(Wa.). Mercury. Citrine ointment is largely used (Wa.). Potassium Iodide, improves the condition in pemphigus (Wa.); with good, simple diet; quinine, cod liver oil, etc. Silver Nitrate, in pemphigus, after the bullæ have burst, and excoriations remain (gr. ij ad 3j aquæ) (Wa.). Water Dressings, on lint, covered with oiled silk, constantly, in pemphigus and rupia (Wa.). Codliver Oil, with nutritious diet, is a powerful auxiliary to treatment (Wa.). Puncturing the blebs and evacuation of their contents is necessary as soon as formed. Then dusting-powders of zinc oxide, starch, or buckwheat flour, or lotions of liquor plumbi subacetatis dilutus.

Pericarditis.

Aconite, when violent throbbing and extreme pain (R.); of great value, if given early (P); proves in the highest degree serviceable, when object is to diminish vascular excitement or irritability (Wa.). Spigelia Anthelmia, useful in rheumatic pericarditis (P.). Digitalis, when rapid and feeble heart, cyanosis and dropsy (P. N.); in second stage when heart flags, a tablespoonful of the infusion every 4 hours is beneficial. Bryonia, exceedingly valuable in second stage, that of exudation; fully equals any remedy in pericarditis (P.). Opium, regularly in grain doses, every 3, 4, 6, or 8 hours, is very beneficial (Wa.). Veratrum Viride, extract made by inspissating the juice of the root, of which gr. ij, with j of calomel, every 2 hours, valuable (Waring-Curran). Quinine, gr. xv-xx may suppress an acute attack, if given at critical moment (B.); may be used as an antipyretic. Counter-irritation, has been much abused; useful at commencement, but not in acute inflammatory stage (B.). Iodine painted over the cardiac region, or flying blisters in the second stage. Iron, the tincture in full doses may be required in the second stage. Poultices, large, hot, often renewed (R.). Ice may be used instead of poultices in the early stage. Paracentesis by aspiration may be required in the second stage. [Compare ENDOCARDITIS.]

Periostitis.

Mezereon, in the rheumatic and scrofulous form (P.). Mercury and Morphine. The oleate externally (R.). Potassium Iodide, in syphilitic children, also in non-syphilitic periosteal thickening (R.); holds the first place for syphilitic affections of the bones (Wa.). Ammonium Iodide, cures periostitis most readily when syphilitic (Wa.). Staphisagria, when long bones affected (P.). Iodine, the tincture, or blisters locally, of great service in chronic form (R.); under the external use of Iodine it often rapidly improves (Wa.). Poultices, after an early and free incision, when suppuration takes place (C.). Incisions, carried deeply, should be made without waiting for fluctuation, when great tension exists and there is a tendency to suppuration. The sides of the abscess should then be brought together with compresses and a bandage (Gross). Tonics and stimulants, as milk-punch, quinine, iron, and opium, in full and sustained doses, are imperatively demanded in many cases (Gross). [Compare NODES, ONYCHIA.]

Peritonitis.

Aconite, of great utility when sthenic reaction; see Opium (B.); should be given early in all inflammations of serous membranes (P.). Bryonia, ex

ceedingly valuable in second stage, when exudation (P.). Mercury, when tendency to fibrinous exudations, is employed with good effect (W.). Opium, to quiet intestinal movements (R.); by far the best agent (P., B.). Morphine, gr. 1⁄2 hypodermically, will often abort, if given early. Aconite and Opium, the tinctures, gtt. ij of the former with gtt. vj of the latter, in water every hour or two; a larger dose of opium if pain is severe (B.). Large doses easily borne in this affection (Wa.). Cocculus Indicus, for tympanites; a few doses will often remove the pain and relieve distension (P.). Quinine, strongly urged by Trousseau; is naturally indicated in most inflammations (P.). Turpentine, for tympanites (P.); turpentine stupes, v-xv drops of turpentine on flannel wrung out of hot water during acute stage, then blisters for a short time (B.). Leeches, to abdomen, if patient plethoric, and sthenic reaction, relieve pain (B.). Purgatives, are inadmissible when from perityphlitis or inflammation of appendix vermiformis (B.). Poultices, large hot, and frequently renewed. Should be thin, and covered with cotton-wool (R.). Ice, to abdomen (B.). Cold relieves (W.). Water, hot fomentations to relieve pain, sometimes cold compress better. Ice, sucked or swallowed, to assuage the vomiting; sips of cold water. Diet, after acuteness of attack passed, should be mild and unstimulating. [Compare PUERPERAL PERITONITIS.]

Perspiration.

Belladonna, as liniment locally, also the tincture internally, especially in weakly children who sweat profusely (R.). Atropine, gr. fo to to hypoder. (or in exceptional cases even gr. in pill) in sweating of phthisis and exhausting diseases (R.); gr. at bedtime for sweats of phthisis (B.). Jaborandi, gr. of pilocarpine, thrice daily, checks profuse perspiration (R., Pf.). Quinine, in exhausting diseases. In many, a night-draught of quinine, sulphate of zinc, and sulphuric acid, useful (R.). Opium, as Dover's powder, may succeed in profuse colliquative sweating (R.); a fact, though hard to account for it (Wa.). Aromatic Sulphuric Acid, to check sweats of phthisis. Bad for digestion (B.). Muscarine, has been used with great success in the sweats of phthisis and of other morbid states (R.). Sage, an infusion at bedtime, for the night-sweats of phthisis (Da Costa). Zinc Oleate, rapidly controls excessive and offensive sweating on slight exertion in the axillæ and groins, also the night-sweats of phthisis (Murrell). Zinc Oxide gr. iij, with gr. ss of ext. belladonnæ, in a pill at bedtime for the sweats of phthisis (R.). Gallic Acid, is very useful for the same condition, and may be combined with extract of belladonna (B.). Tannic Acid, may also be used with benefit. Aluminium, the oleate, checks hyperidrosis and antiseptizes the sweat, thus forming a useful application to the axilla and groins of children (Wa). Potassium Permang., gr. j-3j, for fetid perspirations of axille, feet, etc. (B.). Salicin, profuse sweats of hectic fever (Wa.). Salicylic Acid, in solution with borax, the most agreeable and efficient deodorant for fetid perspirations (B.). Carbolic Acid, 2 parts to 3 of glycerin and water, twice daily for fetid sweat (Wa.). Oils, rubbed into the whole skin to prevent sweating accompanying exhausting diseases, as phthisis; but sponging with a weak acid wash better (R.). Ergot, said to arrest sweating (R.). Sponging, with acidulated water, or very hot sponging in phthisis (R.). [Compare FEET.]

Aconite, in all acute congestions (P.); as a preventive or abortive remedy very efficient, when associated with ipecac. and cherry-laurel water (Dervieux). See formula below. Amyl Nitrite, with Carbolic Acid, in steam atomizer, has proved a very efficient inhalation (Bayliss). Ipecacuanha, useful in many cases (R.); mj for 5 years of age, every hour or two, with the greatest relief (P.); when bronchitic or pneumonic complications, combined with ammonium bromide (Wa.). Pulsatilla, gr. þ-j of anemonine (P.). Belladonna, obviously of value in febrile stage, is of special use when dentition is in progress; relieves the congestion of air-passages and also the determination of blood to the head (P.); good when profuse bronchial secretion; best in spasmodic stage. Children bear this drug well; mx of tinct. may be given hourly to a child 2 or 3 years old (R.). Benzoate of Sodium is highly efficient. See formula below. Conium, or the Hydrobromate of Conine, in doses of gr. to gr. according to age, a very efficient remedy (W.). Drosera, small doses are very effective (Murrell). Chamomile Oil, a very useful remedy (P.). Coccus Cacti (Cochineal), in doses of gr. thrice daily for infants, has been highly recommended (W.); proves very effective in most cases. Hydrocyanic Acid, very serviceable in cough by habit, after cessation of whooping-cough proper, or in nervous sympathetic cough of mothers (B., P.). Opium, in convulsive stage, to produce and maintain slight heaviness (R.). Bromides, relieve spasmodic element (B.); that of ammonium will readily cure many cases; gr. ij or iij ter die for infants (Wa.). Lobelia, in spasmodic stages; well tolerated by children; mx of tinct. every hour for child 2 years old; also additional dose when cough is imminent (R., P.). Alum, when acute stage over and no complication, gr. ij-vj every 3 hours, or less every hour in glycerin or honey (R.). Chloroform or Ether, to lessen severity of the paroxysms; as inhalations (R.). Chloral, gr. v-x in spasmodic stage, relieves quickly (B.); gr. iij-viij every 4 hours (Porter). Carbolic Acid, as vapor, with steam atomizer; found to be very beneficial (J. L. Smith). Castanea, a decoction of chestnut leaves has been used with much success; dose ad libitum (B.); the fluid extract, in 3-doses, exercises a remarkable influence over the cough (W.). Valerian, said to control the paroxysms (R.). Nitric Acid, well diluted in sweetened water, after the subsistence of the catarrhal stage (B.). Gelsemium, in spasmodic stage(B.). Monobromide of Camphor, gr. v in mucilage and syrup. tolu. 3 or 4 times a day, has been very serviceable (B.). Zinc Sulphate, gr. 4-j with ext. belladon. gr. 6-2, has varying degree of success (B.). Lactucarium, the syrup as vehicle for cough-mixtures (B.). Quinine, in solution, locally to fauces (Dawson); the tannate with sodii bicarb. of each 5, and pulv. acacia 100 parts, used with an insufflator (Pollack). Petroleum, on rags around head of the bed, is recommended highly by Hildebrandt. Silver Nitrate, when acute stage passed (Tr.); probably inferior to alum (Wa.). [Compare COUGH.]

Aconite and Belladonna, for acute attacks (B.); when high temperature (R.). Belladonna, is very useful, relaxes the pharyngeal muscles (W.). Capsicum, as gargle, zj ad O1⁄2 aquæ, in very early stage only (R.). Alum, gargles, in chronic inflammations (R.). Silver Nitrate, gr. v-xx ad 3j, on sponge probang, successful if systematically applied (B.); in early stage of inflammation; also in chronic on brush, or as spray (R.). The solid stick to each diseased follicle, after scraping (A.). Ammonium Chloride, gr. ij with mxv of tinctura cubebæ, every half-hour, often controls acute pharyngitis; when a gouty diathesis exists add mx of the ammoniated tincture of guaiac, and give every hour (A. A. Smith). Xanthoxylum, a decoction of the bark locally to throat, and mx-xxx of the fluid extract thrice daily, a very successful remedy for chronic pharyngitis (B.). Tannin, insufflation to affected surface (B.). Cubebs, powdered, locally, useful (B.). Glycerin, pure, locally, with tannic acid, very serviceable (B.); in chronic inflammation of the throat (R.). Hydrastis, the fl. extr., locally, and gtt. v-x per stomach (B.). Alcohol, dilute, gargle in relaxed throat (R.). Cimicifuga, when pharynx dry and spotted over with inspissated mucus (R.). Ipecacuanha, the wine as spray in noninflammatory sore throat, with hoarseness from congestion of vocal chords (R.). Pomegranate Bark, as gargle (P.). Potassium Chlorate, as lozenge to stimulate the follicular secretions to a healthy condition (A.). Iron, Quinine, and Strychnine, as tonics, are mainly indicated (A.). Zinc Sulphate, as gargle, occasionally employed in relaxed throat (R.). Inhalation of vapors, or of pulverized fluids, by the atomizer, found very beneficial (Wa.). Food, of piquant kind, spices, pepper, mustard, etc., should be strictly prohibited. All

fluids should be used at a moderate temperature (A.). Water, by throat compress, relieves; also in daytime, in obstinate cases. Rest to voice, and cultivation of beard, are useful aids.

Belladonna, as ointment, extract vij-ad xx of lard, has proved effectual (Wa.). Lupulin, 5-15-gr. doses, of advantage after operation, to keep penis at rest. (Wa.). Surgical. Division of the prepuce by a bistoury and director; circumcision (D.). Cocaine, a 4 per cent. solution injected at several points around edge of prepuce, as local anesthetic during the operation of circumcision. Chloroform, or Ether, may be used as anæsthetic in paraphimosis, before attempting reduction (Wa.).

Phlebitis.

Hamamelis, has as decided an influence on the venous system as Aconite on the arterial (Pf.). Mercury, in frequent and liberal doses, to early and decisive constitutional impression, the best form being Calomel, or Calomel and Blue Mass (Gross). Rest, fomentations, poultices, early incision of abscesses, aperients, opium to relieve pain and insure quiet of mind and body (D.). Blister, over course of an inflamed superficial vein (R.). Diet, nutritious, and wine, especially if great loss of blood (D.). Stimulants, as Quinine and Iron, especially the tincture of the Chloride, also milk-punch, are needed to combat the depression which is sure to arise. The disease is always dangerous and often fatal (Gross). Incisions, must be freely made if abscesses form, and the internal organs watched for multiple abscess. Ulceration, if it occur, must be watched for hemorrhage, which should be arrested by compression and styptics (Gross). [Compare PHLEGMASIA, Varicosis.]

Phlegmasia Alba Dolens.

Belladonna, and Mercury, equal parts, as ointment, often of much benefit (Wa.). Hamamelis, has specific action on venous system (P.); extolled by Dr. Preston (R.). Blisters, in early stage: are extremely useful if judiciously