morphine, to relieve insomnia. MENORRHAGIA. Morphine, for cases due to abortion. It reduces uterine congestion, tending to produce sterifitv and WITH DOSIMETRIC GRANULES. 8l amenorrhea ; hence is of use in menorrhagia, but the danger of forming a habit is great. Ipecac reduces hyperemia ; best in acute cases with tenesmus. Ergo tin contracts subinvolution, and checks dangerous bleeding. Digitaline is the best remedy for any but the most profuse of hemorrhages. Hamamelin is highly praised by Piffard. Iron arseniate in intervals, anemic cases or where hemorrhage has lasted long, but never for active bleeding. Cannabin tannate> a. very useful remedy, espe- cially for active hemorrhage with expulsive pains. Gossypiin, favorite hemostatic with some. Aloin> for constipation with passive menorrhagia, chronic. Macrotin, for dark, coagulated blood, and head- ache. Calcium lactophos. y for debility following. METRITIS, ACUTE. Morphine, to relieve pain. Aconitine, for fever and headache, with hard, wiry pulse. METRORRHAGIA. Ipecac has a singular influence over acute flood- ing with straining pains. Hamamelin y for persistent oozing. Ergotin, for free flooding, requiring prompt and powerful aid. Cannabin tannate, for climacteric. Digitaline, for plethoric cases, and most others. Hydrastine, for cases of medium severity, and to follow ergot or digitalis. 82 OUTLINE OF TREATMENT MYALGIA. Arnica, for results of injury. Macrotin, so often effectual that should always be tried, especially in chronic cases in nervous persons. Gelsemine, best for acute febrile cases, with severe pain. Cocaine, for resulting muscular weakness and soreness, that following over-exertion. Morphine, \ to abort acute attack, especially Pilocarpine, / from cold. Xanthoxylin, said to be useful. MYELITIS. Atropine, for cases caused by injury. Ergotin, for acute cases according to some ; subacute more probably. Silver oxide, for chronic and anemic cases. Strychnine, for any but hyper-inflammatory cases. Zinc phosphide, for paretics, and to open treat- ment of chronics. NAUSEA. Ipecac, in small doses, relieves many cases ; sea- or train-sickness, gastric indigestion and fermenta- tion, overeating, alcoholism. Anemonine, for flatulence and sick headache, coated tongue. Quasseine, for atonic dyspepsia. Zinc sulphocarbolate relieves all cases due to fermentation, gastric catarrh, mycosis, etc. NEURASTHENIA. Calcium lactophosphate, for a steady tonic recon- structive. Zinc phosphide, give for a week, to open treat- ment, especially to sexual excess cases. WITH DOSIMETRIC GRANULES. 83 Brucine, the best remedy to " tune up " the nerves. Strychnine arseniate, to follow the phosphorus. Iron arseniate, for anemics. Zinc oxide, \ for irritable nerves from over men- Silver oxide, \ tal work, alcoholics and dyspeptics. Cocaine, for over-anxiety cases. Caffeine, for over-fatigue cases. "NERVOUSNESS." Aconitine, for fidgets. Macrotin, a better remedy, especially for women. Brucine, for old people. Strychnine arseniate, tonic for alcoholics. Cocaine, for apprehensions, alcoholic cases (when alcohol has been stopped), and " male hysteria," and also for mental overwork. Capsicin, for alcoholics when still imbibing. Caffeine, for physical overwork, and consequent insomnia. Cicutine, for motor restlessness, with delirium, insomnia, and abnormal irritability, from mental overwork or strain, and sexual excitement. Strychnine arseniate, for nervous debility with vague pains. Morphine, for nervousness, flushes, hot head and cold extremities in convalescence. Camphor monobrom, for reflex or sexual exci- tation. NEURALGIA. the great agents to relieve from pain.* Acetanilide is the strong- Phenacetine, es t an( j quickest ; for worst Acetanilide, \ pains in strong persons. Phen- acetine is best for weak or de- Antipyrine, pressed cases. Antipyrine for ataxy, and when acetanilide cannot be borne. 84 OUTUNE OF TREATMENT Morphine, with atropine, for acute sciatica. Aconitine, for hard, wiry pulse, throbbing head- ache, congestive symptoms, cases due to colds or checking discharges. Atropine, for sciatica, lumbar neuralgia, uterine, dysmenorrheal ovarian, intercostal. Veratrine, for cases with hypertrophy or over- action of heart, or hard, wiry pulse, or convulsions. Strychnine, for visceral neuralgias, and the best remedy for intervals to break up neuralgic habit, and sexual excess cases. The arseniates, useful to break up neuralgic se- quences, especially malarial, or angina pectoris, and neuralgias of amenorrheic and frigid women. Zinc phosphide, a powerful means of breaking a persistent neuralgia. Give for a week, in full doses ; followed by strychnine arseniate and qui- nine, and success will usually follow. Macro tin, neuralgia of fifth, from cold and ovarian. Gelseminine, dental neuralgias, ovarian, from sexual excitement. Zinc valerianate, for utero-ovarian, and in nerv- ous, hysterical women. Ergotin, for gastralgias of obstinate type, not very acute, with abdominal pulsation. E serine, neuralgia of eyeball. Cannabin tannate, neuralgic headache. Iron arseniate, for intervals, in anemic cases. Theine, for sciatica and deep-seated neuralgias. Caffeine, for cervico-brachials, hypodermically. Cocaine, for neuralgias from overwork, mental strain, anxiety, apprehension, grief, stopping alco- hol or narcotics. Trinitrin, to relieve paroxysms, especially of angina pectoris, and in Bright' s disease. WITH DOSIMETRIC GRANULES. 85 Digitaline, for sciatica. Capsicin, for cases stopping alcohol or narcotics. Ipecac, for cases due to indigestion. Colchicine, for plethoric and uricemic cases ; fol- lowing over-eating ; from catching cold ; with throbbing head. NYMPHOMANIA. Lobelin, for full-blooded, hearty women. Macroiin, for nervous, irritable, sickly women, or those with uterine congestion. Colchicine , for plethoric, phlegmatic, meat- eat- ing, lazy girls. Iridin, useful in many cases. The laxative pills are of the utmost use in all but the plethoric cases. Hyoscine is very valuable. OBESITY. Strychnine, 1 as heart tonics, when needed ; as Brucine, i they usually are for older patients. Iodoform, for plethoric cases. Colchicine, for plethoric cases, especially the young. Iodine, for all cases except the anemic. Iron arseniate, for anemic cases. Cocaine, give before meals to lessen appetite. ODONTALGIA. Morphine, 1 for aU caseg due tQ catchin cold Pilocarpine, J OPHTHALMIA. Tartar emetic, for strumous cases. Iridin, 1 at commencement, to purge Podophyllin, / sharply. The arse?iiates, for chronic, strumous or cachec- tic cases. Colchicine, for gouty or plethoric cases. 86 outline; ok treatment OPIUM HABIT. Capsicin, valuable to sustain patient when de- prived of opium ; stimulant to digestion, nerves and brain. Cocaine, to sustain hope and relieve insomnia, stop qualms. Gelseminine, for restlessness, with hot head and bright eye, sometimes fever. Cicutine, for wandering pains and motor rest- lessness. Sparteine, to keep up heart when pulse is relaxed. Trinitrin, for sudden syncope. Cannabin tannate, if foregoing do not secure sleep. Hyoscyamine, for insomnia, if cannabin fails. Iron arseniate, good tonic. Zinc oxide, tonic for nerves and weak stomach, nausea or diarrhea. ORCHITIS. Anemonine, relieves pain. Aconitine, for pain with fever. Atropine, to follow foregoing. Tartar emetic, in very acute cases. OTALGIA. Atropine, for earache in children, with coryza. Anemonine, for same cases, with fever. OTITIS AND OTORRHEA. Anemonine, to relieve pain and fever. Aconitine, stronger remedy for same uses. Calcium sulphide, to prevent suppuration. Arsenic sulphide, to stop long continued suppu- ration. OVARIAN NEURALGIA. Atropine is Waring's best remedy. Cannabin tannate, for spasmodic pain. WITH DOSIMETRIC GRANULES. 87 Gelsemtntne, for pain with tenderness. Aconitine, for pain, tenderness and fever, perhaps headache. Ergo tine, for chronic cases. OZENA. Gold Chloride, j for syphilitic cases . Corrosive sublimate, > Colchicine, for plethoric people. Cubebin, for all cases. Calcium lactophos., for strumous cases. PARALYSIS. According to time, these are the indications : Colchicine, \ to prevent impending stroke in ple- E later ine, J thoric. Morphine ] to subdue excitement and limit in- \ jury to nervous tissue at time of Aconitine, j stroke. "] to promote absorption Corrosive sublimate, j of effused material, and Iodine, \ relieve nerves of pres- j sure. Calcium lactophos., \ to keep up nutrition of in- Iron arseniate, ) jured tissues. to awaken sensibility of nerves after inflammation has subsided and absorption taken place. To be used about a month or six weeks after stroke. Calomel, to prevent impending stroke in syphil- itics. Arnica, in bladder palsy. Zinc phosphide, in white softening, hysterical, and venereal excess paralyses. Atropine \ -\ for chronic myelitic paresis, and the Ergo tine, j ergo tine for vesical paresis. Strychnine, Brucine, 88 OUTLINE OF TREATMENT Physostigmine, for ocular, general paresis and old palsies. Cannabint annate, for vesical palsy from spinal disease. Capsicin, good stimulant in chronic cases. A loin, needed in many cases. Senegin, in rheumatic palsy. PAROTITIS. Aconitine, for fever. Calomel relieves pain and swelling. Pilocarpine, for retrocession to testes or ovaries. PERICARDITIS. Aconitine, to reduce fever, pain and throbbing. Digitaline, for weak heart. Bryonine, to absorb exudation. Veratrine, to quiet pulse, if very active and full. Iron arseniate, the best tonic, when one is needed. Sparteine, heart tonic, to follow digitaline. PERITONITIS. Aconitine, for pain and fever. Bryonine, to promote absorption. Morphine, for pain and fever. PERSPIRATION. Atropine, for sweating of phthisis, and weakness, and for children. Pilocarpine, said to check profuse. Agaricine, very efficient for night-sweats. Muscarine, for night-sweats and other cases of sweating. Zinc oxide, useful in phthisis. Ergotine may arrest sweating. PERTUSSIS. Aconitine, for congestion, and to abort or pre- vent attack. WITH DOSIMETRIC GRANULES. 89 Trinitrin, to relieve dyspnea. Ipecac y useful in all cases. Anemonine, for first stage, where aconite is not to be used. Atropine, specially useful in teething children ; for spasmodic stage, and for profuse secretion. Cicutine is a good remedy. Morphine, to quiet undue excitement, dyspnea, or spasms. Lobelin, for hearty children, and profuse secre- tion. Gelseminine > useful in spasmodic stage, with headache. Camphor monobrom., a good remedy to give throughout, in full doses. PHARYNGITIS. Aconitine, for pain and fever. Atropine, to abort attack. Macrotin, when membrane is dry and spotted with mucus. PHLEBITIS. Hamamelin, to be given throughout. Calomel, given to salivation. Morphine, to relieve pain. PHTHISIS. Creasote, to render the body uninhabitable to the bacillus ; should be taken as largely as possible ; checks sputa formation. Iodoform, \ for bacillicide ; give to verge of Iodol, I iodism. Aconitine, for fever. Morphine, for hot head and flushes, with fever, due to over-exertion or nervousness ; only to be used occasionally, as the habitual use lessens the resistance of the body to the disease. 90 OUTLINE OF TREATMENT Codeine, better than morphine for cough. Calcium lactophos., for colliquative sweats, dlar* rhea or bronchorrhea. Its use increases the resist- ance of the tissues to the disease. Macrotin palliates cough, improves appetite, lessens bronchitis, in non-tubercular form. for chronic forms, with Quinine arseniate, Strychnine arseniate i little fever, early- stages, relieves gastro- intestinal irritation. Sanguinarine, specific when the secretions accumulate in lungs, and dulled sensibility of mu- cous membrane prevents free expectoration, in later stages ; also increases appetite. Calomel, in small doses, recommended by Dr. Shade, as germicidal. Corrosive sublimate, for diarrhea. Digitaline, \ useful with quinine for fever, and Ipecac, i for hemorrhages. Phenacetine, for fever above 102 . Cubebin, to lessen profuse expectoration. Hydras line, for dry cough, or hemoptysis. Aristolochin strengthens appetite and digestion. Cactus grand, heart tonic. Gold chloride, held to be specific ; should be freely tried. Soda hypophos., for caseous stage. Cannabin tannate, for cough or insomnia. Euonymin, for constipation or biliousness. PLETHORA. Aconitine, for over-acting heart. Arseniates, for cerebral congestion. Iridin, to deplete liver. Colchicine, for nearly all the symptoms, in younger subjects. WITH DOSIMETRIC GRANULES. 9 1 Iodine, to reduce the blood. Elaterin, for threatened apoplexy. PLEURISY. Aconitine, for first stage pain and fever. Veratrine, for very acute cases. Bryonine, after effusion, to promote absorption. Morphine, with quinine, to abort. Asclepiadin, highly valued in some parts. Pilocarpine, with dry diet, to abort ; best in fairly hearty persons ; not in feeble or diseased heart. Elaterin, with dry diet, to promote absorption, in robust cases. Pleurodynia. Macrotin, for rheumatic cases. Atropine, in all other forms. PNEUMONIA. Aconitine, for fever, in young and strong. Veratrine, for very acute cases in young or mid- dle aged. Bryonine, only when there is pleural effusion. Zinc phosphide, for typhoid condition. Atropine, for first stage. Sanguinarine, after crisis, as stimulant for aged. Ipecac, for infantile and catarrhal cases. Digitaline, doubtful utility ; may be needed in late stages with lax pulse. Ergotine, urged on very doubtful grounds, in acute cases. Senegin, in late stages, with dry, irritating cough, aud oppression. Morphine, for pain and delirium, and irritating cough. Aristolochin, stimulant in aged, low stages, and after crisis. 92 OUTLINE OE TREATMENT 1 for low stages, failing heart, aged, ructn , . alcoholic, and exhaustion cases, Strychnine, j miaVi ^ catarrha i s . Pilocarpine may abort, at onset. Tartar emetic, for acute hyperemia and over- loaded lungs at first, and for acute fighting de- lirium. Capsicin, for alcoholic cases. Cocaine, for delirium of alcoholics. Hyoscine, for delirium of ordinary cases. Ergotine, ) r . . -»..,,. \ for hemorrhagic cases. Digitahne, J Arseniates, for delayed recovery after fever drops to normal. Zinc sulphocarbolate , for gastric and intestinal irritation. PROLAPSUS ANT. Strychnine, for children. Piperin, for relaxed tissues. Podophyllin, very small doses as a laxative. These three go well together. PROLAPSUS UTERI. Macro tin, to prevent abortion. PROSTATIC HYPERTROPHY. Ergotine, of some value. Colchicine, in gouty or plethoric. Cantharidine, for acute cases. PROSTATORRHKA. Iron arseniate, for debility. Atropine, very valuable to subdue irritation. Hydrastin, as tonic astringent. PRURITUS. Quinine arseniate, for nasal pruritus with asthma. WITH DOSIMETRIC GRANULES. 93 Gelseminine, for many cases. Colchicine, for gouty, plethoric, sedentary, neu- rasthenic, middle life cases. Leptandrin, % , _ ., r _ . laxatives of varying degrees of Euonymtn, \ Iridic i Strength * PTYALISM. Atropine, for nearly all cases. PUERPERAL CONVULSIONS. • Aconitine, for fever and headache. Veratrine, for full, hard, or wiry pulse ; prob- ably the most generally useful remedy. Gelseminine, for cases not strong enough for the preceding. Pilocarpine, full dose to prevent threatened spasm. Morphine, after purgation or bleeding ; not in albuminuria. Elaterin, to prevent threatened spasm. PUERPERAL FEVER. Gelseminine, Aconitine, I for fever, according to severity Veratrine, of case and pulse tension. Tartar emetic, J Morphine, for insomnia, delirium and fever. Daturine, -\ e - , . . Tr . yfor delirium. Hyoscine, J ~ . 9 \ for feeble pulse and collapse. Brucine, J PUERPERAL INSANITY. Daturine, for cerebral excitement, wild delirium, suicidal or infanticidal. Hyoscyamine, for milder symptoms. Aconitine, for fever and headache. 94 outline; of treatment Cicutine, for motor restlessness. Macrotin, for hypochondria, melancholy, blood stasis and headache. Tartar emetic \ for fighting frenzy. Gelseminine, for irritation with weakness. Morphine, for insomnia. PURPURA. Ergotine, sometimes good, at others bad, not known why. Strychnine arseniate, of great value as a tonic aud alterative. Iron arseniate, only in intervals ; increases hem- orrhage if active. Cocaine, unequaled as local hemostatic ; espe- cially in purpura due to quinine. Hamamelin, very useful as a systemic remedy. Hvdrastine, often rapidly curative. PYEMIA AND SEPTICEMIA. Digitaline, highly valued by many. PYROSIS. Capsicin, in atonic cases. Strychnine, same. Anemonine, for phlegmatic plethorics. Podophyllin, for bilious plethorics. Zinc oxide ~\ Silver oxide. ) for weakl ? cases or catarrhals - RICKETS. Calcium lactophosphate, to be used for months, steadily. Pepsin, often valuable in rachitic diarrhea. Iron arseniate, a valuable tonic. REMITTENT FEVER. Aconitine, for headache and fever. Gelseminine, for biliousness. WITH DOSIMETRIC GRANULES. 95 Morphine, hypodermic, to abort chill. Quasseine, for convalescence. Iridin, purgative, often beneficial with calomel. RHEUMATIC GOUT. Aconitine, for fever. Macrotin, for enlarged and stiffened joints, for uterine derangement, and when pain is worse at night. Colchicine should always be tried. Quinine arseniate is often beneficial. Lithium is often of value in both acute and chronic forms. RHEUMATISM, ACUTE. Aconitine, for fever, dry skin, joint pains. Ver citrine, in actually painful cases ; in plethoric cases a few doses are of use. Bryonine, for stiffened joints. Macrotin, for subacute cases. Arnica, for plethoric cases. Colchicine t valuable for plethoric people in mid life. Lithium brom. y for insomnia, delirium. Digitaline, for weak heart. Iridin, to open bowels, which always relieves the pain. Gelseminine, for headache. Atropine, for excessive sweating. RHEUMATISM, CHRONIC. Quinine arseniate is useful in most cases. Bryonin, for stiff and sore joints. Macrotin, for neuralgias, headache and uterine complications. It is often useful, but precise indi- cations have not been made out. 96 OUTLINE OF TREATMENT Colchicine is useful, according to the degree of plethora present. Phytolaccin seems most appropriate to strumous cases. Aconitine, for intercurrent fever. Lithium, for swollen small joints. Xanthoxylin, of uncertain utility. SCARLATINA. Aconitine, for fever and delirium, with full, strong pulse. Atropine, to bring out delayed eruption. Calomel, for inflamed tonsils. Veratrine, to prevent threatened convulsions. Digitaline, highly valued as a specific by many : lowers fever, sustains heart when weak, combats septic toxemia. Asclepiadin, to bring out eruption. Gelseminine, for headache and delirium. Macrotin, for motor restlessness or rheumatism. Zinc sulphocarbolate is considered a specific by many. It is a harmless remedy, well suited for or- dinary cases — to be given throughout. Euonymin, as a laxative. Sparteine, as diuretic. Brucine, heart tonic. Pilocarpine, scarlatinal dropsy or convulsions, late in attack. Acetanilide, for high fever. SCIATICA. Macrotin, for obstinate, subacute cases. Strychnine arseniate, for persistent use in obsti- nate, recurring attacks. Atropine, ) . « Morphine, / hypodermically, to break up attack. WITH DOSIMETRIC GRANULES. 97 Veratrine, for robust cases, with fever. Daiurine, sometimes relieves quickly, Zinc phosphide ', with quinine, strychnine and arsenic, for one week, to break up attack. SCROFULA. Calcium laclophos., given for months. Calcium sulphide , to prevent or abort suppura- tion. Cicutine, for photophobia. btillingin may be useful. Iron arseniate, useful tonic. Zinc phosphide ', for skin affections. SKA-SICKNESS. Atropine, for neurotic cases. Strychnine, for relaxation. Cocaine, before eating, to allay irritable stomach. Morphine hypo., over stomach, for vomiting. Codeine, for vomiting. Bruclne, tonic. Trinitrin, for syncope. Gold chloride, for weakly people, as a preventive. Euonymin y to be used for a few days before sailing, and during voyage as needed, to keep bowels open. This is probably the best preventive. SPERMATORRHEA. Digitaline is one of the best remedies. Cantharidine, for feeble erections, frigidity emis- sions without orgasm. Zinc phosphide ', a temporary and dangerous stim- ulant. Gelseminine, to allay sexual appetite, when an- noyed by frequent, weak erections. Strychnine arseniate, for feeble erections, with premature ejaculations. 9& OUTLINE OF TREATMENT Atropine, for relaxed genitals, emissions without orgasm. Camphor monobrom., to allay frequent, weak erections. Ergotin, to strengthen weak erection without emission. Hydrastine, a useful and safe tonic for all cases. Macrotin, for relaxation with hypochondria. SPINAL AFFECTIONS. Ergoline, for congestion. Strychnine, for pains of irritation. Cicutine, for excessive reflex irritation. STERILITY. Gold chloride, for chronic metritis, amenorrhea from anemia or frigidity; not for plethora. Iron arseniate, for fat and flabby anemics. Arsenic bromide, for plethorics. SUNSTROKE. Acetanilide, full doses, when fever is high and pulse full and strong. Brucine \ cv , "'■*. ■ for cases of heat exhaustion, with Strychnine, . . . :•■,'- ,?" '• r relaxation, fainting, weak pulse, X rr .'. J ', and no fever. Caffeine, J Atropine, for intermediate cases. SUPPURATION. Calcium sulphide, to prevent or stop. Arsenic sulphide, to dry up long-continued or glandular suppuration. Quinine arseniate, tonic for long-continued cases. Iron arseniate, for auemics. Calcium lactophos., to repair waste and f6r sweats. WITH DOSIMETRIC GRANULES. 99 SYNCOPE. Trinitrin, the best and quickest ; effects pass off quickly. Atropine, not so quick, but more lasting. Brucme, \ lQ keep up effect of prece aiu g . Strychnine, > Daturine may replace atropine. SYNOVITIS. Iodoform, for persistent use. Aconitine, for joint pains. SYPHILIS. Calomel, for first stage and early secondary. Hydrarg. bifiiodide, for secondary and tertiary lesions. Corrosive sublimate, for anemics. Gold chloride may be used in place of mercury. TETANUS. Strychnine has cured several cases. Aconitine, to palliate. Atropine relieves, and may cure. Gelseminine, j Hyoscyamine, Cocaine, Physostigm in e, Apomorphin e, have all been employed with asserted benefit, as Curarine, palliatives, with an ccca- Cannabin tannate, j sion cure. Trinitrin, \ Morphine, j Cicutine, J TONSILLITIS. Aconiie ) for fever and tense pulse. Atropine, of great value. IO0 OUTLINE OF TREATMENT Calomel checks inflammation. Calcium sulphide i to prevent suppuration. TORTICOLLIS. Macro fin, for rheumatic cases. TYPHOID FKVER. Zinc sulphocarbolate, to be given throughout. Baptisin, said to be useful in first stage. .Morphine, ^ for insomnia and nocturnal Codeine, > delirium, nervous appre- Cannabin tannate, > hensions. Veratrine, \ rarely required for "fighting de- Tar I ar emetic, / lirium," first stage. Atropine, for contracted pupils, low, muttering delirium, and weak heart. Calomel, useful in early stages, to relieve bowels. Ergotine, for hemorrhage, if alarming. Digitaline, best for hemorrhage after ergotin has checked it. Aristolochin, for depression. Hydrastine, for profuse sweats. Strychnine, for functional palsies and for weak heart. Silver oxide, for diarrhea in later stages, and when traces of blood appear in stools. Sanguinarine, for pneumonic symptoms. Leptandrin,\ iw constipation . iLuonymin, \ r TYPHUS FKVER. Baptisin is said to be useful. Atropine, for dry tongue, and to sustain heart. Hyoscy amine, mild delirium. Morphine, for delirium. JLuonymin, as laxative, when needed. WITH DOSIMETRIC GRANULES. IOI . iristolochin, for low delirium, coma vigil, dry, brown tongue, sordes, weak pulse. Caffeine ', for weakness. Camphor monobrom. , combine with aristolochin. URINARY AFFECTIONS. Aconitine, for retention from chill. Strychnine, retention of aged. Cantharidine, for frequent and involuntary mic- turition, dribbling of women. Cannabin tannate, retention from spinal disease. Digitaline, for suddea suppression from cold, damp, scarlatina, etc. Barosmtn, for catarrhal retention. UTERINE AFFECTIONS. Cicutine palliates pain of cancer. The arseniates, to be given steadily in cancer, to delay its progress. Codeine, \ Ca?mabin tannate, \ to relieve pain of cancer. Morphine, Gold chloride, for chronic metritis with amenor- rhea, in anemics. Ergotine, for subinvolution and fibroids. Digitaline, less useful for subinvolution . Ipecac, puerperal metritis, subacute. Iron arseniate, when tonic is needed. Zinc valerianate, nervine tonic. Macro tin, to relieve irritation in pregnant uterus. Atropine \ for uterine neuralgia. The arseniates, for irritability. Corrosive sublimate, for fibroids, to be given a long time. 102 OUTLINE OF TREATMENT VACCINIA. Aconitine, for fever. Macrotin, for threatened spasms. Euonymin, for a laxative. Gelseminine, for headache and nervous symp- toms. VARIOLA. Macrotin is said to prevent pitting. Camphor monobr om., for retrocession of.eruption. Atropine, for low, muttering delirium with pros- tration. VERTIGO. Digitaline, to strengthen heart. Strychnine arseniate, for weak heart. Br urine, for weakness and relaxation. Corrosive sublimate, for atheroma. Colchicine, for plethora. VOMITING. Zinc sulphocarbolate will relieve all cases of vomiting from catarrh, fermentation, decomposed food, biliousness, cholera morbus or infantum, and often sea-sickness and other forms. Ipecac, in sea and railway-car sickness, bilious- ness, etc. Caffeine arseniate, for alcoholism, cholera, ulcer, gastralgia, pregnancy. Brucine, for long continued vomiting with relax- ation of pregnancy. Calomel, for the choleras and that due to decom- posed food. Creosote, for cancer, ulcer and catarrh. Cocaine, relieves almost any variety. Bryonine, bilious vomiting and headache. The laxative pills often remove the cause of vom- iting. WITH DOSIMETRIC GRANULES. 103 Aristolockin, for bilious vomiting. Cerium oxalate, for pregnancy and cancer. Atropine. ) r r ' V for pregnancy. Aconitvne* J WORMS. Pelletierine, for tape-worm. A loin, for ascarides. YELLOW FEVER. Pilocarpine, full doses, has been used with great success. Z?W sulphocarbolate, should be tried in this dis- ease. Duboisine, as hypnotic and calmative. Capsicin, J Cocaine, \ have been used for the vomiting. Creosote, j Elaterin, to purge. Acetanilide, for fever. "ubrary of congress DD02blD2224