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aerid mucus from the nose; hoarseness; cough; | reputation in this complaint: two or three grains fever, etc.

Treatment. If the symptoms be violent, bleed and give twenty drops of hartshorn in half a pint of warm vinegar whey. Hoarhound and boneset tea, taken in large quantities, are very useful. The patient should be confined to his bed, and be freely purged. If there is great pain in the breast, apply a blister to it. To ease the cough take one teaspoonful of No. 1 every thirty minutes, or till relief is obtained.

The Influenza is nothing more than an aggravated and epidemic state of catarrh, and is to be eured by the same remedies. No cough or cold is too light to merit attention. Neglected colds lay the foundations for diseases that every year send thousands to the grave.

No. 1. Cough Mixture.-Paregoric an ounce; syrup of squills 1 ounce; antimonial wine 2 drachms; water 6 ounces. Dose is one teaspoonful every thirty minutes, or at longer intervals, till the cough abates.

Asthma.

Symptoms.-A tightness across the breast; frequent short breathing, attended with a wheezing, increased by exertion and when in bed. It comes on in fits or paroxysms.

Treatment.-If the cough be violent and frequent, with great pain in the breast, and the patient be young and robust, it may be necessary to bleed or cup him. In old people it should be resorted to with caution. The tincture of lobelia is highly recommended in asthma. It should be taken in doses of a very few drops at first, and cautiously increased. If the pulse sinks under it, or nausea, giddiness, etc., is produced, it must be laid aside. In fact, it is hardly prudent to take this active and dangerous article, except under a physician's care. The dried roots of the thornapple and skunk-cabbage are sometimes smoked through a pipe for the same purpose, soaked in a solution of nitre and dried. Asthma is a disease that is seldom completely cured by art; nature, however, occasionally effects it.

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white.

Treatment.-Take away at once from twelve to fifteen ounces of blood, place a large blister over the side, and give a full dose of Epsom salts. Follow the bleeding by cups if relief is not obtained; and afterwards a blister. All the remedies for the reduction of inflammation must be actively employed. The patient should be confined to his bed, with the head and shoulders a little elevated, and if pain be severe, especially at night, 10 grains of Dover's powder may be given. The diet should always consist of rice or barley-water, gruel, etc.

Spitting of Blood.

Symptoms.-Blood of a bright red color, often frothy, brought up by coughing.

Causes. Consumption, a fulness of blood, rupture of a blood vessel from any cause. Distinguish it from vomiting of blood by its bright color, and being brought up with coughing.

Treatment. Give the patient at once a tablespoonful of common salt, and direct him to swallow it slowly. If the pulse be full, and he be rohust, bleed him. The sugar of lead has much

Take a sufficient quantity of the leaves, stem and pods of the plant, put them into a bottle and fill it up with brandy or spirits, and let it remain for a few days."

of it, with from a half to a whole grain of opium, may be taken every three or four hours, and in severe cases, where the blood flows rapidly, five or six grains, with two of opium, may be taken at once. The most perfect rest should be strictly enjoined, and the diet should be cooling and simple. Consumption.

gradual loss of strength, pulse small, quick, and Symptoms.-A short, dry cough, languor and soft, pain in the breast, expectoration of a frothy matter, that at last becomes solid and yellow, the breathing grows more anxious and hurried, the emaciation and pain increase, hectic fever, night sweats, and a looseness of the bowels come on, and the patient, unsuspicious of danger, dies.

It is

tary tendency, etc. Distinguish it by the longCauses. Neglected colds, dissipation, heredicontinued cough, pain in the breast, and great emaciation, by the substance thrown up containing pus, in common language, matter. known by its being opaque, mixing with water, and heavier than it, so that if thrown into a vessel containing that fluid it sinks to the bottom. When thrown upon hot coals it yields an offensive odor.

Treatment. In a confirmed state of consumption, nothing that art has hitherto been able to do can afford us any solid hopes of a cure. When once the disease is firmly seated in the lungs all that is possible is to smooth the passage to the grave, and perhaps for a while to retard it. If, however, the disease is taken in its very bud, much may be done by a change of climate, a milk diet, cod-liver oil, moderate daily exercise on horseback, and by carefully avoiding cold and all exciting causes. A removal to a warm climate should be the first step taken, if practicable; if not, a voyage to sea or a long journey on horseback. A complete suit of flannel, worn next the skin, is an indispensable article for every one who is even inclined to this most fatal disorder.

Palpitation of the Heart.

The symptoms of this complaint must be obvious from its name. When it arises from organic disease of the heart or its vessels, nothing can be done to cure it. The patient should be careful to avoid a full habit of body, and abstain from violive low, and keep as quiet and composed as poslen. exercise and sexual indulgences. He should sible. A fit of anger, or any imprudence, may

cost him his life. There is a milder kind of this

disease, resulting from debility, nervousness, indigestion, etc., which must be remedied by restoring the strength of the general system. It is also symptomatic of other diseases, and must be treated accordingly.

Dropsy of the Chest.

Symptoms.-Great difficulty of breathing, which is increased by lying down, oppression and weight at the breast, countenance pale or livid, and extremely anxious, great thirst, pulse irregular and intermitting, cough, violent palpitation of the heart, the patient can lie on one side only, or cannot lie down at all, so that he is obliged to sleep sitting, frightful dream is, a feeling of suffocation, etc.

Treatment. All that can be done is to follow the same plan that is laid down for the treatment of dropsy in general, which consists of purging and diuretics. When the water appears to be confined to one cavity of the chest, and the oppres sion cannot be borne, some relief may be obtained by a surgical operation.

Inflammation of the Stomach.

Symptoms. A fixed, burning pain in the stomach, small, very quick hard pulse, sudden and

great weakness, the pain in the stomach increased on the slightest pressure, vomiting, hiccup.

Causes. Cold suddenly applied to the body or stomach, drinking largely of cold water while very warm. The striking in of eruptions, poisons, gout, rheumatism. Distinguish it from inflammation of the bowels by the seat of the pain, which is just below the breast bone, in what is called the pit of the stomach, the burning heat and pain there, by the hiccup and vomiting.

Treatment. The softness of the pulse is here no rule to go by, for it is caused by the disease. The rule is to bleed or leech over the pit of the stomach. From ten to twenty ounces may be taken in a full stream from a robust man at the beginning. As soon as he is bled, or while the blood is flowing, put him into a warm bath, and have a large blister prepared, which, after he has remained some time in the bath, should be applied directly over the stomach. A warm laxative clyster is now to be thrown up, and when the stomach will retain it, give him small quantities of arrow root jelly or gum arabic tea from time to time, with a few drops of laudanum. The most rigid diet must be observed, and the patient kept very quiet. When the inflammation is reduced, and the stomach will bear it, a grain of solid opium may be given occasionally with advantage. If the disease has been brought on by poison taken into the stomach, apply the remedies directed in such cases. If mortification ensues, death is the inevitable consequence. It is known to exist when from the state of torture we have just described there is a sudden change to one of perfect ease. Cramp in the Stomach.

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Hiccups.

Symptoms. A spasmodic affection of the stomach and diaphragm, producing the peculiar noise which gives rise to the name.

Treatment. -When hiccups occur at the close of any disease, they may be considered the harbingers of death; they, however, frequently arise from acidity in the stomach and other causes. A long draught of cold water, a sudden surprise or fright puts an end to them. A blister over the stomach may be applied for the same purpose. I have succeeded in relieving a violent case of hiccups, that resisted every other remedy, by the oil of amber, in doses of five drops every ten minutes. It may be taken in a little mint-water. Camphor is also useful.

Heartburn.

pains and fullness in the stomach; belching; a sour water rising in the mouth; heartburn; the bowels irregular and generally costive; weakness and emaciation; pulse small and slow; pain in the head; skin dry; great uneasiness after eating.

Causes. All those which induce debility; eating too rapidly, without chewing the food; excessive indulgence in the pleasures of the table, or intemperance in any way; a sedentary life, or want of exercise; a diseased liver.

Treatment. In every case of indigestion, the first thing the patient should do is to abstain from whatever may have tended to produce it. The diet should consist of animal food that is light, nourishing, and easily digested. Roasted beef or mutton is perhaps preferable to any other. Country air and constant exercise on horseback are invaluable remedies in this disease, which, as it is generally occasioned by a departure from natural habits and employments, must be relieved by a return to them. Flannel should be worn next the skin, and care taken to avoid cold or exposure to wet. A wine-glass of the infusion of bark and quassia (made by placing one ounce of powdered bark and one of ground quassia in a close vessel, to which is added a quart of boiling water; to be kept simmering near the fire until the whole is reduced to a pint), with ten or twelve drops of the elixir of vitriol, should be regularly taken, three times a day, for months. The bowels are to be kept open by some warm laxative as rhubarb, and the whole frame braced by the daily use of the cold bath. Weak spirits and water, or a single glass of sound old Madeira may be taken at dinner. Much benefit has been found to result from a

long-continued use of the wine of iron (made by taking iron-filings 4 ounces, and pouring on it 4 pints of Madeira wine; let it stand for a month, shaking it frequently), a glass of which from a diseased liver, recourse must be had to tho may be taken twice a day. If the complaint arise plan laid down for its cure.

An attack of temporary indigestion may be treated by abstinence, rest, and a teaspoonful of magnesia, if the bowels be costive, otherwise a quarter of a teaspoonful of the bicarbonate of soda. Vomiting of Blood.

Symptoms. A flow of dark blood from the stomach, preceded by a sense of weight and oppression in that organ. The blood is generally mixed with particles of food, etc.

Distinguish it from spitting of blood, by its dark color, and being mixed with food.

Treatment. If the accompanying symptoms be inflammatory, bleed or cup, and use some cooling purge; if otherwise, try fifteen drops of the muriated tincture of iron, with six of laudanum, in a glass of water, every hour till the bleeding ceases. If the cause be a diseased liver, or tumor in the neighborhood, treat it accordingly.

Inflammation of the Liver.

This common and distressing affection is geneSymptoms. A dull pain in the right side below rally connected with indigestion. To relieve it for the rib, which is more sensible on pressure; an the moment, magnesia, soda, or Seltzer water, or inability to lie on the left side; pain in the right water acidulated with sulphuric acid, may be emshoulder; a sallow complexion. Such are the ployed. To cure the complaint requires the di- symptoms of an acute attack of this disease. gestive powers to be strengthened by tonics, bit-There is another species of it called chronic, in ters, and the different preparations of iron, etc., as directed for indigestion. The application of a blister over the stomach may be of use. The white oxide of bismuth in six grain doses, three times a day, taken in milk, has been found of service. Indigestion, or Dyspepsia. Symptoms. Want of appetite; low spirits;

difficult matter to determine its nature. It comwhich its approaches are so gradual that it is a mences with all the symptoms of indigestion, and ends in jaundice or dropsy.

Causes.-Long-continued fever and ague; drunkenness, or a free use of spirituous liquors is a very common cause; injuries from blows, etc.

Distinguish it from pleurisy by the pain not

being so severe, and by its extending to the top of the shoulder; by not being able to rest on the left side.

Treatment.-Bleed or cup the patient according to his age, strength, and the violence of the pain, and, if necessary, apply a blister over the part, which may be kept open by dressing it with the savin ointment. The bowels should be opened by Epsom salts or calomel and jalap. If this does not abate the symptoms in a few days, give a calomel pill of one-half grain every five hours, or rub a drachm of the strongest mercurial ointment into the side until the gums are found to be a little sore, when the frictions or pills must be discontinued until the mouth is well, and then again resorted to as before. If an abscess points outwardly, apply bread and milk poultices to the tumor, omit the mercury, use wine, bark, and a generous diet. As soon as matter is to be felt within it, open it at its lowest and most projecting part with the point of a sharp lancet, and let out its contents very slowly, taking care not to close the wound till this is completely effected. The nitromuriatic acid, in doses of four drops, three times a day, steadily persevered in, will sometimes produce a cure. A tea made of the root or leaves of the dandelion is sometimes medicinal in liver complaint.

Jaundice.

Symptoms.-Languor; loathing of food; a bitter taste in the mouth; vomiting; the skin and eyes of a yellow color; the stools clayey, and the urine giving a yellow tinge to rags dipped in it. There is a full pain in the right side, under the last rib, which is increased by pressure. When the pain is severe, there is fever; the pulse hard and full, etc. Causes.-An interruption to the regular passage of the bile, which is retained in or carried into the blood. It may be occasioned by gall-stones, a diseased liver, etc. Intemperance is a very common cause, hence tipplers are more subject to it than others.

Ague Cake.

This is the vulgar appellation for an enlarged spleen, and expresses, with much brief meaning, the cause of the complaint, as it generally results from ill-treated or obstinate intermittents. It is, however, not productive of much uneasiness, and frequently disappears of itself. The plan of treatment, if there is acute pain in the part, is to purge and blister. If it remains enlarged after this, mercury may be carefully resorted to, as directed in chronic inflammation of the liver.

Inflammation of the Intestines.

Symptoms.-Sharp pain in the bowels, which shoots round the navel, and which is increased by pressure, sudden loss of strength, vomiting of dark-colored, sometimes excrementitious matter, costiveness, small, quick, and hard pulse, high

colored urine.

Distinguish it from colic, by the pain being increased by pressure, whereas in colic it is relieved by it.

Treatment. This is another of those formidable

diseases that require the most actively reducing measures in the onset. From ten to twenty ounces of blood ought to be taken away at once, and the patient placed in a warm bath, after which a large blister should be applied to the belly. Emollient and laxative clysters may be injected from time to time, and if the vomiting and irritability of the stomach permit it to be retained, give a dose of castor oil. If this be rejected too, the oil mixture No. 1. This, however, though one of great importance, is a secondary consideration; to subdue the inflammation, by bleeding or leeching, being the great object. The diet should consist of barley or rice-water only. If in the latter stages of the disease, when the inflammation has somewhat subsided, an obstinate costiveness bo found to resist all the usual remedies, dashing cold water over the belly will sometimes succeed.

When certain quantities are mentioned, it is always to be understood that they are applicable to robust men.

Common sense will dictate the necessity of diminishing them, as the patient may fall more or less short of this description. If strangulated rupture be feared, surgical aid should be early obtained.

Remember that this complaint frequently runs its course in a day or two, and that, unless treatTreatment. If the pulse be full and hard, the ment be promptly employed in the very beginning, pain great, and other inflammatory symptoms be mortification and death will ensue. If a strangupresent, blood is to be taken away as freely as the lated rupture occasion the disease, the same, and, age and strength of the patient, and the violence if possible, still stronger reasons exist for bleedof the pain, seems to demand. He should then being, previously to any attempts at reduction. placed in a warm bath, and allowed to remain there some time; when removed to bed, a grain or two of opium may be given every few hours until the pain is relieved. Bladders partly filled with warm water, or cloths wrung out of hot decoctions of herbs, may also be applied to the seat of the pain. If the stomach be so irritable as not to retain anything on it, try fomentations and the effervescing mixture, or a blister to the part. As soon as some degree of ease is obtained by these means, purgatives must be employed, and steadily persevered in; calomel and jalap or Epsom salts, in the ordinary doses, answer very well. If, however, this cannot be done, and, from the pain being acute at one particular spot, there is reason to suppose that a gall-stone is lodged there, the following remedy may be tried, of which one-fifth or a little less may be taken every morning, drinking freely of chicken broth, flaxseed tea, or barley water after it.

Ether 3 drachms; spirits of turpentine, 2 drachms. Mix them.

The diet ought to be vegetable, and should the disease have arisen from a neglected inflammation of the liver, it must be treated accordingly. (See Inflammation of the Liver.) Regular exercise (on horseback, if possible) should never be neglected by persons subject to this disease in its chronic form.

No. 1. Oil Mixture.-The yolk of one egg; castor oil, 2 ounces. Mix them well, and add lavender compound, 2 drachms; sugar, 1 ounce; water, Mix them well. The dose is a table5 ounces. spoonful every hour till it operates, or half the quantity at once; the remainder, in divided doses, if no passage is obtained after a space of four

hours.

Cholera Morbus

Symptoms. A violent vomiting and purging of bile, preceded by a pain in the stomach and bowels; quick, weak, and fluttering pulse; heat, thirst, cold sweats, hiccups, and sometimes death in a few hours.

Treatment.-Bladders or bottles containing hot water should be applied to the feet, and flannel cloths wrung out of hot spirits, or a mustard plaster, be laid over the stomach. When it is supposed that the stomach is sufficiently cleared, give two grains of solid opium in a pill, and repeat half the quantity every few hours, as the case may require. If the weakness be very

great, and the spasms so alarming as to cause | by some mild purgative, as castor oil or rhubarb. a fear of the immediate result, the quantity of opium may be increased carefully. If the pill will not remain in the stomach, give eighty or ninety drops of laudanum, in a tablespoonful of thin starch, by clyster, and repeat it as often as may be necessary. Fifty or sixty drops of laudanum in a small quantity of strong mint tea, or the effervescing draught, will frequently succeed in allaying the irritation. If all these means fail, apply a blister to the stomach. For thirst, give ice; a little at once. To complete the recovery, and to guard against a second attack, a complete casing of flannel is requisite, together with the use of vegetable bitters and tonics. Persons rubject to this disease should be cautious in their diet and avoid exposure to moist, cold air.

Dysentery.

Symptoms.-Fever; frequent small stools, accompanied by griping, bearing down pains, the discharge consisting of pure blood or blood and matter, sometimes resembling the shreds or washings of raw flesh; a constant desire to go to stool. Distinguish it from diarrhoea or lax by the fever, griping pains, and the constant desire to evacuate the bowels, by the discharge itself being blood, or matter streaked with blood, etc.

Treatment.-As dysentery or bloody flux is almost always in this country connected with considerable inflammation, it will be proper, in some cases, to bleed the patient at the beginning of the attack. Whether it be thought prudent to bleed or not, an early dose of castor oil, with clysters of the same, and the application of blisters to the belly should never be omitted. The stomach and bowels may be cleansed by barley or rice-water taken by the mouth and in clysters. As soon as this is effected give half a grain of opium with half a grain of ipecac every two, three or four hours. The diet should consist of gum arabic dissolved in milk, arrow-root jelly, barley-water, etc. Clysters of the same articles, with the addition of an ounce of olive oil and twenty drops of laudanum, may be likewise injected. Towards the latter end of the complaint, opium and astringents are proper, and indeed necessary. I say the latter end of it, for in the commencement they would be hurtful. In this stage of it also, if a severe tenesmus (or constant desire to go to stool) remains, anodyne clysters, as of forty to eighty drops of laudanum in an ounce of starch will be found useful, or what is more effectual, a couple of grains of opium placed just within the fundament. The various astringents which are proper for dysentery in its latter stages, are found below, and may be used, with port wine and water, as a drink :

Astringents.-Acetate of lead 1 scruple; opium 10 grains. Divide into twenty pills. Take one every two, three or four hours.

Tincture of catechu 2 ounces. Take two teaspoonsful in a little port wine every hour, or oftener if required; or,

Extract of logwood 20 grains; cinnamom water 2 ounces; tincture of kino 1 drachm; sugar 2 drachms. To be taken at once.

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Bathing the feet in warm water, and copious draughts of boneset tea, will be found of great benefit if it originate from suppressed perspiration. For the same purpose, also, from six to ten grains of Dover's powder may be taken at night, being careful not to drink much for some time after it. If worms are the cause, treat it as directed. When it is occasioned by mere weakness, and in the latter stages of it (proceed from what it may), when every irritating matter is expelled, opium, combined with astringents, is necessary as in the similar period of dysentery. The diet should consist, in the beginning, of rice, arrow-root, sago, etc., and subsequently of roasted chicken. Weak brandy and water, or port wine and water, may accompany the chicken for a common drink. Persons subject to complaints of this kind should defend their bowels from the action of cold by a flannel shirt; the feet and other parts of the body should also be kept warm.

drachms; loaf sugar 1 drachm. Rub them well No. 1. Chalk Mixture.— Prepared chalk 2 together in a mortar, and add gradually of mucilage of gum arabic 1 ounce; water 6 ounces; lavThe dose is a tablespoonful every hour, or oftener. ender compound 2 drachms; laudanum 30 drops. Shake the bottle well before pouring out the liquid, or the chalk will be at the bottom.

Colic.

Symptoms.-Violent shooting pain that twists round the navel; the skin of the belly drawn into balls; obstinate costiveness; sometimes a vomiting of excrement.

Distinguish it from inflammation of the bowels by the pain being relieved by pressure, and from skin being drawn into balls, etc. other diseases by the twisting round the navel, the

Treatment. The first thing to be done in this disease is to give a dose of oil or magnesia with laudanum in a little peppermint water, and apply a mustard poultice over or below the navel. Forty, sixty or seventy drops of laudanum may be given at once, as the pain is more or less violent, and the dose may be repeated in a half hour, or less time, if ease is not procured. During this time, if the first doses of laudanum are found ineffectual in

reducing the pain, and it is very great, eighty or ninety drops may be given as a clyster in a gill of gruel or warm water. One great rule in the treatment of colic, where the pain is excessive, is to continue the use of opium in such increased doses as will relieve it. When this result is obtained, castor oil by the mouth and clyster must be employed to open the bowels.

This

In bilious colic, when there is vomiting of bile, laudanum, may be taken to quiet the stomach, to the effervescing draught, with thirty drops of which flannels wrung out of warm spirits may be applied. When the vomiting has abated, the oil mixture or the pills below should be taken until a free discharge is procured. If, notwithstanding our endeavors, the disease proceeds to such an extent as to induce a vomiting of excrement, the tobacco clyster must be tried, or an attempt be made to fill the intestines with warm water. is done by forcibly injecting it in large quantities, at the same time the patient swallows as much as he is able. In this way, with a proper syringe, two gallons have been successfully introduced. In all cases of colic, when there is obstinate costiveness, an examination of the fundament should be made with the finger. If there are any hard, dry pieces of excrement there, they may be removed either by the finger or the handle of a spoon. Examination of the groin and navel should also

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be made, to see if there be a rupture which may be strangulated.

Those who are subject to colic should avoid fermented liquors and much vegetable food; be always well clothed, and take care not to expose themselves to cold and wet. The bowels should never be allowed to remain costive.

Pargative Pills. Of calomel and jalap each 10 grains; opium 14 grain; tartar emetic a grain; oil of aniseed 1 drop. Make the whole into a mass. To be taken at once, or divided into pills, if the patient prefer it. Painter's Colic.

Symptoms.-Pain and weight in the belly; belching; constant desire to go to stool, which is ineffectual; quick, contracted pulse; the belly becomes painful to the touch, and is drawn into knots; constant colic pains; the patient sits in a bent position: after awhile palsy of part or of the whole body.

Treatment. This disease is too apt to end in palsy, leaving the hands and limbs contracted and useless. In every case of colic, whose symptoms resemble the above, if the person has been exposed to lead in any of its shapes, all doubt on the subject vanishes.

Give laudanum in moderate doses, and rub the belly well with warm spirits, and place him in a bath as hot as he can bear. As soon as he is well dried, and has rested in bed a few minutes, take him up and dash a bucket of cold water over his belly and thighs, or mix an ounce of sulphate of magnesia in a pint of water, and give a wineglassful every half hour until ease is obtained. If this, with castor oil by the mouth and in clysters will not produce a stool, apply a large blister to the belly. As soon as the symptoms are somewhat abated, castor oil or laxative clysters may be resorted to for the purpose of keeping the bowels open, and to guard against a return small doses of opium should be taken from time to time. Bitters, the different preparations of iron, bark, etc., are necessary to restore the strength of the system.

Worms.

Symptoms.-Intolerable itching at the nose, sometimes at the fundament; disagreeable breath; grinding of the teeth and starting during sleep; hardness of the belly; gradual emaciation; colic, and sometimes convulsions.

Treatment. This will vary according to the kind of worm that is to be destroyed. They are of three kinds:

The White Thread- Worm Resembles a small piece of white thread, and is usually found near the fundament, at the lower end of the guts, where it produces a contraction of the parts, and a most intolerable itching. Clysters of lime-water will frequently bring the whole nest of them away, and procure instant relief. The tincture of aloes below, however, is one of the best remedies known for not only this, but the round worm.

Tincture of Aloes.- Socotrine aloes 1 ounce; liquorice 2 ounces; coriander-seed an ounce; gin 1 pint. Digest in a bottle for a week, shaking the bottle frequently; then strain. The dose for a child is a teaspoonful every morning; for an adult two tablespoonsful, with half the quantity of a strong decoction of the Carolina pink root. Santonin suppositories (three grains to a sufficient amount of cacao butter) are a certain cure for

seat-worms.

The Round Worm Occupies the small intestines, and sometimes the stomach. It is of various lengths, from three

to eight or more inches. If the tincture of aloes fail to remove it, the pink root may be taken in decoction, or in powder, in doses of sixty or eighty grains, to be followed after three or four days by ten or fifteen grains of calomel. Cowhage, in molasses or honey, with a dose of castor oil every third day, has been very highly extolled. In cases where all other means have failed, tobacco leaves, pounded with vinegar and applied to the belly, have produced the desired effect. They are dangerous, however, especially with young children. The Tape- Worm

Inhabits the whole of the internal canal, and sometimes defies all our efforts to get him out of it. Large doses of spirits of turpentine, from one to two ounces. in barley water, have been advantageously employed for this purpose. If the spirits of turpentine be tried, large quantities of gruel or barley water should be used with it in order to prevent its irritating the stomach and kidneys. Pumpkin seeds, taken largely on an empty stomach, will often expel the worm.

By whatever means these troublesome guests are got rid of, the patient should be careful to strengthen his system and bowels by a course of barks, bitters, wine, etc., and to use a great proportion of animal food in his diet. Repeated purging with calomel is, perhaps, as effectual a remedy for worms as we have, particularly if succeeded by the pink root tea.

Inflammation of the Kidneys.

Symptoms.-Deep seated pain in the small of the back; urine high-colored and small in quantity, sometimes bloody; sickness at the stomach; vomiting.

Treatment. This will depend upon the cause. If it proceed from gravel, the plan to be pursued will be detailed under that head. If it arise from any other, cup the back freely, repeat it in ten or twelve hours, if necessary, and put him into a warm bath. Twenty grains or more of the uva ursi, with half a grain of opium three times a day, accompanied by small quantities of warm barley or rice-water, is one of the most valuable remedies we are in possession of. The diet during the attack should consist of mucilaginous drinks only, which must be frequently taken, notwithstanding they may be rejected by vomiting.

Gravel.

Symptoms.-A fixed pain in the loins; numbness of the thigh; constant vomiting; retraction of the testicle; urine small in quantity, voided with pain and sometimes bloody. As the gravel passes from the kidney into the bladder the pain is so acute as to occasion fainting, etc.

Treatment.-Put him into a warm bath, where he should remain some time. Meanwhile an emollient and anodyne clyster should be got ready, which must be given to him as soon as he leaves it. Cloths wrung out of decoctions of herbs or spirits and water should be applied to the part, and small quantities of warm gum arabic tea or barley-water be taken frequently. A grain of opium every two hours will be found useful. Bicarbonate of soda in twenty-grain doses every three hours, often gives great relief. Strong coffee, without sugar or cream, sometimes acts like a charm in soothing the pain; twenty drops of the spirits of turpentine taken on a lump of sugar every half hour, is said by high authority to do the same. If the irritation of the stomach is very great, the effervescing draught, with thirty or forty drops of laudanum, may be tried. When the pain, etc., is somewhat abated, the bowels

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