Entered, according to Act of Congress, in the year 1871, by
CHARLES T. HURLBURT
In the office of the Librarian of Congress at Washington, D. C



LIST OF REMEDIES PRESCRIBED.
REMEDIES.                                   ABBREVIATIONS.
Aconite.................................Ac.
Aloes.............................. Al.
Arsericu;m alb.......................... Ars.
Belladonna.............................Bell.
Bryonia alb.......................... Bry.
Chamomilla...................... Charn.
Cochwum.............................. Colch.
Colocynth...............................'ol.
Dulcamara.............................Dulc.
Euphrasia............................. Euph.
Gelseminum............................ Gel,
Hamamelis virg........................ Ham.
Hepar sulphurs......................... Hepar.
Hyoscyamus............................ Hyos.
Ignatta.................................g.
Ipecacuan ha.............. Ipecac.
Jaalpa.................................. Jal.
Kali bichromate......................... Kali bich.
Kalz hydriod............................ali h.
Mercurius corrosivus....................        Merc. c.
Mercurius dulcis........................ Merc. dul
Mercurius protiodide...............M.... Merc. prot.
Mercuriuls solubilis............. Mere. sol.
Nutx vomica.............................ux.
Opium................................ Op.
Phosphorus....................       Phos.
Podophylluhm.......................... Pod.
Pulsatilla......................... Pluls,
Rheum................................. Rheum.
Rhus. tox............................... hus.
Sambuc..............................Samb.
Sponeria tost............................Spong.
Stibium................................Stib.
Sulphur................................Sulph.
Veratrum  alb.........................  Verat. alb.
Veratrum,  viride........................Verat. vir.
Tincture used for External Application: Arnica Mont.






PREFACE.                 V
edy, and the dose may be recognised as easily as
possible, and has given as few remedies as possible,
so, in short, that the directions may be of practical
use, and fulfil the objects for which they are intended.
Under the head of "Poisoning," he has included
only those cases liable to occur from the most common poisons, such as are most frequently kept in
households, and are most liable to be given by
mistake or in overdoses.
Both the diseases and accidents are arranged
throughout the book in alphabetical order.
This work also differs from all others, in the fact
that the directions throughout the book are exclusively for the employment of the strongest preparations of Homceopathic medicines in general use;
the pellets which are prescribed in other works not
being referred to.
For the benefit of those who possess the book,
without the case of medicines, it may be stated that
the directions are, when liquids are prescribed, for
the strong tinctures, and when powders are given,
the first trituration, except Mercurius Corrosivus,
of which the second trituration should be given.
H. B. MILLARD.
7 EAST 27TH STREET, l
NEW-YORK. MAY IST, 1863



PREFACE TO THE THIRD EDITION.
In presenting to the public the Third edition of
this work, I beg to remind the critical reader, that
the preparation of a medical work, as small even
as this, for the use of others than physicians, is by
no means an easy task. The difficulty consists in
being obliged to write upon the nature, distinction,
and treatment of serious diseases, in a manner perfectly comprehensible to readers presumedly ignorant of medical terms and of everything pertaining to medicine. To write for physicians is much
easier, inasmuch as the writer's ideas and descriptions, whether good or bad, are comprehended with
facility.
And beside, in order to avoid that great evil-a
great book-and to save the reader the labor of
studying a dozen pages to ascertain the proper
remedy, I am obliged to make difficult things plain
in a few lines.
I have endeavored to prepare a book for use, not
to impress readers by a display of learned terms;
and the extensive sale the work has had, induces



PREFACE TO THIRD EDITION.       VII
me to hope that I have to some extent succeeded
in my purpose.
Important additions have been made in the present edition, by inserting an Index of Remedies
useful in various complaints, rules for the use of
several remedies not mentioned in the former
editions, and adding chapters on Fevers, Scarlatina, and Measles.
H. B. M.
47 EAST 25TH STREET,
NEW-YORK, JANUARY 1, 1871.



X               -TRODUCTION.
tinctures or liquids is to be prepared by mixing
five drops with halfa tumbler of water. The dose
of this is a tea-spoonful.
The tumblers should be perfectly clean, should
be kept covered, and a separate tea-spoon used for
each tumbler.
The dose of any powder is about five grains
(except when a different quantity is directed). It
is not necessary that the exact weight should be
given; this could not be done without weighing
it; it will be sufficiently accurate to give as near
the quantity mentioned as possible.
Or, the dose of any of the powders for an adult
may be set down at about as much as will lie
heaped up on an old-fashioned silver three-cent
piece; that quantity weighing five or six grains.
To a child from two to four years old, doses about
one-half the size of those directed for adults may be
given; that is, two and a half grains of a powder;
and two drops of a tincture may be mixed with
half a tumbler of water, of which a tea-spoonful is
to be given. To a child from four to fifteen years
old, about three-quarters of an adult dose may be
given. The powders, unless directions to the contrary are given, are always to be given dry on the
tongue.
DOSES FOR INFANTS.-For an infant between one



SMI             BINTRODUCTION.
child from ten to fifteen years old, ten to fifteen
grains; to a child five to ten years old, six,o ten
grains; to a chile two to five years old, four to eight
grains; to a child from one to two years old, four
grains; to a child under one year, two to three grains.
Sulphate of zinc should be given dissolved in a little
water.
A number of powders of Sulphate of Zinc, of different sizes, accompany the cases of medicines.
9.-FREQUENCY OF DOSES.-No exact rule can be
given for this. Where two remedies are given in
alternation, it will be necessary to give them more
frequently than if only one were given. Where the
symptoms are very severe, as in dysentery or diarrhcea, a dose might be given as often as every half
hour; or as often in headache, if the pain be very
severe. As a general thing, the remedies should be
given from every half hour to every two hours. Directions as to the frequency of the doses, have however generally been given under each article.
Finally, rules have been given for the treatment
of diseases only during the attacks; the treatment
during the interval has been left for the physician.
As the case accompanying this work contains a
number of medicines which are poisonous, except
when given in medicinal doses, they should be taken
always as nearly as possible in the prescribed doses,



INTRODUCTION.           XIII
and should be carefully kept out of the reach of chtldren.
When however you are obliged to treat a case
without the assistance of a physician, and you have
commenced the use of certain remedies, do not, because the disease does not get better at once, change
the medicines for fear you are not giving the right
ones. Decide upon the proper medicines according
to your best judgment, and after using them for a
considerable time, if the symptoms are not relieved,
you can select other remedies.
Every family in which there are children, should
have in the house a syringe. The best and most convenient are the flexible india rubber syringes now
in use; they come supplied with various sized tubes,
and can be obtained at most druggists. Davidson's
or Richardson's are among the best. They are useful, not only in many diseases of children, but of
adults also.



PART I.
THE TREATMENT OF DISEASES.
APOPLEXY.
A fully developed attack of apoplexy is characterized by loss of sensation, thought and voluntary motion, and occurs in one of three ways.
1. The head, neck and face are full and flushed,
the breathing deep and puffing, or slow; the patient
lies as if in a deep sleep. This condition may be developed suddenly, or may come on very slowly, the
patient sometimes being at first affected with drowsiness, which terminates in insensibility, and in this
form of seizure.
2. The attack commences with nausea, vomiting,
faintness, or pain in the head, which is generally followed immediately, or an uncertain time after, by
stupor.
3. The attack is characterised by loss of power
from the very beginning (paralysis), in some part of
the body, or by loss of speech.
An attack of apoplexy may be preceded by dizziness, drowsiness, headache, a feeling of fullness



20            CATARRHS, COLDS, &C.
tailed treatment has therefore not been entered upon,
as to have done this would not only have required
a good deal of space, but would have been foreign
to the object of the directions, which are intended
simply as guides in cases of emergency, and in the
treatment of ordinary affections, where no physician
is at hand.
For ordinary cold affecting the system generally,
with or without chillness and heat, pains in the limbs,
lassitude, feverishness or headache, Aconzde and Stibianu should be given in alternation two hours apart.
DOSE, ETC. —For an adult, six drops of Aconite, to
be mixed with half a tumbler of water, of which the
dose is a teaspoonful.  The dose of Stibium  is as
much as will lie on a three cent piece, heaped up.
For colds accompanied by severe pain in and about
the eyes, root of the nose, and forehead, give Ars.
and Stib. in alternation, two hours apart.
DosE.-Of Stibium, the same as above; the Arsenicum to be prepared by mixing four drops with
half a glass of water; dose, a teaspoonful.
For cold affecting principally the chest or windpipe, and accompanied by soreness or tenderness, give
Slibium  and Merc. Sol. in alternation. two hours
apart.
DosE.-As much of each as will lie on a three cent
piece heaped up.



CATARRHAL AFFECTIONS IN INFANTS.     23
Dos. —Five grains of each of these medicines
at a dose; to a child above two years of age, half
these doses.
If there be hoarseness or soreness in the larynx or
windpipe, give Spong. and Stib. two hours apart.
DoSE.-Five drops of Spongia to be mixed with
half a tumbler of water; a teaspoonful to be given
at a dose. Five grains of Stibium at a dose.
Catarrhal Affections in Infants.
Upon infants these troubles make a much more
profound impression than upon adults, and should
be carefully attended to.
Among the most important and common affections
of this kind to which they are subject, are
1. Cold in the head.
When accompanied by sneezing, running at the
nose, watery eyes, and a stuffed up condition of the
nostrils, known as " snuffles," the child being unable
to breathe through the nose, give Stib. and Nux. in
alternation, one hour apart.
DoSE.-Five or six grains of Stibium may be dissolved in half a tumbler of water, and two drops of
Nux added to a similar quantity. A tea-spoonful
to be given at a dose.
2. In colds of infants, accompanied by fever,
rapid or difficult breathing, give Verat. Vir. and



COLIC.                  25
ture; a chill; unripe or indigestible food. Sometimes, obstructions of the intestines.
TREATMENT.-If unaccompanied by inflammation,
which may be recognized by the pain being greatly
Increased by gentle or hard pressure, try at once to
get the bowels to move by giving a dose of castor oil.
The dose for an adult is two full tablespoons; for a
child from five to ten years old, half that quantity;
if this do not produce an evacuation from the bowels
in an hour or two, put patient in a warm bath, and
while in, give copious injections of warm water. The
temperature of the bath should be quite high, and the
patient should be allowed to remain in ten or fifteen
minutes. Great alleviation of the pain will be obtained by applying flannels wrung out in hot water
to the abdomen.
The medicines to be taken internally are as follows:
I. If there is great flatulence or distension of the
bowels by wind, if the colic proceed from cold, give
Mercurius Dulcis and Nux. Yom. in alternation, from
half an hour to an hour apart, lessening the doses in
frequency, in proportion as the pains become less frequent or less severe.
II. If the pains are low down in the bowels, pinching, griping, cutting or bearing down, particularly
if accompanied by cramps or pains in the legs, give
Merc. Dulc. and Coloc. at the same intervals as in
the preceding case.



26              COLIC OF INFANTS.
III. If the pains are principally about the navel,
give Merc. Dulc. and Bell, unless Nux. should be indicated, as in case I.
DOSES, ADMTNISTRATION, &c.-The dose of.Merc.
Dulc. in a severe case of colic, should be about siix
grains. Four drops of Coloc. or five of Nux. or Bell,
is to be mixed with half a tumbler of water; the
dose of either of these is a teaspoonful.
The intervals of the administration of the doses
must vary according to the severity of the pain, and
must be greater as the painsbecome less. They may
be given from the beginning, half an hour to two
hours apart. Sometimes a single dose of each, with
the other means directed, will make the patient comfortable.
Colic of Infants.
Infants at the breast are particularly subject to
colicky pains and accumulation of wind in the intestines. These pains are characterized by a variety of
symptoms. The child cries violently, draw its legs
upon its belly or twists about; the abdomen feels
bloated; the crying may be so violent as to cause
the face to turn purple. and the child appears as if
it were on the point of going into spasms.
Causes.-Frequently the disorder proceeds from
a cold; it may be caused by a confined state of the
bowels; by irritating properties of the mother's milk;



COLIC OF INFANTS.             27
by unsuitable or impure food; by improper food,
cabbage, pork, etc., eaten by the mother or nurse.
Treatment.-If the bowels are confined, a movement should be produced by giving an injection of
warm water.
If the bowels are inclined to costiveness; if the
passages are not too loose and are not like diarrhea,
if the passages arb healthy, give Coloc. and Nux.
If, with the colicky pains, there is looseness of the
bowels, the passages being either too frequent, or
thin, or unnatural in their appearance, Coloc. and
Rheum may be given; if the colic proceed from cold,
Jalap may be substituted for the Rheum, (see also
"Diarrhoea"). In case the attack be very severe,
additional relief *ill be obtained by the application
all over the bowels of a piece of flannel wrung out
of hot water. and applied as warm as it can be borne.
This should be covered with dry flannel, in order that
chilliness or cold may not be produced. The wet
flannel may be changed every half hour, until relief
is obtained. When there is much flatulence, bloating
of the abdomen, &c., the bowels may be rubbed diligently for a little while with warm sweet oil. This
may be done frequently every day with advantage,
when there is a tendency to colicky pains.
DOSE, ADMINISTRATION, &c.-For an infant under
a year old, two drops of either of the remedies men



30          CONVULSIONS OF CHILDREN.
old, half as much again Sulphur may be given
and three drops of Nux, mixed with a glass of water.
Convulsions of Children.
While convulsions constitute a class of diseases the
most alarming to which children are liable, on the
other hand it is no slight gratification to know, that
in a large proportion of cases, properly selected and
applied remedies will afford speedy relief. When a
child is seized with convulsions, bear in mind these
two important points.
1. Be self-possessed and composed. Do not send
every one in different directions, for every remedy
which suggests itself. In this, as in all other cases
of sudden and great danger, self-possession, and ability to consider what the matter is and what should
be done, is of more use than can be easily imagined.
2. Ascertain as nearly as possible, to which of the
causes to be hereafter mentioned the convulsion is
owing. These two points observed, you can consider the case rationally and with a basis on which to
select the remedies.
The most common causes of convulsions are:
1. The irritation of teething.
2. The sudden suppression of diarrhoea which often attends teething.
3. Irritating or indigestible food; unripe fruit.



32         CONVUISIONS OF CHILDREN.
and this system being so liable to derangement convulsions are much more liable to occur at this period
than at any other. After the first year the mortality from convulsions diminishes rapidly. It is important, therefore, that the greatest care should be
exercised at this time of life, in everything that
affects the digestive system of the child; the state
of the bowels, the process of teething, etc.
SYMPTOMs.-There is no mistaking a convulsion
when it has once set in. It may come on suddenly or
be preceded by constipation, sudden and violent starting in the sleep, rolling of the eyes, twitching of the
fiugers, restlessness, oppressed breathing, etc. When
any of these symptoms are observed, the child
should be carefully watched and remedies corresponding to any cause which may be known to exist,
administered.
TREATMENT..-General Indications.
1. Send for a physician.
2. In convulsions from whatever cause, proceed at
once to produce a movement in the bowels. If the
child can swallow, and particularly if the trouble be
owing to improper food, flatulence, or constipation,
give a teaspoonful of castor oil (this dose to a child
less than a year old. Beyond that age, a larger
dose should be given). An injection may be given
in all cases, at the same time, of equal parts of warm



34          CONVULSIONS OF CHMLDKEN.
The following special remedies should be given
not so much with reference to the nature of the convulsion, as to the cause, when the latter is known.
1. If the child's stomach is known to have been
overloaded with unsuitable food, pastry, nuts, raisins, etc., give an emetic, recourse to this means of
relief being in some cases indispensable. For mode
of administering the emetic, dose, etc., see Introduction page XI.
2. If the convulsion be owing to suppressed eruption in skin diseases, add a couple of tablespoonfuls
of mustard to the bath, and if the eruption be that
of measles, give, if the child can swallow, Bry. every
half hour; if the convulsion be owing to the suppressed or imperfect eruption of scarlet fever, give
Bell. at the same intervals.
DoSES, ETc. —Each of the two remedies mentioned
above is to be prepared by mixing two drops with
two-thirds of a tumbler of water and giving a teaspoonful at a dose. A dose should be given about
every half hour; after two or three doses have been
given, or the symptoms have abated, once an hour
or once in two hours will be sufficient.
3. If the child is ketown to have worms, Merc.
Dulc. may be given every three quarters of an
hour.



CONVULSIONS OF CHILDREN.           35
DOSE.-To a child less than two years old, five
grains mixed with a little white sugar; more than
two years, five to eight grains. This medicine
may be discontinued as soon as it has been followed by green stools, or by the passage of worms.
GENERAL REMEDIES,
Suited to the various characteristics of the convulsion,
and without particular reference to the cause.
When the child is of a full habit, the pupils are
enlarged; there is short, panting, or heavy breathing with oppression of the chest; the child starts
while sleeping; the child cries violently; the body
becomes stiffly convulsed; the forehead and hands
are dry and burning; the face is red or bloated;
there is redness all over; the eyeballs and features
are distorted, give Bell.
DOSE, ETC.-Two drops in two-thirds of a tumblci
of water; a teaspoonful from  every half hour t.
every hour.
When there is pale face, twitching of the limbs,
spasms or rigidity of the limbs, bending of the
head or body backwards, violent shrieks, give lNux.
This remedy is particularly of value if there be flatulence, colicky pains, constipation, or if the convulsion be caused by any other derangement of the
stomach or bowels.



CROUP.                  37
the larynx and windpipe, or they are covered with
a thick fluid.
Croup is an exceedingly rare disease in infants
less than a year old. It occurs most frequently during
the second year; after that, generally between the
second and seventh years. Fat children are most
subject to it, and it comes on in most cases in the
night.
The causes of croup are those of ordinary colds
or catarrh; sudden exposure, even a draught from
an open door, may produce it.
Symptoms preceding an attack of Croup.-An
attack of croup may come on suddenly, but is
commonly preceded by certain symptoms by which
its approach may be foretold.  The principal of
these are the various symptoms of a cold, which are
always to be regarded with suspicion if they are accompanied by hoarseness or huskiness, or by a
rough, hoarse cough. Catarrhal symptoms do not
often indicate croup unless accompanied by some
degree of hoarseness. Together with these symptoms, the child may be feverish, restless, dull or
drowsy.  These symptoms may be followed by
croup a short time after their appearance, though
perhaps not for several days.
SYMPTOMS OF CROUP.-Dry, hoarse, husky cough,
often very violent; hoarse voice, with a sound like
the crowing of a cock; this hoarseness of the voice



CROUP.                   39
TREATMENT.-1. Wrap a piece of flannel, folded
and wet in cold water, around the child's throat, and
cover this with a dry flannel.
2. Dissolve one of'the one grain powders of Tartar
Emetic in a tumbler of warm water, and give a teaspoonful every five minutes; as symptoms of nausea
appear, diminish the frequency of the dose, giving
it every ten or fifteen minutes; the medicine should
be given so as to keep the child just on the point of
nausea, or nauseated as much as he can be without
vomiting.  Do not vomit the child, this will only exhaust it, and do the disease itself no good.
3. If the attack be accompanied by decided febrile symptoms, or fever, give Aconite every ten or
twenty minutes, between the Tartar Emetic, according to its severity. It may be prepared by mixing
four drops with half a tumbler of water, of which a
teaspoonful may be given at a dose.
4. If the child's bowels have not moved within a
reasonable time, give an injection of warm water, or
milk, or molasses and water.
5. If the attack be severe and obstinate, a warm
bath should be prepared, as warm as it can be comfortably borne.  The child should remain in the
bath at least ten minutes, and should then be wiped
dry, enveloped in warm blankets, and put to bed.
6. After the violence of the paroxysm is subdu.ed.



DIARRH(EA OF INFANTS.            47
DIET.-The diet in a case of diarrhoea, should bc
mild and unirritating; solid food should generally
be avoided; milk, arrow root, gruel, toast and tea,
farina, etc., should be given. This kind of diet, and
total abstinence from solid food will cure some cases
of diarrhoea.
Diarrhoea of Infants.
"A young infant should have from three to six
motions in the twenty-four hours; the color should
be of a bright yellow, inclining to orange and the
consistence that of thick gruel, and nearly, if not entirely devoid of smell. If the infant instead of having
from three to six motions, have more than that number; if they be more watery; if they become slimy
and green, or green and in part curdled, and if they
have an unpleasant smell, then the child may be said
to have diarrhoea."-Chavasse.
There is a looseness of the bowels however, which
often makes its appearance while the child is teething. It should not be checked, unless it become too
frequent or profuse, or exhaustion is produced. The
diarrhoea at this time is frequently an effort of nature
to relieve the irritation of the nervous system produced by the process of teething. A sudden suppression of it, may lead to trouble of the brain, or
to convulsions.
TREATMENT.-In the diarrhoea of infants, the same



48            DIARRH(EA OF INFANTS.
remedies are employed, and for the same symptoms
as in diarrh(ea occurring in adults. When therefore, the diarrhoea of the infant resembles any of the
forms described in the preceeding verses on the
treatment of diarrhcea, the remedies directed for
that form may be given.
In addition to these remedies, however, there are
others which are particularly applicable to the diarrheca of infants. These remedies, and the indications for their use, are as follows:
1. In diarrhoea, with watery, slimy, frothy, fermented looking motions, accompanied by flatulence,
colicky pain, peevishness, restlessness, screaming;
in diarrhcea, proceeding from cold, teething, indigestible food, give Chamomilla and Rheum.
2. When the stools are thin or slimy, have a fermented appearance, a sour smell, a brownish or
grayish color, and particularly if they are accompanied by colic, constant hard crying, screaming,
restlesssness; the crying and pains coming on in
paroxysms give Colocynth and Rheum.
3. When the passages are thin and watery, and
there is violent screaming, restlessness, crying, &c.,
and the attack is thought to proceed from cold, Coloeynth
and Jalap may be given instead of Colocynth and
Rheum.
Whenever the pains, screaming, restlessness, are



DIARRIHEA OF INFANTS.            49
very severe, and show no signs of yielding, after
several doses have have been administered, a flannel
wrung out of hot water, may be applied as directed
on page 27.
DosEs.-For a child from six months to a year old,
two drops of any of the remedies directed for diarrhoea, are to be mixed with a tumbler full of water
and thoroughly stirred up. For an infant less than
six months old, one drop to be prepared with threequarters of a glass of water. When Arsenicum is
given to an infant less than six months old, one drop
is to be mixed with a tumbler of water. When Mercurits is given, for a child from  six months to ta
year old, thrice as much as will lie on a three cent
piece, heaped up, may be mixed with a tumbler full
of water, and to an infant less than six months old
half that quantity, with three quarters of a glass of
water. The dose of all the medicines thus prepared
is a teaspoonfull.
Frequenlcy of Doses.-Unless the passages are
very frequent, no two medicines need be given oftener than two hours apart, in alternation. If the
passages should be very frequent, they may be given
from an hour to an hour and a half apart. When
however, there is severe colicky pain, crying, restlessness, &c., &c., they may be given as often as every
half hour apart, until relief is obtained, after that



50                 DIPHTHERIA.
gradually diminishing the frequency of the doses.
Where a single medicine only is given, it may be
administered every one, two, or three hours.
Diphtheria.
For a disease so formidable in its nature, as this,
and so frequently baffling even medical skill, it
would be wrong to prescribe, unless for the use of
physicians, any plan of treatment. A great variety
of means, according to the various symptoms which
exist or which may arise, may be required, and for
the selection and administration of which, the judgment of a physician is indispensable. A description
of this affection is given a place here, in order
that the disease may be recognized and receive timely treatment; a few rules as regards its general
treatment are given, and directions given for the
use of one or two remedies which are frequently of
the greatest value in this disease, and which may be
resorted to,when a physician cannot be obtained for
some time.
Diphtheria is a disease of which the distinguishing
characteristic is the formation of a membrane in, the
throat. It is accompanied by more or less fever.
Symptoms, etc. There is difficulty of swallowing,
soreness and pain in the throat, fever, prostration of
strength. When the throat is examined, it looks red



DIPHTHERIA.                51
and inflamed, or, if any membrane have formed, it
will be seen situated on the back part of the throat
or on the tonsils. Both the amount and the appearance of the membrane vary greatly. Sometimes it is
so thin as to resemble a whitish film; sometimes it is
as thick as tissue paper, and in the worst forms and in
advanced stages, it may become as thick as morocco;
its color varies from whitish-grey to a yellowish
tinge. Sometimes there may be only one or two small
patches, not so large as a split pea, situated perhaps
only on one side of the throat; sometimes it will be
seen to cover the whole of the tonsils, and the back
part of the throat, The above mentioned symptoms
are the ones which generally exist; there are others
which it is unnecessary to mention here, as sufficient
have been given. at least to lead to the suspicion of
the existence of diphtheria when these symptoms
appear, and to prompt the summoning of medical aid.
The diagnosis of this disease, except by a physician,
is extremely difficult and uncertain, inasmuch as
there are several kinds of sore throat, which are
characterized by the symptoms which have been
mentioned as accompanying diphtheria, with the exception of the membrane.  For instance, scarlet
fever, quinsy sore throat, ulcerated sore throat, and
common inflammatory sore throat from cold, may all
be accompanied by soreness, difficulty of swallowing,



DYSENTERY.                  53
from an examination of the throat the disease appears
to exist, Mercurius Solubilis and Belladonna may, in
a great majority of the cases, be given with advantage until medical aid can be obtained.
DOSE, ETc.-The two medicines may be given in
alternation two hours apart. The dose of Mercurius
Solubilis to an adult being five grains, to a child
over two and under fifteen years of age, three or
four grains. The Belladonna is to be prepared by
mixing 6 drops with half a tumbler of water of which
the dose is a teaspoonful; for children from two to
fifteen years of age, four drops may be added to half
a glass. of water. The diet should in all cases of
diphtheria be as nourishing as possible, wine, winewhey, beef tea, nourishing broths, &c., are necessary.
Dysentery.
SYMPTOMs.-This disease may be recognized by
the circumstances that it is accompanied by straining
and bearing down, with burning or soreness in, the
sack passage; thaere is frequent inclination to go to
stool, often unaccompanied by a passage or but a slight
one, though sometimes the discharge is copious. Tlhe
character of the stool varies, its most cons fant characteristic being that it contains more or less blood; the
stools generally consist of a pure, jelly-like mucus, or



54                DYSENTERY.
mucus mixed with blood, or pure blood, or they may be
green, black or putrid.
There are also pain and tenderness on pressure, in
the circumference of the bowels, and generally
violent cutting or crampy pains. If the attack be
severe or prolonged it is accompanied by more or
less fever.
Causes.-It is most frequently caused by a change
of temperature, a chill, moisture, &c., and is therefore most prevalent in the months of August and
September when the days are warm and the nights
cool. Other causes are such as may produce any
disorder of the digestive organs, as unripe or stale
fruit, &c.
TREATMENT.-If there be fever, commence the treatment with a dose of Aconite, prepared by adding five
drops to half a tumbler of water, a teaspoonfull to
be given at a dose. Then,
1. If the stools consist of mucus or mucus mixed
with blood, accompanied by burning, soreness and
straining at the anus; green, frothy, or sour smelling stools, fleshy, jelly-like stools, cutting pains in
the bowels, chilliness and shivering, cold perspiration, soreness of the bowels, white coated tongue,
give JMerc. Sol.
DosE.-Four or five grains every hour or two.



56               DYSENTERY.
dose, each dose to be dissolved in half a table.
spoonful of water: to a child from five to ten years
old, half that quantity may be given. A dose to
be taken after each evacuation.
4. When the discharges are edark brown, bilious
looking, copious, having a fermented look, with or
without blood, accompanied by great and painful
bearing down, burning, and great soreness and tenderness in the anus, cutting pains in the bowels,
severe pain in its circumference, give Aloes.
DosE. —Three drops to be added to half a tumbler
of water. A teaspoonful to be given after each
movement of the bowels.
5. When the attack is accompanied by high fever,
hot, dry skin, thirst, bilious vomiting, with bearing
down, or when there are rheumatic pains in the head
or back of neck and shoulders, give Aconite. This
remedy may be used with advantage in conjunction
with other remedies, in all cases of dysentery accompanied by fever, and is valuable when the attack can
be traced to a chill.
When there are bloody discharges, with bearing
down and straining behind, and none of the remedies
mentioned above give relief, Ipecacmay be given
in alternation with Merc. Corr., or with Merc. Sol.,
six drops being mixed with half a tumbler of water,
of which the dose is a teaspoonful.



58               EPILEPTIC FITS.
If the presence of a gathering be detected, Merc.
Sol. and Bell. should be given as directed in the Introduction, and the Hamamelis employed in the same
manner, and cloths, wrung out of hot water, kept applied over the ear. If there should be much matter
however, cotton should not be introduced. as the discharge should have a free egress, but if there should
be much pain the cloths may be applied. Generally,
however, after the ear has commenced discharging,
the pain ceases.
Epileptic Fits.
An attack of epilepsy generally comes on suddenly, though it may be preceded by various symptoms.
In an attack of ordinary severity, the patient falls
down suddenly, there are strong convulsive movements, spasmodic closure of the jaws, spasmodic
twitching of the muscles of the face; the hands are
clenched, there is difficult, choking respiration, foaming at the mouth, and the face becomes turgid or
blue, while the veins of the forehead and neck are
swollen and distended. The spasmodic state becomes
at length gradually less, gives way, and is followed
by deep sleep.
Diagnosis.-It is important that an epileptic fit
should not be mistaken for an attack of apoplexy, as
entirely different treatment is required for the two.
The marks of distinction will be found on page 15.



6 4                HEADACHES.
head; and both to headaches, accompanied by redness in the face. The following marks of distinction will however prove a sufficient guide in making the selection:
Belladonna is suited particularly to headaches of
individuals of a full habit; to females; to individulals with light hair, blue eyes, delicate skin. and
is especially of use when the headache is due to a
suppression or non-appearance of the monthly illness.
-Nux Vomica more particularly to bilious or nervous temperaments; to males; to persons with pale
or red face; to persons subject to piles; to headaches from disorders of the liver, stomach, or from
constipation or mental disorders, anxiety, &c. A
careful comparison of the difference of the symptoms and of their circumstances will generally lead
to a correct choice. Bell. is however more suited to
congestive headaches, or where there is a great
rush of blood to the head or face. There are cases
in which both may be used with the greatest advantage: for example, which seem to combine the
symptoms of the two remedies, as suppressed bleeding from piles, or dyspeptic symptoms in very plethoric individuals.
Ignatia is invaluable in purely nervous headaches,
and to headaches occurring in hysterical or very sen



HEADACHES.                   65
sitive people, particularly females; to headaches accompanied by palpitation of the heart, restlessness,
inclination to shed tears, depression of spirits; together with the above characteristics, the symptoms
of headache proper, for which it is suited, are painful pressure, either in the forehead or back of the
head, or it may exist all over the head; the pain
changes about to different parts; pain in the eyes;
boring, sticking pain in the forehead, over the root
of the nose; feeling as if a sharp body were pressed
into the brain; great irritability; burning and sensitiveness of the eyes, dimness of sight, or increased
by noise.
DosE-Four drops in half a tumbler of water; a
tea-spoonful of which may be given from half an
hour to two hours apart.
When there is dull, heavy, stupefying pain; buzzing, throbbing, tightness; headache worse after
eating, accompanied by nausea, retching or dizziness; headache confined to one side of the head;
burning in the scalp; pain and aching in the eyes
and over the root of the nose; flow of tears and burning in the eyes, with redness of the eyes and catarrh;
dimness of sight; eyes sensitive to the light; severe
pain in the forehead; aching in the eyeballs; Arsenicum should be used.  This remedy is of particular value if the latter symptoms are the result of



7 0   SUPPRESSION OF THE MONTHLY SICKNESS.
cle following on suppression of the monthly sickness, may be resorted to for several nights in succession. The patient should be warmly dressed, and
cold should be avoided as much as possible.
Suppression of the Monthly Sickness.
If the monthly flow has been stopped suddenly
from cold or other causes, after it has commenced.
take Aconite and Pulsatilla in alternation an hour
and a half apart until it returns. A foot bath of
hot water should also be taken at bed time to which
should be added a tablespoonful of mustard. A
warm hip bath may also be taken with advantage,
and warm drinks as tea or gruel, be taken internally.
The patient should go to bed, and warmth promoted
in every way.
Should there be much fullness, throbbing or pain
in the head, Aconite, Pulsatilla and Belladonna may
be taken in alternation an hour apart.
DOSE, etc.-Each of these medicines is to be prepared by mixing 6 drops with half a tumbler of
water, and given in teaspoonful doses.
Neuralgia of the Face and Head
Is so common, that it does not need a very minute
description. It consists of severe pains of the nerves
of the head or face, or both; sometimes the pain extends into the jaw, sometimes into the eye and fore



74               RHEUMATISM.
If the pains are relieved by moving about or by
motion, Rhus. should be taken.
DOSE, ETc. —See page Vii.
For rheumatic pains in the shoulder-sharp or
sore pains, pains in the chest, particularly in taking
a long breath, Colchicum and Rhus should be taken
two hours apart.
DOSES, ETc.-See page. VIII.
Sea Sickness.
The remedies and expedients recommended in
this complaint are innumerable.
A dose of Nux. Vom., may be taken with advantage on an empty stomach 12 hours and 6 hours before sailing; as soon as nausea sets in, Ars. and Nux
may be taken in alternation from one to three hours
apart.
When the sickness becomes excessive, is attended
with violent retching, prostration, and burning in
the throat, Ars. may be given in alternation with
Nux.
DOSES, ETC. —See page VIII.
When the above remedies are insufficient, 10 or 12
drops of Chloroform may be given in water, two or
three times a day if necessary. Capsules each containirg three or four drops of chloroform are kept
by druggists, and are a very convenient way of
taking this remedy.



PART II.
THE TREATMENT OF CASES OF
POISONING.
Accidental cases of poisoning are most liable to
occur from ACONITE, ARSENIC, CORROSIVE SUBLIMATE,
OPIUM and TARTAR EMETIC, as these poisons are often
kept in the house for various purposes.
Poisoning by Aoonite.
The tincture and other preparations of this plant
are frequently administered by physicians for various
diseases. It is a poison producing great prostration
and weakness, and loss of power, both of the nervous
and muscular systems; sometimes producing paralysis of the organs of respiration, and a deadening of
all the faculties.
TREATMENT.-I. Evacuate the stomach by an
emetic. 30 grains of the Sulphate of Zinc may be
given for this purpose, dissolved in warm water.
After vomiting has been produced, give stimulants
-brandy or ammonia, (hartshorn.) 15 to 20 drops
of the latter, mixed with water, and repeated from
time to time.
If there are spasms, the warm bath should be resorted to.



ARSENIC.                 77
Arsenic.
The symptoms of poisoning by Arsenic vary according to the amount taken. The most prominent
are nausea, vomiting, retching, cold extremities,
trembling, weakness, anxiety, chills, burning in the
throat and mouth, violent or unquenchable thirst,
diarrhoeea purging, colicky, crampy pains, sometimes
fainting, and collapse, (these two symptoms rare,)
and sometimes spasms.
These symptoms vary in the degree of their intensity, often being less strongly marked, and sometimes much more violent. In severe cases, every
organ and function of the body may be affected.
TREATMENT.-The first step to be taken in domestic practice is to free the stomach from the
poison by producing vomiting, ( if vomiting has not
set in of itself.) Do this by tickling the throat with
the finger, or with a feather, if this do not prove
sufficient, two or three spoonfuls of mustard may be
given with half a tumbler of water; or 20 or 30
grains of the sulphate of zinc may be given dissolved
in a little water. The emetic best suited however
to poisoning by Arsenic, is a tea made by steeping a
common small paper of tobacco, or if that be not at
hand one or two cigars broken up, in a teacupfull
of water; of this a teaspoonful may be given at a
dose every five or ten minutes until vomiting com



ACIDS, OPIUM, &C.           9(3
Poisoning by Sulphuric Acid, Oil of Vitriol, Vitriol.
Give magnesia and water, the carbonate of soda.
potash and water, or chalk and water. If these are
not at hand, give oil, milk, flour and water, ashes
and water or pure water. Flax seed or slippery elm
tea, may also be given.
If external parts be burned, wash with soap and
water.
Nitric Acid, (Aqua Fortis.)
Same antidotes as for sulphuric acid.
Hydrochloric Acid, Muriatic Acid.
Give magnesia and water, chalk and water, carbonate of soda or potash and water; whiting
scraped from the wall in the absence of any of the
above remedies, which are named in the order of
their value.  Next to these, oil, white of eggs, flour
and water and milk, are valuable; these last named
remedies should be given in large quantities, in case
of poisoning by any of the acids.
Opium, Laudanum, Paregoric, Godfrey's Cordial,
Morphine.
Opium, and the above preparations of it, are narcotic poisons, producing in over doses giddiness.
heaviness, stupor, insensibility, slow, labored breathing, the face is generally pale and the patient lies
quite still as if in a deep sleep.
TREATMENT. —Give an emetic of from  20 to 30



8(1           OPIUM, LAUDLSANUM, &C.
grains of the Sulphate of Zinc, in a little water. The
dose must be proportioned to the amount of stupor
or insensibility. For an adult, 30 grains should be
given at once. For the doses for an infant, see pages 11-12. If this do not produce vomiting in 5 or
10 minutes, give strong black coffee, as strong as it
can be made. This will often produce vomiting when
all other means fail, though if this should fail, a second dose of sulphate of zinc may be given.
Should vomiting however not be brought on by
either of these remedies, give a tablespoonful of
saleratus or soda in water, and immediately after a
tumbler full of vinegar and water as strong as it can
be taken without scalding the throat; vomiting may
be assisted after either of the above remedies, by
tickling the back part of the throat with a feather
or the finger. Do do not, however, give all these
emetics at once. Commence with the one first directed, and if it do not act after a proper time has
elapsed, give another, and so on.
After the emetic has been given, employ every possible means to rouse the patient; dash cold water,
or cold and warm water in alternation upon the
chest, neck and face; give stimulants internally,
strong coffee with a little brandy in it, &c. After
vomiting, give acid drinks, as vinegar and water. or
lemon juice.



OPIUM, LAUDANUM, &C.           81
As long as the drowsiness continues the patient
should not be suffered to give way to it, but should
be walked up and down the room between two
persons.
Sometimes after a large quantity of laudanum or
its preparations has been taken, respiration appears
to have ceased entirely, and the patient seems dead.
When this condition exists or when the patient does
not swallow, even when the substances administered
are placed far back on the tongue:
1. Pour water, as cold s can be procured, from a
height upon the spine.
2. If this produce no return of animation, artificial
respiration must be resorted to. This is performed
as follows:
1. Place the patient on the face upon a table;
then turn the body on the side and a little beyond,
then briskly on the face or breast again, and so from
the side to the face alternately, once in about four
or five seconds. The side on which the patient is
turned should be varied occasionally.
2. Each time the body is placed on the face, make
uniform  but firm  pressure between and below the
shoulder blades, on each side of the spine, removing
the pressure immediately before turning the body on
the side.
3. The head should project over the head of the



82              TARTAR EMETIC.
table, and the fingers should be occasionally introduced into the back part of the throat to excite
vomiting.
As soon as there are signs of returning animation,
an emetic should be given as first directed, and the
treatment then pursued as afterwards directed.
Tartar Emetic
Produces in over doses, cramps, spasms, convulsions,
vomiting, purging, and colicky pains.
TREATMENT.-]. Give strong green tea, as strong
as it can be made; to an infant, a few teaspoonfuls
will suffice.
2' Chalk or magnesia, mixed with water to about
the consistence of cream, may then be given.
3. If there is great prostration, a little brandy or
wine may be administered.
4. If there are severe cramps, to an adult, from
thirty to fifty drops of laudanum may be given.



84          TREATMENT OF ACCIDEN rS.
produce great collapse. Soldiers in action have fallen down from being simply grazed by a bullet. and
others from merely thinking themselves shot. When
the prostration is principally the effect of nervous
fear, a little brandy or wine, and a few encouraging
words will be sufficient to restore the patient.
When it is owing to severe injury, other methods
must be resorted to:
1. Place the patient in a comfortable position,
with the head low, unless it be the seat of the injury,
and the wounded part so that it will be favorably
situated and so as to be as little painful as possible.
Then, if the prostration be great and there is perfect
insensibility and there are no signs of reaction, stimulants should be resorted to. Frictions should be
employed over the surface of the body; injections
containing brandy, or prepared by beating up the
spirits of turpentine with the yolk of an egg and
mixing it with water, may be administered; hot
bricks or bottles of hot water should be applied under
the arm pits, and to the feet; the body should be
wrapped up warmly, and ammonia (hartshorn) may
be applied to the nostrils. Care must be taken however not to employ this last remedy too freely, as
injury is often done by it.
As soon as the patient can swallow, give a little
wine and water or a little tea.



TREATMENT OF ACCIDENTA            85
Care must be taken however not to overstimulate
the patient, as the danger of too great reaction or
return of the vital powers is often more to be feared
than collapse.
In injuries to the head particularly, care should be
taken not to stimulate too much, as these injuries
are very liable to be followed by inflammatory conditions of the brain.
If there be not complete insensibility, but only
great prostration, give stimulants sufficient simply
to keep up the patient.
Finally, in all injuries, place the patient and the
injured part in as comfortable a position as possible;
if an arm be broken lay it straight by the patient's
side, or support it on a pillow; if a leg, place the
patient on the back with the leg extended; if an
arm or leg be thought to be badly injured, do not
attempt to draw off the clothing, but cut it carefully
away.
The Treatment of Particular Accidents.
Bites and Stings of Insects.
These little things are not only painful, but sometimes even dangerous. In stings of bees or wasps, or
even mosquitoes, when very painful, extract the
sting if left in the wound. This may often be done
by applying a watch key over it and pressing firmly



90         BITE OF THE RATTLESNAKE.
Bite of the Rattlesnake.
The most certain remedy for the bite of the rattlesnake is some one of the alcoholic preparations:whisky [this is the best], rum, gin, brandy, etc. It
should be taken at short intervals, and in considerable quantities, until intoxication is produced. Alcoholic preparations, taken in sufficient quantities,
may be regarded almost as a certain antidote to the
bite of the rattlesnake.
The wound should be also instantly cauterized by
the nitrate of silver, as directed in the preceding article on the bite of the mad dog.
I am not aware that the alcoholic preparations
have been employed in the treatment of the bite of
other snakes than the rattlesnake, but should consider them worthy of a trial.
The local application of strong spirits of hartshorn, together with its internal administration, has
averted a fatal termination after the bite of some
snakes, particularly the Cobra de Capello. It should
be given internally in doses of from 10 to 20 drops
in water, every five or ten minutes, until several
doses have been given. When used externally, it
should be applied very freely.
Bleeding-Haemorrhage.
1. From wounds.-In cases of bleeding, no matter
how profuse, do not be alarmed nor lose presence
(of mind, but remember that the most profuse bleed



BLEEDING-H zM0ORRHAGE.         9]
ing can be subdued to a great extent by resorting to
the proper means, at least until medical assistance
can be obtained, and that bleeding from an accidental wound rarely proves fatal, though no accident
produces more alarm in the minds of lookers on.
TREATMENT, DIRECTIONS, &c.-Do not cover up the
wound with handkerchiefs, towels, bandages, &c.
First ascertain the source of the bleeding. HIemorrhage or bleeding from a wound proceeds from one
of two sources: First, from an artery, recognizable
by the blood flowing in jets or by jerks, and by being
of a bright red color. Second, from a vein, recognizable by the blood oozing or welling out, and being
of a dark color.
Examine the wound carefully, and remove all
dirt, clots, &c. 1. Then, if the bleeding be slight or
proceed from a slight wound, there being but a simple oozing of blood, it may often be checked by the
application of cloths wet with cold water, by pounded
ice in linen cloths, or by raising the part in an elevated position; or cobwebs, the down from a hat, or
powdered alum, or cotton may be applied. These
methods will frequently arrest the bleeding when it
proceeds from a bleeding surface, large or small in
extent, but not accompanied with wounds of any
large blood vessels.
2. When large blood vessels are out open and the



BLEEDING-HAEMORRHAGE.           93
compress about an inch square, of linen or cotton
cloth, and made as hard as possible, may be placed.
The two ends of the handkerchief are then to be tied
together upon the limb, and a stick being inserted
into the knot, it may be twisted so that the whole
limb may be firmly compressed.
This will be of great use also when.the fingers become cramped or unsteady. Do not, however, twist
the stick so tightly as to prevent the circulation entirely; try to concentrate the pressure on the bleeding vessel.
The pressure should be made upon the blood vessel above the wound. The situation of the blood
vessel can often be recognized by finding a pulsating
point above the wound. In wounds of the arm pressure should be made on the inside of the arm against
the bone; in wounds of the thigh, just inside the
thigh at its commencement, on about the center.
The main artery of every limb runs downward
along the inside of the limb.
3. If the bleeding seem to proceed from rather a
large surface or from several small vessels, or there
be a deep wound and so extensive that it cannot be
checked by the means described in verse 1, pressure
by pads or compresses must be resorted to.
This is to be done in the following manner: First
remove all dirt, clots, or foreign bodies. Then place



BURNS AND SCALDS.              97
may be bathed with warm turpentine, then dredged
with flour and wrapped in warm cotton.
A point which should be kept in view in the immediate treatment of all burns, is to protect them at
once carefully from the air; all the above methods
of treatment have that end in view, except the first,
in which cold applications are directed.
If the burn be very extensive or is accompanied
by the formation of blisters, the blisters may be
punctured just enough to allow the liquid to escape,
and flour sprinkled thickly over by means of a comanon flour dredger; over this cotton batting of equal
thickness must be laid; a second, a third layer must
be laid over this according to the profuseness of the
discharge. The whole to be retained in its place by
a bandage lightly applied.
If a druggist's shop be near at hand, have a mixture prepared consisting of two parts of collodion
and one of castor oil; puncture the blisters, apply
with the camel's hair brush two or three coats of
this, then dredge lightly with flour and cover with
carded cotton.  A case of this kind under the
writer's care, the burn being very extensive and
severe, and attended with great prostration, by this
application ran its course from beginning to end
without the least pain, or the pain ceasing as soon
as the application was made. The collodion and



CHOKING,  ETC.                99
a case direct some one to hold the tongue with a
spoon, and regardless of the attempts to vomit,
thrust the finger into the back part of the throat, if
it can be reached, and carefully remove the substance, taking care not to lacerate the surrounding
parts.
Or a long skein of silk forming a great number of
nooses may be pushed down the back part of the
throat, the tongue being held with a spoon, keeping
hold of one end of the skein. In this manner the
sharp body may sometimes be caught and drawn up.
If none of these measures are sufficient an emetic
of Sulphate of Zinc must be given; 15 grains will
be sufficient for an adult; for the doses for children
and infants, see pages Ix-x.
If the substance lodged in the throat be a large
soft substance as a piece of meat, try to excite vomiting by the means above mentioned. Sometimes a
smart blow on the middle of the back just below the
neck will dislodge it. If it cannot be thus dislodged
( if the patient can hardly breathe do not wait for an
emetic of sulphate of zinc to operate,) and medical
assistance cannot be speedily obtained, in either of
the two classes of substances mentioned, take a large
goose quill, push the feathered part into the throat,
first having oiled it, directing it well backwards.e) that it may not enter the wind pipe. which lies in



100         CONCUSSION-" STUNNLNOG." 
front of the throati then in the first class of sub
stances mentioned, twirl it rapidly about so as to
disengage it; in the second, try to push the substance
if it be soft, down into the throat and stomach.
Large, hard, angular bodies, as bone, glass, can be
removed generally only by extraction; though even
in these cases, if medical assistance cannot be obtained, the skein of silk may be employed, followed
if this be ineffectual, by an emetic.
Concussion-"Stunning.' "
Concussion of the brain is a shock given it by
some mechanical violence, as a blow, a fall, &c., and
is attended with a weakening, or loss of bodily or
mental power. Its symptoms vary according to the
shock, from giddiness and stupefaction with vomiting,
to complete insensibility and stupor. Sometimes the
patient can be roused for a moment, becoming immediately insensible again, perhaps after a while
partly recovering his senses; in more severe cases it
being impossible to arouse the patient, the body becoming pale and cold, the pulse and breathing feeble
and all the symptoms of prostration existing.
In severe concussion there are two principal
stages. The first is that of collapse or insensibility,
the patient may die in this stage without ever becomi:g.  conscious. The second is when reaction sets



CONCUSSION-" STUNNNING."'       101
in, or the natural powers begin to return, the pulse
rising, the breathing becoming stronger and partial
or complete consciousness returning.
TREATMENT.-In the first stage, generally, do
nothing; place. the patient on his back and await
the result, particularly do not interfere if he can be
roused and is at all sensible, and the collapse be only
partial. If however there is great coldness, paleness,
complete insensibility which lasts a long time. and
there are no signs of returning animation, an attempt
should be made to being on reaction. Do this by applying warmth to the surface of the body, placing
bottles of hot water or bricks under the arms, friction
to the chest and abdomen. If these produce no effect
give injections containing turpentine, five or six teaspoonfuls beaten up with the yolk of an egg and
mixed with water; camphor may be held to the nostrils or a handkerchief sprinkled with ammonia may
be passed before the nostrils, not too freely however
as it may injure the patient.
As soon as there are signs of returning animation
or reaction as it is termed technically, or as soon as
they have fully set in, do nothing except to put the
patient on his back, with his head a little elevated;
if he be very weak a little gruel or tea may be given.
If collapse should threaten to set in again, as it
sometimes does, give a little wine and water. Some



102                DROWNLSG.
times however the reaction sets in with too much
violence, the face becoming flushed and the vessels
of the head and neck, and the pulse, full and throbbing  the eyes may be bloodshot, there may be
fever, pain in the head, or delirium. In such a case
there is danger of inflammation of the brain, and the
patient should be placed in a cool darkened room;
cold water should be kept applied to the head, a
dose of castor oil should be given, followed by the
administration of Verat. Vir. and Bell. in alternation, an hour or two apart.
DosE. —Each of these medicines to be prepared by
mixing five drops in half a tumbler of water; the
dose is a teaspoonful.
Finally, do not do too much in this kind of accldent. The measures directed above are all that
should be attempted except by a physician, and often
even, then; as there is generally an inclination to do
too much in these cases, to bleed, to pour stimulants down the patient's throat, &c.
Drowning.
If after the body is taken from the water there are}
any signs of life, or the breathing have not ceased
entirely, employ all possible means to promote circulation and warmth. First place the body with the
face downward with the wrist under the forehead.



11] 0 INJURY FROM LIGHTNING —SPRAINS STRAINS.
nence known as " Adam's apple," firmly back. The
blowing through the nose should not however be resorted to unless the artificial respiration first described should prove ineffectual.
If' respiration after having been once brought on
should cease again, the same measures must be repeated.
After the patient hasrecovered somewhat. put him
to bed and wrap him up warmly.
Injury from Lightning.
When a person has been stunned or struck by lightning, unless there are unmistak-eable signs of' death,
strip off the clothing and dash cold water freely upon the body, for ten or fifteen minutes. Diligent
friction should also be employed, injections containing turpentine or brandy should be administered,
and ammonia applied freely to the nostrils. Should
the cold water not bring on some signs of respiration,
artificial respiration should be resorted to as described
on page 104, and the stimulants continued from time
to time.
Sprains, Strains.
A sprain may be an injury of a very serious nature,
sometimes requiring a much longer time for its cure
than a broken limb. It is commonly attended with
redness, pain, and impaired motion of the affected



SYNOPSIS.
General Affections in which the Remedies
Contained in the Case are useful.
ACONITE.-In fever and in all complaints accompanied by fever. It may be given alone. or in alternation with any other remedy.
ALoEs.-In dysentery or diarrhoea, accompanied
by bilious stools and burning at the anus.
ARNICA.-For bruises, sprains, dislocations. It
may be used both internally and as an external application.
ARSENICUM.-IS useful in colds accompanied by
pains about the eyes and forehead; in disorders of
the stomach, and dyspepsia accompanied by nausea,
vomiting, thirst,or burning; in watery diarrhoea; in
headaches from cola or indigestion; sick headaches;
may be given in alternation with Nux, Bell, or
Coloc, &c.
BELLADONNA.-In scarlet fever, in sore throats
with difficulty of swallowing, particularly if there be
much redness of the throat; in headaches accompanied by throbbing, pains in the eyes and temples,
fqullness of the head, threatened apoplexy; convulsions of infants; pains in the ear.



SYNOPSIS.                117
tbRYONIA,-In headaches accompanied with soreness of the head; bad taste in the mouth; derangement of the liver; fevers accompanied by prostration, exhaustion, and general soreness.
CHAMOMILLA.-In colicky pains of infants with
green, watery or slimy stools; in threatened miscarriage and in false labor pains.
CoLCHIcuM. In rheumatic pains particularly if
they affect the joints; aching in the limbs and bones
from cold; sharp, rheumatic pains in the chest.
COLOCYNTH.-Watery diarrhoea with or without
crampy pains in the bowels; crampy pains or cramps
in the legs or arms; colicky pains without diarrhoea.
In threatened miscarriage and in false labor pains.
DULCAMARA.-In watery or slimy diarrhoea proceeding from cold; with or without slight colicky
pains.
GELSEMINUM.-In fever accompanied by great
prostration and debility, with nervous exhaustion,
with or without chilliness or perspiration; neuralgic pains in various parts of the head and back of
the head and shoulders, occurring either as the result of cold, being rheumatic or neuralgic in their
character, or accompanying febrile conditions.
The most prominent characteristic of the fever and
various conditions which call for the use of this
remedy, is great weakness of the nervous, or muscular system.



SYNOPSIS.              119
nose; dry coughs. May be given in alternation
with Hyos., Nux, Stibium, &c.
MERCURIUS CORROsIVUS.-In dysentery with
bloody passages; discharges of pure blood or
bloody mucus; straining and burning at the anus;
cutting pains in the bowels with the dysentery.
MERCURIUS DULCIS.-Hard, colicky pains in
the bowels, attended with cold perspiration or with
soreness of the bowels; in dry coughs, with soreness of the chest. May be alternated with Nux or
Coloc.
MERCURIUS PROTIODIDE.-Ulcerated sore throat
with difficulty Jf swallowing; swelling and enlargement of the glands of the throat. May be
given in alternation with Stibium
MERCURIUS SOLUBILIS.-In sore throat accompanied with difficulty of swallowing; swelling of
the glands of the throat; diphtheria; in pains of
the limbs and bones from taking cold, if accompanied by perspiration; headaches from derangement of the liver; diarrhcea, with green, slimy, or
jelly-like passages, bloody stools, soreness, straining or burning at the anus; white, clay-colored
stools; brown, watery passages;, pains in the face,
teeth, or ears from cold; summer complaints of
children. It may be given in alternation, as required, with Stibium or Bell., for sore throat; with



122                SYNOPSIS.
coughs; Ac., Merc. Sol., in rheumatic pains after
taking cold.
SULPHATE OF ZINC.-To be used as an emetic.
SULPHUR.-In constipation, piles.
TARTAR EMETIC -In croup.
VERATRUM.-In diarrhoea with or without colicky pains; thin watery passages; dark or lightcolored passages.
VERATRUM  VIRIDE.-This remedy is a more
important one, and suited to a greater variety of
fevers, than Aconite. In scarlatina, in bronchial
affections, in affections of the chest accompanied
by fever, in pleurisy, pneumonia, &c., it is invaluable. In fever produced by teething, it is useful;
and in simple fever, is as reliable as any other. In
disorders of the brain characterised by great fullness, it is more serviceable than even Belladonna.
It is particularly applicable when the fever is high,
the pulse hard and full, and where there is great
excitement of the circulation generally; it controls
this state better than any other known remedy.
The more violent the fever, the more suitable is
Veratrum Viride.
Any one of the above remedies may be given in
alternation with any other one which seems suited
to the nature of the case.



124               APPENDIX.
Should the febrile symptoms not be relieved by
Aconite, Veratrum Viride will probably control
them.
Gelseminum and Bryonia are applicable where
there is excessive lassitude, headache, and general
soreness.
In the simple fever of children, Aconite will generally be found the most useful remedy. Mercurius
Sol. may be given in alternation with it, if the fever
seem to proceed from a cold. In case Aconite do
not allay the fever, Veratrum Viride may be used
in place of it.
In fever from teething, Aconite should be administered, Belladonna being given in alternation with
it, if there be much heat of the head; and Cham.
and Aconite, if there be much fretfulness and peevishness.
In fever from indigestion, give Aconite and Pulsatilla; and if there be constipation, produce a
movement of the bowels by means of an injection.
In some cases, the heat, headache, and chill may
indicate the approach of some more serious disease
than simple fever, as typhus, typhoid, pneumonia,
&., in which case the remedies above indicated
will be of but little use-the early approaches of
these diseases being intricate, and sometimes even
milder than those of simple fevers



128                APPENDIX.
Rash-the common or vulgar appellation of the
disease. It is not unusual for mothers to say,
"Oh, it is only scarlatina," regarding it as an
affair of but little moment; while the mildest case
is not only capable of producing the most virulent
form of the disease, but is very liable to be followed
by dropsy or by some affection of the throat or
hearing.
Scarlatina is often ushered in by vomiting; this
is accompanied or soon followed by chilliness, shivering, back-ache, fever, which are usually followed
on the second or third day by an eruption of fine
red points, which become so numerous as to unite,
forming one general red surface; the pulse is generally very rapid, and the temperature of the surface high. The eruption first makes its appearance upon the face, neck, and arms; then upon
the trunk; and finally upon the legs.
In the mildest form, the fever and redness of the
skin are almost the only abnormal conditions present, the throat being but slightly, or not at all,
affected. In the more severe forms, the disease
may exist in various degrees of intensity, sometimes producing ulcerated sore throat and inflammation of various parts of the ear, and sometimes
affecting almost every tissue of the body, disorganizing the blood, producing swelling of the joints,






134                   INDEX.
Page.
Colds affecting Chest and Windpipe, with
soreness in-Stib., Mere. Sol..........20
with Pain in Chest-Stib., Phos......-21
-  with Tightness and Pain-Stib., Phos. -.21
Cough, Hard, Dry-Stib., Nux.-..-..21
with Soreness —Mere. Dulc., Stib........22
Loose, Rattling-Stib, Kali Bich.......22
Colic-Merc. Dulc., Nux., Coloc., Bell........24, 25
- of Infants-Coloc., Nux., Jalap, Rheum.26
Constipation of Infants-Nux., Sulph..- -.. -......29
Convulsions, Causes of and General Directions
for Treatment.-...30, 31, 32, 33
Emetic in.-..-...... —. —-   --- 34
Bry. 34; Bell. 34, 35; Mere. Dulc.
34; Nux. 35; Hyos., Op., Ig...36
Concussion, Verat. Vir., Bell.-..-. ——..      00
Croup, Nature, Symptoms and General Treatment of.......-..36, 37, 38
Tart. Emet., Ac. 39; Hepar       -.......... 40
False, Description of --------.40, 41, 42
Treatment of. —-—................... 42, 43
distinction  between  it and genuine
Croup................-43
Cuts (see Wounds).........................112
Diarrhcea, of Adults, 44; Ipecac. 45; Verat.
Alb. 45, 46; Ars. 46; Mere. Sol.
46, Coloc.. - -.................. 46
Diet in.-............. 47
of Infants, 47;  Cham., Rheum.,
Coloc., Jal. 48; Ars, Mere. Sol. 49
Diphtheria, Nature and Symptoms of, 50, 51,
52; Mere. Sol., Bell.... -.  53
Doses.....................................  ix