* * *i MfflEX ^0 I <^ i. r v. ^ I WIVh Quinine CarperUerif compound \ fUudext. o/Sarsapard/a for extemperaneoast/t makirujZisbcfidzet drZ Pipeline. Carpenters compound, fZuid-JExt. e/'ZlueZt/t Pries ma Crenata. a vaZiceelte tn cdi eirte. Z'cr diseases opt/witcn Ciav/ue Gmncrrhea,&-c. Iodine. Carpenters cl. CcutiharieL /or producing speedy iceerteureiesiccetion 6t/ simply rutdingtAepetrt. Comine Carpenters e/traeedZCati for extemporaneous^/ ma/ting t/ee saline draught cr ftiMtrat. sntzlure Brucine Fcratrirec. Crolvn c vl. Oil ofl'opatva. Carpenters tnedt/o'eate GingerJ^emdersa rat aalleremedy ui.lhs -pepsin S-Z>tilt/i< 'rfiia. Zo/ineet tf.l/ereart/, GhZoride of Soda, Jfl/c e.vuleofj/ereurt/, PrussicAcid. JPIIII^AMKUPllIA Morphine Carpenter 'Jr Sara Powders, for mak Congress Spring, i Saratoga/ Matt. Emetine Carpenters axnp Syrup tff.ivenm Jfepatiea Vriled a sa/eitirdieaNer, eiti/in hepatic an Udmonary af/ect Hvdriod. Pota Carpenterspreoptic PH\"SICIASJ8,I>HIJGiajGs,cHEMicAi.s,GtAsswABE.sHOP ruTTSEskc.ice. 1 Jbct.ef'Uartic.egual MEDICAL STUDENTS. StTPPIIKD WITH SPECIMENS OP THE I JMATEKIAMEBirA,CHEMICALTESTS STTROICAT. INSTRUMENTS,fcc.1 QmrUSietSlthe Sim doses. e/t ,'fitneyru Cinchonine Carpenters seleett Jcruvian A/risyai tt'A-ez sccdeitd'ittA Salieiire Oitel'llaeAPeppu ,tialele/de/s iernpo/i, !/o/ueext co//i/>esed (ietrune, ( 'aula a/a l'ipe/iae, ( a/ ■sni/a a more adaeprepara tl/a/i (\iwt/ie in Jrvtirmittents. Lupuliue ai cr tensile assort! of Chemicals ., \W/. 1/tirM/SzircZ l/ti/ipsZ/iciisr/d/i, l/ti /tc/Z/t rtt.sZ lfZZ/tZZfl/tf/fiZA-Zjf///Z/l. S'Zi Ail assortment of Medical Books. Carpenters Essays an'die Materia Met lie a ctnttpp'st/ttj tt fitllaatnttU of t/tc A'w,(-■ Popular mescs ttscs t/ioele ofaitrturttStratloti <c, ADAPTED FOR A Physician at the Outset of his Practice, WITH THE DOSES AND EFFECTS ATTACHED TO EACH MEDICINE, &c. &c. ---:o:--- „ BY G. W. CARPENTER. ---:o:--- SECOND EDITION, REVISED AND ENLARGED. ~\Cf\ (L. 39iiilafflell>fif&: Geo. W. Carpenter's Chemical Warehouse, 301 Market St. 1834. Entered according to the Act of Congress, in the year 1834, BY GEORGE W. CARPENTER, In the Clerk's Office of the District Court of the United States in and for the Eastern District of Pennsylvania. SAMUEL W. NEALL, PRINTER J PHILAD'a. TO THE MEDICAL CLASS OF THE UNIVERSITY OF PENNSYLVANIA, THIS WORK IS HUMBLY SUBMITTED, WiY THE AUTHOR. PREFACE TO THE FIRST EDITION. ----:o:--- In submitting the following pages to the Medical community, it will be necessary for me first to apologise for their imperfec- tions, and I feel satisfied they will indulge me under the circum- stances of the case. They were penned during the short inter- vals of suspense amidst the bustle and toil of an active business, and my object was more for the purpose of keeping up strict habits of industry and close application, than for any benefit which I could anticipate to result from their publication. The former I am certain to have attained, and should the latter result, I shall be doubly rewarded. I have at various times contributed essays on the different articles of the materia medica to our medical journals, particularly to the Philadelphia Journal of Medical and Physical Sciences, and to the recent highly valuable periodical the American Journal of Medical Sciences; also the interesting Journal of Science and Arts, edited by Professor Silliman of New Haven. My Medical friends have frequently called upon me for copies of these essays, until I had distributed several thousand of each, when I was earnestly solicited for some time (having ex- hausted all the loose copies I had printed) to publish them together, and in compliance with these requests I have introduced this work to public attention. I rely upon my Medical friends for its support; and I purpose, if sufficiently encouraged, to pub- lish a more enlarged view of the articles of the materia medica generally, under the title of Pharmacologia. In the present work I have added considerably to the essays above alluded to, by in- troducing a full description of tbe new and popular medicines PREFACE TO THE FIRST EDITION. VI. which I have lately brought into notice, and which I now exten- sively manufacture, and which have found their way into every town in the United States. I have also embraced in the present work, a concise account of some of the new and valuable medi- cines introduced to public attention by the excellent treatise ol Majendie, and have quoted the formulas which he has laid down for their preparation, because I consider them a standard which all the apothecaries and physicians should invariably adhere to, in order that we may have uniform preparations. I repeat again, that these formulas are from Majendie; for not having adverted to it in the places where they have been given, I wish it here parti- cularly understood, for there will be, no doubt, some of my com- petitors seeking every little avenue of this publication to hunt out and magnify any little weak points (more or less of which may be culled out of the most valuable productions,) particularly if sought after by an over-scrutinizing or envious investigation; while the brilliant light of truth and information which they con- tain, generally drives them in despair before they have fully com- pleted their unworthy intentions. Hence it is we find men of the most depraved talents undervaluing erudite compositions, be- cause they do not fully understand them, or because there is an exciting spirit of envy or prejudice. And how often, in our daily walks in life, and in our intercourse with the world, do we find these circumstances manifested. How many able speeches and orations do we see mutilated and defamed, by persons unable to speak, or with capacity to understand. But what does it effect ? And what is its influence ? They are generally, ere long, defeated by their own imbecilities or defective stratagems. The orator stands the same, and the oration has lost no more by their con- demnation than it would have gained by their applause. I do not, by any means, wish to condemn criticism ; it is the very life and essence of writing, and when it is done impartially, and without prejudice, should always be invited by the author. PREFACE TO THE FIRST EDITION. y^ There is no circumstance which evinces more strongly the pro- gress of Medical Sciences, than the general and incieasing spirit of emulation, and the ardour with which many of its votaries apply in developing and substantiating new facts, as the fruitful result of their researches and discoveries. Chemistry and Pharmacy have contributed more largely to the grand fund of solid and sub- stantial information, than any other branches of the Medical Sci- ences. It is to this department we are indebted for the valuable acquisition of Quinine, Morphine, Piperine, and other proximate principles; and a number of highly valuable improved and con- centrated preparations, as the Compound Fluid Extract of Sarsa- parilla, &c. drops. Alcohol - m ^fit • " - 2 drachms. Aqua cinnamon - - ... 4 ounces. M. 4^m .y Drop the sulphuric acid in the^lcohol with about two drachms of water, which should be used to triturate and dissolve the extract, after which the remaining water should be gradually added. If alcohol is inconvenient, it can be made without it, and common water can be substituted for the cinnamon. MM. Henry and Delondre, of Paris, differ in their opinion with Serturair, and consider what he denominates chiniodine to be a compound of quinine and cinchonine, associated with a peculiar yellowish substance of very difficult sepa^jion. I think the opi- nion of Serturner to be correct, as it^Psupported by numerous pharmaceutical facts and characteristic properties of the substance. The peculiar yellowish substance of very difficult separation, de- scribed by Henry and Delondre, is no doubt also an active com- ponent of this extract; and we find in a number of vegetable crys- talline products, that they frequently owe their activity to certain principles associated by their crystallization, and if rendered en- tirely pure, they are feeble or inert. Thus, piperine owes its ac- tivity to the resinous oil which is associated, more or less, with it; and in proportion as it contains this or is deprived of it, is its ac- tivity increased or diminished. It has been fully ascertained, that one drop of the oil is equal to three grains of piperine. Thus also it is with narcotine, which is more or less associated with a viscid substance resembling caoutchouc, an acid and extractive f* 68 Precipitated Extract of Bark. matter in combination ; and in proportion as the crystals are de- prived of this combination, and are rendered pure and white, is its activity diminished. In the process of denarcotizing opium, this product is obtained with the narcotine, but it is not to narco- tine that opium owes its stimulating and unpleasant properties, but to this compound. Majendie states that one grain of narco- tine, dissolved in oil, has a powerful effect on the animal system, resulting in death. My experiment with narcotine differs exceed- ingly from the above, having given several grains without any sen- sible effect whatever; and a physician of this city, vmo has made a number of experiments on this salt, in a pure state, informs me that it possesses little or none of the narcotic or stimulating powers ; that he took ten grains of it at once, and that it produced no other effect than a slight nausea; but associated as it is in its first extraction from opium, with the peculiar substances before named; it possesses very active and deleterious properties.* Quinine, when it was first made, contained a portion of ex- tractive matter associated with it; and it is a fact well known to every physician who l^T^mployed this salt extensively, that it is not as active as it formerly was, and that it requires a larger dose for patients unaccustomed to the use of quinine. We also know that the common manna is more active than the flake, and it could be so purified that it would not be more active * Dr. Tully, in a highly interesting paper on Narcotine, published in the xxi. volume of the American Journal of Science and Arts, although differing with me as to the degree of ac- tivity of this substance, states that it is Jess active; on the human system than opium itself. That from two.to]five grains constitute a medium full dose, where a single dose is to be taken. That it is entirely destitute of all stimulating powers, whether it is given in full or in mode- rate and uniform doses, at regular and short intervals; but that it possesses soporific effects greater, in proportion to its powers, than the sulphate of morphia. He concludes by stating that he does not esteem it by any means impossible that the bitter principle, or extractive (as vaguely called,) or perhaps some other part of this complex drug may yet be found to contribute something to its medicinal effects. Precipitated Extract of Bark. 69 than white sugar. The seeds ©f the palma christi contain, no doubt, two oils, one bland and the other acrid, and in proportion as they are united, by the difference in the process of manufacture, is this oil increased or diminished in activity; thus the cold ex- pressed is more bland and less active than the hot pressed. The acrid oil reside sin the skin of the beans, and is obtained in greater proportion in the latter. If the oil were obtained from the skins alone, it would no doubt be as active as the croton, for if we swallow one or two of the beans with the skins, the action is very powerful. I would by no means infer, that in all cases of the com- bination of vegetable proximate principles such effects would re- sult ; we know, indeed, some instances to the contrary; but in the cases above referred to, there will probably be no diversity of opinion. In relation to the precipitated extract of bark, I must further state, that I have endeavoured to have it tried as extensively as possible,, and the result has been most satisfactory ; by many phy- sicians it is preferred to the quinine, and they will piobably use the latter rarely, when they can obtain this extract at so low a price. I would wish it to be particularly understood, that this is not the same as that formerly sold under the name of extract of qui- nine, as it contains all the essential properties of the bark, and is destitute of no principle except gummy matter, gluten, and the woody fibre, which are inert. Numerous letters have been received all testifying strongly in. favour of this preparation; it is decidedly equal to the sulphate of quinine in the same doses, and I am greatly surprised that physi- * cians should make use of the quinine while they can get this ar- ticle, equally efficient in the same doses, at so comparatively low a price. i I select a few letters from several highly respectable physicians, whose observations are entitled to entire confidence. 70 Precipitated Extract of Bark. Extract of a letter from Dr. E. B. Martin, a respectable physi- cian of Bowling Green, Kentucky, dated Aug. 23, 1833 : Dear Sir,—Your precipitated extract of bark is a very valuable remedy in intermittent fevers, and I wish no other article while it can be obtained. E. B. MARTIN, M. D. To Mr. G. W. Carpenter. Extract of a letter'from Drs. Seldon and Moseley, highly respect- able physicians of extensive practice in Norfolk, Virginia, dated Aug. 9, 1833: Dear Sir,—We have found your precipitated extract of bark very efficacious in the cure of intermittents ; we think it is fully equal to the sulphate of quinine. Please send us sixteen ounces of it by first opportunity. SELDON & MOSELEY. To Mr. G. W. Carpenter. Extract of a letter from Dr. J. B. Hereford, a highly respectable physician of considerable practice at St. Francisville, Louisiana, dated February 22, 1834: Dear Sir,—I have found your precipitated extract of bark very useful, particularly in quartan ague ; I have succeeded in curing three cases of quartan ague with it, when the quinine failed en- tirely. I consider it a highly valuable preparation. J. B. HEREFORD, M. D. To G. W. Carpenter. The above extract will always be sold at about one-third the price of quinine ; and as it is of equal if not superior efficacy to the latter, it will no doubt be extensively used, and can always be had at Carpenter's Chemical Warehouse, No. 301 Market Street Philadelphia. Precipitated Extract of Bark. 71 Postscript.—I have just observed a paper in the London Medical Gazette for Dec. 1831, in which Mr. R. Battley gives a detailed analysis of the cinchona. He finds it to consist of thirteen distinct principles, from quinine to the woody fibre. They all possess active propenies, except three. The sulphate-ofqui- nine, in consequence of the absence of all the other properties above allude'd to, can therefore be but partially efficient as a medicine. Thus the researches of Mr. Battley have corroborated my statements in relation to the extractive mat- ter of Peruvian Bark. This gentleman has suggested the propriety of usine the liquor cinchona as a medicine, and maintained its decided superiority, since it contains all the principles of the bark above described, except the three objectional ones, viz. gummy matter, gluten, and the woody fibre. This liquor, Mr. Battley observes, is admitted by many competent judges to be supe- rior to the quinine; and as it is prepared by the same process as the quinine, which excludes these three principles, and contains all tho rest, it would, on evaporation, make precisely the same extract, as I have described under the name of the precipitated extract of bark. CARPENTER'S OLEO-RESINOUS EXTRACT OF MUSTARD, OR OIL OF SINAPINE. ----:o:----- The seeds of the sinapis nigra have been found, by long ex- perience, to be one of the most useful of all the rubefacients. It is usually applied, as is well known, in the form of a paste, made with the farina of the seeds and vinegar, which is to be applied in the manner of a poultice. This is frequently attended with con- siderable difficulties and inconveniences; and mustard diffeis so essentially in quality, that little dependence can be placed upon the certainty of its effect. It is, almost always, more or less aduU terated, and the flour which is sold from the stores is frequently composed of more than half foreign or ineit matter. At the sug- gestion of our distinguished professor, Dr. Physick, I'have made a series of successful experiments on the mustard, with a view of ascertaining the active constituent principle, and separating it, in a form best adapted for its application as a rubefacient. I have ob- tained, separately, the active principle of the mustard, which is combined with a volatile acrid oil. This peculiar principle, in conformity to the usual nomencla- ture of vegetable proximate principles, I have denominated Sina- pine. It bears the same relation to mustard that piperine does to pepper, and, like it, is united with an acrid oil, and is otherwise analogous to piperine in its chemical properties, in not forming salts with acids, &c. This differs essentially from the volatile Oleo-Resinous Extract of Mustard, or Oil of Sinapine. 73 oil obtained by distillation, being in every respect superior, and will entirely answer all the purposes of the mustard plaster, as a rubefacient. It is simply to be applied to the skin, and in a few hours all the effects of the mustard plaster will be experienced, and vesication may be produced by a second application of the oil. To the country practitioner this oil is very valuable: it is incon- venient to carry the mustard about the country; its activity is soon diminished, and even destroyed, so that, if not kept in a close bottle, it becomes inert. As country practitioners seldom carry this article with them, they are thus frequently deprived of the use of sinapisms, so important in some cases as to be essential to the life of the patient. This oil is so concentrated a preparation, that a small vial, which can be conveniently carried with the medicine usually taken by the physician, will be sufficient for several applications. As its action will always be uniform, and it will not be liable to de- teriorate in any length of time, it will be found, as a rubefacient, to be a valuable substitute for the crude mustard, and I hope will prove a valuable addition to the materia medica. K ON A NEW PREPARATION OF BALSAM COPAIVA. -----:o:----- Balsam Copaiva being a medicine used in the practice of almost every physician, its characters, effects, and uses are conse- quently familiar to them. It is admitted by all to be one of the most nauseous and disagreeable articles of the materia medica. Disguised or mixed, as it may be, its unpleasant nature is still manifest, and little, if at all, diminished, communicating its nau- seous taste, and imparting to the breath its disagreeable odour, which is experienced for se-veral hours after each dose, and fre- quently acting as an emetic or cathartic* From these circum- stances, its use is frequently abandoned in cases where it other- wise would be of the highest utility, and even where it is almost * Our distinguished professor of practice, in the first volume of his Therapeutics, page 417, observes, that two circumstances frequently interfere with the exhibition of Copaiva, and detract from its utility. It sometimes purges, and when it does, it is lost or greatly dimi- nished. If laudanum does not check this injurious tendency, it must be discontinued till the bowels recover their tone. To the stomachs of some persons the copaiva is so exceedingly offensive, that it cannot be retained. As it is hardly possible to disguise the taste of the ar- ticle, it is sometimes very difficult to overcome this prejudice.—See Chapman's Therapeutics. New Preparation of Balsam Gopaiva. 75 indispensable, and other remedies much less efficient are substi- tuted, thus protracting the cure which would have been speedily effected by the copaiva. Since the introduction of this remedy down to the present pe- riod, it has ever been a desideratum to obviate these inconve- niences; and it is a circumstance not less unfortunate, and much to be regretted than it is singular in its character, that, amidst the rapid march of improvement and discoveries (which forms a pe- culiar character in modern chemistry and pharmaceutical know- ledge,) an improvement of the exhibition of copaiva should so long have evaded the vigilant researches of the critical and scru- tinizing chemist and pharmaceutist. With these premises, I feel happy to inform the medical faculty that I have succeeded in con- solidating copaiva to a proper consistence for being formed into pills. The consolidated copaiva is the oil and resin united, and consequently possesses all the properties of the balsam. It may be made into four-grain pills, and one or two pills taken three times a day : two pills are equal to thirty drops of the balsam. These pills may be taken without the least inconvenience, neither communicating taste, nor imparting odour to the breath, it is also retained without the least disquietude or uneasiness to the sto- mach; and I am informed by Dr. Rousseau, that in large doses it does not purge. This article differs very essentially from what is termed extract, or resin copaiva, being not in the least deteriorated in the prepa- ration, nor at all weakened by admixture of any foreign substance, for the purpose of giving consistence. It is particularly recom- mended to the faculty, for its numerous advantages over the bal- sam, and all its preparations. As the oil of copaiva is an active preparation, it is the best mode of using this article; for, being uni- ted with the resin, it may be made into pills, which can be taken 76 New Preparation of Balsam Copaiva. without experiencing the nauseating taste of the oil, while the oil alone cannot be taken otherwise than in draught, which will subject it to the same inconveniences with the fluid balsam, having its disagreeable taste, with its unpleasant effects. The consolidated copaiva is manufactured and sold at GEO. W. CARPENTER'S Chemical Warehouse, No. 301, Market Street, Philadelphia. OBSERVATIONS ON A NEW VARIETY OF WITH SOME REMARKS ON THE ALKALINE BASES, QUININE & CINCHONINE. Peruvian Bark, one of the most important articles of the ma- teria medica, embraces a number of species, in the medicinal qualities of which there is a vast disparity. It is therefore pecu- liarly unfortunate, that its natural history and classification should be so enveloped in ambiguity, the nomenclature of the different species so inadequate and defective, and the various writers so opposed in their opinions on the subject, as to render the investi- gation of the student, from books, almost fruitless. The attention of our pharmacologists should be particularly directed to the cin- chona, for the purpose of determining a specific classification of those species now occurring in commerce, and of establishing a nomenclature for them, by which each variety could be readily particularised, and at once understood by its name, which, in its present unsettled history, is impossible. In the Philadelphia Journal of the Medical and Physical Sciences, vol. xi., I called the attention of the faculty to this subject, and described the se- veral species of Peruvian bark which then occurred in commerce, 78 Maracaibo Bark. as carefully and accurately as possible, from specimens before me, so that the several species might be readily known and contradis- tinguished. I then suggested as the most appropriate nomenclature, the names of the provinces in South America from which the dif- ferent species were collected, as Calisaya, Loxa, &c. &c; and which, I am pleased to find, has become generally adopted, and is now the most familiar mode of distinguishing the barks of com- merce. The terms Calisaya, Loxa, and Carthagena, convey at once the particular kind of bark, and is perfectly understood, while the terms lancifolia and cordifolia involve in abiguity as to the kind intended, inasmuch as several varieties of different quali- ties come under the same term, and it is impossible to determine which is intended ; for example, the calisaya and carthagena (the former the best, and the latter the worst species in commerce,) being both yellow bark,jvould come under the name of cordifolia; hence, if cordifolia was ordered, it would be difficult to determine whether the carthagena or calisaya was intended, or some inter- mediate quality. Having devoted considerable attention to this valuable article of our materia medica, I have determined to describe every new species which I may.meet with ; and as there has appeared, since my description of Peruvian bark alluded to, a species not hitherto observed in our market, and unnoticed by any of the writers on the subject, I propose to describe it in the present communica- tion. This bark 1 denominate Maracaibo, being brought from that place, generally in bales from seventy to one hundred pounds; and the importation of it is likely to be continued, so that we may calculate upon a regular supply. This bark is much superior to the caithagena, or common bark, producing more than double the amount of saline matter composed of cinchonine and quinine; also a larger quantity of extractive matter than the latter, and is therefore of at least more than double the value of the same. As Cinchonine and Quinine. 79 the former can be purchased at the same price as the latter, it will be advantageous for the practitioner to be acquainted with its distinguishing characters, that he may be enabled to discriminate it among the different species and varieties of common bark. It occurs in flat, short, and broken pieces, as if separated from the tree with difficulty, mostly from one to three inches in' length, and half to one inch broad, and rather thinner than cartha- gena bark. Occasionally, small quills are found, the longitudinal edges folding together, forming tubes from a fourth to a half inch in diameter. It is of a deep yellow colour; the epidermis is ex- tremely thin, smooth, of a light grey colour, and is generally re- meved from the bark. It may be distinguished from the cartha- gena bark by being more compact, by breaking with a short and cleaner fracture, and more particularly by its taste, which is much more bitter. It is quite as strong a bitter as the Loxa bark, but does not possess the astringency of the latter. The in- ternal layer is fibrous, but in a less degree than the carthagena. This bark has only appeared in our market within a year or two, and as it will supply the place of a much inferior article, is of high importance to the profession. The quality of barks depend unquestionably upon the product of cinchonine and quinine they respectively contain; and the se- paration of these alkalies is a very valuable mode of discoveiino- with precision the comparative quality of different species of bark. Different barks, however, produce various proportions of these two salts; thus, we find the calisaya produces most quinine, the loxa most cinchonine, and the red, or oblongifolia, both these salts in nearly equal proportions. What is the comparative value of these two salts is yet a subject of controversy, a considerable majority, however, are in favour of the quinine, perhaps because most of them have not had an opportunity of employing the cincho- nine. Dr. Paris goes so far as to state, that cinchonine is five times 80 Sulphate of Quinine. less active than quinine; others contend the reverse. In an interest- ing paper read before the Academy of Medicine at Paris, and pub- lished in the Bulletin des Sciences Medicales for November, 1825, M. Bally states, that he has experimented upon the sul- phate of cinchonine, with a view to determine its febrifuge quali- ties. He administered this sulphate in twenty-seven cases of inter- mittent fevers of different types, in doses of two-grain pills, giving three or four in the interval of paroxysms, by which treatment he cured the disease as effectually and as speedily as with the qui- nine, of which twenty-seven cases; there were sixteen tertian, nine quotidian, and two quartan. He remarks further, that the cinchonine has properties less irritating than those of quinine, and that, consequently, its employment should be more general, and preferred in all simple cases. I believe few or no experiments have been made by the physicians of this country upon the medi- cal properties of the cinchonine; it consequently must be very little known to them, from their own experience. It most certainly deserves at least a trial. The high price which the sulphate of quinine has always com- manded, and the increasing demand which its character and lepu- tation has constantly kept up, has been an inducement for impo- sition and fraud ; and it is much to be regretted, that this valuable article of our materia medica, like others of an expensive kind, has been mixed with foreign substances of inert character, for the base consideration of reducing the cost, and enhancing the profit on its sale; and all this at the expense of the health of the suffer- ing patient, and to the great disappointment of the practitioner and not unfrequently to the injury of the general character of the genuine medicine. It is of high importance, therefore, to be ac- quainted with the most efficient means of testing its character where we have any doubts of its purity. The following are the characters and properties of the sulphate of quinine, and the Sulphate of Quinine. 81 most simple and effectual method of discovering fraud and'adul- teration in its composition. 1st. The sulphate of quinine must be soluble in rectified alco- hol at a moderate heat, and if it contain sulphate of lime, soda, potash, or any other substance insoluble in alcohol, the adultera- tion will easily be detected. 2d. It is soluble in acidulated water; say one drachm of sul- phuric acid to an ounce of water, which will readily dissolve the quinine. By this means, if there is any stearine or acid margaride, (substances prepared expressly for adulterating this article,) they will float on the surface. 3d. It should give by sal ammoniac a white precipitate, rather flaky, which is soluble in alcohol, and which, on being exposed to a gentle heat, will consume without leaving the least residuum. 4th. After having dissolved it in acidulated water, it can be de- composed by means of a little sal ammoniac; it must then be fil- tered and evaporated. If sugar has been introduced into it, it will be easily detected by the taste, or by fire, which will produce its peculiar odour. 5th. If a white substance, insoluble in cold water, be found in the sulphate of quinine, heat the mixture to about 170 degrees of Fahrenheit. This will render the starch soluble, and its presence may be determined by the addition of an aqueous solution of iodine, which will immediately occasion a blue colour, and even- tually a blue precipitate. The iodine must be added in very small quantities, and very slowly, or the experiment will fail. It is a remarkable fact that the carthagena bark yields, in addi- tion to the small quantity of true quinine, an alkaline principle, which in crystalline form and external characteristics, resembles the true quinine, but it is found to be entirely inert, as a tonic and feb- rifuge. The difference, therefore, between these two salts is ob- viously more striking than the comparative difference in the quality L 82 Sulphate of Quinine. of carthagena and calisaya barks in substance.* As there has of late years been frequent complaints of the quinine "received from abroad not being so active as formerly, it is a question with me, whether or not this salt obtained from the carthagena bark, and perhaps also the salacine, is not more or less mixed with the quinine. I think physicians should be very particular in the pur- chase of the article, and should give preference to the American, coming from a respectable and responsible person, on whom they can depend. In order that the faculty may judge, of the quality of the quinine which I put up, I am particular to envelope each bottle with specific directions for testing its purity, by the most simple processes, and by which any foreign matter with which it can be adulterated will be readily detected. The American qui- nine, as generally sold by the druggists of Philadelphia, is of very superior quality. Physicians will be supplied with specimens of all the species of Peruvian bark which occur in commerce, neatly put up in bottles, with a full description of each, with a treatise on cinchona, fox five dollars, at Geo. W. Carpenter's Chemical Warehouse, No. 301 Market Street, Philadelphia. * Berzelius' Chemistry, vol. iii. page 379. OR IRISH MOSS. ---:o:--- This article has lately been introduced into the eastern states, and has acquired considerable repu- tation as a dietetic medicine, and for domestic uses. The following is a brief history of its properties and uses:— This valuable Moss has long been highly esteemed by the pea- sants on the western coast of Ireland, as a dietetic remedy for various diseases; more especially for consumption, dysentery, rickets, scrofula, and affections of the kidneys and bladder. Dis- solved, by being boiled in water, it forms a thick jelly, more pure and agreeable than that produced from any other vegetable ; and the jelly made from it is found to agree better with the stomach than any prepared from animal substances. A decoction of the moss made by boiling half an ounce in a pint and a half of water, or milk, until reduced to a pint, is recommended as food for chil- dren affected with scrofulous or ricketty diseases, for such as are delicate and weakly, and for infants brought up by hand, or after weaning. As an article of food for invalids, and for infants, it is superior to Arrow-Root, Sago, fyc. being more highly nutritious, easy of digestion, and pleasing to the taste. Prepared in warm milk, and 84 Carrageen, or Irish Moss, sweetened, it is most particularly recommended as a breakfast for consumptive patients ; and if taken at intervals during the day, dissolved in water, and the flavour varied with lemon juice, Se- ville orange, cinnamon, almonds, wine, &c, it will be found to re- store, even in the most obstinate cases. Being capable of use in so many varieties of preparation, its powerful nutrient qualities still existing under every change, the most delicate stomach will at all times receive it, without that distaste invariably following the frequent use of varied restoratives, and which must do away the desired effect. The carrageen was first introduced by Dr. Reece, who con- siders it an important article of food for invalids. Dr. Sulby, of Wivelscombe, highly recommends it as an article of diet for in- valids and weakly people, as well as for children. The Doctor, speaking of a case of great debility in a young gentleman he was attending, says, " I believe my patient owes his life to the excel- lent effects of the Carrageen moss, of which," says the Doctor, " I cannot speak too highly. I consider it the most important addi- tion to invalid cookery that has been made for many years, and it affords me pleasure to find that Mr. O'Reilly, his late Majesty's confidential medical attendant, and Sir Henry Halford, speak of the Carrageen as the most nutritious article of diet for invalids they are acquainted with, as well as a light nutritious food for de- licate and weakly children." This marine plant has long been of great repute on the coast of Ireland, where persons of delicate health resort to use it. It has the confidence of the Faculty in that vicinity; and the encomiums on it as a domestic article, and the cures attributed to it in all dis- eases of the lungs, &c. are numerous. The carrageen appears to possess qualities similar to the Ice- land Moss, but without its unpleasant flavour; and the quantity of nutritious jelly which a few sprigs produces, is truly surprising. Carrageen, or Irish Moss. 85 The prevalence of consumptive diseases in this moist climate, which often arise from neglected colds, renders this simple resto- rative of peculiar interest; it is therefore necessary to take some healing antidote, and the carrageen appears to be a valuable auxiliary. Directions for using the Moss medicinally. Steep a quarter of an ounce of the moss in cold water for a few minutes ; then withdraw it, (shaking the water out of each sprig) and beil it in a quart of new or unskimmed milk, until it attains the consistence of warm jelly ; strain, and sweeten it to the taste with white sugar or honey, or if convenient, with candied Eryngo Root: should milk disagree with the stomach, the same propor- tion of water may be used instead. The decoction made with milk is recommended for breakfast for consumptive patients ; and that with water will be found a most agreeable kind of nourish- ment, taken at intervals during the day, the flavour being varied with lemon juice or peel, Seville orange juice, cinnamon, or wine of any sort most congenial to the palate. The decoction in water is also taken for the relief of cough, at any time in the course of the day, when it is troublesome, and it is, for this purpose, simply sweetened with honey. In dysentery, the decoction either in milk or water, may be ad- ministered with equal advantage, and in addition to the sweeten- ing matter, if a tea spoonful of the tincture of rhatany be mixed with each cupful of it, tone will thereby be given to the intestines, at the same time that nourishment will be conveyed to the sys- tem, and irritation prevented—a large tea-cupful of the decoction may be taken three or four times a day. As a pleasant strengthening food, boiled with milk and strained, with the addition of a little sugar, it is unrivalled for infants. Per- sons may take it in this way for breakfast and supper, with the happiest effect, who are sustaining an attack of the eholera. 86 Carrageen, or Irish Moss. Culinary Directions. To make Blanche-Mange. Take half an ounce of the moss, and having cleansed it by the process above described, boil it in a pint and a half of new milk, until it is reduced to a proper thick- ness to retain its shape: to be sweetened and flavoured with lemon, white wine, or any thing to suit the palate. To make Orange, Lemon, or Savoury Jellies. Use a similar process, substituting water for milk : add lemon, orange, herbs, &c, according to taste. To make White Soup. Dissolve in water,, and afterwards add the usual ingredients. It only remains to state, that the Carrageen, or Irish Moss, as a domestic article, is peculiarly interesting; it is the best thick- ener of milk, broths, &c; makes excellent jellies, and for Blanche- Mange is equal to the most expensive ingredients, whilst the cost is comparatively nothing; it may be used instead of isinglass, for jellies, &c. The above article is neatly put up in pound packages, with di- rections for use, at CARPENTER'S Chemical Warehouse, No. 301 Market Street, Philadelphia. MmffiWl* A FOR THE SULPHATE OF RHUBARB, OR RHUBARBINE. -----:o:----- Formula for the preparation of Rhubarbine, with some remarks on Rhubarb and its preparation. Boil for half an hour six pounds of coarsely-powdered Chinese rhubarb in six gallons of water, acidulated with two and a half fluid ounces of sulphuric acid; strain the decoction, and submit the residue to a second ebullition in a like quantity of acidulated water; strain as before, and submit it again to a third ebullition ; unite the three decoctions, and add, by small portions, recently- powdered pure lime, constantly stirring it, to facilitate its action on the acid decoction. When the decobtion has become slightly alkaline, it deposits a red floculent precipitate, and the fluid is changed from a yellow to a crimson colour; the precipitate is then to be separated by passing it through a linen cloth, and dried, after which reduce it to powder, and digest in three gallons of al- cohol, at thirty-six degrees, in a water bath, for several hours, at a moderate heat. Separate this solution from the calcareous precipi- tate, and distil off three-fourths of the alcohol, there then remains a strong solution of rhubarbine, to which add as much sulphuric acid as will exactly neutralize it; evaporate this slowly to dryness, 88 Rhubarbine. without having access to atmospheric air; the residuum will be of a brownish red colour, intermingled with brilliant specks, possess ing a slightly pungent styptic taste, soluble in water, and its odour that of the native rhubarb. This preparation has been represented to be a concentrated form of this valuable cathartic, separated from its ligneous and mucous portions, and to bear a similar relation to the crude sub- stance that quinine does to Peruvian bark.* From the experiments which I have made upon several varie- ties of rhubarb, I found the Chinese to be the most active; and that variety which has been denominated in the market Russian, and which commands double the price of the Chinese, produced about one half of active matter, and consequently is much infe- rior to the former. This rhubarb, in fact, appears to be nothing more nor less than the English variety, suitable pieces of which have been selected,bored, rasped, &c, in imitation of the Russian, but which wants in degree all the characteristic properties of weight, solidity, compact fracture, and particularly the essential quality of cathartic energy, which are all so strikingly exhibited in the Russian variety and in corroboration of which Dr. Paris, in his excellent work the Pharmacologia, under the article rhu- barb, states that inferior kinds of Russian, East India, and Eng- lish rhubarb are artfully dressed up and sold under the name of Turkey; and I am well informed that a number of persons in this town, known by the name of Russifiers, gain a regular livelihood by the art of dressing this article, by boring, rasping, and colour- ing the inferior kinds, for which they charge at the rate of eight- een pence per pound. I had not an opportunity of making any * By subsequent experiments I have proved the sulphate of rhubarb to he much less a live than the alcoholic extract on a subsequent page, ag will be seen by additional remarks« preparation in a subsequent part of this work. Aromatic Syrup of Rhubarb. 89 experiment on the Turkey Rhubarb, as I could not procure what accorded.with the physical characters of1 the genuine article. The difference in the medical activity of these several varieties most essentially depend upon climate and cultivation, as it is asserted by Dr. Rehman, that they are the roots of the same species, rheum palmatum (although the Dispensatories and Pharmacologia con- sider them distinct species,) and ascribe the Chinese to be the product of the rheum undulatum, and the Turkey of the rheum palmatum; and it is established beyond controversy, that climate and cultivation are two of the most powerful agents in modifying the condition of vegetable matter. On the preparation of Spiced Syrup of Rhubarb.—Paris in his Pharmacologia states, that water at two hundred and twelve de- grees takes up twenty-four, and Thompson thirty parts in sixty; and by decoction its purgative qualities are destroyed, which de- coction is extremely turbid and deposits a copious precipitate on cooling, and will be decemposed by standing a few days, whilst alcohol takes up two and one-seventh from ten parts, with-, out the mucous portion, and is perfectly transparent, and will re- main unaltered by keeping. Hence, as water takes up a larger proportion of mucous and inactive matter, and as decoction de- stroys its purgative properties, I think a very important alteration might be made in the formula of the preparation of syrup of rhu- barb of the shops, by substituting a concentrated spirituous tinc- ture of the rhubarb, spices, &c. in place of the aqueous decoction of the same, and to add it near the conclusion of the formation of syrup of proper consistence... The alcohol in this mode cannot be made an objection, as it need not much exceed, if any, the pro- portion of spirit in the former method to prevent the fermentation of the aqueous decoction; and if these circumstances are correct, it certainly will be a more active and eligible preparation, and well deserves the practical investigation of the faculty. This pre- M 90 Extract of Rhubarb. paration does not enter the woiks of Paris 01 Thompson in any shape, but is given by Dr. Coxe, in the late editions of his stand- ard work, the American Dispensatory,* in the manner now pre- pared, and is very extensively employed in this city, perhaps as much so as any other pharmaceutical compound; and if its activity could be increased, it no doubt would be a very desirable object. It now requires a large dose to be effectual, and sometimes fre- quently to be repeated, insomuch that its use is almost exclusively confined to children, the dose for adults frequently exceeding two ounces, which is certainly objectionable, and excludes its use in many cases where, if more active, it would no doubt be extensively employed to advantage. Extract of Rhubarb.—This preparation, according to the me- thod now pursued, is very feeble ; the protracted heat necessary to evaporate the water, and the absorption of oxygen, acts so un- favourably during its formation, that its purgative properties, al- though not entirely destroyed, are so greatly impaired, that its use has become almost abandoned by the profession. By the follow- ing process, however, a much more active preparation may be ob- tained, and where the use of the extract is approved, this will be found to possess the proper characters. Take of coarsely-powdered Chinese rhubarb Ifcj., digest in six * I am much pleased to find the second edition of the United States Pharmacopeia, has directed the aromatic syrup to be made in this manner, and Drs. Wood and Bache, in the se- cond edition of their valuable dispensatory make the following comments:—" This process is a decided improvement upon that of the first edition of the U. S. Pharmacopeia, in which the rhubarb and spices were boiled long in water, and sugar and alcohol afterwards added to the strained decoction. The oils of the aromatics were thus driven oft' and wasted, water being able to take up but a small proportion, while the preparation was rendered too stimu- lant by the spirituous addition. By the prfpent process, the alcohol employed in the mace- ration, after having performed its office, of extracting the virtues of the medicines, is evapo- rated, at a temperature insufficient for the volatilization of the oils; and a syrup is obtained, at least as strong as that of the old Pharmacopeia, with less waste of materials, and without the objectionable presence of a large proportion of spirit. Extract of Rhubarb. 91 pints of alcohol for seven days, and filter; distil off the alcohol, in a water-bath, to the'consistence of thin'honey; then evaporate to a proper consistence in a water-bath saturated with muriate of soda. By this process much less heat and time is required to evapo- rate the menstruum;-and, owing to the alcohol, much less oxygen is absorbed, and an extract of much more activity is thus obtain- ed. This mode is certainly more expensive ; but if the product is more effectual as a medicine, this small difference should not constitute an objection, as much of the alcohol is saved by distil- lation; and, in the preparation of all medicines, a preference should be given to that method which will render them more active and effectual without regard to expense, unless it be exorbitant, and the difference inconsiderable, for where health is implicated, in- terest should be suspended. Professor Coxe has the above article introduced in the last edi- tion of his valuable dispensatory. REMARKS ON THE USE OF Remarks 'cm the use of Piperine, with the formula for its manufacture; together with observations and experiments on the Piper Nigrum and its preparations. Since the discovery of quinine and cinchonine by the cele- brated chemists Pelletier and Caventou, vegetable chemistry, pre- viously almost unknown as a science, has made rapid advance- ment; and the still further successful experiments and discoveries since made upon vegetable matter, have not only swelled the ca- talogue of highly important and useful materials, but have given an additional stimulus for the undertaking, and created an ardent zeal for investigation in those already engaged in researches, as well as opened a field of encouragement, in which numberless votaries have appeared. By these means this department of sci- ence, having emerged from a state of neglect and obscurity, has risen with unparalleled rapidity, even within the space of a few years, to its present exalted position ; and the numerous advan- tages and useful discoveries resulting from its rapidly improving condition, have caused it to rank as one of the most important branches of chemical science. Every vegetable substance in the materia medica which has Piperine. 93 yet been subjected to chemical analysis, has produced an elemen- tary or alkaline principle, upon which the virtues and activity of the medicine entirely depend. An instance is found even in opium, which, acting in a double capacity, both as a stimulant aad seda- tive, has afforded two principles, corresponding with the opera- tions of the crude material; one is stimulating, the other sedative. When administered in combination, acting like the crude sub- stance; when separate, individually exercising the sedative or stimulating effects, as one or the other may be employed. These isolated substances possess many and great advantages over the crude materials. The activity of those particular effects which are desired from the administration of the medicine, being con- centrated, and consequently greatly increased by the separation of the inert and injurious portions, obviates almost entirely the difficulty of exhibition, as well as facilitates a more speedy and certain action oh the constitution. It is well known that many substances, in their crude state, in consequence of bulk and insolubility, cannot be administered in many stages of debility in sufficient quantity to produce the de- sired effect. In such instances, the alkali is well adapted to form a substitute; for being separated from the more gross, ligneous, and inert portions, it requires a comparatively small dose, and con- stitutes a valuable remedy in cases where the former would be rejected. AnotbTer, and no less important advantage in favour of the alkaline principles is, the uniform persistency of their strength. No one will for a moment question the many inconveniences and evils resulting from the great uncertainty of effects, and difference of activity, in most of the crude materials ; and some of the most important are subject to these defects. Peruvian bark, for exam- ple, is composed of twenty-five species, and each one differing in strength. Bark, even of the same species, from a difference in adventitious circumstances,* to which it is always exposed (al- * See Carpenter on cinchona. 94 Piperine. « though its external characters are sometimes scarcely affected, its quality is always injured,) is scarcely ever found alike. I have met with bark, in the preparation of quinine, of the same species and of the same importation, differing twenty-five per cent, in the preductofthe active alkalies. The physician, therefore, would have been deceived in the strength and consequent effect of this bark, while the quinine is universally the same. For example, the quinine, produced by the inferior bark, although much less in quantity, was fully equal in quality. If the practitioner, therefore, may be so much deceived by the difference of strength of the same species, how much more would he be disappointed by those which produced but one-eighth or one-twelfth the quantity ; and some yield even but a trace of the principles upon which their febrifuge properties exclusively depend. The preceding observations in support of concentrated medi- cines, are made in consequence of there existing, even at this pe- riod of time, some few who disapprove of vegetable alkalies, and reject their use on all occasions, by giving preference to the crude material. If their conclusions were drawn from experiment, they would most certainly be entitled to credit and respect; but where a determination is made against admitted facts, without advancing new grounds drawn from argument or reason, and where new dis- coveries are denounced without even a single experiment or au- thority of any kind, I am sorry to say that such a course can be attributed only to prejudice, and should accordingly be so ap- preciated. There is another class of opposers, governed by a peevishness of envy and jealousy, either to the peison who introduced the ar- ticle, or who may have extolled its virtues; this is a worse species than the former; they are, however, of little importance as to in- fluence. It has ever been a grievous circumstance, that, in almost every department of science, criticism is so easy a task, hat the Piperine. 95 least informed and most unintelligent will make bold opposition against the most useful and important researches, and sometimes from no other cause than that they themselves were not the au- thors. Their efforts are, however, overbalanced by the happy con- sequence, that sentiment and expression do not, in the least, alter or modify the condition of matter; and follies of this nature, therefore, so far from effecting an injury or causing the least im- pediment to the march of science, merely offer an exposition of their own errors, either to be dispersed by truth or corrected by the light of science. The object of the present communication is, to describe a new principle recently discovered in black pepper, which has been de- nominated piperine, and which is proved from careful experiments, to be a successful remedy in intermittent fevers, and has been em- ployed with advantage in typhus fever and periodical headache; and, from the respectability of the authorities given in its support, bids fair to become an important addition to the materia medica. It may be given in doses from one to four grains. It has been employed in doses of one grain every hour, in several cases of in- termittent fever, with as much success as the quinine. It is found to be a valuable adjunct to that substance, equal parts acting with more energy and success than the whole quantity of quinine. Black pepper, in its crude state, has long been known as a valu- able medicine, and is stated to be an excellent adjunct to bark in intcrmittents, and the author* observes that Mr. Brande must cer- tainly be mistaken, when he says it acts only as a warm condiment, agreeable to the stomach.f * Rennie's Supplement to the Pharmacopeias of London, Edinburg, Dublin and Paris. t It may be observed, with deference to Mr. Brande's opinion, that there never has been a medicine yet discovered, respecting whose qualities some diversity of opinion has not ex- isted, and every medicine, however valuable, has met with some opposition. 90 Piperine. It is mentioned in Dr. Coxe's valuable dispensatory, under the article " piper," that Dr. Frank, physician to her majesty Maria Louisa, recommends the black pepper in different species of in- termittent fevers. This had previously been used in the east with success, after every known means had been ineffectually tried. The dose is five to ten grains, twice a day ; and Dr. Ghigini reports terr cases cured by it. Dr. Frank mentions seventy patients, who came under his notice between April and June, of whom fifty-two had tertian, ten quotidian, and eight the quartan fever. Fifty-four were com- pletely cured within a week or so, without any subsequent relapse. He dips the seed of black pepper into a mucilage of gum arabic, and subsequently into powdered Colombo, to disguise it, and gives from five to eight pills twice a day. None of his patients required more than from seventy to eighty pills for a complete cure. Dr. Frank recommends to the profession to try the extract of black pepper in intermittent fevers. This preparation was tried on nine individuals affected with intermittent evers of different types, in doses of four, eight, ten, or twelve grains, dissolved in water in some cases, and given in the form of pills in others, by Dr. Clock, of Trent; and the effects surpassed his warmest expectations. From these experiments it is concluded, that the. extract of pep- per is not only one of the best succedaneums for the bark, buti that it is even preferable to it, on several accounts. First. It never produces disturbance in the stomach or bowels. Second. It never fails in producing a cure. Third. Those who were cured did not, in any one instance, ex- perience a relapse. Fourth. It produces a regular alvine discharge, as well as the excretion of urine and sweat. Fifth. None of those who were cured experienced that sensa- tion of languor so common to a state of convalescence. Piperine. 97 The following cases, treated with piperine, are given by Dr. J. Gordoni, physician to the hospital of Livourne :* Cleonice, of Paoli, entered the hospital in the month of March, 1824, to be treated of an incipient phthisis, in combination with amenorrhea: a treatment lightly depleting for several months produced sensible advantages; and although the disease could not be called perfectly cured, a strong indication of a speedy recovery was apparent, for the crachats presented a better appearance, the cough was diminished, and the plethoric habit, accompanied with a kind of melancholy, had disappeared ; when, towards the end of September, of the same year, she was attacked with a violent in- termittent fever, having the type of a double tertian. This dis- ease was treated, without success, by the skilful Dr. Guidotti, both by quinine in substance, and the sulphate of quinine in pills. On the 16th of October, having succeeded Dr. Guidotti in the hospi- tals, I found the patient much dejected, and disgusted with the in- sufficiency of the means employed. Supposing the failure of the quinine depended upon some neglect in its administration, or that the pills were perhaps difficult of solution, I prescribed three doses of the same substance, in powder, to be taken daily. Two days after this treatment the fever stopped short, and the patient recovered a repose, which she had lost for a month. The remedy was continued for six days, which prevented a relapse, which had always been dissipated by the same remedy ; but every time the use of it was suspended, the fever invariably returned. As there were not sufficient symptoms to consider it of an inflammatary na- ture, I determined, on the second of November, to substitute for the sulphate of quinine eight grains of piperine, to be taken in three doses, as the sulphate, and with the same precautions. The fever ceased the first day, and never returned. The piperine was continued several days after, and I assured myself of the certainty * Bulletin des Sciences Medicales, Avril, 182S. N 98 Piperine. of the cure, having attended the patient from her first disease un- til the end of December. Second. A man aged thirty years, at Castiglione, on the sea- shore, in the beginning of December, was seized with a tertian fever, which obliged him to enter the hospital of St. Antoine, of Livourne. Dr. Nicholas Orisimi, being assured that the patient had never before been afflicted with a like fever, nor ever made use of-the quinine, thought proper, as a good opportunity, to em- ploy in this case the piperine, to assure himself of its efficacy. With this view, he let the fever run out one of its intermissions, without employing any remedy, in order to be better acquainted with the nature of the disease. He then ordered a sciuple of pi- perine, divided into six pills, to be taken in three doses, the last of these doses to be given two hours before the fever, and the two others at intervals of two hours preceding. After the administra- tion of this remedy the paroxysm did not appear; the patient, who believed himself cured, wished to leave the hospital, notwithstand- ing the remonstrances of the physician, who assured him he could not calculate yet upon an entire cure. The patient soon repented not having taken counsel, for, on his way to the shore, he had a fresh attack of the fever and was obliged to return to the hospi- tal. He again made use of the piperine, and having continued it for several days, he went out perfectly cured. Third. Joseph Torsi, aged twenty-six years, entered the hos- pital of St. Antoine the evening of the sixth of September, 1824; had been attacked six days before, with a true quotidian fever, and it was the first he had ever experienced. On the morning of the seventeenth, sixteen grains of piperine were ordered to be di- vided into eight pills, of which four should be taken every two hours before the fit; but before the last dose was taken, the fever returned in spite of these means. The piperine was then carried to eighteen grains, to be taken in the same manner, when the Piperine. 99 fever disappeared; and the use of the remedy being continued for several days, preserved the patient entirely from all symptoms of recidivation. Dr. Orisimi, who directed the treatment, was fully convinced of the perfect recovery and cure of the patient, who, having entered the hospital three months after to be treated for peripneumonia, assured him that he had no accession of fever since he left the hospital. From these observations, and many others, Mr. Gordoni draws the following conclusions :— 1. That the piperine will cure intermittent fevers, in the dose of eight or even six grains. 2. That it will cure fevers which have resisted the sulphate of quinine. Finally: That it will prevent a relapse of fever better than that substance. M. Meli* has also successfully employed the piperine, and con- siders it more certain, as a remedy in intermittents, than the sul- phate of quinine. For the following interesting communication on the use of pi- perine, I am indebted to Dr. J. S. Rose, of Philadelphia, who was the first to employ it in this city. " I have employed the piperine prepared by Mr. Carpenter, in twenty cases of intermittent fevers, and am decidedly of the opi- nion, that it will be found by all who may be disposed to try its virtues, a more certain and efficient remedy than any preparation of bark heretofore used." " I have also used it in two cases of low nervous fever, or ty- phus. I was induced to employ it in these cases by observing, that in intermittents it did not prevent (in the first intermissions) * Ainslie's Materia Indica, vol. 2, page 622. 100 Piperine. ' all the stages of paroxysm; at the time the patient expected his chill he found a gentle diaphoresis, which continued to increase for two, three, and in some cases for four hours ; on the next day, however (of the expected return,) there was nothing like diapho- resis or fever ; the patient passed this period without the least in- convenience, and remained exempt from a relapse, which is not always the case after the use of quinine. These facts led me to believe, that in typhus, when we wish a stimulating diaphoretic, nothing is better adapted, not even volatile alkali, which I have proved satisfactorily to myself. In this form of febrile action, when the animal powers are about to yield to the influence of disease, and the patient falls a victim to the timidity of the practitioner, I have boldly withheld all other remedies, and administered the pi- perine in doses of two grains every two hours, until eight grains had been taken; in one of these cases, the low, muttering delirium now began to subside, the skin became moist, and the patient, sensible of his improvement, pronounced himself better. On the following day the same doses were administered, and repeated, for three, four, or five days, when I found no fever ; the strength in- creased, and the patient, with an inclination for food, was cer- tainly convalescent. These two are the only cases of typhus I have treated since I became acquainted with this valuable remedy. But these alone would incline me to say, with one of our pro- fessors, " as well might we deny the power of bark in intermit- tents, or mercury in syphilis," as piperine in the cases alluded to. Yet I am not prepared to adopt his language fully, and call it a panacea. J. S. R. I subjoin the following important results from the use of pipe- rine, by Dr. J. C Rousseau, of Philadelphia, whose experience with the articles of our materia medica, entitles his observations to the highest confidence and estimation. Piperine. Dear Sir, In compliance with your request to state my opinion upon the efficacy of the piperine in the cure of intermittent fever, I can testify, that although I have been able to administer this new article of the materia medica in few cases, it is satisfactory to in- form you, that it has been successful in every one. The par- oxyms left the patients on the first, and never later than the se- cond day. Some few remarks may-with propriety be added to this succinct account, which may become instructive, and inculcate the neces- sity of caution in prescribing it in too large doses. The following case will illustrate this position :— A young girl, about twelve years of age, having had a return of intermitting fever, that had been stopped by the sulphate of qui- nine, was directed to take one grain of the piperine, made into a pill with conserve of roses. She was a short time after seized with a vomiting, which was repeated to the number of seven times in the space of two hours. It then began to promote alvine eva- cuations, to the extent of twelve or fifteen times. The fever did not return, and she was directed to continue one grain of the me- dicine night and morning. It invariably produced alvine dis- charges in an unusual quantity. In another case, a subject of about forty, it produced a radical cure, in the dose of three grains taken every twenty-four hours, and continued for some days after; and it is so much the more re- markable, as this patient had taken the sulphate of quinine for some days, in the quantity of thirty grains in every twenty-four hours, as he informed me, remarking at the same time, that during the use of it he was under a most violent and painful state of excitement. I can state with confidence, that this preparation of the black pepper may be as useful and beneficial as the like preparation of 102 Piperine. the Peruvian bark; and I entertain no dout of the probability of obtaining similar products from all the other peppers, having been for many years in the habit of administering the black and red peppers, with decided success, in the cuie of intermittent fevers. Yours, &c, J. C. Rousseau, M. D. Geo. W. Carpenter. I have just received the following valuable illustration of the effect of piperine from my friend Dr. J. R. Black, of Philadel- phia, which is an additional strong testimony of the success of this medicine in the cure of intermittent fevers:— Mr. S., aged about forty years, during the first part of last month, applied to me, with a severe quotidian fever, attended with rejections from the stomach, and with violent pain, and great de- termination of blood to the head during the hot stage, with cold feet and slight delirium. The case was treated with the lancet, emetics, and purges, which on the third day changed its type to the tertian. On the day of intermission, sul. quinine was administered, which was often rejected, while it always increased the patient's nausea, and headache. Piperine was substituted in doses of one grain every hour, to the number of ten a day. The paroxysms imme- diately ceased, and the patient was in a few days discharged, ra- dically cured. J. R. B. Numerous other cases might be quoted, in which this medicine has been employed with the like happy results; but I think suf- ficient has been advanced to satisfy the most skeptical of its ac" tive properties. Alcohol and sulphuric aether are the best menstrua for the ac- tive properties of the pepper, which very soon imparts its acrimony On the Use of Piperine. 103 to these fluids. Mr. Brande gives alcohol and water. I am sur- prised that Mr. Brande should have omitted aether, since it is the most powerful solvent, and particularly that he should quote water, since it requires five hundred and fifty pints to extract the sapidity of one ife. of pepper. Water appears to be the best solvent for the colouring matter, for after pepper has been exhausted of its acrimony, by aether and alcohol, water will make a dark solution, which on evaporation, produces an extract exhibiting little of the pungency of pepper. The piperine employed in the above cases, I prepared accord- ing to the following formula:— Digest one pound of coarsely-powdered black pepper, in one gallon of alcohol, for ten days, distil off one half of the alcohol in a water-bath, add by degrees, a few drachms of diluted muriatic acid, then add water sufficient to precipitate the resin, and separate the oil; concentrate this solution by evaporation, and add pure potass to decompose it, and neutralize the acid, when the piperine will be deposited in yellowish transparent crystals. The crystals may be obtained perfectly colourless, by observing great care in separating the oil and resin, but as theje is no disadvan- tage in the colour, the additional trouble and expense would not be compensated. The piperine, in a colourless state, is insipid and inodorous; but united with as much resin as enters into its crystallization, its taste is extremely powerful, possessing in an intense degree, all the heat and acrimony of the pepper, with considerable of its odour, and I think is a more active preparation than the former, it was in this form exhibited in the treatment of the cases above described. I have obtained larger crystals, by employing sulphuric aether as a menstruum, instead of alcohol. The crystals of piperine are transparent, of a straw colour, and assume the tetrahedral prismatic form, with oblique summits; I 104 Extract of Black Pepper. have obtained them larger than the ordinary crystals of sulphate of magnesia. -------:p:------- EXTRACT OF BLACK PEPPER. Digest eight ounces of black pepper, coarsely ground, in four pints of diluted alcohol, for four days, occasionally submitting it to a temperature near ebullition in a water-bath; filter and evapo- rate to the consistence of an extract. This is found also to be an active remedy in intermittents, in doses of two or three grains. In a soft state it has proved very convenient to give consistency to piperine or quinine for the formation of pills, while at the same time it increases their activity, particularly the latter; it is cer- tainly preferable to the conserve of roses, or gum arabic, which enlarge the pill without increasing the effect. The extract of pepper, in every formula I have seen, is directed to be prepared with water. This forms a much less active prepa- ration, and possesses several inconveniences to which the above is not subject. I have employed the white and black peppers in the above pre- parations, and although it is stated that the white pepper is milder than the black, I have found it to yield more piperine, and an ex- tract of much more acrimony and activity, and to contain much less colouring matter. The constituent principles of pepper are piperine, oil, resin, extract, colouring and fecular matters. Subsequent experiments have proved the oil of black pepper to possess all the valuable properties of piperine in a superior de- Oil of Black Pepper. 105 gree, one drop being equal in energy to three grains of the lat- ter. I have combined quinine, piperine, oil of black pepper, cor- nine, gentianine, and several other tonic vegetable principles, in the form of a mass, which I have denominated compound tonic extract, and which has proved much more efficient in intermittents than any of the articles used singly, even in double doses. This article is now much used in the southern states, and has given the highest degree of satisfaction. O SENNA. The leaves of this valuable plant is one of the safest and most extensively used cathartics. It is prompt and efficient in its action, and is therefore well calculated where a decided, but not violent action is required, and is consequently highly useful in a large class of diseases, particularly infevers and febrile complaints. An objection is sometimes made to its use, in consequence of pro- ducing griping in the bowels; this, however, can be obviated by combining it with fennel or carraway seed, or any of the carmina- tives or aromatics, or of the alkaline salts. It is commonly direct- ed with Epsom salts or cream of tartar, or all three combined. The following are the proper proportions for its use:— R Senna......3vj. Epsom salts . . . . . gss. Cream tartar . . . . 3ij. Fennel seed ..... 3iss. M. Infuse in one pint of boiling water; when cold, strain and press all the liquid from the ingredients. This is a searching and active evacuent, anU can always be depended upon for a certainty of ac- tion. Dose, a wine-glassful every fifteen or twenty minutes. There are three varieties of senna to be found in our market, varying essentially in medicinal quality. 1st. Alexandria Senna. This is decidedly the best quality, and Senna. 107 although commanding nearly quadruple the price of the India senna, is fully worth the difference, and should always be prefer- red and prescribed by physicians, and particularly named in their orders for medicines. The name of the senna is derived from the Egyptian port from which it is shipped. It consists chiefly of the product of the acutifolia, and is mixed by the merchants of Cairo also with leafllets of obovate, brought from various parts, and also with the leaves of the cynanchum oleafolia, which are distin- guished by their greater length, as well as their structure, which differs from the leaves of the senna by having a straight side, and being regular at the base, and also destitute of any lateral nerves on the under disk, by which characters they can be readily distin- guished from the senna. The proportions in which these con- stituents are said to exist, are five parts of acutifolia, three of obo- vate, and two of cynanchum. * 2d. Tripoli Senna. This senna derives its name also from the port from which it is shipped. Dr. Paris states that this senna contains a much larger portion of cyranchum. This is obviously incorrect, as it consits exclusively of the acutifolia, but differing in some respects from those contained in the Alexandria, by being shorter, less acute, thinner, and more fragile, and their nerves much less distinct; from these characters of the plant, it is obvjeus to conclude that it grows in a different region. It is supposed that the Tripoli senna grows upon the Mediterranean coast of Africa, in the vicinity from whence it is exported. 3d. India Senna. This article is the product of the cassia elongata. Though it is imported from Calcutta, it appears not to be the growth of-that country. Ainslee states that sertna grows abundantly in India, but is of the species with obtuse leaves, and is considered inferior. A better kind, distinguished by its long pointed leaves, is taken to India from Mocha, and is extensively used; this is undoubtedly identical with that which we obtain 108 Senna. from India, and of which the native country is Arabia Felix. It is further stated by Ainslee that the Arabian senna plant has been recently introduced into the south of India, and promises to succeed. The following is a descriptive account of the characteristics of the three species of senna. 1st. Cassia Acutifolia. The leaves are pinnate, alternately placed upon the stem, and haye two narrow pointed stipules at their base. 2d. Cassia Obovata. The leaves are very obtuse, sometimes me- crovatc, and have from five to seven pair of leaflets. 3d. Cassia Elongata. The leaves are elongated, acute, thin and flexible, with very short petioles ; the most conspicuous character- istic of the leaflet is its length and thinness. This name was given by M. Lemaire, upon the plant from which the India senna of commerce is derived. MERCURY BL.UE MASS. On the division or extinction of Mercury by tritu- ration : with observations and experiments on the Blue Mass, and other preparations of Mer- cury. Mercury has been considered by some writers to produce no action on the body, when taken internally, in the metallic state. This has been doubted, with sufficient reason, by Orfila in his Toxicology. Blue Mass, Pil. Hydrargyri, or Blue Pill, as it is commonly termed, has heretofore been always esteemed^one of the most va- luable preparations of mercury, being mild, and at the same time more certain and efficacious in many diseases, than any other pre- paration of that valuable mineral; hence it has been, and con- tinues to be, very extensively employed in most cases where mer- curial action on the constitution is required; and when properly made, and in like manner administered, has invariably supported its wonted and established reputation. In the preparation of it, the most viscid and tenacious sub- stances are employed, as conserves, honey, manna, &c, for the 110 Blue Mass. more speedy extinction of the mercury, as it is generally termed* or more properly its minute division ; after which some vegetable powder (of which starch is most proper) is added, to give the mass a proper consistence for the formation of pills. It has gene- rally been supposed that the mercury, by this process, was con- verted into the state of a protoxyde ; but late careful experiments, prosecuted exclusively for the purpose of ascertaining the condi- tion of the mercury, have satisfactorily proved the contrary. r From the remarks and experiments of Mr. Joseph Roux (Phar- macien a Nimes,) addressed to Mr. Planche, in the Journal de Pharmacie, tome xi. page 215, it will appear that (although from the various discussions of chemists, on the method of reducing mercury, a conclusion has generally been drawn in favour of those substances which contain the most oxygen) turpentine and liquid styrax will as speedily and effectually extinguish or reduce the mercury as, the oxygenous fat; and that the various conserves, syrups, extracts, oils, meals, fecula?, pand vegetable powders, all produce the same results, in that speedy and effectual reduction of the mercury in proportion to the tenacity- of the substance em- ployed : for example, the extracts succeed better than the con- serves, the conserves better than the syrups, the syrups than the oils, &c. These different experiments led to the conclusion that oxygen was not essential for the extinction of mercury, and to prove which, it was acted upon by substances destitute of this ele- ment ; bitumens were accordingly selected, such as petroleum and maltha.* Having reduced the petroleum to a more than syrup consistence, the result was perfectly satisfactory; and Mr. Roux observes, " I was then authorized to think my conjecture was cor- rect, but in order to assure myself positively of the fact, I acted upon it free from the contact of atmospheric air.- I accordingly * Pitch and Wax melted together. Blue Mass. Ill placed a vessel containing the mercury and maltha (reduced to a consistence that allowed the pestle to work) in the receiver of an air-pump, and after having made a vacuum, I put in motion, by the means of a handle, a pestle surrounded by a brass stem, a little bent at the lower part which passed through the bell and the copper framing by which it was surmounted. This experiment succeed- ed as well as any of the others, and established beyond a doubt the fact, that mercury may be extinguished without the aid of oxygen." Mr. Planche observes,* that from the ingenious experiments of Mr. Roux on the division of mercury in vacuo, by means of a sub- stance containing no oxygen, it has been proved, that the mercury in the ointment and other preparations exists in the state of mi- nute division, and not in that of an oxyde, which is no longer a subject of doubt to a great many. This may readily be proved by melting the .ointment in hot water, or by washing the blue mass in cold,water, decanting the saccharine and feculent matter, and placing the remainder (care- fully washed from the vessel with a little water) on a filter of paper, and left to stand until perfectly dry, when nearly all the mercury used in its formation may be collected ; a small portion necessarily will be lost in its preparation, together with more mi- nute globules which cannot be collected. I treated in this man- ner 3j. of the blue mass manufactured at Apothecaries' Hall, Lon- don, in which the mercury, was more effectually reduced than any I had ever seen, and obtained from it sixteen grains of metallic mercury, within four grains of the quantity originally employed in making the mass; small globules were also visible in the residuum, which I could not collect. On examining several drops of the liquor I decanted, which had accidentally fallen on some white paper and dried, it had a shining metallic appearance, and evi. * Journal de Pharmaeie. 112 Blue Mass. dently contained metallic mercury, which was proved, after two days' standing, by the aggregation of globules. Mr. Thos. Evans, an intelligent druggist of this city, in a paper published in the Journal of the Philadelphia College of Pharmacy, states that from one hundred grains of blue pill, which had been triturated for many days, twenty grains of running mercury were easily collect- ed, and numerous globules were still visible in the residuum. An effect takes place in making the pommade mercurielle, a preparation employed extensively in France, which goes strongly to prove that the mercury in this preparation is not in the state of an oxyde, as well as all the others; for it is admitted by all, with- I out the least doubt, that in all cases where mercury is reduced by simple trituration, it exists in the same condition. In making this preparation, if it happens that the butter of cocoa (beurre de cacao) which enters its composition be too suddenly cooled, the mercury, which previously had every appearance of perfect extinction, im- mediately appears in large globules; to reduce them it is only ne- cessary to gently heat the pestle and stir the pommade a few minutes, when the mercury is again reduced. I will ask if any man acquainted with the laws of chemistry can for a moment sup- pose that the mercury in this preparation is in any other than the metallic state, or attribute so sudden a reduction of the mercury to the absorption of oxygen, when eight days' trituration would not be sufficient to effect it by the old process? Besides these, there are other preparations of mercury where it has been triturated with pulverulent substances, as chalk, mag- nesia, sugar, &c, in all which cases the mercury exists in the same condition as in the ointment, mass, and pommade, that is, in a state of minute metallic division, and not of an oxyde. From a portion of hydrargyrum cum creta, imported from the Apotheca- ries' Hall, London, in which the mercury was apparently oxydized, inasmuch that not a globule was visible (when most favourably Blue Mass. 113 exposed on paper,) even with the assistance of a good microscope, I put a small quantity in a vial, and agitated it a short time in cold water; when subsided,*I decanted the water, and, after several washings and decantations in the same manner, the sub-carbonate of lime was separated, and there remained a grayish powder, which I placed on a filter of paper, which by simple imbibition of the paper, without pressure or trituration, the mercury assumed the form of globules, in weight nearly equal to the quantity origin- ally employed in'the composition. Mercury reduced by trituration with sugar may most readily be tested by dissolving the sugar, which will leave the mercury in its metallic state. From the suggestions of Mr. Phillips, of London, I treated a portion of the hydrargyrum cum creta with acetic acid, having placed a small quantity of the powder ii: a vial, and wash- ed it in successive portions of the acid until the sub-carbonate of lime was dissolved ; then I threw the whole on a filter of paper, which, when dry, exposed the mercury entire. As the above experiments are in the reach of any one desirous of proving the fact, I hope advantage will be taken of them, and little doubt will hereafter exist, as to the state in which the mer- cury exists in these several preparations. xVlthough differing from the opinion of many authors of established reputation, I feel con- fident in'stating the fact, inasmuch as I believe, (from their own expressions,) their conclusions were drawn from external charac- ters, without experiment; as in most instances where these prepa- rations are spoken of, it is remarked, that the mercury is in the state of minute division, and probably converted into the black oxyde ; the word probably implies an uncertainty and speculation as to the real state in which the mercury exists in these prepara- tions, and' indicates that they have never been examined with a view to discover its condition, otherwise their descriptions must have been more definite. P 114 Blue Mass, Mr. Rennie, in his late valuable supplement to the pharmaco- paeias, observes, that, chemically, the blue pill is described in two ways. One party of chemists say that the mercury is unchanged, and exists in a state of extreme division, whilst another party as- sert unconditionally, that mercury is converted into a black oxyde, which is a protoxyde. Mr. Phillips, on the other hand, more justly observes, that experiments are still wanting to explain the subject, but that it probably contains a sub-oxyde, as he supposes to be the case with the hydrarg. cum.creta. It may be remarked by some, if the mercury exist in its metallic state, why resort to the tedious method of its division ? It may be readily answered, that, independent of increased action by its minute division, mercury, from its fluidity and volubility, could not be administered in its metallic state, in the various doses, forms, and compounds in which the blue mass has been so conve- niently and successfully exhibited. It has also been proved by experience, that the mass which contains the mercury in the most minute division is preferable, on account of a more speedy action, as well as being less liable to lose the mercury by exudation. Hence it is, that the blue mass and other preparations of the mer- cury manufactured at Apothecaries' Hall, London,* and at the la- boratory of Mander & Co., of Wolverhampton, have justly been preferred as more eligible preparations, at which places they pos- sess considerable advantages of improved machinery, by steam- power, for the more speedy and effectual reduction of the mercury. It has been suggested and recommended to use the black oxyde . of mercury as a substitute for the blue pill. However valuable a * The mass is prepared at Apothecaries' Hall, London, by amaehine consisting of an iron mortar and four wooden pestles, driven by a steam-engine. This both triturates and rolls the mass, and the pills are said to be stronger than those made by the hand.---Rennie's Supple- ment, &c. Blue Mass. 115 medicine the black oxyde may be, it cannot be substituted for the blue pill, on the ground of being the active principle of that sub- stance; although I do not doubt that a few grains out of a hun- dred may be in the state of a sub-oxyde, but most certainly not in sufficient quantity to have the sole agency in the effect of the blue pill; but, on the contrary, from its minute proportion, to have little or none. The black oxyde of mercury, however, is no doubt a most valuable medicine ; and from the careful and correct experi- ments of Dr. Benjamin II. Coates, of this city, its efficacy has been fully established. As the' blue mass holds an important place in the materia me- dica, and is, perhaps, more extensively employed than any other compound, it will no doubt be desirable to have a formula which will most readily reduce the mercury. After a number of experi- ments, with a view to discover what combination and proportion of substances most speedily and effectually reduce the mercury and at the same time preserved the mass longest of a pillular con- sistence. I have adopted the following formula and process, as possessing the greatest advantages. This forms a mass more like that manufactured at the Apothecaries' Hall, London, than by any other process which I have seen. The globules of mercury are effectuallyj reduced in a short time, and are perfectly invisible, when rubbed on white paper and inspected with a microscope. The mass is of a fine blue colour, and will preserve a pliable con- sistence a long time. R Hydrarg. Pur.....3iss. Manna Pinguis - - - - giss. Mel. desp. - - - - - 3ss. Amyli ......3i. M. S. A. As the mercury of commerce is frequently adulterated with lead, bismuth, tin, and zinc, it is important to have it distilled pre- vious to employing it in the above preparation. 116 Blue Mass. The manna and honey in the blue pill are belter than any other; substance yet employed, and reduce the mercury more speedily and effectually than the conserve of roses, over which they have other advantages. The conserve of roses is objectional, also, from occasionally containing sulphuric acid, which has been added to increase its colour; hence a poisonous suB-sulphate of mercury may be formed during the trituration. Dr. Coxe justly remarks, in his dispensatory, (although conserve of roses is in the formula he has selected) that experiments fairly made, would sanction the manna as preferable to any other substance for the speedy and ef- fectual extinction of the quicksilver; and whatever may be thought of the conserve of roses, it appears probable that its use is only dependent on the sugar in its composition. ' In making this preparation, the whole amount of mercury should be triturated with a small part of the manna and honey, until re- duced, (which will be more speedy than if worked with all the ingredients;) the remaining portion of manna and honey is then to be added, and the whole beat up till well incorporated; to which then add the starch, to give it a proper consistence. This mass, when finished, has a fine blue colour, no globules visible when exposed on paper, even with the assistance of an ordinary microscope ; it is of proper consistence for the formation of pills, and will retain its moisture for a long time. A quantity made ac- cording to the above formula has been kept for upwards of a year, when its'consistence was nearly as good as at the time of its for- mation, and no globules discoverable when carefully examined. It is a desirable thing^that the mass should remain soft, which the above formula will particularly effect. I have seen blue mass be- come perfectly hard, sufficiently so to powder, in consequence, no doubt, of having gum arabic in its composition. Liquorice root and rhubarb enter into some receipts for the preparation* of the blue pill, but the mass which contains them may be known by Blue Mass. 117 its dirty gray colour, and frequently becoming mouldy after a short time. As a great quantity of blue mass is badly made, and I believe more from not having a proper formula than from any want of art or attention in its reduction, I am induced to offer the above, un- der a full assurance, from careful experiment, of its superiority to the common formula with conserve of roses ; and should it prove useful in the hands of those who may think proper to adopt it, the author will have obtained the object of its publication. * 11H -------:o:------- This valuable cathartic is the concrete juice of the root of the convolvulus scainmonia. The milky juice which exudes frorcf the fresh root is collected in shallow vessels, and concretes by the slow evaporation of time, which is true scammony. Considerable of that which comes to the market is composed of an admixture, while yet soft, with the expressed juice of the stalks and leaves, and sometimes further mixed with flour, ashes, sand, and other substances. The true scammony, or the best received in this country, is produced in Syria, and is called Aleppo scammony. There are several other varieties; that which is most met with of these is called Smyrna scammony, which is very inferior, being made up almost entirely of foreign substances, and not even owing its cathartic effects to scammony. The Aleppo scammony is brought to this market in drums, and is in large irregular masses, or in round cakes of one or two inches thick; the colour is dark ash or olive ; it is friable and readily pulverised, and when wet and rubbed with the finger it becomes milky, and the powder always has the characteristic odour, which is compared to cheese made from ewe's milk. The Smyrna scammony as it is called is in circular cakes rather more than half an inch thick, of a hard and compact texture, and almost black. Its smell is weak and unpleasant, it is more irrita- ting and less purgative than the Aleppo, and is, no doubt, altoge- ther a fictitious article, and should not be sold or used by the phy- sicians, particularly when the Aleppo or true scammony is always to be had. 119 -------:o:------- This is a morbid excrescence which occupies the place of the seed in the secale cereale, or rye. It is extensively used in obste- trical practice, in consequence of its specific action on the uterus. It is employed in powder, infusion, decoction, or tincture. The dose of the powder is from fifteen to twenty grains; particular care should be taken to preserve the powder, as it is easily decomposed. It should be kept in a ground stopper, or closely-corked bottle, and should not be used after it is old. I have tried a number of experiments with a view of obtaining a more uniform and concentrated preparation, and was in hopes of ' obtaining a proximate principle, but have failed, and believe it cannot be used to more advantage than in substance or tincture. / Wine of Ergot. r+ R Ergot in powder ... 4 ounces. Teneriffe wine - - - fej. Digest ten days, and filter. The above preparation is extensively used in this city, and is I decidedly the best mode of exhibiting the ergot. The dose is a tea-spoonful every twenty minutes or half hour. It has many ad- vantages over the powder, and will keep unaltered for years, if the wine is good. The alcoholic tincture has been recommended by some authors, but it is much inferior to the above preparation made with the wine. 120 ACID BENZOIC^ -------:o:------- This acid is obtained from the gum and balsam of benzoin, by two processes. The most is obtained by sublimation, which is ef- fected simply by placing the benzoin in a glass vessel, and sub- jected to heat in a sand-bath, which is continued until nothing more ascends. The second process is by precipitation, which is obtained by the following process of Stolze :—the balsam is dis- solved in alcohol, in the proportion of one part to three of the lat- ter; the filtered solution is introduced into a retort, and the acid, saturated with carb. of soda, is dissolved in a mixture of eight parts of water and three of alcohol. The alcohol is distilled off, and the benzoate of soda contained in the residuary liquid is de- composed by sulphuric acid, which precipitates the benzoic acid. This is purified by solution in boiling water, which lets fall the acid when it cools. The benzoic acid generally found in our market is obtained by sublimation; some of it is pure and handsome, others again very in- ferior, and possessing a very strong unpleasant odour. That \diich is obtained by precipitation, when carefully prepared, is decidedly the best; it has an agreeable aromatic and pleasant odour ; it is somewhat heavier than the sublimed, and in much smaller crystals. The principal use made of this article is as an ingredient to pare-. goric. CANTHARIS VESIOATORIA. -----:o:----- SPANISH FLIES. The vesicating properties of the Spanish flies are known to every physician, and there appears to be no difference of sentiment in relation to the valuable properties of this article, which is more or less employed by every practitioner of medicine. Great care is necessary in the drying of Spanish flies, so as not to destroy their properties ; if kept perfectly dry they will keep a considerable time, but if suffered to get damp they speedily undergo putrefaction. They should be kept in a glass vessel or drawer. The vesicating properties reside in a green oil and a crystallizable substance called cantharidin.* This preparation dissolved in oil, or mixed with cerate, is decidedly preferable to using the fly in substance. Cantharides is a very powerful stimulant, internally used, pro- ducing a peculiar influence on the urinary organs, &c. The dose in powder is one to two grains, which may be given twice a day, in the form of pills. The tincture, however, is decidedly the most eligible mode of administering this substance internally, and the following formula of our distinguished professor, Dr. Dewees, is particularly recommended to the faculty :— Dr. Dewees' Tincture of Cantharides. R Pulv. cantharid. - - - ^ij. 3ij. ----- cochineal - - - 3ij. gij. Spt. vin. prob. - - - - 8 pints. M. Digest ten days, and filter.—Dose, 15 to 20 drops. * See oil of cantharidin. Q COLCHICUM AUTUMN ALE. -------:o:------- This valuable plant is a native of Europe ; it has been cultivated in this country, but has proved much infefror to the English ; the climate is not adapted for its growth, and rarely produces seed in this country. The root and the seed are both used. Physicians should be more particular in their orders for this article, to specify whether the seed or root is intended ; they generally simply order colchicum, and leave it to the discretion of the druggist to send the root or the seed. The root should be collected between the first of June and Au- gust; if collected prior or after this time, its properties are very in- ferior, if not worthless : great care should also be taken in drying it, for which purpose the root should be sliced, not dried whole, * as the internal part of those dried whole, are generally partially decomposed and mouldy. It is owing to these circumstances, and particularly in the season of collecting the root, that so much dif- ference of opinion has existed among authors in relation to the properties of the colchicum, and that so great a difference of quality actually exists in that which is always found in the shops. The celebrated Eau Medicinale, for the cure of gout, owes its activity to colchicum; it has been highly recommended, and with just claims in gout and rheumatism, also as a diuretic and ex- pectorant in dropsy and humoral asthma. The most eligible pre- paration of colchicum is the vinous tincture, made by the follow- ing formula:— Seed of Colchicum. 123 Wine of Colchicum Root. R Rad. colchi. catus.....?6. Vin. alb......- ftj. M. Digest ten days, and filter.—Dose, 25 to 30 drops. SEED OF COLCHICUM. Dr. Williams, of Ipswich, England, first brought the seed into notice ; he considers them superior to the bulb, in the certainty of their effects and the mildness of their ©peration. Drs. Wood and Bache consider their virtues analogous to the bulb, and to have the advantage of not being liable to become injured by dry- ing, and, I may add, not to become so soon deteriorated by age or exposure. The active properties of the seed reside in the husk or shell. It is unnecessary, therefore, to bruise the seed to make a tincture. The seed should be collected about the beginning of August; they are ovate, globose, and about a sixteenth to an eighth of an inch in diameter, of a reddish brown colour, exceedingly tough and unyielding. The seed of other plants are sometimes mixed with them, and sold for them. The most eligible prepara- tion is the vinous tincture, made by the following formula:__ Wine of the Seed of Colchicum. R Sem. colchichi......32. Vin- alb.......ftj. M. Digest two weeks and strain—Dose 25 to 30 drops. ON AND ITS PREPARATIONS. ---:o:--- THrs is one of the most valuable and important of the medicines recently introduced. It is soluble in aether, and in alcohol; the latter dissolving it proportionable to its degree of rectification. Water does not dissolve more than 1-700th part of its weight. It is extracted from the mother waters of soda, prepared from sea- weed, where it exists in the state of hydriodate of potass. These waters are obtained by burning the fuci that arc found on the coast of Normandy, draining the water through the ashes, and con- centrating the liquor. To obtain the iodine, an excess of concentrated a«cid is added to these waters, and the liquor is gradually brought to ebullition in a glass retort furnished with a receiver. The acid seizes on the basis of the hydriodate and on the hydrogen of the hydriodic acid, so that the result is sulphate of potass, water, sulphurous acid and iodine, which rises in violet-coloured vapours, passes into the receiver with a small quantity of acid, and in that state is con- densed. In order to purify it, it must be washed, mixed with water containing a little potass, and again distilled. Dr. Coindit, of Geneva, was the first to use the iodine as a medicine, which he employed with remarkable success in the treatment of goitre; it On Iodine and its preparations. 125 has since been used both in Switzerland and France, by several physicians, who speak very highly of its effects as a medicine in goitre, in scrofulous ulcers, &c, and quotes a number of cases of the successful treatment of these diseases by the use of iodine. The iodine is now used in this country to a considerable extent; it is generally employed in the form of tincture and ointment, for- mulas for the preparation of which will be given hereafter. Dr. Gardiner has pubfished in England a very interesting memoir on the effects of iodine on the animal economy, and on its advantages in the treatment of goitre, and scrofulous and tuberculous affec- tions of the thorax and abdomen. Dr. Barron appears to have employed the remedy with some success in the treatment of scrofulous phthisis, and certain other tuberculous affections. Tincture of Iodine. Take of alcohol 369 1 ounce. Iodine 48 grains. The iodine should be triturated fine with the alcohol in a mor- tar, and occasionally rubbed down in it; after standing twenty-four hours it is fit for use, and should be filtered before using, as there is generally a portion of the iodine undissolved. It is given to adults in the dose of from four to ten drops, three times a day, in a glass of sweetened water; the quantity may be gradually increased to twenty drops, (which contains about one grain of iodine,) three times a day. Solution of Hydriodate of Potass. Take of hydriodate of potass 36 grains. Distilled water 1 ounce. This solution is still capable of dissolving iodine, and of thus forming an ioduretted hydriodate of potass. If we wish to procure 126 On Iodine and its preparations. the solution called Coindit's, ten grains of pure iodine must be added to the solution of the hydriodate of potass described above. These preparations, whose mode of exhibition is the same as that of the tincture of iodine, are employed as well as it in the treatment of goitre and scrofula; in the latter case some tonic is generally combined with it. M. Magendie, has for some time made use of the solution of hydriodate of potass both in hospital and private practice ; he is confident the dose of this solution may be increased to three gros per diem, without any unpleasant consequences; debilitated and very nervous women have taken this quantity for many weeks, without the least appearance of derangement in any function. In this dose two cases of cancer of the tongue recovered in the space of a fortnight, in the incurable wards of L'Hospice de la Salpe- triere. The women were affected with this disgusting and horri- ble disease for many years, and admitted into the hospital as in- curables ; one still remains there, having been three months under treatment, and is going on very well. In the same place, a wo- man who had for a long time suffered under ulcerations of the tongue, has just received a complete cure from the use of the hy- driodate of potass. Ointment of the Hydriodate of Potass. Take of hydriodate of potass \ drachm. Axunge \\ ounce. Mix.—This may be used to the exteqt of half a drachm night and morning, in the way of friction, upon a goitre or glands en- larged with scrofula-; at the end of a week, the quantity may be increased to a drachm or more, according to the age of the patient and extent of the tumour. Sometimes by these means a complete resolution of tumours is effected, which could not be removed entirely by saline solutions. This ointment has been successfully On Iodine and its preparations. 127 used in various cases of enlargement of the testicles, which had resisted other means. Sometimes, however, mere friction will not do, and recourse must be had to both modes of exhibition; but in general, more advantage seems to be derived in scrofulous affec- tions from the saline solutions. The activity of this ointment may be increased by adding from ten to fifteen grains of pure iodine to form what, is called ointment of ioduretted hydriodate of potass. Ointment of Iodine. Take of iodine 1 drachm. Axunge 1 ounce. Powdei the iodine and triturate it with the lard in a glass mor- tar. This ointment is used in the same manner as that of the hy- driodate, in about the same quantity ; it is, however, not as much used as the hydriodate ointment, which latter is in every way pre- ferable. lodurets of Mercury. The Proto-Ioduret of Mercury is prepared by uniting solution of hydrate of potass and protonitrate of mercury, which precipi- tates the proto-ioduret. It is of a yellow colour and insoluble in water ; according to Dr. Thompson, 162 parts contain 62 of iodine and 100 of mercury, or 25 of mercury and 156 of iodine. The deuto-ioduret is preyed by dissolving separately 70 parts of conosive sublimate, (deuto-chloruret of mercury,) and 100 parts of the hydriodate of potass, and uniting the solution, when the deuto-ioduret of mercury will be precipitated ; it is very soluble in the hydriodate of potass and in mercurial salts, so that care must be taken not to apply an excess of either of them. This prepara- tion contains 250 parts of mercury and 312 of iodine. Hydriodic acid may be substituted for the hydriodate of potass in the prepa- ration of these iodurets. , These preparations are employed in the form of ointment, tine- 128 On Iodine and its preparations. ture, solution, and pills, and have proved a valuable remedy in chronic syphilis and venereal ulcers. Ointment of Proto-ioduret of Mercury, Take of proto-ioduret of mercury 20 grains. Axunge l£ ounce. This ointment has been highly recommended in the treatment of inveterate venereal ulcers, in which it is said to accelerate the cicatrization. Ointment of the deuto-ioduret of Mercury. Take of deuto-ioduret of mercury -20 grains. Axunge li ounce. This preparation is more active than the preceding, and is there- fore to be used in smaller quantities. Tincture of deuto-ioduret of Mercury. Take of deuto-ioduret of mercury 20 grains. Mix. Alcohol at 36° \% ounee. Twenty-six drops of this tincture are nearly equivalent to one eighth of a grain of the deuto-ioduret itself, it may be given to the extent of ten, fifteen, or twenty drops in a glass of distilled water, i We are assured that it has succeeded in scrofulous complaints complicated with syphilis. Sulphuric JEther with deuto-ioduret of Mercury. Take of sulphuric aether \\ ounce. Mix. Proto or deuto-ioduret of mercury 20 grains. This being a more active dose than the preceding, must be ad- ministered in smaller doses. Pills of the deuto-ioduret of Mercury. Take of deuto-ioduret of mercury 1 grain. Extract of Juniper • 12 grains- Liquorice Prowder q. s. On Iodine and its preparations. 129 Mix, and make into eight pills; two to be taken at first, morning and evening, augmenting the dose subsequently to four, at the same periods. Pills of the Proto-ioduret of Mercury May be made in the same manner, and taken in the same dose. The combination of mercury and iodine must certainly be a me- dicine of considerable activity, and from the effects of each of them on the system in glandular affections, we might anticipate the most favourable results from the compound in scrofulous and ve- nereal diseases. Liquor Ferri Hydriodatis. This article is generally sold under the name of Iodide of Iron. It was first introduced in practice in Philadelphia by our distin- guished professor, Dr. Samuel Jackson, and has acquired consider- able celebrity. It acts as a m\Jd tonic and emenagogue, and brings on a more healthy hematosis ; it has proved a valuable adjunct to the common pectoral syrup in coughs and pulmonary affections; the dose is from five to ten drops. The following formula of Mr. Durand, an improvement on the same recommended by Baup and Caillot, is recommended to the profession:— Take of iodine ^^ 10 drachms. Iron filings, pure and unoxidized 5 drachms. Distilled water 12| fluid oz. Put the iodine in a porcelain capsule, with half the water, and add the filings by small portions, stirring the mixture with a glass rod. The combination soon takes place, and the mixture acquires an orange colour, gradually deepening to a dark red. Wheu the whole of the iron has been added, heat the mixture slowly by means of a sand-bath or spirit lamp, and stir "it contim*aHy; when the union has been completed the solution becomes colourless, R 130 On Iodine and its preparations. and in this state is filtered ; and the residue on the filter is washed with the remaining distilled water previously heated to the boiling point. The amount of the liquid obtained measures twelve and a half fluid ounces, and contains twelve and a half drachms of iodide of iron, or a drachm of the iodide to each fluid ounce. This liquid will become a deep red by standing, some iodine being set free, and the oxide of iron precipitated. This defect is remedied by putting in the solution some pure iron filings, which constantly re- produces the iodide of iron with any free iodine as soon as disen- gaged. The colour should be a light orange. Drs. Wood and Bache states, it acts as a tonic and alterative, and may be given in various diseases in which it is desirable to stimulate the absorbent system, as in.scrofulous complaints and visceral obstructions, at- tended with deficient action. The average dose of the solution obtained by Mr. Durand's formula, is ten drops three times a day, gradually increased until some obvious impression is produced. Solution of the Iodo-Hydrargyrate of potassium. This valuable preparation has lately been introduced *by Dr. Channing, of New York, who has used it with great success in pulmonary affections and other diseases. A highly interesting paper is published in the American Journal of Medical Sciences, in February number for 1834. He has prescribed it in the fol- lowing formula:— ^^ R Deutiod. Hydrarg. grs. iv. Hyd. Potass. grs. xx. Aq.- distillat. 5j. M. ft. solut. Dose, five drops three times a day, which may be gradually increased to ten drops. The following are such diseases as uniform observation has proved to have more readily yielded, or to have been more promptly benefited under its operation alone, than under any known treat- ment, viz.:— Extract of Nux Vomica. 131 Chronic Bronchites, Colitis, Hooping Cough, Constipation, Amenorrhea, Dyspepsia, Leucorrhoea, Herpes, Lithiasis, Psora, Aptha;, Psoriasis. Tonsillitis, Anasarca, Pharyngitis, and Chronic Gastro-Enteritis, Scrofula. Dr. Channing further states his acknowledgements to Drs. Mac- nevin, Mott, Vanderburg, Wilson, Mason, Borrowe, and Wallace, of New York ; and to Dr. Jackson of Philadelphia, for their aid in proving the powers of the article. Some of these gentlemen, within the last few months, have used this medicine extensively in their practice, and fully concur in the writer's views respecting its wide application to disease, as well as its mode of administration. Iodide of Lead. This compound was introduced as a remedy for scrofulous swell- ings and ulcerations, and has proved highly useful in venereal ulcers and tumours. Its most useful exhibition is in ointment, made by rubbing one^^hm of the iodide in an ounce of simple cerate. It has also beenused internally in the same diseases, in doses of from one quarter to half a grain repeated several times a day. Alcoholic Extract of Nux Vomica. The nux vomica is one of the most active articles of the materia medica, and has lately been successfully employed in the treat- ment of paralysis. M. Fouquier, who has had much experience with its use and action, gives it in the form of pills, consisting of two grains each. The dose is two pills daily for the commence 132 Strychnine. ment, and gradually increased to ten or twelve, a number rarely exceeded. The constant effect of this substance is to produce first in the paralyzed parts, and afterwards in the rest of the body, a succes- sion of shocks or contractions similar to those occasioned by gal- vanism. Magendie recommends the pills to be made of one grain each, and to commence with one or two daily, increasing the dose until the desired effect is produced. This is the dose I have generally seen prescribed by the physicians of this city. A tincture may also be employed according to the following formula :— Tincture of the Extract of Nux Vomica. Take of alcohol at 36° 1 ounce. Dry extract of "nux vomica 3 grains. Dissolve. Of this a few drops may be given in any simple vehicle. In this form it may also be used by friction upon the parts affected: it is a mode much employed in Italy, and from which M. Ma- gendie has seen great effects result in his own practice.* Strychnine. It would appear to be almost useless labour expended to obtain a more concentrated preparation than tlr^Pix vomica, or the ex- tract. The crude substance, however, like all other articles of the materia medica, is subject to vary in quality and strength, and to be affected by various circumstances to which it may be ex- posed, thus making the strength of the crude material vary; and consequently, the extract differing in proportion to the acting of the nux vomica, and also in th^ variable modes of its preparation. * As there are other tinctures of nux vomica, physicians who wish this article should ticularly name the tincture of the extract of nux vomica. -* Strychnine. 133 Strychnine, as we generally see it, is of a grayish white, granu- lar, or in powder; this is owing to its too rapid crystallization: if carefully prepared it is in the form of minute crystals, which, by the aid of the microscope, are found to consist of four-sided prisms, terminated by pyramids with four depressed faces. The sign of its purity is not reddening with nitric acid, a degree almost unattainable in strychnine procured from nux vomica. That obtained from St. Ignatius' bean is purer, but the purest and most easily obtained is furnished by the Upas ; it is also obtained from the snake root.* The brucine exists with the strychnine in all the above articles, but in less proportion in the St. Ignatius : and M. Magendie observes, " it is unfortunate that the bean of St. Ignatius is so rare an article in commerce, as the strychnine con- tained in it is nearly free from brucine, and could be readily ob- tained from it in a state of purity." Its action on the system is the same as that of the extract of nux vomica, and is applicable in the same cases, though much more powerful and requiring a less dose, and it might be entirely unnecessary to have recourse to strychnine, if the extract of the nux vomica were always prepared in the same manner, and ex- empt from those variations in their effects arising from the differ- ent modes in which they are prepared; in consequence of the greater uniformity of th^Ptychnine in this respect, it is in gene- ral preferred. In Germany and Italy accounts have been publish- ed of its successful employment. It is generally employed in the form of pills, which are made from the following formula:—- Pills of Strychnine. Take of pure strychnine 2 grains. Conserve of roses | drachm. Mix accurately, and divide into 24 pills. * Lignum or Strychnos Colubrinum. 134 Strychnine. Tincture of Strychnine. Take of alcohol at 36° 1 ounce. Strychnine 3 grains. Mix. Dose, from 6 to 24 drops, in draughts or common drink. The pills, where they can be taken, are preferable to the solu- tion, in consequence of the extreme bitterness and unpleasant taste; for, although nearly insoluble in water 6667 times its weight, at a temperature of 10° its bitterness will be distinctly percepti- ble. If a solution of strychnine made in cold water, and conse- quently not containing above 1-6000 part of its volime, be even still diluted in a hundred times the quantity of the same fluid.* The strychnine is certainly a valuable remedy in paralysis, if we regard the writings of some of the most distinguished physi- cians. Dr. Ratier states he had occasion to see it administered to a young man affected with paralysis, in pills containing each a quarter of a grain. In the dose of a grain and a half it occasioned, but in a more considerable degree, the phenomena proper to the nux vomica; viz., a general titanic rigidity, with twitchings, which supervened every two or three minutes. These effeots, which had at first alarmed the patient and assistants, terminated gradually in about three or four hours, and without any trouble- some consequences. ^^F Strychnine readily unites with acids, and forms salts which are crystallized and are soluble ; this must be remembered when giving strychnine in common drink, for lemonade and all acids very much increase its activity. The following are some of the salts of stryohnine, sub-carbonate, sulphate, hydrochlorate, phos- phate, nitrate, iodate and hydriodate, it also forms salts with the acetic, oxalic, tartaric and hydrocyanic acids, all of which are readily obtained, and form crystallizable salts. • Majendie's Formulary. Brucine. 135 The salts of strychnine, in consequence of their greater solu- bility are more active, and consequently more intensely poisonous than their base. When the patient is habituated to the action of strychnine, it may sometimes be advantageous to substitute the salts for the strychnine itself without increasing the dose. M. Ma- gendie has used none of the salts except the sulphate, which has produced most decided relief in a case of paraplegia, given in a dose of a twelfth of a grain. Brucine, This exists, as before stated, in nux vomica, and several of the articles containing strychnine ; it is analogous to strychnine, but less intense, being in the proportion to that of pure strychnine as one to twelve; or according to M. Andral, jr. six grains of brucine are equal to one of impure, and a quarter of "■ grain of pure strych- nine ; it is generally given in tJie form of pills or tincture, increas- ing the dose gradually. In medical use, that which is obtained from the bark of the brucea antidysinterica should be preferred,* as that furnished by the nux vomica is rather apt to be mixed with a portion of strychnine, which increases its power and de- ranges our calculation as to the effects. As it possesses the pro- perties of strychnine in a milder degree, it may be given to the extent of one, two, or even three grains, without apprehension as to the consequences, in the same cases as the preparations of nux vomica are found to benefit. It is probable that much larger * Brucine is obtained by subjecting the inner bark of the brucea antidysinterica to a simi- lar process to that directed for the preparation of strychnia, with this difference, that the magnesian precipitate must not be so elaborately washed,—Brucine being much more soluble in water than strychnine, on account of the greater quantity of colouring matter which it contains. By evaporating the alcoholic liquors, the brucine is readily obtained in a resinous form, not being yet sufficiently pure to crystallize. In its purification it must be combined with oxalic acid which is to be again decomposed by magnesia, and the brucine separated by alcohol, which being slowly evaporated in the open air, brucine will be obtained in a crystal- lized form. 136 Morphia. doses may be given, but we must be attentively upon our guard. M. Andral has given it in cases of palsy with advantage, from half a grain to five grains. M. Magendie has used it successfully in two cases of atrophy, one of the arm and the other of the leg. The patient took six pills daily of one-eighth of a grain. As it is subject to variation of strength from the frequent admixture of strychnine in it, the latter should be preferred, as being a more active and uniform medicine. Pills of brucine and the tincture may be made in the same manner as those of the strychnine. Brucine forms salts in the same manner as the strychnine, and being more soluble than bru- cine itself, is more active and possesses some advantages. Morphia* This is the anodyne or corlative principle of opium. M. Robi- quet prepares it by precipitating a strong infusion of opium by means of caustic ammonia ; filters and evaporates the liquid down to a sixth part of its bulk; to this he again adds ammonia, and ob- tains a fresh precipitate of pure morphia, which he receives on a filter and washes it with cold water ; when well dried, he sprinkles it witlfa little alcohol, and passes the spirituous liquors through a filter, which carries with it a large portion of the colouring matter and also a small quantity of morphine^gjle then dissolves the morphine in acetic acid, and treats the solution with ivory black. This mixture, being agitated frequently during twenty-four hours, is finally projected on the filter, and passes through in the receiv- ing vessels entirely colourless. He next applies ammonia, and the morphia is precipitated in the form of a white powder; if this be again dissolved in alcohol, and allowed to evaporate sponta- neously, the morphine will be found in fine regular white crystals, four sided rectangular prisms. Dr. Staples, an ingenious chemist of this city, has obtained the morphia by a more simple process; his Narcotine. 137 formula is published in the Noith American Medical and Surgical Journal of this city. Morphia unites with most of the acids, forming various salts of these preparations ; the acetate and sulphate have hitherto obtain- ed the preference. Their proportion in respect to the opium is an eighth of a grain for a grain. M. Magendie recommends the syrup of these salts; four grains of the salt to a pound of syrup. The sulphate is preferable to the acetate on account of its solu- bility, being perfectly soluble in cold water. The acetate is also rendered perfectly soluble in water by adding a few drops of acetic acid to it. For a further description of morphia and its preparations, see the article opium. Narcotine. This preparation is not used as a medicine. For particulars, see description of it under the head of opium, in a preceding part of this work. Emetine. This is a peculiar principle lately found in the ipecacuanha. M. M. Pelletier and Magendie state that this substance being much more active than thai ipecacuanha itself, without possessing its disagreeable taste or nauseous smell, might upon all occasions be substituted for it with advantage. Emetine is little used in this country, much less than most of the other proximate prin- ciples. To prepare emetine :—The ipecacuanha is reduced to a coarse powder, and digested in aether at 60°, to dissolve the fatty odorous matters. Then exhaust it by alcohol in successive portions. Place the alcoholic tinctures in a water-bath, and re-dissolve the residue in cold water; it thus loses a portion of the wax and a S 138 Emetine. little of the fatty matter which still remain ; it is only necessary further to macerate it on carbonate of magnesia, by which it loses its gallic acid, to re-dissolve it in alcohol, and to evaporate it to dryness. The emetine obtained in this way is not perfectly pure, but is the kind altogether in use here ; the exceeding high price of the perfectly pure and white emetine has excluded it altogether from use here. The emetine obtained in the above process presents itself in the form of transparent scales of a reddish brown colour, having scarcely any smell, bnt a bitter, though not disagreeable taste. The action of the pure emetine to that of the coloured, is as one to four; particular care should therefore be observed in pre- scribing emetine, to distinguish which kind you intend, or serious mistakes might occur. In prescribing emetine it should be recol- lected, that it is little soluble in water, and when we wish to give it in an aqueous vehicle, it should previously be dissolved in a little acetic or sulphuric acid: emetine is administered under the form of syrup or pastiles. M. Magendie has proposed emetic pas- tiles as a convenient form for children who cannot be made, with- out difficulty, to swallow liquids. Take of refined sugar 4 ounces. Coloured emetine +■» 32 grains. From this make pastiles of 18 grains, one of which suffices for children, and three or four for adults. Pectoral Pastiles of Emetine. Take of refined sugar 4 ounces. Coloured emetine 32 grains. For pastiles of nine grains. One is given every hour; if more fre- quently, nausea will be excited. Quinine and Cinchonine. 139 Syrup of Emetine. Take of simple syrup »jf Coloured emetine jq „rs Make a syrup. The above syrup may be substituted for the syrup of ipecacu- anha used in France. The Pastiles and Syrup of Emetine May be made in the same manner as the above, by using one fourth the quantity of pure emetine, that is, 8 grains instead of the 32 grains of coloured emetine. For the alkalies of cinchona bark, see the article cinchona. Quinine and Cinchonine. The sulphate of quinine is preferred; and in general use, it is prescribed generally in pills of one or two grains each, or in the form of mixture with gum arabic and cinnamon water; the mixture is objectionable on account of the quinine being only partly solu- ble in water, and is merely suspended for a short time by the mu- cilage of the gum arabic. The following I consider a more eli- gible mode of exhibition, as it forms a perfectly transparent and entire solution, which will keep unaltered for any length of time :— Take of sulphate of quinine 8 grains. Alcohol 3i. Acid sulphuric 6 drops. Aqua cinnamon 1 ounce Reduce the quinine in powder, and add by degrees 3ii. of water in which the sulphuric acid is mixed, and as soon as dissolved, add the remainder of the cinnamon water and alcohol. 140 Veratrine. Veratrine. This very acrid alkaline principle is met with in all the plants of the family of veratrum, and especially in the sabadilla, colchicum, and white hellebore ; on account of its strongly purgative property it can with advantage be substituted for these plants. To obtain the Veratrine. The seeds of the sabadilla are to be treated repeatedly with boiling alcohol. These tinctures filter while still nearly boiling, which will deposit on cooling, whitish flakes of wax; the sub- stance in solution, reduced to the consistence of extract, is to be taken up by cold water, and re-filtered. There then remains upon the filter a small quantity of fatty matter; the solution is to be slowly evaporated. A precipitate is to be formed of an orange yellow colour, which exhibits the characters of that colouring matter which is found in almost all woody vegetables. A solution of acetate of lead is now poured into this highly-coloured liquid, and there forms immediately a new and very abundant yellow pre- cipitate, which is separated by Alteration. The lead is separated by means of sulphuretted hydrogen; the liquor is then filtered and ' concentrated by evaporation, afterwards treated by magnesia, and again filtered. The magnesian precipitate is next expesed to boil- ing alcohol, and the spirituous fluids being evaporated, yield a pulverulent substance extremely acrid and possessing all the alka- line properties; by frequent solutions in alcohol and precipitations this substance which is at first yellowish, will become very white, and perfectly inodorous. Its taste is very acrid, without any perceptible bitterness; but, however small the quantity taken in the mouth, it excites profuse salivations. It is perfectly inodorous, but must not be smelt too closely, for even the trifling quantity carried by the air into the Veratrine. 141 nasal cavities is often sufficient to produce violent and dangerous sneezing; a quarter of a grain conveyed into the intestinal canal readily produces very copious dejections and by a quantity trifling beyond this, vomiting more or less violent is excited. M. Ma- gendie, however, has lately given it to the amount of two grains in twenty-four hours, without excessive purging; in the case of an old man who had suffered an apoplectic attack ; which fur- nishes another proof that the state of the nervous system mate- rially influences the action of medicines. M. Magendie thinks it should take the place of those pharma- ceutical preparations whose basis is either colchicum or hellebore; they would thereby be rendered more powerful therapeutic agents, and at once more convenient and certain. By this change the tincture of colchicum, the eau medicinale, and some others, would lose that uncertain character which gives just cause of dis- satisfaction with them. M. Magendie has proposed the following formula:— Pills of Veratrine. Take of veratrine i grain. Gum arabic and syrup sufficient to make six pills; one of which is to be administered, and if no purging follows, three may be given in the course of the day. Tincture of Veratrine. Take of veratrine 4 grains. Alcohol 1 ounce. This tincture may be given in the quantity of from 10, 15 to 25 drops, in a cupful of any mild or simple drink. It may be ad- ministered internally instead of the tincture of colchicum, in ana- sarca and other varieties of dropsy; and externally, in frictions, in the same diseases, and also in gout. 142 Veratrine. '{£rln Ratier's formulary one ounce of veratrine is directed to be used with four ounces of alcohol, and the dose is directed in the same quantity as the above, prepared with four grains. This is certainly a very great error and might lead to very 3erious acci- dents. Solution of Veratrine. Take of sulphate of veratrine 1 grain. Distilled water 2 ounces. * To be substituted for eau medicinale of Husson. Ointment of Veratrine. Take of veratrine 4 grains. Axunge I ounce. In external applications in cases of chronic rheumatism, ana- sarca, and gout. ---:o::--- TOBACCO. Nicotiana is so called from M. Nicot, by whom the plant was first introduced ; and Tabacum from the island on which it was discovered. It is narcotic and emetic ; in small doses it has been successfully used in incarcerated hernia, and obstinate constipa- tion of the bowels. As an unguent or lotion, Dr. Chapman states it is much employed in the popular practice of this country to clean foul ulcers, to remove eruptions, as tinea capitis and some other of these affections, and also in the shape of cataplasm, as a discutient of indolent tumours. The active principle of tobacco is no doubt the essential oil, which is obtained by distillation, and collected from the water, on the top of which it will be found to float. The oil can be used for all the purposes for which the to- bacco is recommended, by graduating the dose according to the circumstances of the case. It is conjectured by Dr. Paris* that the juice of the cursed Hebanon, by which, according to Shakspeaee, the king of Denmark was poisoned, was no other than the essential oil of Tobacco :— -------------" sleeping within mine orchard, My custom always of the afternoon, Upon my secure hour thy uncle stole With juice of cursed hebanon in a vial, And in the porches of mine ears did pour The leprous distilment,"------------- * Paris" Pharmacologia. 144 Tobacco. In the first place the learned commentator, Dr. Gray, observes, that the word here used (hebanon) was more probably designated by a metathesis, either of the poet or transcriber, for hebanon, i. e. henbane. Now, it appears, from Gerarde, that tobacco was commonly called henbane of Peru, (hyosciamus Peruvianus,) and when we consider how high the public prejudice ran against this herb in the reign of James, it seems very likely that Shakspeare should have selected it as an agent of extraordinary malignity. No preparation of the hyosciamus with which we are acquainted would produce death by application to the ear; whereas, the essen- tial oil of tobacco would, without doubt, occasion a fatal issue. The term distilment has also called forth a remark from Stephens, which is calculated to support this conjecture : " Surely," says he, " the expression signifies that the preparation was the result of a distillation." 145 ANTHEMIS NOBILIS. ---:o:--- CHAMOMILE. This plant is cultivated for medicinal purposes in Germany, France, and Italy, and is generally known by the name of Roman chamomile. The flowers, which are large, are generally preferred: this is an erroneous idea of the characteristic of their quality. The flowers readily become large and double by cultivation, but the active properties reside almost wholly in the internal disk. The single flowers are therefore to be preferred as being more ac- tive. A great portion of the chamomile flowers in the shops are almost inert, as they are very soon injured by age and exposure, and become, in a short time, worthless. Physicians should be very particular, therefore, to order them fresh, and not to get many at a time, and keep them in a close bottle or drawer. The fresh are much cheaper than some which have been long kept, even at four times the price; and more attention should be given to the quality than the price. Chamomile is a mild tonic and feb- rifuge medicine, and is frequently prescribed, and is considerably used in families as a domestic remedy, in colds, fevers, &c. The infusion is the most eligible mode of using this article; a quart of boiling water may be poured upon an ounce of the blossoms, and when cold, a wine-glassful may be taken frequently through the day. T 146 ULMUS. SLIPPERY ELM. The inner bark is the part used in medicine. The Ulmus Fulva, which produces this valuable medicine, is indigenous, and grows in all parts of the United States, but most abundantly on the Alleghany mountains. It is an excellent demulcent, and is recommended in dysentery, diarrhaea, consumption, &c, Its mu- cilage is highly nutritious, and is also found by recent experience to be singularly beneficial when applied to cutaneous eruptions, chilblains, and various kinds of sores and ulcers. The superfine flour, prepared by grinding the interior bark and passing it through a bolting cloth, is decidedly the best preparation. This flour is applicable to a variety of important cases; experience and the testimony of the most eminent physicians prove it to be a valuable medicine in all inflammations of the mucous membranes, such as colds, influenza, pleurisy, quinsy, dysentery, stranguary, and inflammation of the stomach and bowels. It is also a plea- sant and salutary medicine and diet in consumption. The following mode of using it is recommended :—Mix a tea- spoonful of .the flour with as much sugar, stir them in a tea-cupful of cold water, and season with nutmeg, or any agreeable spice; pour this into a pint of hot water, boil, strain, and it is finished. The jelly may be made thick or thin, and seasoned to suit the taste. It may be taken in the same quantity as the arrow-root, is as palatable, and far preferable as a medicine. It is prepared in superfine flour, and neatly put up in convenient packages with directions, at my CHEMICAL WAREHOUSE, No. 301 MAR- KET STREET, Philadelphia. 147 -------:o:------- This article is obtained by evaporating the juice of the plant, obtained by wounding the leaves, and sometimes by expression. There are three varieties in commerce. 1st. Cape Aloes. This variety is almost entirely used in this country, and is confounded with the name of socotpine, from which however, it differs considerably in appearance and sensible pro- perties. It breaks with a clear, bright, and almost glassy sur- face, of a bright olive colour approaching to black; the powder is of a greenish yellow colour. 2d. Socotrine Aloes. This article is very rarely found genuine in our country. It is frequently composed of Cape aloes, gamboge, and some aromatic gums, and occurs of a reddish brown colour with a tinge of yellow. The colour of the powder is a very light yellow, and the taste, although very bitter, is accompanied by an aromatic flavour. 3d. Caballine or Foetid Aloes is seldom imported or used in this country; it is prepared from the dregs or residuum of the other varieties, and used chiefly for horses. The low price, how- ever, of the Cape aloes has rendered it unnecessary to introduce this inferior article. Aloes is well known as a valuable cathartic, and is frequently used as an adjunct to others of the same class. The dose is ten grains. 148 AMMONIAOUM. -----:o:----- Gum Ammoniac is the concrete juice of the ammoniac plant. The juice exudes from Jhe plant from innumerable punctures made by an insect of the beetle kind. It is generally imported in cases from Calcutta. Ammoniac occurs in commerce of two kinds, in separate tears and conglommerate masses.* Physicians should be very particular in their oiders for this article to direct the gum ammoniac in tears, and not in mass, as the former is much superior in quality, and can be used with more convenience. Ammoniac is always more or less, mixed with foreign matter, frequently with seeds of the plant, sand, or other eartb, from which the pure tears may, how- ever, be readily separated ; but in the massive variety they are all enveloped or consolidated. Gum ammoniac has been used with great advantage in chronic catarrh, asthma, and other pectoral affections, and enters into the composition of numerous formulas of mixtures, pills, plasters, &c. &c. 149 -----:o:----- This gum resin is much more extensively used within the last two years than it has been heretofore. There is a very con- siderable difference in the quality of it; a great portion of that which comes to our market is very inferior. The Turkey myrrh is the best; it has a mild, aromatic, slightly bitter taste, and plea- sant fragrant odour; occurs in irregular fragments or masses, fre- quently somewhat like tears, of a reddish yellow colour, and some- what translucent, and occasionally with small pieces of the bark attached ; it is brought from Arabia by the route of Egypt. The inferior myrrh is in large irregular masses of a deep opaque colour, and a harsh, disagreeable, bitter, and astringent taste, and is known by the name of India myrrh. The Turkey myrrh, previously described, is worth three or four prices of the other, and is, intrinsically, worth more than this dif- ference. Physicians cannot be too particular in their inspection and examination of this article, as the qualities of it are so very various. 150 RHEUM. -----:o:----- There are several varieties of rhubarb in our market, Chinese, Russian,European and Rhaponticun. The principal part, however, which is to be met with is the Chinese, and which is a very su- perior article. Most of that which is sold at a high price in our market is Chinese rhubarb, which has been prepared by rasping and cutting, or russifying, as it is termed. I have also seen the English rhubarb (which is inferior to the China) thus russified, and sell at two or three dollars per pound, while the best quality of the China rhubarb could be bought for 75 cents, or less. Rhu- barb of good quality is moderately heavy and compact, of a lively yellowish colour, brittle, presenting when broken a fresh appear- ance, with reddish and yellow veins entangled with white, and an odour aromatic, with a slightly bitter and astringent taste. When light, rhubarb is worm-eaten or porous; and when very heavy, it is of inferior species or culture. The English rhubarb is more spongy and fibrous, is of a lighter colour than the Chinese, and is far inferior to it. I have never seen any genuine Russia or Turkey rhubarb in this market. Fresh China rhubarb, of a good quality, is little inferior to the Turkey, and superior to most which is sold for Turkey, but which is, in fact, inferior kinds of Russia, East India, and English rhubarb artfully dressed up and sold under the name of the best Turkey at a high price. I would advise physicians to specify dis- tinctly in their orders the Chinese rhubarb. 151 mwmttv OF LIME AND SODA. The advantages of these substances were made known in 1812 by M. Mazuyer, professor to the faculty of medicine at Strasburg. At that time he employed them with great success, in the wards of hospitals in which typhus fevers were then raging, and for the purification of the theatres of anatomy. M. Labarraque has de- monstrated, by a great number of experiments, that the chloruret of soda was one of the most powerful agents for the instantaneous annihilation of that disgusting fetor which is produced by the maceration of intestines in water. The same gentleman extended the use of the chlorurets to the purification of all animal sub- stances under putrefaction, and many distinguished physicians have used them as medical agents. A prize of three thousand francs to M. Labarraque, and two thousand to M. Mazuyer, was decreed by the Academy of Sciences, for this useful discovery. The method for preparing the chlorurets has been known for a long time ; it will nevertheless be useful to describe the manner in which M. Labarraque prepares them, in order to obtain always the same compound. The Chloruret of Soda Is prepared by dissolving five pounds of pure carbonate of soda* * Soda Sub. Carbonas. 172 Chloruret of Soda. in twenty pounds of distilled water. Put the liquor into a flask of sufficient size, that it may be about three-fourths full. Expose a glass balloon sufficiently large to contain four pints, having a long neck with a wide mouth, introduce into it 567 grammes of hydrochlorate of soda, and 448 of the per-oxide of magnesia ; lute to the mouth of the globe a large curved tube, and a tube with a double curve for the introduction of the weak acid ; place the first tube into a flask containing a small quantity of water for the pur- pose of washing the gas, and from this flask should proceed a large curved tube, communicating with the vessel containing the saline solution. The apparatus being properly disposed, and the luting very dry, pour into the bent tube the diluted acid cold, and having been mixed for some hours with water, apply fire to the sand-bath, and continue the heat until chlorine ceases to be disengaged. The operation being finished, examine the strength of the product by its action in decomposing the sulphate of indigo. The chloruret of soda has chiefly been employed in medicine, and has produced highly satisfactory results, and has succeeded in all cases in which it has been used for the removal of general or local infections. Thus in carbuncle, in hospital gangrene, bad venereal ulcers, sloughing wounds, or those of the phagedenic kind, rapid advancement has been observed towards cicatrization, by the employment of the chloruret dilated in ten or fifteen parts of water. In numerous patients affected with ulcerated cancer of the breast, or of the uterus, which were in the hospital, it has been used daily as a lotion at the time of dressing; by this means the fetor of the discharge has been destroyed, and the sufferings of these unfortunate women have been much meliorated; and they have found, from the use of these lotions, their sleep has been more tranquil. M. Alibert has prescribed similar lotions with ad- vantage for herpes exedens. M. M. Roche and I. Cloquet have Chloruret of Lime. 178 found it equally useful in the worst cases of gangrenous ulcers. M. I. Cloquet directs the diseased limb to be bathed in a solution of one part of the chloruret, with from ten to fifteen of water, and administer twenty-five or thirty drops of it in a pint of barley- water. It has been used as a gargle in sore throat, as a lotion in ulcerated gums exhaling an offensive odour. M. Lisfranc has used it extensively in burns and common ulcerations; for this purpose a solution of the chloruret, marking three degrees of the chlorometer of Gay Lussac. The Chloruret of Lime Is prepared by placing the hydrate of lime on shelves of a conve- nient distance from each other. The gas is disengaged from a simi- lar mixture to that employed for the chloruret of soda, and passed into a chamber containing the lime, which must be occasionally stirred, so that the chlorine may act equally on all parts of it; the hydrate of lime sufficiently charged with chlorine becomes moist, by which it is ascertained that the operation is about to terminate. This is a very powerful disinfecting agent, and can be used in the following manner:—Previous to examining an animal body in a putrifying state, it will be only necessary to procure a bucket and mix the chlorate of lime with water. Let a sheet be com- pletely moistened with this solution, and wrapt about the whole subject, so that every part of it may be covered, and the putrid odour will soon cease. If there be an unpleasant smell in pas- sages, stair-cases, &C, let them be sprinkled with the liquid. C?,re should be taken to sprinkle the clothwhich covers the body fre- quently with this liquid, by which means the offensive odour will be prevented. The chloruret of lime may be used with advan- tage for the disinfection of privies, water-closets, ships, stables, hospitals, wards, &c, for which purpose it will be sufficient to di- lute the chloruret in sixty times its weight of water, and to sprin. 174 Digestive Lozenges. kle the clear solution over the surface of the objects or places which are intended to be purified ; a broom or watering pot may be used for the purpose, and a few minutes will be sufficient to * complete the disinfection. In wards with patients the solution is to be poured into deep plates, and placed under the beds. The infectious odour cannot spread, because it is destroyed in proportion to its formation, in consequence of the continual disengagement of chlorine. Several physicians and surgeons of the hospital have made a use- ful application of these substances in the. treatment of bums, chronic inflammation of the jnucous membrane, &c. M. Lisfranc has used the following preparation successfully in burns :— Chloride of calcium (marking three de- grees of the chlorometer of Gay Lussac) 34. Water Ifei. i This solution has also been used as an injection in the case of chronic catarrh of the vagina or bladder, and has been equally em- ployed in the treatment of gangrene. Besides its utility as a dis- infecting agent, it appears also to exert a beneficial influence on the progress of cicatrization. Lozenges of Bicarbonate of Soda, or Digestive Lozenges. These lozenges have proved highly beneficial in the treatment of dyspepsia, and have been found useful in promoting digestion, by saturating the free acid of the stomach, which is essential to the complete solution of the aliment. Foimula for preparing the digestive lozenges of M. D'Arcet:__ Take of dry pure bicarbonate of soda 5 grammes. Fine white sugar in powder 95 (j0. Mucilage of gum tragacanth prepared with water q, s> Essential oil of mint 2 or 3 drops. Liquid Chloride of Soda. 175 Let the bicarbonate of soda and refined sugar, each reduced se- parately to a fine powder, be put into a very dry bottle. Shake the bottle well, that the powder may be thoroughly mixed. Tako any quantity of this powder, let it be well mixed on a marble slab with a sufficient quantity of mucilage of gum tragacanth and oil of mint; form the mass into lozenges weighing about one drachm dry them in the air or on a stove. As these lozenges attract slightly the moisture of the atmosphere, they ought to be kept in well-stopped bottles, cr in a dry place. They may be flavoured with any other essential oil, or with the balsam of tolu, which is very suitable for that purpose. Much benefit has been obtained from the use of these lozenges, taken immediately when the functions of the stomach are found to be in a deranged state ; if taken before a meal, the digestive functions will be performed with more facility. These lozenges being very useful to assist digestion, ought to be prescribed be- fore and after a meal to patients affected with gout or calculi. Carpenter's Concentrated Liquid Chloride of Soda. In consequence of a pestilential disease of a highly malignant and fatal character, having prevailed over a large portion of Eu- rope, and swept off thousands wherever it approached, having at length invaded the borders of our territory, and is now iaging in New York, and will, no doubt, traverse our whole country ; it is an'object of the highest possible consideration, to use every pre- caution to prevent its approach, as well as to mitigate its deleteri- ous influence when it may appear among us. As it no doubt ori- ginates from an impure atmosphere, either endemical or imported, any thing which will purify and sweeten the air, by removing all offensive exhalations and neutralizing their pestilential influences, will be admitted by all to be an expedient of the greatest possible 176 Liquid Chloride of Soda. utility and importance. M. Labarraque has demonstrated by a number of experiments that the chloride of soda is one of the most powerful agents for the instantaneous annihilation of the most offensive odour of animal or vegetable decomposition. The chloride of lime has been recommended in consequence of being a less expensive article, and within the reach of all classes; it, however, is inferior to the chloride of soda, from many disad- vantages which it possesses compared with the soda, and for all the finer purposes of its application, particularly in family use. This preparation of the chloride of soda is a transparent clear liquid, and a much neater preparation; ready for immediate use, and of specific strength, so that accurate directions can be given for its application in the various purposes for which it is recommended. The chloride of lime is of very uncertain strength, differing more or less in every parcel which is made, and therefore cannot be so much depended upon for a certainty of effect, in any spe- cific quantity or proportions of strength graduated for the various purposes of its application. The chloride of soda has lately been considerably employed in medicine, and has produced highly satisfactory results, and has succeeded in all cases in which it has been used for the removal of general or local infections. Thus in carbuncle, in hospital gangrene, bad venereal ulcers, sloughing wounds, or those of the phagedemic kind, rapid advancement has been observed towards cicatrization by the use of the chloride in ten or fifteen parts of water. In numerous patients affected with ulcerated cancers which were in the hospital, it has been used daily as a lotion at the time of dressing; by this means the fetor of the discharge has been destroyed, and the sufferings of these unfortunate beings much meliorated, and they have found from the use of these lotions that their sleep has been moic tranquil. M. Alibert has prescribed Liquid Chloride of Soda. 17? similar lotions with advantage for herpes exedens. M. M. Roche and J. Cloquett have found it equally useful in the worst cases of gangrenous ulcers. M. J Cloquett directs the'diseased limb to be bathed in a solution of one part of the chloride with from ten to fifteen of water, and administer twenty-five or thirty drops of it in a pint of barley water. It has been advantageously used as a gargle in sore throat, and as a lotion in ulcerated gums exhaling an offensive odour. M. Lisfranc has used it extensively in burns and common ulcerations with decided benefit. For foul ulcers, a wine-glass of chloride must be mixed with as much as five times that quantity of pure water, and pledgets of lint must be dipped into this wash and then laid over the ulcers. This dressing to be renewed twice a-day. If the sore becomes red and angry, the wash of five parts water must be still further diluted ; if, on the contrary, the sore does not change its appear- ance, it must be dressed once or twice with chloride and water, half and half, so as to dispose to a slight inflammation, which is in- dispensable to convert fetid and running ulcers into simple sores. The healing then progresses rapidly. The moment the chloride is applied upon an ulcer the disagreeable smell is destroyed. Open cancers can be cleaned with tepid or cold water contain- ing one twentieth of the chloride of soda. For the tinea capitis, or scald head, the chloride should be mixed with an even quantity of pure water, and the affected parts moistened with this liquid twice a-day. The lint and cloths which have served for the dressings of fetid ulcers instantly lose their smell on being dipped into water con- taining one thirtieth of chloride. The chloride, highly diluted, has been found very advantageous for all the purposes of the toilet; from twenty to twenty five drops in a glass of water,acting as a bracing and preserving wash, prevents the spread of tetters, and cures certain cutaneous diseases. X 178 Liquid Chloride of Soda. A person afflicted with a serious illness, or suffering with fetid ulcers, vitiates the air of the apartment in which he is confined, much to the injury of both patient and assistants. The air in these circumstances can be rendered perfectly pure, by putting a spoonful of the chloride into six spoonfuls of water on a plate under the patient's bed. Those about to approach or tend on the sick who are ill with con- tagious disorders, such as small-pox, &c, will find it very well to rinse the hands in water, chlorided one twentieth, and to use a smelling bottle of concentrated chloride, &c. After touching or handling the sick the chloric wash to be repeated. Whenever animals or human beings, healthy or unhealthy, are crowded together, the air becomes loaded with animal emanations, and acquires deleterious properties. These emanations can be destroyed by sprinkling chloride diluted with twenty-five or thirty parts of water, or by placing in some corner, out of sight, vessels containing the chlorided water, which in no case can be at all inju- rious, no matter what the quantity. This mode of purifying the air is indispensably necessary in lazarettoes, hospitals, prisons,'poor houses, large work-shops, churches, seminaries, convents, students5 halls, dormitories of colleges, and lodging-houses, cabins of ships, court-rooms, theatres when crowded, or drawing-rooms when filled to excess on levee days, &c. &c. Sprinklings of chlorided water are more especially necessary when some epidemic or contagious malady rages ; they should be resorted to as preservatives against the hurtful influences of marshes, and the neighbourhood of rotten hemp or flax, &c. They are of use also in epidemics among cattle. In places where silk- worms are raising, or, indeed, wherever the air can be rendered noisome by exhalations, which, when accumulated, produce fatal effects. In cases of asphyxiation from the fixed air of drains, sewers, or Liquid Chloride of Soda. 179 masses of putrifying animal substances, the patient must be made to breathe the concentrated chlorine; and sprinklings of chlorided water must be made in the room, to put him completely under the influence of the.disinfecting agent. In warm weather, if the slaughter-houses are sprinkled with the chlorided water, the meat will keep sweet longer in consequence. In larders or safes, especially in the country, when, oftentimes, provision for the week must be laid in at once, the meat can be kept fresh by there being placed at hand a vessel of chlorided water, to be changed daily. For meat that has become stale, a mere immersion into water chlorided one fourteenth will destroy all smell, and the meat, after having been washed in fresh water, may be cooked and eaten without offending the palate orinjuring the health. Particular Uses and Mode of Application. To keep Fresh Meat, Game, &c. in the hottest weather, and to restore when tainted:—Immerse into, or sprinkle the liquid over the article, according to circumstances, two or three times a-day—hang it to dry. No flies will touch it. Rate of dilution : 1 part by measure of chloride to 60 of water. To preserve Cooked Meat, pour a little of the diluted solution into a plate, and put it where the meat is kept. To purify Bad or Dirty Waters :—Stir up, and add one pint of the undiluted chloride to 120 gallons water. Bleaching Liquid for Linens, Muslins, Lace, &c.:—Let the articles remain in the liquid from 2 to 4 hours; then be well rinsed. Rate of dilution : 1 part chloride to 15 parts water. Removing the stains of Port Wine, Tea, Coffee, Fruit, Mildew, &c.,from White or Buff Linens:—If the stain be small, apply a little of the undVuted liquor to the spot; but if large, im- merse the stained part in it; if it be a stain which the solution is ISO Liquid Chloride of Soda. capable of acting upon, it will be discharged in a few minutes. Rate of dilution : equal parts. From Muslins or Lace :—Never use the undiluted liquid, but in all cases immerse them, whether the stain be large or small, and rinse well. Rate of dilution : equal parts. For removing Ink Spots and Vegetable Stains from Engrav- ings :—Wash the print with the solution: when the stains are removed, wash with water and a sponge until the smell has ceased. Rate of dilution: 1 part chloride to 20 parts water. To sweeten Casks:—After being scalded or steamed, rinse them with the liquid. Rate of dilution: 1 part chloride to 60 parts water. To prevent Infection from Small Pox, Measles, Cholera Morbus, Scarli:t and Typhus Fever, &c.:—Sprinkle the diluted liquid around the bed and upon the floor; keep some in open dishes in the chambers of the sick; soak the linen of the patient in it, and afterwards rinse before sending to wash. Rate of dilu- tion: 1 part chloride to 60 parts water. To disinfect the Chambers of the Sick, to purify the air in Hospitals, Wokkhouse=, Prisons, Ships, Crowded Places, Colour Manufactories, &c.:—Sprinkle the floors occasionally with the diluted liquid; expose it in dishes; moisten linen cloths in it, and suspend them in the apartment or place to be disinfected, renewing twice or thrice a-day, and let the fetor regulate the fre- quency and strength. Rate of dilution: 1 part chloride to 60 parts water. For purifying the Air between Decks of Ships :—Sprinkle the decks during the day, and suspend some of the fluid in buckets between decks during the night. Rate of dilution : equal parts. To sweeten Bilge Water, and to purify Sugar Ships :—Throw one or two bucketsful down the pump-well, until the smell ceases. Rate of dilution: 1 part chloride to 60 parts water. Liquid Chloride of Soda. 181 To remove Mildew in Sails :—Moisten the part affected, and continue the application so long as it shall appear necessary. Rate of dilution : equal parts. Night Chairs, or any vessels in which putrid matter has been kept:—Rinse out with a little of the solution, and when in use put one glassful into the chair or pan. Rate of dilution: 1 part chloride to 60 parts water. To disinfect Clothes, Linen, &c, especially of patients infected with Contagious Disorders :—Immerse the articles'in the liquid, and they may be withdrawn immediately, completely disinfected ; or the clothes may be hung in a closet, with a quantity of the di- luted solution placed in a shallow vessel. In cases of a malignant nature, let them remain in the liquor a couple of hours, and after- wards rinse. Rate of dilution: 1 part chloride to 60 parts water. To disinfect Sewers, Drains, Cess-Pools, Privies, &c. :—First throw down a quantity of clean water, and afterwards a pailful of diluted solution. If not successful, repeat the application after 10 or 15 minutes. In empyting unusually dangerous sewers place a pailful by each workman; wash the nostrils occasionally, or moisten a sponge with the liquid, and let it be fixed near the mouth and nostrils. Rate of dilution : 1 pint to 2 pails. To disinfect Dead Bodies, and for the use of Undertakers', Coroners, and Jurvmen, and to pievent the necessity of early interment in warm weather:—Wash the body occasionally with the solution, sprinkle the floor often, or surround the corpse with a sheet well moistened with the solution, and renew the moisten- ing frequently. Rate of dilution: 1 part chloride to 60 parts water. To destroy Garden Insects :—Water frequently with a garden pot. Rats of dilution : 1 part chloride to 20 parts water. To clean Vines from Animalcule :—Wash the stem. Rate of dilution : 1 part chloride to 4 parts water. To destroy Canker, Decay, or Fungus Fruit-Trees :—Wash and water well. Rate of dilution: 1 part chloride to 2 parts water. 182 Digitaline. To destroy Bed-Bugs, and remove their offensive odour. Wash the joints of the bedstead, and all parts of the floor and wall where their presence may be suspected. Rate of dilution: 1 part chlo- ride to 20 parts water. Asphyxia :—Breathe the undiluted chloride. To purify Stables contaminated by disease, as Glanders, &c. : —Wash the walls, racks, mangers, &c. with the solution, sprinkle the floor with a watering pot, and rinse all with plenty of clean water. Rate of dilution : 1 part chloride to 60 paits water. For the purpose of extensive fumigation, dilute the chloride with twenty parts of water, and add to it a mixture of sulphuric acid and water, in the proportion of one part of the former to ten parts of the latter; and after the removal of every living thing which is not to be destroyed, close the apertures. Glanders, Staggers, Farcy, Greasc, Foot-Rot, Foulness in the Hoof, &c :—Wash the nostrils and parts affected frequently. Rate of dilution : 1 part chloride to 12 parts water. Prepared and sold at Carpenter's Chemical Warehouse, No 301 Market Street, Philadelphia. *'■' Digitaline. M. Augusti Leroyer has obtained the active principle of digi- talis, which he has obtained in well-defined crystals of various forms. M. Leroyer has made the following experiments with it; —he dissolved a grain of digitaline \n three gros of distilled water, which he injected into the abdomen of a middle-sized rabbit; after some minutes the respiration became slower, the pulse, which was rapid, fell to sixty, and became very irregular; all the vital' phenomena became gradually extinct: it died without agitation and without distress, like falling asleep. A grain and a half of digitaline was dissolved in half an ounce of water, and was inject. ed into the jugular vein of a middle-sized dog : he died in fifteen Phosphorus. 183 minutes. The arterial blood of the animals which have been killed by this substance presents a very strong venous colour, &c. &c. It appears that the deleterious principle in solution in the blood acts directly upon the nervous system. This substance has not yet been employed as a medicine, and nothing therefore can yet be said of it3 action on the human system. Phosphorus. This substance has been little used in medicine : it lids lately been much extolled by Dr. Lobstein. The diseases in which it has been given with great success, according to the author, are, ex. treme prostration of strength, obstinate intermittent fevers, rheu- matic and gouty affections, &c. &c. Bertrand Pelletier, who has made very extensive and useful re- searches respecting phosphorus, has pointed out a very excellent method of preparing this substance for medical purposes. This process consists of putting six grains of phosphorus, cut into small pieces, in an ounce of sulphuric aether; this mixture must be oc- casionally agitated for three or four days. The dose of this medK cine is from ten to fifteen drops in a glassful of barley water, or any convenient vehicle, and repeated, so that from 120 to 150 drops may be taken in the space of three or four days. This liquid may be used in frictions also, when such are deemed neces- sary. M. J. Pelletier objects to these preparations in which the phosphorus is dissolved in a volatile fluid, only such as aether and essential oil, because exposed to the air and heat of the body. driving off the menstruum the phosphorus remaining per se, may 'influence by heat and friction ; but with fat or fixed oil this incon- venience will not take place, because the substances not being volatile, cannot leave the phosphorus. 184 Salacine. Salacine. This new and valuable article of the materia medica is the al- kaline principle of the willow bark, and has acquired considerable reputation in Europe as a substitute for quinine. The following is the process for preparing it, as recommended by M. Peschier' —The bark of the willow is to be dried, crushed, boiled for one or two hours in water, and the liquid separated by a cloth and powerful pressure. Sub-acetate of lead is to be added as long as precipitation occurs; the whole filtered; the clear liquor boiled with carbonate of lime sufficient to decompose the excess of ace- tate of lead ; saturate the acetic acid, and remove the colour. Be- ing left to settle, the clear liquor is to be decanted, the deposit is to be washed twice or thrice, the washing liquor added to the former, and the whole evaporated to the consistence of an extract. This extract, while hot, is to be put on bibulous paper, and press- ed for some hours; after which, it is to be digested in alcohol of s. g. 0.847, the fluid filtered and concentrated, when it will yield crystallized salacine, very white and pure. Salacine, when thus prepared, and administered in doses of three to five grains, re- peated at intervals of one hour during the apyrexiaof intermittent fevers, is said to be found effectual in arresting their progress with more certainty than the sulphate of quinine. Salacine (ac- cording to M. M. Pelouze and Jules Gay Lussac) when pure, forms white crystalline prismatic needles. It has a bitter taste, and somewhat the odour of willow bark. One hundred parts of water dissolve 5. 6 parts of salacine at 67° F.; at 212° F. it ap- pears to dissolve in any proportion. It is equally soluble in alco- hol, but aether and oil of turpentine take up no portion of it. This article has lately been introduced here, and as far as it Salacine. 185 has yet been used, has given the most entire satisfaction. Dr. Miller, of Lancaster, informs me he has successfully treated seve- ral cases of intermittents in which quinine appeared to have no effect, and which readily yielded under the use of the salacine; and from the experiments which he has made with it, is fully of the opinion that it is a very valuable medicine, and more efficient than the quinine. Y SMILAX ®&M 8iUP410MHMLil» -------:o:------- This article differs very materially in quality according to the locality in which it grows. It is brought to us from various foreign ports ; that which is by far the most superior is brought from the bay of Hindorusj by which name it is designated and distinguished from the others in commerce : it is packed in bales covered with skins, in a number of small bundles, weighing altogether about 100 pounds. The Carraccas sarsaparilla is imported from Laguira; it does not come in round bundles, but packed in loose roots in oblong bales, about the same weight as the former. It is inferior to the Hindorus. Large quantities of sarsaparilla is also imported from the Mexi- can port3 of Vera Cruz and Tampioca but it is inferior to either of the others. The Brazilian, commonly called in Europe the Lisbon sarsapa- rilla, seldom reaches this country, as it commands a more ready sale and higher prices than here. It grows in the country be- tween the sources of the Orinoca and the Rio Negro ; it is cele- brated in South America by the name Rio Negro, and is consider- ed there and in Europe the most valuable variety of this drug. Experience, however, in making the extracts from both, has proved, without doubt, the superiority of the Hindorus. Smilax Sarsaparilla. 187 This highly valuable article of our materia medica has been variously represented. The greater part of our most respectable physicians, however, concur in the opinion that it is a medicine of very useful powers in venereal, scrofulous, and mercurial diseases. When combined with mezerion, guaiacum, sassafras, dulcamara, &c. dec. becomes one of the most efficient compounds for depu- rating the blood and removing most constitutional diseases arising from this cause. This preparation has been much recommended in scrofulous and rheumatic affections, and in some of the chronic diseases of the skin. Quarin regarded the compound decoction of sarsapa- rilla as the most useful remedy we possess in gout: Sydenum also considered it useful in this affection, and Scudemore says it , sometimes proves beneficial during the state of convalescence. The mezerion, one of the ingredients of the compound sarsapa- rilla, is recommended in venereal and mercurial diseases, and in chronic cutaneous eruptions. Dr. Cullen states that he found it successful in diseases of this kind. Lauris sassafras, another of the constituents of the compound sarsaparilla, has also been re- commended by some of the best authors. Alibert speaks very favourably of its virtues in rheumatic affections ; he administered it frequently at the hospital St. Louis, and it always appeared to him, he observes, to exert a manifest action on the cutaneous emunctories. He mentions a case of chronic rheumatism which yielded to the infusion of sassafras, after a great variety of other remedies had been tried ineffectually. He also speaks of two cases of gout, in which the sassafras was employed with complete success. Professor Eberle also states that he has known the con- tinued use of an infusion effectually to cure a case of inveterate rheumatism; he further states, that it has generally been employed in the form of infusion, but the oil is the most efficient, and there- fore the best preparation. Guaiacum, another of the ingredients 188 Smilax Sarsaparilla. of compound sarsaparilla, stands high in the estimation of almost every physician. " In the treatment of rheumatism," says a dis- tinguished author, " it has long been considered as peculiarly serviceable, and is unquestionably a remedy of very considerable value in this disease." " It has also been prescribed," continues the author, " in affections arising from the influence of mercury, and in such cases I have had several striking examples of its use- fulness." Mr. Pearson says, " I have given the decoction of guai- acum with the best effects to a great number of patients, in cu- taneous diseases, in ozaena, and scrofulous affections of the mem- branes and ligaments." From what has been said from the most respectable sources of authority, in support of the different articles constituting the com- pound sarsaparilla, it would appear most unquestionably to be a medicine, when combined and properly prepared, possessing the most valuable properties, and deseiving the particular attention of the faculty. The preparations of sarsaparilla have most generally been impro- perly made, and there can be no doubt but the variable opinions which have been entertained of its properties by different physi- cians and writers have arisen entirely from the various modes of its preparation. The compound decoction of sarsaparilla requires considerable boiling to take up its active and soluble matter ; this I do not say from speculation, as many have done, but from actual experiments repeatedly made, for the purpose of ascertaining and establishing the fact; and I have found, that after several days' boiling, these ingredients, (and particularly the sarsaparilla) contained a very considerable proportion of extractive matter, quite as active as that obtained by the first boiling. It has been foolishly suggested that decoction injures its active properties, and that it should be only macerated and not boiled ; this would merely wash off the dirt which adheies to the roots, together with some Compound Fluid Extract of Sarsaparilla. 189 of the decayed corticle fibre which is more or less found among the freshest roots we receive ; this may give a little colour to the decoction, and may be mistaken for its active principle. After undergoing this operation the root would be in a good condition to begin the decoction. I have experimented with various men- struum upon the roots of sarsaparilla, and find that successive and alternate ebullition and digestion in water and proof spirit is the best, producing a more active preparation of the root than any other, and in a larger quantity. Alcohol is the next most active menstruum, but it is altogether objectionable from the increased expense incurred in its preparation, producing an extract possess- ing no advantage whatever over the above. Geo. W. Carpenter's Compound Fluid Extract of Sarsaparilla, For purifying the blood and removing all diseases arising from ex- cess of mercury, exposures and imprudences in life, chronic con- stitutional diseases arising from an impure state of the blood, &c. &C. &C. This article is now prescribed by some of the most distinguished physicians in this city, and has proved more efficient in practice than any preparation of sarsaparilla yet offered to the public. For the advantages it possesses over the ordinary preparations, see Professor Dewees' valuable work on the Practice of Physic, and most of the late standard works on medicine. Numerous preparations of sarsaparilla and various modes of pre- paring them, have been given, all of which, of course, will differ according to the mode of preparation which each individual may adopt. It is, therefore, an object of the highest consideration and importance, that we should have a standard preparation of uniform strength, and possessing the most advantages; also, the trouble and difficulty which patients are subjected to in making the de- 190 Compound Fluid Extract of Sarsaparilla. coction and syrup has rendered it a still further object of impoit- ance to procure a preparation of it in a more convenient form than those usually prescribed. Sarsaparilla, as before stated, re- quires considerable boiling to take up the extractive matter, and it has, consequently, most frequently been improperly made by those unacquainted with pharmaceutical preparations. To obviate these difficulties, I have made a number of experiments to ascer- tain the most effectual means of extracting the virtues of the com- pound sarsaparilla, and to discover the most eligible form of pre- paring it for exhibition, which has resulted to my most entire satisfaction; and it is with much pleasure I now offer to the faculty my compound fluid extract of sarsaparilla, which possesses all the virtues of this medicine in a highly concentiated degree. It pos- sesses numerous advantages over sarsaparilla, its syrup, decoction, and solid extract, and is intended as a preparation of much easier portability, not liable to injury by long keeping, and consequently better adapted to the use of persons travelling or residing abroad. The fluid extract of sarsaparilla is a more convenient article than the solid, the latter requiring some trouble and difficulty to dissolve it, while the former is immediately dissolved when it is put into water, and is consequently immediately tit for use. As the decoction will rarely keep more than twenty-four hours, particularly in warm weather, it would be exceedingly troublesome for the patient pdt under a course of sarsaparilla, which has to be taken for some time, to be obliged to prepare the decoction every day, besides getting a very weak and inferior preparation from the short time he would have to boil it, not taking up perhaps one fourth of its active principle. The syrup, which is the common preparation generally used, has still further objections; it being the decoction prepared in the common way, overloaded with sugar, which is exceedingly objec- tionable, as it will be necessary for the patient to surfeit, and not Compound Fluid Extract of Sarsaparilla. 191 unfrequently nauseate his stomach with a large portion of saccha- rine matter in taking a dose of the decoction, which is generally weak, so that not unfrequently it might be said with propriety that he is taking a dose of sugar rather than sarsaparilla, as the former exists in a large proportion in the preparation. We fre- quently hear of concentrated syrups of sarsaparilla, which is simply change of name for the same article, as it is impossible, when a fluid is saturated with sugar, to take up an extra portion of any substance ; and if the decoction is much concentrated, a portion of the fluid extract which it holds would be precipitated by the sugar. I will not in this place call in question the essays of one of my fellow competitors to support or refute the value of the ex- tract of sarsaparilla, but might quote numerous authors whose opinions have considerable weight andinfluence, and whose experi- ence and observations would entirely sink and outweigh those who are little acquainted with the subject, and who, from want of experi- ence, aided by prejudice, have fallen into the greatest absurdities. I will simply select one on the present occasion, which is published in the Medico-Chirurgical Review for July 1830, Vol. 18, No. 41, page 162:—"Observations on the Extract of Sarsaparilla in venereal Affections, dec, by Benjamin Traver's, F.R.S., dec. drc." Speaking of the compound of syphilis and mercury, he states that no remedy, next to the adjustment of diet, is equal to the extract of sarsapa- rilla. The extract dissolved in water or milk is the menstruum which I rely most upon in these cases ; its power is extraordinary, more so than any other drug which I am acquainted with. To regard it as inert, as a mere diluent or an offensive nutrient, ia either a proof of very limited experience or very prejudiced ob- servation. It is in the strictest sense a tonic, with this invaluable attribute, that it is applicable to a state of the system so sunken, and yet so irritable, as renders other substances of the tonic class unavailable or injurious. 192 Compound Fluid Extract of Sarsaparilla. "We take the liberty of marking in italics," says the distinguished editor, Dr. Johnson, " the passage respecting sarsaparilla, because we most cordially concur with Mr. Travers in the statement which it contains in favour of the valuable properties of the extract of sarsaparilla." The compound fluid extract of sarsaparilla which I have pre- pared has decidedly proved one of the most popular medicines ever introduced in Philadelphia. There has been a little clamour against it by some of my worthy competitors in trade, (this must be expected in all valuable and extensively used articles; it was so with quinine, and some of our most inestimable medicines,) but all sinks into insignificance when compared with its general ap- probation by the faculty, and its* extensive use by some of our most distinguished physicians. It has already been sent to almost every populated section of the United States, and whether in town or country, hospital or private practice, it has invariably given to patient, and practitioners the most decided and unequivocal satis- faction, and produced the most salutary and beneficial effects. Nunveroui letters have been received from some of the most dis- tinguished physicians in the country, and from the professors of several medical colleges, all recommending in the highest teims the value of this"nied(icine, and its superiority over other prepara- tions of sarsaparilla. Several cases of secondary syphilis, mercurial and scrofulous diseases, have entirely recovered in the incurable wards of our public institutions, which had for many years resisted every mode of treatment which could be devised. These cases furnish striking examples of the salutary effects of this medicine in arresting some of the most inveterate diseases, after the glands were destroyed and the bones already affected. The dose of the fluid extract is two tea-spoonsful, morning and night, in a glass of water. Two table-spoonsful added to fifteen ounces of simple syrup, immediately produces a mixture similar Compound Fluid Extract of Sarsaparilla. 193 to a pound of the compound syrup of sarsaparilla, and the same quantity added to fifteen ounces of water instantly forms a mixture equivalent to a pint of the Lisbon diet drink. One bottle of the fluid extract of sarsaparilla, is fully equal to a gallon of the syrup or decoction as it is generally made. Two grains of corrosive sublimate carefully dissolved in a small portion of alcohol or water, and added to the syrup above formed, will be similar to the anti-scrofulous and syphilitic remedies lately introduced under various names. The fluid extract of sarsaparilla is now prescribed by some of the most distinguished physicians in this city, and has been more efficient in practice than any preparation of sarsaparilla yet offered to the public. For the advantages it possesses over the ordinary preparations, see Professor Dewees-' valuable work on the Prac- tice of Physic, and most of the late standard works on medicine. Professor Gibson, of vthe University of Pennsylvania, has suc- cessfully employed this medicine, and has recommended its pro- perties in his lectures to the medical class, and considers it superior to the preparations of sarsaparilla commonly in use. Professor Eberle, in the last edition of his Therapeutics, vol. 2nd, page 206, makes the following remarks:—" Carpenter's compound fluid extract of sarsaparilla is a very neat and excellent prepatation. It possesses all the active properties of the rofll in a highly concentrated state, a table-spoonful being equivalent to half a pint of the ordinary decoction. I have used it in several in- stances with decided benefit. From the smallness of the dose it is peculiarly adapted for administering this remedy to children." Professor Frost, of the Medical College of South Carolina, has written to me of the salutary effects of this medicine in a case of secondary syphilis, by using two bottles, united with small doses of the perchloride of mercury, and his high opinion of this medi- cine, and its superior advantages over the ordinary preparations of sareapariJla. Z 194 Compound Fluid Extract of Sarsaparilla. Extract of a letter from Dr. Samuel R. Haywood, of LouisburgV North Carolina, dated May 7, 1833. Dear Sir,—I have made trial of your compound fluid extract of sarsaparilla with the most complete success in chronic rheu- matism, where the joints were very much swelled ; and I now have a case of scrofula upon both of the fore arms; and it has been so decidedly beneficial as nearly to have restored both my patients; but I am now entirely out of it, and must request you to send me two dozen bottles as soon as possible. Mr, Geo. W. Carpenter. SAM'L. R. HAYWOOD, M. D. The above preparation of sarsaparilla is decidedly the most effi* fcient mode in which this valuable medicine can be used. It is far superior to any syrup of sarsaparilla which can be made, for a fluid saturated with sugar, as the syrup, is incapable of holding much extractive matter in solution. All the syrups which are made are weak preparations, and the term concentrated syrup is a delusive application. This will also apply to the various nostrums prepared from sarsaparilla, as panaceas, dec. dec. dec, which fre- quently depend for their activity on corrosive sublimate, or some active mineral, which should not be used except under the direc- tion and superintendence of a physician. One bottle of the fluid extract of sarsaparilla is equal in activity to several bottles of panacea : one bottle of the fluid extract of sarsaparilla added to sufficient water and sugar, will make one gallon of compound syrup of sarsaparilla as strong as that made in the usual process. Two tea-spoonfuls may be taken morning and night in a glass- of water. Two table-spoonfuls of the fluid extract, added to fifteen ounces of simple syrup, immediately produces a mixture similar to'a pound of the compound syrup of sarsaparilla; and the same quantity added to fifteen ounces of water, instantly forms a mixture equivalent to a pint of Lisbon diet drink. Compound Fluid Extract of Sarsaparilla. 195 I might quote numerous authorities in addition, of the most respectable character, but sufficient has been said to establish the character of this preparation, and its decided superiority to the ordinary preparations of sarsaparilla. CAUTION. After the reputation of any valuable medicine is established with considerable expense, trouble, and many experiments by the proprietor, he should receive the benefit of it. He is sometimes, however, interrupted by spurious imitations of his preparations, made by the ignorant, who prepare inferior and frequently entirely different compounds, and sell them under the same name, and on the reputation of the genuine medicine, copying the directions, and putting it up in the same bottles and form ; thus frequently deceiving the public and injuring the reputation of valuable medi- cines. Under these circumstances, I would beg the faculty to be extremely particular in their orders for the extract of sarsaparilla, and to observe that each bottle will have my written signature, without which none will be genuine. A.copperplate label is also on the outside of each bottle, on coloured paper, as a caution. Oil of Black Pepper. This article is precipitated in the preparation of piperine. It contains all the heat and acrimony of the pepper in a very pow- erful degree, and is no doubt the active principle of it. A portion of this oil is always combined with the piperine, to which it no doubt owes its effects. We find all the sensible characters of the piperine to increase or diminish in proportion to its degree of pu, rity, or as it may be more or less combined with the oil; hence it is that the pure white crystals of piperine are without taste, the yellow crystals possessing considerable heat and acrimony, and 196 Copaiva. the dark greenish crystals are extremely active and powerful, con- taining nearly fifty per cent, of oil. One drop of the oil of black pepper is equal to four grains of piperine. One drop of the oil of blaek pepper added to three grains of quinine will greatly increase the powers of that remedy. Physicians should be extremely particular in their orders for this article, as an oil of pepper has been obtained by distillation, which is entirely different from the above preparation, possessing comparatively little or none of the active principle of the pepper; the above preparation is a fixed oil, and of course cannot be ob- tained in this way. The object was, no doubt, to obtain a cheaper preparation, but it will not answer the purpose at all, and would therefore be dear at any price. As it has been sold for the true preparation, I make these observations that physicians may be on their guard in relation to it. 1 received some time since a letter from a highly respectable physician in Virginia, stating that he had been induced to make trial of the oil of black pepper from reading an article of mine on the subject in the American Journal of Medical Sciences, that he had written for some of it, and had obtained an article which did not in any way correspond with my description of it, either in the appearance of the article or in any of its sensible characters. I requested him to send me on some of it to examine, and I was much surprised to find it was the dis- tilled oil of pepper which had been sent to him instead of that ob- tained in the process of piperine; and it is more than probable others have been equally disappointed.- Copaiva. Balsam Copaiva is obtained by boring or wounding the trees near the trunk, from which it exudes copiously; it is a thin limpid fluid at first, but in time acquires a yellow colour and a greater Oil of Copaiva. 197 "consistence. The copaiva tree which produces the balsam is a native of South America and the West India islands. It is com- posed of oil and resin in nearly equal proportions. The oil may be readily distilled ; it is as transparent as water, and as thin as most of the essential oils; all the medical properties of the copaiva reside in the oil. The rezih is entirely inert. The oil forms a beautiful mixture with sweet spirits nitre and cinnamon water. The copaiva is readily administered (to those who cannot take the liquid balsam) in a solid state. (See solidified copaiva.) A great deal, however, of this article is rendered almost inert by the process of its manufacture, and physicians should therefore be particular in getting the solidified copaiva from those who they can depend upon furnishing a good article, or they may get an ar- ticle not at all superior to common rosin. The effects of the co- paiva are well known to be stimulant, diuretic, and slightly pur- gative. It is successfully used in the treatment of gonorrhea and gleets, and its virtues may be greatly enhanced by means of other articles as adjuvants. I have combined it with sarsaparilla and cubebs, and several diuretics, and the compound has proved the most efficient preparation yet discovered in the treatment of gonorrhea, gleets, dec; one bottle of it seldom fails to cure a case. See Carpenter's compound of sarsaparilla, cubebs, and copaiva. Oil of Copaiva. This oil is obtained by distillation from the balsam, and is a valuable preparation. It contains all the virtues of the balsam in a concentrated state, and being more limpid than the balsam, it is administered with less inconvenience, and is altogether a very considerable improvement in the exhibition of copaiva, and alto- gether preferable to the common balsam. The dose of this oil is five -to eight drops. When distilled in glass vessels, and pure^ it is preferable to naptha for preserving potassium. 198 Cubebs. Cubebs. Piper Cubeba.—This species of pepper is a native of Java, Ba~ favia, Guyana, and the Isle of France. They are about the size of a small pea, of a blackish or greenish colour, covered with veins reticulated over the surface of the berry, and finished with a short stalk. The active properties of cubebs reside in a vola- tile oil which is obtained by distillation, of a greenish colour and a fragrant and agreeable smell. Cubebs are diuretic and slightly purgative ; they are also gently stimulant, with a decided determi- nation to the urinary organs. In gonorrhea and gleet they have long been used by the earliest practitioners, and are to this day extensively used and with the most decided success; they are a valuable adjunct to copaiva in gonorrhea, and the oil is the most eligible mode of using it. In a preparation which I have lately introduced to public attention, called compound sarsaparilla, cu- bebs and copaiva, these with several other diuretics are combined. It has proved more successful in gonorrhea that any medicine which has yet been offered. It is also an active ingredient in my compound fluid extract of buehu, which is decidedly one of the most popular articles which has been for a long time introduced to public attention, Oil of Cubebs. This oil is obtained by distillation from the cubebs. It is a very active preparation, and possesses all the virtues of the cubebs j and being a very concentrated preparation, is much preferable to the crude substance, which is objectionable from the bulk of the dose, which is otherwise unpleasant. This is a valuable adjunct to the oil or balsam copaiva ; ten to twenty drops to an ounce of balsam will greatly increase the powers of that remedy in gonorrhea. Carpenter's For making Saline Draught or Neutral Mixture. ——:o: < t know of no article so desirable to the practitioner as the above preparation, for either city or country practice. When made ex- temporaneously for prescriptions with the lemon juice and salt of tartar, it is frequently not exactly neutralised, and the object and effect of the medicine is thus lost. It is also much more conve- nient, and at the same time less expensive, and being identical with the mixture fresh made with lemon juice and salt of tartar, is certainly in every respect preferable. It only requires t6 dissolve one drachm of this salt in four eunces of water, and you have at once the neutral mixture similar and equal in every respect as before said, to that prepared with fresh lemon juice and salt of tar- tar. To the country practitioners this preparation is inestimable* as it furnishes him the means of ascess to a highly valuable medi- cine, which he otherwise would be cut off from, by the scarcity j difficulty, and frequent impossibility of getting lemons -in inland towns, and they are frequently not to be had in some parts of the season in our ports. It is unnecessary to quote any thing in re- lation to the value of this medicine as a refrigerent in fevers, dee* dec. as it is appreciated and highly valued by every intelligent phy- sician. This article will no doubt be altogether used when its preper- 200 Black Oxide of Mercury. ties become generally known. Wherever it has yet been used, it has given the highest degree of satisfaction, and produced the most, beneficial effects. Black Oxide of Mercury, For extemporaneously making the blue pill according to the popular opinion, that the mercury is in the state of oxide in blue mass. One fourth of a grain of the black oxide is equal to three grains of blue pill. This medicine is highly approved of by many phy- sicians, and preferred by them to the blue mass. Carpenter's Compound Tonic Extract. This article is a compound of some of the most active vegetable alkalies, being composed of cornine, quinine, piperine, capsicine, 6fc fyc. It has proved more efficient than any preparation yet employed in the treatment of intermittents, arresting the par- oxysms in cases which resisted quinine and other remedies in large doses. For an account of the cornine, see Dr. Morton's valuable paper in the Philadelphia Journal of the Medical and Physical Sciences. For an account of the piperine, see my paper in the American Journal of the Medical Sciences. CAUTION. This compound is entirely original with me, and severafof the constituents only prepared by me, yet the name has been borrowed for another preparation, and my directions copied word for word, and has no doubt been sold on the reputation of mine. I would recommend the faculty to be extremely cautious and particular in their orders for this preparation, and I am sure they will not be disposed to patronize innovations of this kind, but give preference to the true and original article. Red and Calisaya Bark. 201 Ext. Sem. Stramonii. This is a very active and highly valuable medicine. Dose one fourth of a grain. For a full account of this article, see a paper published in the 7th volume of the Medico-Chirurgical Transactions. Extract of Quinine. This is the residuum of the preparation of quinine, and is pre- ferred by some to the sulphate, as it comes much lower than the former, being but one third the price : it would be well for physi- cians to satisfy themselves of its value. Two grains are considered equal to one grain of the sulphate of quinine. Carpenter's Selection of Cinchona, or Peruvian Bark. There is no article of the materia medica in which there has been more fraud and deception than Peruvian bark: the author, under these circumstances, has been extremely particular in the selection of these species, and has them put up in packages with his written signature on each, as a guarantee of their purity and his responsibility, if they should prove otherwise. Superior Red Bark, Selected with great care from the cinchona oblongifolia, and put up in pound and ounce sealed cylindrical packages. The red, when pure, is the best species of Peruvian bark: it contains both the alkalies, quinine and cinchonine, in considerable proportions. Superior Calisaya Bark. (calisaya arrollenda.) This is the best species of yellow bark, and derives its name from the province in which it is collected. It is the bark which yields quinine in greater proportion than other species: it is neatly put up in sealed cylindrical packages of pounds and ounces. 2A 202 Cornus Florida. Superior Loxa, or Crown Bark. This bark was more esteemed in Spain than any other species, and was selected for the royal family ; hence the name crown bark. This is a milder bark than the red or Calisaya; its product is cin- chonine. It agrees better with the weak and delicate stomach than the stronger barks. This, like the preceding, is put up in sealed packages of pounds and ounces. Maracaibo Bark. This is the bast species of what is called common or low-priced bark; the best bark is cheaper at a higher price than the present difference of cost which exists between the different kinds of bark. There is no advantage whatever in using inferior bark, but all the dis- advantages arise from it; still there are many that will have it, because it is lower priced. To such I would recommend the Maracaibo bark, being much superior to the Carthagena, and at an equally low price. For a full and detailed account of all the varieties of bark which occur in commerce, see the article cinchona, in a preceding part of this work. Cornus Florida. The common dogwood grows in almost every section of the Uni- ted States, and most abundantly in the middle states. It is tonic and astringent, and possesses properties similar to the Peruvian bark, and has been successfully used in intermittent fevers : its taste is bitter, astringent, and slightly aromatic. The bark of the root is the most active. Dr. Walker speaks highly of the medicinal properties of this article. It owes its medical virtue to a peculiar alkaline principle which I have denominated cornine, and which has proved fully equal if not superior to quinine, in its tonic and Sulphate of Cornine. 203 febrifuge properties. See Dr. Morton's interesting communication upon the subject in the Philadelphia Journal of Medical Sciences. In consequence, however, of yielding this salt in so very minute comparative proportion to what the quinine is yielded by the cin- chona, it is even more expensive than the latter. Sulphate of Cornine. It gives me much pleasure to announce the discovery which I made of an alkaline base in the Cornus Florida, which I have de- nominated cornine, and which with acids form neutral salts, the sulphate of which has proved a highly valuable tonic febrifuge. This article has been very carefully and accurately described by Dr. Samuel G. Morton, of this city, in the Philadelphia Journal of the Medical and Physical Sciences; and from the most respecta- ble sources in the medical profession from various parts of the United States, where this article has been sent, the most corrobo- rating evidences have been received of the unequivocal success of the cornine in the treatment of intermittent and remittent fevers, in the same doses as the quinine ; and the only circumstance which precludes its competition with that substance, is the minute com- parative proportion of cornine yielded by the Cornus Florida. If, however, at any time we should fail in our supplies of cinchona, which is not impossible, or even improbable, we shall then be able to supply its place by this principle of the Cornus Florida. Extract of the Cornus Florida. The Cornus Florida yields a beautiful extract resembling very closely that of cinchona, differing, however, in its sensible charac- ters from the extracts of the superior species of the Peruvian bark, by being less bitter and more astringent. The following is tie most eligible mode for preparing this extract .-—Evaporate in a sand or water bath a tincture of the bark, made by digesting it in proo 204 Cornus Circinata. spirits in the proportion of two ounces of the former to a pint of the latter, suffering it to stand for at least a week before straining, occasionally during this time submitting it for a few hours to a moderate heat, and thereby facilitating the solution. This extract, from its most prominent and sensible characters, is unquestionably much more active than the common extract of Carthagena bark, and is a preparation admirably adapted in all cases where the cornus may be employed-with advantage: and in consequence of being a concentrated preparation, separated from the ligneous and insoluble portions, and containing less gum and mucous matter, (which constitutes so large a portion,) is certainly much preferable to the crude substance, and no doubt will be resor- ted to by many country practitioners as a useful expedient, particu- lary in those places where this article is in profusion, and where bark of good quality is frequently very scarce, and sometimes even unknown. Cornus Circinata. This plant is a native of this country, and is recognised in va- rious parts of the United States by the name of the mountain willow, white rind and round-leaved dogwood. It may be found in many parts of that extensive tract of land from Canada to Vir- ginia. Professors Morson and Ives are entitled to the credit of first having introduced this plant into medical practice : these gentle- men recommend it very highly for its astringent and tonic pro- perties, and have successfully used it in intermittent fevers and dysentery : an infusion of the bark is recommended as the most eligible preparation. Dr. Brown, who has also used this article with much success, prescribes it in powder and tincture. It contains, like the Cornus Florida, an active salifiable principle, which I have demonstrated cornine. The alcoholic extract is piobably the most eligible mode of using this article. Extract of Cornus Circinata. 205 Extract of Cornus Circinata. The cornus circinata is a more astringent substance than the Florida ; an extract may be made from it by the same process as that of the former. The cornus circinata, has been very success- fully administered in cases of dysentery by Professor Ives, of New Haven (see Dr. Robinson's interesting essay on this article in the North American Medical and Surgical Journal.) CARPENTER'S OIL QF VrfJYTmARlDIJY. -----:o:----- This is a new and highly valuable article ; and I have no doubt, from the many advantages which it possesses, that it will entirely supersede the common mode of blistering; a few drops rubbed two or three times on the part will effectually draw a full and complete blister, with little or no pain, and without the necessity of applying any thing on it to assist the operation. This is cer- tainly preferable to applying a plaster, which often gets removed from one place to another, and thus frequently vesicates a greater surface than was intended or required; and sometimes, from this frequent transition, only partly vesicates, and causes considerable pain without having produced the effect intended, or being any benefit whatever to the patient. A piece of paper which has been made to imbibe this oil forms an excellent blister, which may be accommodated accurately to the shape of any part, however irre- gular. The vesication thus produced is so exactly circumscribed, that the blister formed corresponds with the sharpest angles which may be given to the paper employed.* One drop is sufficient to make a blister of the size of a quarter of a dollar. On such places where the skin is thicker or more solid than those which are less exposed and covered with clothing, it requires that the oil be ap- plied two or three times in the course of one or two hours, or that the part to be blistered be covered rather more with the oil; this * It would be better to rub the oil well on the part before applying the paper. Oil of Cantharidin. 207 however will be seldom necessary, as blisters arc most frequently applied on parts which do not require this particularity. It begins to draw in four, five, or six hours, according to the place where it is applied. In some cases it may be advisable to cover the part with a little soft paper or linen where it will likely get rubbed; but in -most cases no protection whatever is necessary. After the blister is cut, and the lymphatic water is discharged, it will be of great ser- vice to press the epidermis close to the skin, and in most cases it heals in twenty to forty-eight hours. When a rubefacient is wanted, one drop dissolved in ten or fifteen drops of sweet oil, or mixed with lard, will answer that purpose ; and for its convenience and ready application, will be better adapted than any preparation I am acquainted with. One ounce of this oil contains the vesicating properties of nearly one pound of cantharides. Its use is so mild, that, generally speak- ing, it produces a blister without the least disagreeable sensation, except on those places where muscles, nerves, or tendons are in a state of compression. We trust, an article possessing so many advantages will receive the sanction of the faculty. P. S. We are pleased to find, since the above has been written, that a number of experiments made by several distinguished members of the faculty, have resulted in the most satisfactory manner, and entirely corroborate the above statements. We therefore can offer the above preparation with the highest degree of confidence. CAUTION. To guard against spurious imitations of this article, each vial will have the written signature of the proprietor on the outside envelope of the same. 208 Extract of Black Pepper. Extract of Black Pepper. Digest one pound of coarsely ground black pepper in four pints of diluted alcohol for four days, occasionally submitting it to a temperature near ebullition, in a water bath; filter and evaporate to the consistence of an extract. This is found also to be an active remedy in intermittents, in doses of 2 or 3 grains. In a soft state it has proved very con- venient to give consistency to piperine and quinine, for the for- mation of pills, while at the same time it increases their activity, The extract of pepper in every formula I have seen is directed 10 be prepared with water. This forms a much less active prepara- tion, and possesses several inconveniencies to which the former is not subject. 1 have employed both the white and the black pepper in the above preparations ; and although it is stated by most authors that the white is milder than the black, I have found it to yield more piperine, and an extract of much more acrimony and activity, and to contain much less colouring matter. The constituent princi- ples of pepper are piperine, oil, resin, fecula, and colouring matter. Calomel. This is decidedly the most valuable of the mercurial prepara- tions, and there is no article of the materia medica which a physi- cian should be more particular in than calomel, as it is more liable to be improperly prepared without any evident signs of the fact, than any other preparation. It frequently contains a portion of corrosive sublimate, which does not in the least alter its external appearance. It is therefore an object of the highest importance for the physician to test his calomel before using it, unless he gets it where he can place the most implicit confidence. Corrosive sublimate may be detected, if present in calomel, by precipitation • Calomel. 209 being produced by the carbonate of potash, in a solution made by boiling the suspended sample with a small portion of muriate of ammonia in distilled water. A more simple mode, and one which will generally answer the purpose, is by rubbing the calomel with the pure water of ammonia; it should become intensely black, and not exhibit any trace of an orange hue: also lime-water, which is a more delicate test than ammonia, for the corrosive sublimate. The modes of preparing calomel are various; that by sublimation appears to be preferable and is the process now generally adopted in the preparation of calomel. It has been suggested that the pre- cipitated calomel is more free from corrosive sublimate ; this is altogether a mistaken notion, as the precipitated is quite as liable to contain the muriate, and also the sub-nitrate. AVhen properly made, the sub-muriate obtained by precipitation scarcely differs from that obtained by sublimation. Gottling found no other dif- ference, than that the precipitated sub-muriate became gray* when triturated with lime-water, whereas the sublimed sub-muriate be- comes black. But he exposed to heat half an ounce of the pre- cipitated sub-muriate in a subliming apparatus ; scarcely a grain of a reddish matter remained fixed, and the sublimed matter now became black when triturated with lime water, and differed in no respect from the sub-muriate prepared in the ordinary way by sub- limation. It would therefore seem to be an improvement in the process to sublime the sub-muriate after it is precipitated, espe- cially as by that operation it would be- most effectually separated from any sub-nitrate which might be mixed with it. Calomel can be rendered completely free from corrosive sublimate by repeated washings in large quantities of water, the latter being (soluble, while calomel is not. The English calomel is generally prepared * Messrs. Kurlbaum & Co., chemists of this city have prepared a very superior precipi- tated calomel, which instantly becomes black with lime water, and shews no trace of a gray or orange colour; it is a very pure and excellent article. 2B 210 Tartar Emetic, dpc. with great care, and free from corrosive sublimate, and has conse- quently been preferred by our physicians, who prefer giving a high price for it, to be more certain of obtaining a pure article. I am exceedingly pleased, however, to find that the calomel prepared by Messrs. Farr dc Kunzie, of our own city, is equal to any of the English I have ever seen, and physicians and others can safely rely upon this calomel being equal to any of the imported obtain- ed by* sublimation or precipitation. Tartar Emetic. This article, so important to the physician, is another which he should be extremely careful in puichasing, as it is liable to vary considerably in activity. It should always be purchased by him in crystals. The following are the characteristics of its purity :— A solution of it in distilled water ought to furnish a gold-coloured precipitate with dilute sulphuret of potash, or ammonia; a preci- pitate soluble in nitric acid with acetate of lead ; and with lime- water a white and extremely thick precipitate, dissolving with fa- cility in pure nitric acid. If the crystals deliquesce, the presence of other salts may be inferred, and they ought to readily and to- tally dissolve in water, forming a clear solution, both previous to and after adding the wine, in making the antimonial wine. Vegetable Extracts. These are a highly valuable and important class of medicines, and there is none in which there is a greater disparity in the qua- lity; some of them are extremely active, while the same is almost inert at other times, owing to the various modes of preparation, the time they have been kept, and other circumstances which influ- ence their condition. It requires the physician to be more discri- minating in this class of articles than any other in the catalogue of medicines ; he should be particularly guarded in the purchase Carbonate of Iron. 211 of them, also in keeping them well protected from the air and light, in a cool situation and not accessible to dampness; he should be particular in ascertaining the manufacturer of the extracts, in order that he may know whose preparation he can rely most upon and having discovered a person who makes good extracts, he should under no circumstance use any other. I have found of the imported extracts those made by Mander, Weaver, & Mander are superior to any I have ever seen; they are of uniform strength, and can always be safely relied upon. I have made arrangements to be constantly supplied with extracts from this house, and physi- cians can always receive these extracts at my Chemical Ware- house, 301 Market Street. Carbonate of Iron. The carbonate of iron is one of the most excellent and safest chalybeates; it may be given from five to twenty grains, but all chalybeates answer better in small doses frequently repeated ; hence it is the chalybeate waters, aided by saline medicines are so beneficial. Physicians should always prefer the precipitated carbonate, and should also be particular in knowing it to be properly made. The rubigo ferri (sub-carb. ferri) is a very imperfect preparation, and large quantities of it is now manufactured in a very rough and careless manner; I have seen considerable of it which I found, on examination to be near one half whiting. In the Medico-Chirur- gical Review, vol. xviii. No. 42, for October 1830, is an interest- ing paper from the Glasgow Journal, on the pharmaceutical pre- parations of the precipitated carbonate of iron. The British phar- macopaeias direct a watery solution of sulphate of iron and sub-car. bonate of soda to be mixed, and the resulting precipitate to be col, lected on a filter and dried. The precipitate at first is white, but soon becomes of a dark green colour, and very bulky in substance. 212 Carbonate of Iron. Exposed to the air, the colour charges to a rusty yellow, the ef- fect of oxygen. A decomposition is produced according to our author in the following manner. The precipitated carbonate of iron consists of carbonic acid combined with the black oxide, which black oxide readily com- bines with more oxygen, forming the red oxide of iron; but as the red oxide cannot, like the black, retain carbonic acid in combina- tion, this acid flies off: so that, in the yellow matter alluded to, an additional dose of oxygen has taken the place before held by carbonic acid. The yellow colour is owing to the red oxide ex- isting in combination with water, or to use the language of modern chemistry, a hydrate, and the yellow colour is changed to red whenever we apply so much heat as will drive off the combined water. Then the red oxide of iron, or colcothar of vitriol alone remains. The consequence is, that what is sold in shops for pre- cipitated carbonate of iron contains no more than a trace*of that substance, and is frequently nothing more than colcothar of vitriol. " This colcothar," the author observes, " is not less different from carbonate of iron in its medicinal effects than its chemical pro- perties." I have seen patients of different ages and sexes swallow for a fortnight, at the rate of half an ounce per day of colcothar of vitriol, without producing any apparent effect, except that their stools were coloured by the powder to a reddish hue, indicating that it had passed through the body unaltered. Whereas, I have seen a healthy man made sick by a dose of a quarter of a drachm of genuine carbonate of iron, and made to pass, in consequence, dark greenish black stools for two days after; and I have seen simi- lar effects produced on patients who had been unaffected by coir cothar of vitriol. The sickness, however, is not produced after the the first or second day. Carbonate of Iron. 213 These observations deserve the attention of the profession in these days when carbonate of iron is so mueh in use. We give the remaining part of the paper in the author's own words. " From the preceding observation it is easy to gather, that the two defects to be avoided are exposure to air and heat. Both of these defects I propose to avoid by forming the precipitated car- bonate into an electuary, thus*;— Take of sulphate of iron and sub-carbonate of soda each eight ounces; powder each salt, and dissolve them separately in warm water; if necessary and filter. Being filtered and cool, mix the solu- tions in a deep vessel capable of holding one or two gallons of water, which fill up cold, stir; let it subside, and then decant the clear liquor from the precipitate; fill up again with water, and like- wise again decant, and repeat this operation two or three times, so as to separate the soluble salts, next put the precipitate on a filter of cotton or linen cloth, supported by a square frame. When the water has ceased to pass, gather into one hand the edges of the filter, so as to make it a sort of bag, and with the other twist round from the holding hand, downwards, so as to squeeze out the remaining water. The precipitate will now have the appearance of clay too soft for moulding. With soft sugar and aromatic powder in suitable proportions make it into an electuary. Thus we obtain a carbonate of iron uniform in its properties, hardly deteriorated by the process it undergoes, and little liable to change by keeping. The precipitated carbonate of iron while yet moist is soluble in carbonic acid ; hence a tea-spoonful of the above electuary is soon dissolved in a glass'of ginger beer, except the aromatic pow- der it contains. It may be asked, therefore, whether an eligible medicine might not be obtained by uniting this preparation with Jbe ginger beer powders; the excess of carbonic acid in them 214 Carpenter's Aromatic Chalybeate Ginger Beer Powders. would dissolve the iron, and you would have a highly agreeable draught with all the chalybeate properties of this highly valuable medicine. G. W. Carpenter is pleased to inform the faculty he has pre- pared the above preparations in the most careful manner, and given them the following names, by which physicians can always designate them when they wish these preparations prepared by him. Carpenter's Aromatic Chalybeate Confection. This article, since I.have had the pleasure of preparing it, has been used by a number of the most respectable physicians, and has given the highest degree of satisfaction, and who accord fully with the writer in the review. Carpenter's Chalybeate Ginger Beer Powders. These powders form an extremely pleasant and agreable draught, and from their tonic and chalybeate properties, aided by the stomachic effects of the fine purified ginger in their composition, render them an extremely valuable medicine, and adapted to many cases of weak and diseased state of the stomach and bowels. They have already been extensively used, and have given in all cases the highest degree of satisfaction, and produced the most salutary and beneficial effects. They can at all times be used as a wholesome and agreeable beverage, and will be found highly valuable medicine in dyspepsia. Physicians should be very particular in their orders for these powders to designate them particularly, as they are essentially different from the common ginger beer powders usually sold. From full experiments carefully made with the preparations of iron, as suggested above, the most satisfactory results have occurred, and there appears to be no doubt but that it deserves all the at- Compound Fluid Extract of Buchu. 215 tentionofthe faculty, which the writer claims, that it will re- ceive their sanction and approbation from its decided superiority to the ordinary preparations and of iron, will entirely supercede their use. mi Diosma Crenata.—This plant is a native of the Cape of Good Hope, and the natives have long used the leaves in a variety of diseases. It has proved by sufficient experiment in this county to be a safe and valuable remedy in most complaints of the urinary organs, particulary gravel, chronic inflammation of the bladder and urethra, retentions or incontinence of urine. It has also been recommended in chronic reheumatism and cutaneous affections. Carpenter's Compound Fluid Extract of Buchu. Diosma Crenata. For diseases of the bladder, obstructions of urine, chronic goni- norhea, and gleets of long standing. The Buchu leaves (Diosma Crenata) have been highly recom- mended for diseases of the bladder, by some of the most distin- guished physicians in Europe ; and when united with cubebs and diuretics, have effected some extraordinary cures, a few cases of which will be given hereafter. In order that physicians may have a uniform preparation of this valuable medicine, made in a careful manner, with proper proportions and specific doses adapted to the disease, George W. Carpenter is pleased to announce his Com- pound Extract of Buchu, which he recommends to the medical profession as a concentrated preparation of this article, and the 216 Compound Fluid Extract of Buchu. most convenient mode in which it can be exhibited,and which will obviate the necessity of preparing the decoction, which is al- ways attended with trouble and expense, and always differs more or less in strength, according to the mode of preparation which different individuals adopt, and not unfrequently much impaired, if not totally rendered inert, by the injudicious and unskilful manage- ment of those unacquainted with phaimaceutical preparations. This compound will therefore overcome all these difficulties, and being of uniform strength, and ready prepared for the patient, can be administered with more certainty of success by the practitioner, and with less trouble and expense to the patient. Under these circumstances this medicine has been prepared expressly for the use of the faculty, and will no doubt receive their approbation and encouragement. Among various highly satisfactory accounts of the value of the Buchu in diseases of the bladder, obstructions of urine, chronic gonnorhea, gleets of long standing, dec, I will quote a few case3 and remarks by Dr. Ephraim McDowell, a highly distinguished physician and member of the Royal College of Surgeons in Ireland,. published in the Transactions of the King and Queen's College of Physicians. A variety of remeclies have been advised, says Dr. McDowell, for chronic inflammation of the bladder, dec. which, when neglect- ed, extends to the urethra and kidneys, producing a train of severe local as well as constitutional symptoms. Its original cause fre- quently cannot be discovered in many cases; we wifl, however, find it frequently succeeding to mismanaged gonnorhea, neglected retention of urine, diseases of the prostrate glands, strictured ure- thra, or calculous affections. In some cases, as, for example, when it depends on diseases of the prostrate gland, we can do little more than palliate urgent symp- toms ; in other instances much may be effected. Compound Fluid Extract of Buchu. 217 A variety of remedies have been advised for these diseases ; most of them I have repeatedly tried with little or no effect, be- yond that of being in some degree palliative. The Compound Buchu, having been lately strongly recommended, I was induced to make trial of it, and my experiments have resulted in the most satisfactory manner, having succeeded in saving the most inveterate cases, in which I had no hopes of success. I will quote a few for example. Case First. The first case in which I used it, was apparently a hopeless one, recommended to me by a medical friend in December, 1821. James Thomson, aet.-------upwards of six years ill, emaciated and greatly debilitated; lower extremities paralytic. When he passed his urine it was generally either with great difficulty, from its being loaded with a large quantity of slimy, tenacious and stringy matter, or else involuntarily. His bowels were habitually costive, appetite totally gone. He had been under the care of so many medical practitioners, without the least benefit, that I feared little could be done for him. I passed a bougie in the first in- stance, to ascertain the state of urethra, which I found rather irri- table. I also used several of the common remedies for irritable bladder with no effect, at thegsame time closely attending to the state of the digestive organs ; lastly, I gave the compound Buchu, which gave immediate relief. In six days after I found his ap- petite and strength improved, able to walka firmly, the mucous much diminished in quantity, capable of retaining his urine some hours, and no longer passing it involuntarily. His own words to a medical friend were nearly the following : "Instead of being disturbed every five minutes during the night by painful erections, or by the desire of making water, I can sleep some hours at a time : no involuntary passing of urine. 2C 218 Compound Fluid Extract of Buchu. I can walk stoutly through my room, and even up stairs without help; my appetite is excellent; the heart-burn gone ; the sediment in the urine greatly diminished. I feel a strength in my back and loins unknown to me for years." He continued to improve for a considerable time, but being unable to obtain any more of the Buchu, he in some degree relapsed; his condition, however, infi- nitely improved, and a short further continuance of the Buchu would restore him to entire health. Case Second. Philip Dwyer, aged sixty.seven years, sallow complexion, ema- ciated, ill for three years ; complains of severe pain in the pubic region, particularly before he passes water. Great irritability of bladder, passing water in small quantities every quarter or half hour during the night; during the day can occasionally retain it for two or three hours. Less irritability when using much walk- ing exercise ; when sitting, is affected with a stinging or scalding sensation in the prostrate region. Urine generally white or muddy. Frequently passes a large quantity of slimy, pale yellow coloured mucous, voided with great difficulty, and soon putrefy-. ing; is much relieved by its expulsion from the bladder. Is greatly debilitated, and has lost much weight. Tongue loaded with yellowish mucous. Thirst. No appetite. Bowels generally constipated, No enlargement of the prostrate glands could be felt. Previous History.—:Never had gonorrhea. Has been a tem- perate liver, The disease commenced three years ago, first with slowness and difficulty in passing water, which was followed by frequent micturition. He attended the Talbot dispensary for five months, and left town apparently cured. He relapsed how- ever, in a month, and returned to the dispensary, May 13, 1822.. He was ordered to a pint of the Aqua Calcis daily, twenty drops of Compound Fluid Extract of Buchu. 219 the muriated tincture of iron three times daily, an opium suppository (three grains) every night, and purgative pills to be taken occa- sionally; May 24. Up five times last night to pass water; slime in less quantity; can expel his urine with more force. May 29. Worse; up fifteen times last night. The slime has not been discharged for some days; since its stoppage great irri- tability of the bladder has existed. Prescribed the Buchu, and continued the use of muriated tincture of iron.' May 31. Reports that he has been better for the last two nights than for years previous. Passed a large quantity of slime yester- day, which came away "readily ; up but four times last night. June 7. Continues better. June 9. Great irritability of the bladder. A painful swelling in pubic region; no mucous discharged for some days. This relapse arose from not being able to procure the Buchu during the last week. The Buchu repeated as before, also the muriated tincture of iron. June 21. Much better. The slime was discharged after taking the medicine twice ; up but twice last night. The Buchu continued as before. July 5. Continues mending. August 4. Called on me to say he continues well, and has been able to follow his ordinary occupation as a labourer for the last month, and considers himself radically cured. Case Third. Henderson Waters a debilitated and emaciated man, aged thirty. one years, visited me August 4, 1822, with my friend Dr. Cum- ming, found him labouring under much fever. Urine dribbling almost constantly from him, or else passing it in the quantity of half an ounce every five minutes; the urine loaded with slime; lower extremities totally paralysed, the upper nearly so. His 220 Compound Fluid Extract of Buchu. lower limbs rigid, and frequently jerked up under him by painful spasms; severe pains in the soles of his feet; much irritability of the rectum. The glans penis in a state of slough, from keeping it constantly immersed in the urinal. The last dorsal vertebrae more proniinent than usual: no pain caused by its forcible pres- sure. The usual remedies were applied by two eminent physi- cians who had been attending him without success or benefit. June 8. Put on the use of the Buchu as the last case. August 10. Can-retain his urine for half an hour at a time; little or no pain in the bladder; strength and appetite improved. The sloughs detached from penis, sore healthy; a slight slough over the trochanter major, from pressure- and debility; ordered nourishing diet, and to continue the Buchu. August 20. (Reported by Dr. Cumming.) In every respect bet- ter ; can now retain his urine for two or three hours at a time; no uneasiness in the bladder. For some days past, sitting up; looks greatly improved. Tongue, pulse, and bowels natural. Paralytic affections of lower extremities, as before. August 30. At his work as a watchmaker. Can retain urine for four or five hours ; health good ; limbs much stronger. January 8. Continues as last reported and is entirely recovered. In dyspepsia it appeals to be a valuable auxiliary to other medi- cines. I had an opportunity of meeting with a case of gravel, of the uric acid kind, in a sedentary and dyspeptic individual; the at- tack coming on whenever the digestive organs were deranged, and frequently lasting with much severity for three days, attended with violent pains, shooting in the course of the ureter to the gro- ins, testicles, and anterior part of the thigh ; much fever, restless- ness, and irritability ; any excess in drinking wine invariable pro- duced an attack. He has been in the habit, for the last three years, of taking the Aqua Kali Caustica whenever attacked, and usually continued for a considerable time, in quantities of one Compound Fluid Extract of Buchu. 221 ounce daily. In a late paroxysm he took it along with the Buchu, a white precipitate in the urine in large quantities resulted; he then omitted the alkali, and took the Buchu alone. He recovered rapidly ; both the white and red precipitate ceased to recur, and he has had no attack of it since. The above accounts of Dr. McDowell are entitled to the highest degree of confidence, being a man highly distinguished in the medical profession, and of large experience from the most exten- sive practice. Numerous certificates and letters have been received from dis- tinguished physicians in various parts of the United States, who have employed this medicine with great success, substantiating fully the evidence given by Dr. McDowell ; and who speak in the highest confidence of its valuable properties. I will quote one or two for example. The following is an extract of a letter from Dr. A. A. Evans, an eminent physician of Elkton, Maryland, whose observations are entitled to the fullest share of public confidence. The subject, a respectable widow lady, aged about forty years, had been under the care of an intelligent physician for something like eighteen months before I saw her. He had given her, as she stated to me, a variety of medicines without much relief. Indeed, she had become materially worse than she was in the early part of her disease. When I visited her for the first time, she laboured under great uneasiness in the region of the bladder, with an &U most incessant inclination to void urine. Whenever a few drops collected in the bladder she was compelled to arise from her bed and discharge it. There was, at times, a discharge of mucous with the urine. She was much exhausted by the irritation of the disease and want of sleep; had but little appetite, and a quick, irritable pulse. She had in the course of her disease become af- 222 Compound Fluid Extract of Buchu. i flicted with leucorrhcea, and a partial prolapsus uteri, which wefe relieved by injections, a pessary, dec. but the difficulty in the uri- nary apparatus continued unmitigated. After trying all the remedies which my reading and experience suggested with but temporary relief, her patience, as well as my own, (she lived a considerable distance from me,) became exhaust- ed, and she determined to leave off all medicine for a while. Shortly after seeing her for the last time, you sent me one of your bottles of the Buchu, which 1 sent her by. the first opportunity, with a request that she would give it a trial. She did so, and when the bottle was finished, she sent her son to inform me that the medicine had given her more relief than any thing she had ever tried ; but that she wa3 not entirely well, and wished me to send her another bottle : not having any more on hand, I gave her your address, since which time I have not seen her, but heard some time back that she was up, and attending to the affairs of her family as usual before her disease. Yours, with respect, To Mr. G. W. Carpenter. A. A. EVANS, M. D. July 24th, 1831. Elkton, Maryland. The following case is an extract of a letter from Dr. W. S. Wallace, an intelligent physician of extensive practice at Earle, Lancaster County, Pennsylvania. Mr.-------, aged twenty-eight years, having laboured under a disease of the bladder and urinary passages for upwards of two years ; the symptoms were a difficulty in passing'urine, accompa- nied with great pain, the urine passed by dribble, sometimes al- most amounting to a suppression ; occasionally a sharp lancinating pain in the prostate gland, but no enlargement could be felt; with irritability of the rectum. Having tried many remedies without Compound Fluid Extract of Buchu. 223 any benefit, I was induced to try your compound Fluid Extract of Buchu, and am happy to say with the most decided benefit. Be- fore using three bottles of it, the patient could urinate freely Without pain, and all the above symptoms entirely gone, which has not been the case before with him since the commencement of the disease. I am decidedly of the opinion that it is one of the most powerful diuretic medicines I am acquainted with. Respectfully yours, To Mr. G. W. Carpenter. W. S. WALLACE, M. D. Aug. 1st. 1831. Earle, Lancaster Co., Penr.'a. This medicine has also been successfully prescribed in a num- ber of similar cases by our distinguished professor, Dr. Physick, of this city. The above preparation of the buchu is manufactured and sold only by Geo. W. Carpenter, at his Chemical Warehouse, No. 301 Market Street, Philadelphia. Dose for grown persons two tea-spoonfuls three times a day, which may be made more agreeable in a little sugar and water, if necessary. This medicine will be found particularly serviceable in gonorr- hea, or clap, and gleets of long standing. • CAUTION. After the reputation of any valuable medicine is established with considerable expense, trouble, and many experiments by the proprietor, he should receive the benefit of it. He is sometimes, however, disappointed by spurious imitations of his preparations, made by the ignorant, who prepare inferior and frequently entirely different compounds, and sell them under the same name, and on 224 Compound Fluid Extract of Buchu. the reputation of the genuine medicine, copying the directions, and putting it up in the same bottles and form ; thus frequently deceiving the public and injuring the reputation of valuable medi. cines. Under these circumstances, I would beg the faculty to be extremely particular in their orders, and to observe that each bot- tle will have my written signature, without which none will be genuine. CARPENTER'S SARATOGA POWDERS, FOR MAKING CONGRESS SPRING OR SARATOGA WATERS. ---:o:--— There is, perhaps, scarcely an individual in the United States who is not acquainted, either by experience or report, with the salutary effects of the Congress Waters at Saratoga. From thirty to fifty thousand persons annually visit these springs, many from the remotest sections of the United States, and some from the West Indies, and other foreign places. The great ex- pense in visiting the springs excludes the greater portion of the community, (more than nine out of ten,) and the bottled water, from its high price, prevents its use to the extent of being service- able, and confines it to a small number. It appears to be a serious evil that so valuable an article should be so restricted that com- paratively few should be able to enjoy what is so conducive to ge- neral health in the hot weather of oui summer months. From these circumstances, Geo. W. Carpenter is pleased to announce the preparation of the above powders, containing all the essential substances with which these celebrated springs are impregnated, and from which the waters of the Congress Springs at Saratoga are precisely and effectually imitated. With a view to accommo- date the public, and to bring into general use so convenient and 2 D 226 Saratoga Powders. valuable a substitute for these waters, he has been induced to go* very extensively into the manufacture of them, and to put them at a price to be within the reach of most persons. For the accom- modation of the public, agents have been appointed in all the cities and principal inland towns, to give a general circulation to so useful an article throughout the country. The public are re- commended to make trial of these powders, as he finds, by ex- perience, and from the opinion of the most eminent of the fa- culty, that the water made from them possesses the same medical qualities, is as effectual in its operations, and precise in taste as that taken immediately from the springs. These powders are therefore recommended as a valuable remedy in all cases where Saratoga Waters are prescribed. Persons on sea voyages, or residing at a distance from the springs, and in warm climates, will at once perceive the great ad- vantage of making use of these powders, which besides being more portable and less expensive than the bottled water, will keep with- out injury for any length of time ; and as they are equal in medi- cal effect to that taken fresh from the springs, they are certainly much preferable from the many advantages they possess. These powders are superior to the Seidlitz, inasmuch as they are equally aperient and agreeable, and at the same time possess- ing tonic and chalybeate qualities in a superior degree, and are consequently better adapted to weak and debilitated constitutions than any other cathartic in use. It is now scarcely two years since the introduction of these powders, in which time they have been sent to almost every po- pulated section of the United States, and have given in all places the highest degree of satisfaction. They are now extensively used throughout the southern states, where they are highly appre- ciated by the faculty, and extensively employed by the most dis- tinguished physicians. They have elicited from the professors of Saratoga Powders. 227 several medical institutions, and from highly distinguished indi- viduals in various places, voluntary acknowledgments of high commendation on their valuable properties. The reputation and demand which Carpenter's Saratoga Powders have acquired, will no doubt be an inducement for the ignorant to attempt their pre- paration ; the proprietor has already received frequent complaints that spurious and inferior imitations have been made, and that sales are effected on the reputation and character of his prepara- tion. I deem it justice to the community to apprise them of these facts, that they may be on their guard. They should be particu- lar to specify in their orders " Carpenter's Saratoga Powders," otherwise they may get a different article from what they intended. We are pleased to find that the imitation powders are not pa- tronized by the faculty, but are objected to wherever they are known; in many cases, however, they are purchased by individuals who are not acquainted with the circumstances, and do not dis- cover the fact until they begin to make use of them. The pro- prietor has received numerous letters on the subject of this griev- ance, and a number of expressions of dissatisfaction have appear- ed in various Journals and Gazettes of the Southern states, where these powders are most used. The following is from the South- ern Times and State Gazette of July 11, 1831, published at Co- lumbia, South Carolina. " I copy with pleasure the editorial article* from the National Gazette of Philadelphia, because I can safely and honestly say the compliment is deserved. There are some very inferior imi- tations of Carpenter's Saratoga Powders, which are by no means worthy of public notice, compared to Carpenter's. As a summer laxative, equally pleasant and efficacious as the water, these pow- ders may be relied upon." * See National Gazette of June 22, 1831. CARPENTER'S COMPOUND SYRUP OF LIVERWORT. ----:o:---- Hepatica Triloba. This plant has proves to be a safe and valuable medicine for coughs spitting of blood, consumption, and liver complaints. Most of the medicines mace use of for the above diseases, are of a stimulating nature, composed generally of rezins and bal- sams in alcoholic solutions, which, although sometimes giving temporary relief, in almost every instance where they are freely used, aggravate the disease and reduce the strength of the patient. This article possesses superior advantages over these prepara- tions, its action being of a tonic, invigorating and strengthening nature, thus overcoming the disease by promoting expectoration and gradually increasing the strength of the patient, and this without being attended with any unpleasant effects; it also agrees with the stomach in all cases, and is a pleasant and agreeable medicine to take. It has generally been administered in the form of tea or decoc- tion ; this has most frequently been impioperly made by those un- acquainted with pharmaceutical preparations, and has brought this medicine in disrepute, preventing its application in many cases where it would otherwise have proved highly useful and beneficial. To guard against these inconveniences, and to bring before the Compound Syrup of Liverwort. 229 public a concentrated preparation of this valuable article of uni- form strength, George W. Carpenter is pleased to announce the preparation of Compound Syrup of Liverwort which will obviate all the disadvantages above described. This preparation is as ac- tive as it can be made from the fresh plant, and the virtues con- siderably improved by the tonic and expectorant medicines which have been selected as adjuvants. Directions.—Dose for grown persons, a table-spoonful three or four times a day when the cough is troublesome; for children, a tea-spoonful may be taken in the same manner. N. B. During the cough the patient will find much advantage from taking a dietical jelly made of the flower of slippery elm. Remarks on Carpenter's Compound Syrup of Liverwort. It is scarcely one year since the introduction of this preparation, in which time it has been sent to almost every populated section of the United States, and has in all places been highly approved of by the faculty, and prescribed by the most distinguished physicians, and has given in all cases the most decided and unequivocal stisfac- tion, and produced the most salutary and beneficial effects—and in numerous instances elicited, from the most distinguished mem- bers of the medical profession, (for whose use, and under whose direction the article is expressly prepared and respectfully sub- mitted,) voluntary acknowledgments of high commendation upon the valuable properties of this medicine. The following are a few extracts from letters of highly respect- able physicians, addressed to the subscriber on the subject of the above preparation. From Dr. S. P. Hereford, of Haymarket, Virginia, Whose observations on the liverwort are entitled to the high- 230 Compound Syrup of Liverwort. est consideration. His experience with this plant is perhaps superior to any other medical man in our country, and the public are indebted to him for many valuable and interesting essays on the subject, in our periodical journals and papers. From the National Intelligencer. As phthisis pulmonalis, or consumption of the lungs has been emphatically styled an approbrium medicorum, and as it has for its victims all ages and sexes, and a large portion of the young and beautiful, it becomes the paramount duty of every humane physi- cian to contribute in any way he can towards arresting in its march this terrible disease. With an eye to this purpose, I have strenuously recommended, and do still recommend the Liverwort, particularly Carpenter's compound syrup, which I consider the most valuable mode in which it can be exhibited, being a concentra- ted preparation of the fresh plant, with valuable expectorant medi- cines selected as adjuvants; and although I have never recommended it as a medicine indiscriminately adapted to all cases, yet I am fully persuaded that it has done more signal service than any other sin-i gle remedy, so far as experiments with it has been made, or ac- cording to the extent it has acquired the public confidence ; but we are too apt to appreciate lightly, or invest with little conse- quence, things which have the external appearance of simplicity; while those which are enwrapt in secrecy, or have a mysterious character, allure, fascinate or inspire us with confidence and ad- miration. T. B. HEREFORD, M. D, Jan. 18, 183Q. Haymarket Virginia^ From Dr. William Watson, a highly respectable physician of Bedford Springs, Pennsylvania, whose extensive practice and ex- perience entitles his observations to the highest public confidence, Compound Syrup of Liverwort. 231 Bedford, June 27th, 1830. Dear Sir—You were pleased to send with my medicines two bottles of your Compound Syrup of Liverwort. I have a favour- ite tservant boy, who was taken with pneumonia inflammation, in November last, which resisted all the remedies and means I have been able to apply. For some time I have considered him to be in the hetic state of phytisis, having purulent cough, much expec- toration, night sweats, great emaciation, dec Under these cir- cumstances, without any expectation of benefit, I gave him the two bottles you sent me as directed, and immediately the fever aud expectoration diminished, the sweats were removed, and his strength and cheerfulness increased. I had a quantity of the herb gathered, a syrup made in the usual way, but notwithstanding the free use of this syrup, he immediately declined, and he is now in the state in which he was when he commenced with your prepa- ration. I believe a cure Would have been effected by a few more bottles of your syrup. As I wish to give it a fair trial, you will please to send me a dozen bottles by the earliest opportunity, and oblige, Yours, dec. WILLIAM W. WATSON, M. D. To G. W. Carpenter. We are pleased to hear the above case of Dr. Watson's has re-* Covered under the further continuance of this preparation. The following extract from Dr. Thos. F. Slaughter, a highly re- spectable and skilful physician of Orange Court House, Virginia, is additional evidence of the valuable properties of this medicine. Orange Court House, Virginia, June 1, 1830. Dear Sir—I made trial of Carpenter's compound syrup of liverwort, in the case of a lady, an old patient of mine, who had 232 Compound Syrup of Liverwort. been reduced from extreme corpulency and robust health, by her disease, to the verge of the grave; she used only one bottle of it,. and has ever since been rapidly improving in health and appear- ance, which is attributable to the use of this medicine. She is solicitous for its further use, which I cannot gratify her in till I receive more of the article. I am anxious to make a fair trial of it in this case, as well for scientific purposes as for the great value of the life of the patient. Your's respectfully, THOMAS F. SLAUGHTER. M. D. To Geo. W. Carpenter. The following extract from Dr. Richard M. Hill, a very respect- able physician of Gholsonville, Virginia, is an additional testi- mony of the value of this preparation. Dear Sir—I am now making trial of your compound syrup of liverwort, a few bottles of which I obtained in Petersburg, and,_so far, am highly pleased with its effects, and consider it admirably suited to the cases in which it is recommended. Yours, truly, RICHARD M. HILL, M. D, The increasing reputation and extensive demand for the com- pound syrup of liverwort is perhaps greater than any medicine ever yet offered to public attention within the short period since its introduction. This has given rise to a number of imitators, who endeavour to effect the sales, of various preparations, to which they affix the same name, and occasionally dispose of it on the reputation which my medicine has justly acquired. I mention this fact in order that physicians may be on their guard, and to request them to be par- ticular in their orders, to specify distinctly George W. Carpen^ Compound Syrup of Liverwort. 233 ter's compound syrup of liverwort, or they may get a different article from what they intended to order; and the same course may be recommended to all my preparations. A large number of letters have lately been received, containing voluntary acknowledgements of high commendation upon this medi- cine, and the following are indiscriminately selected from a large pile, all corroborating the statements herein given. Extract of a letter from Dr. W. A. Anthony, a respectable physi- cian of Pittsylvania Court House, Virginia, dated August 19th, 1833: Dear Sir,—I take pleasure in communicating to you, by my friend Captain Bennett, the effects resulting from the use of your compound lately introduced in practice in the southern climate. I have used your extract of liverwort in several cases of chro- nic asthma with the most unparalleled success, and in this charac- ter of disease I think it an incomparable article. I have used it in two cases of pneumonia biliosa, when one patient had been given out, and the other despaired of, and succeeded in relieving both, and if our facilities were greater for procuring your articles, I would use them much more in my practice. To Mr. Geo. W. Carpenter. W. A. ANTHONY. M. B. Extract of a letter received from Dr. R. W. Walker, a respect- able physician of extensive practice in East Baton Rouge', Lou- i isiana, dated Feb. 15, 1833: Dear Sir,—I have found your compound syrup of liverwort very valuable andefficient in pulmonary irritations, where there have been no organic lesions; or even in cases of evident disor- ganization, an excellent palliative. That which I obtained from you direct was good, but some purchased from a druggist in a neighbouring village, in Mississippi, made by some other person of the north, in imitation, produced much disorder of the stom- ach and bowels, and proved wholly inert as an expectorant. Under these circumstances, I would advise physicians to be on their 2 E 234 Compound Syrup of Liverwort. guard against spurious imitations of Mr. Carpenter's medicines. To Mr. Geo. W. Carpenter. R. W. WALKER, M. D. Extract of a letter from Dr. Christian Garber, a respectable physician of Lancaster county, Penn. dated May 15, 1833: Dear Sir,—I must here make mention of a very protracted case of spasmodic croup in a little patient of mine, four years old, which readily yielded to your compound syrup of liverwort, in combination with small doses of tartarized antimony. After one or two active emetics had been administered, the spasms returned with full vigour; after taking four tea-spoonfuls of the syrup, with l-16th grain of tartar emetic, the spasms entirely left the little girl. I continued the antimony twenty-four hours longer, and left off giving the syrup, without any other medicine, and the patient recovered rapidly. I consider the liverwort in combina- tion with tartar emetic a medicine of much more utility in the above disease than any I have ever made use of in my practice. Extract of a letter from Dr. John Slavens, a distinguished phy- sician of Mount Sterling, Kentucky, dated September 4, 1833: Dear Sir,—I have found youi compound syrup of liverwort fully to realize all that has been said of its virtues by yourself and other writers, and it is with pleasure I confidently and heartily recommend it to the medical profession, under the full impression they will find it, on fair trial, an invaluable medicine in pulmo- nary consumption and hepatic affections. JOHN SLAVENS, M. D. To Mr. G. W. Carpenter. Extract of a letter from Ebenezer C. Ledyard, a respectable druggist of Mariana, Florida, dated Aug. 20", 1833: Dear Sir,—Your compound syrup of liverwort is a very valu- able medicine for coughs, colds, consumption, dec. The physi- cians have witnessed the most beneficial effects from its use. E. C. LEDYARD. To Mr. G. W. Carpenter. Compound Syrup of Liverwort. 235 Extract of a letter from Dr. Richard A. Foster, a respectable physician of Prince Edward Court House, Virginia, dated Septem- ber 15,1833: Dear Sir,—I have had an opportunity of trying your compound syrup of liverwort, (hepatica triloba,) and I must add, that if it succeeds as well in the hands of others as it has in mine, in future it will be one of the most approved remedies in pulmonary affections. The case in which I.used it was a chronic catarrh, which had not been at all alleviated by antimony, squills, and a variety of other remedies. It was given in doses of a table spoon- ful three times a day, and continued for five or six days with de- cided benefit, and has now almost entirely relieved the patient. When I commenced the use of this medicine, the case was very violent, a distressing cough, very copious expectoration, pain in the chest, dyspnoea, irregular fevers, and restless nights, all of which are now relieved, except a slight cough with some debility, from which he is now gradually recovering. I will thank you to send me two dozen more bottles of the syrup. I am so well pleased with the quality of your medicines, and the manner which they are put up, dec, that I shall in future obtain all my supplies from you, and can confidently recommend your establishment to the notice of the faculty, particularly those in the country, who are obliged to dispense medicines to their patients. RICHARD Av FOSTER, M. D. To Mr. G. W. Carpenter. Extract of a letter from Charles P. Cummins, a respectable physician of Franklin county, Pennsylvania,dated October 14,1S33: Dear Sir,—So far I am highly pleased with your compound syrup of liverwort, which I lately ordered from you. Both my patients for which I obtained it, have been already materially 236 Compound Syrup of Liverwort. benefited by it, and I think a short continuance with the medicine will effect a perfect cure. CHAS. P. CUMMINS, M. D. To Mr. G. W. Carpenter. Extract of a letter from Dr. Daniel T. Hays, a respectable phy- sician of Washington county, Maryland, received October 25th, 1833: Dear Sir,—Having had a patient afflicted with a chronic inflam- mation of the lungs, and having seen an advertisement in the Hagerstown paper of Victor Thompson, druggist, having received a supply of your compound syrup of liverwort, I procured a bottle of it, and in a short time I saw the good effects of it, and imme- diately procured a few more bottles of it, and with it and several simple sedatives I actually cured her, since which time I have procured several dozen bottles of your preparation in Baltimore, and have made it a regular antidote. I confidently recommend it to the faculty as being the best preparation of the kind that has ever appeared before the public. DANIEL T. HAYS, M. D. To Mr. G. W. Carpenter. Extract of a letter from Dr. C. M. Hill, a highly respectable physician of Birdsville, Burke cofknty, Georgia, dated October 18th, 1833: Dear Sir,—I have had a severe and almost constant indisposi- tion during the summer and part of the fall; however, my health is now nearly restored; and I think I am indebted to your valuable compound syrup of liverwort for it. My indisposition was catarrhal, attended with a most distressing cough. After the stage of ex- citement had passed away, leaving considerable pulmonary en- gorgement, I placed myself upon the use of your syrup, and I de- clare unequivocally, that I never had any article to afford me such prompt and decided relief; its effects were of the most soothing Compound Syrup of Liverwort. 237 and tranquillizing nature. For the bottles you sent with my medicines, please accept my warmest thanks. C. M. HILL, M. D. To Mr. G. W. Carpenter. Extract of a letter received from Dr. C. G. Ballard, a respect- able practitioner of Wegtport, Oldham county, Kentucky : Dear Sir,—I am very much pleased with several of your new compounds; I have used your compound syrup of liverwort in two cases, one of which was a protracted case of asthma, and the other incipient phthisis pulmonalis, in both of which cases I have realized all that has been said of its virtues, and most heartily concur with the rest of your friends in recommending it to the medical faculty, under the firm belief that it will be found on fair trial an invaluable remedy. Yours respectfully, C. G. BALLARD, Westport, Kentucky, March 2, 1834. To Mr. G. W. Carpenter, Philadelphia- CARPENTER'S COMPOUND CERATE OF COPAIVA, A valuable Application in Burns, Scalds, Wounds, Ulcerations, and Sores of various kinds. It has long been a desideratum to obtain a preparation of the above character for the use of families ; a convenient application which can always be at hand when accidents occur, and which will afford immediate relief. G. W. Carpenter is pleased to an- nouce the introduction of the above preparation, as possessing all the qualities here described, and with much pleasure recom- mends it to the faculty and public, as a safe, pleasant, and soothing application for all external irritable wounds, or inflamed surfaces. It has been fully tested in private practice, and the result has been of the most satisfactory and beneficial character. In burns, scalds, wounds, ulcerations and sores of various kinds, no application has been productive of so much benefit, and it is confidently recommended to the public as an article upon whose virtues they can confidently rely. Mild, soothing, and gentle in its effect, it is particularly applicable to burns ; it allays the heat and irritation of the parts in a short time, and quickly induces the healthy process. Every family in the city and country should supply themselves with this preparation; it is superior to most of the ointments which are obtruded upon the public, and may be advantageously employed in all cases where a mild and stimulating application is required. Cerate of Copaiva. 239 The following letter has just been received from Dr. Alexander C. Draper, of this city :— Dear Sir,—I have for some time past adopted in my practice your compound cerate of copaiva, and have been much pleased with its effects. In burns, ulcerations, and anthrax, I have de- rived in almost every instance the most decided benefit; and in these affections, I know of no application equal to it in power and effi- cacy. It is in burns unquestionably superior to the Kentish or turpentine ointment, and in general, it will be found to speedily accomplish the purpose for which it is designed. While physi- cian in the Southern Dispensatory and Moyamensing Alms-house, I employed the cerate of copaiva in a large number of cases, and I recollect of no instance in which it has disappointed me in my expectations. I cheerfully add my testimony to this compound, and think it an important and valuable addition to our remedial agents in those affections for which you recommend it. Your obedient servant, ALEXANDER C. DRAPER, M. D. To Geo. W. Carpenter. Philada., April 29,1834. Prepared and sold, only, at G. W. Carpenter's Chemical Ware- house, No. 301 Market Street, Philadelphia. As there may be attempts of imitation, the proprietor will affix his signature as a guarantee of its genuineness. COMPOUND FLUID EXTRACT OF BONESET. ---:o:--- Eupatorium Perfoliatum. This preparation is combined with Peruvian Bark, Colombo, Centaury, and other vegetable tonics, and is a valuable prepara- tion in Intermittent Fevers, General Debility, Loss of Appetite, fyc. The valuable tonic and diaphoretic properties of the eupatorium are well known to every practitioner of medicine who has had any experience in his profession. Its usefulness as a febrifuge and tonic in curing intermittent and other fevers, is well known to every person who lives in the vicinity of its production, where large quantities are annually collected, dried, and sent to distant cities. It is said to have been employed in the earliest periods by the Indians in intermittent fevers, as the chief remedy on which they relied, and has proved highly successful in the hands of me- dical men of eminent standing of the present day. Distinguished authors of the latest period ascribe to it valuable properties as a tonic in dyspepsia, indigestion, and'general debility of the consti- tution arising from various causes, particularly after fevers. The valuable properties of Peruvian bark, Colombo, and cen- taury, selected as adjuvants in this preparation, are too well known to the faculty to attempt a description, and their combination in this preparation, in which all their active properties are concen- trated and united in equitable proportions, must at once convince them of the character of this medicine and its valuable properties Compound Fluid Extract of Boneset. 241 as a tonic and febrifuge. And as the constituents are openly and candidly communicated to the faculty, they cannot ascribe to it the odious epithet which secret medicines are justly entitled to. I have been applied to by a number of physicians to prepare an extiact of the eupatorium thus combined, that would obviate the trouble and difficulty of preparing the decoction, which is al- ways attended with inconvenience and greater expense, having to be prepared fresh daily ; and it is most frequently improperly made by those unacquainted with pharmaceutical preparations, thus fre- quently presenting an obstacle to its general use. The proprietor has thought it advisable, under these circum- stances, to prepare an extract of it, combined as before described, which he now offers to the faculty as a preparation containing all the active properties of these substances in the most concentrated form, and in the most eligible mode of exhibition, and which he offers with pleasure to the profession, as it will no doubt be extensively prescribed by them as a valuable remedy in fevers and debility, and as a useful auxiliary to quinine, in the more ob- stinate stages of intermittents. Its usefulness and convenience will no doubt be fully appreciated by physicians in the country, who have not the convenience of an apothecary to compound their preparations, and whose engagements will not allow their atten- tion to it, and consequently, in many cases, must be under the ne- cessity of confiding in those who are entirely ignorant of, and un- qualified to prepare their medicines. To such this medicine can- not but be a great desideratum. Prepared and sold only at my Chemical Warehouse : GEO. W» CARPENTER, No. 301 Market Street, Philadelphia. 2F CAUTION TO I must beg leave to call the attention of my medical friends and the faculty in general, who wish to get my preparations, and who do not send their orders direct to my establishment, to be particular to order " George W. Carpenter's" preparations. I urge this in consequence of several attempts having been made to imi- tate my preparations by the ignorant and inexperienced. After the reputation of any valuable medicine is established with considerable expense, trouble, and many experiments by the proprietor, he should receive the benefit of his improvement or discovery as long as he continues to prepare the article in a satis- factory manner, and gives his attention to it and his business. He is sometimes, however, annoyed by the spurious imitation of his preparations, made by the ignorant and. careless, who have not genius or industry to invent or discover any thing, or to make any improvement of their own ; but when they see any thing establish- ed and like to become popular, they will steal the name and copy the directions, and embezzle the reputation of it to appropriate to themselves. These apish propensities should not be countenanced in this enlightened age. They are a class of people who should receive no support from the faculty or the community, but their mean designs should re- ceive the reproach and indignation of the profession. They pre- Caution to Physicians. 243 pare inferior, and frequently entirely different compounds, a kind of hodge-podge composition, which they sell under the same name, and on the reputation of the genuine medicine; copying and pilfering the directions ; putting them up in the same bottles and form ; thus deceiving the public and injuring the character and reputation of valuable medicines. The author regrets the neces- sity of having repeatedly adverted to this subject in the present work, but the evil cannot be too repeatedly censured ; under these circumstances I hope the faculty will indulge me with these re- marks, and will see the necessity, when they wish any of my pre- parations, to be particular in their orders to state it explicitly, and to guarantee their genuineness I will affix my written signature to each article. G. W. CARPENTER. CATALOGUE OF SHOP FURNITURE, AND Surgical Instruments, FOR A PHYSICIAN AT THE OUTSET OF HIS PRACTICE ; $reparrtr at CARPENTER'S CHEMICAIi WAREHOUSE, JYo. 301, MARKET STREET, PHILADELPHIA; Where the articles can be procured of the most unexceptionable quality, put up in the neatest and most careful manner, and as low as those of like character can be had in Philadelphia or elsewhere. -----:o:----- It is often a difficult task for the young practitioner to call to mind the various articles which he will requiring at the outset of his practice, and particularly to proportion the quantities. In the annexed list are all the essential articles required for practice in the proportion which they are generally consumed. The quanti- ties are made small, which is preferable at the commencement of practice, as they can be increased as they may be required. Those residing at a considerable distance, and require some time to receive their medicines after they are ordered, it would be ad- visable to increase the quantities of some of the most important articles. Catalogue of Medicines. 245 lb. oz. Antimony, Tartrat. - - " . . 4 Emetic, purgative, and diaphoretic, dose half grain to one scruple. Febrifug. (James' Powder.) - - 1 Diaphoretic, 5 to 10 grains. Alcohol, 36, - - - - . .-2 Stimulant, used as a menstruum or vehicle for other medicines. Aqua Ammonia, - - - - . - 8 Stimulant and diaphoretic, dose 10 drops diluted with water; externally in frictions. Acid Muriatic, ...... 4 Stimulant, externally, 2 to 4 ounces in foot-baths, internally half drachm to 1 drachm in each pint. Acid Nitric, ...... 4 Stimulant, diuretic. In lemona e, by drops, until an agreeable acidity is produced. Acid Sulphuric, ..... 8 Stimulant, dose 20 to 30 drops in 2 pounds of water. Acid, Pyroligneous Concentrated, - - - 4 Astringent, refrigerent when diluted, dose of the concentrated acid 1 scruple to 1 drachm, or common acid 1 ounce. One pint of this concentrated acid added to seven pints of water, instantly produces a mixture similar and equal, in every respect, to the distilled vinegar of the shops. Acid, Tartaric, , - - - - 4 Refrigerent, dose 12 to 30 grains in solution. Acid, Citric ------ 1 Refrigerent, dose, 10 to 15 grains in a pint of liquid. One drachm of this salt dissolved in 2 oz. of water, instantly pro- duces a mixture equal to a like quantity of fresh lemon juice, and for many purposes of medicine is even preferable, being always of uniform strength. Acid (or Flor.) Benzoin, - - - ss- Stimulant, dose 10 to 20 grains. Ammonia, Carbonate, - Stimulant, dose 5 grains to 1 scruple. 246 Catalogue of Medicines. lb. oz. Anodyne, Hoffman's, ... - - s Anti-spasmodic and anodyne, dose half to 2 drachms. Arsenic, alb. crude, ----- 1 Tonic, (externally an escharotic,) dose 1-10 to 1-2 grain. Arsenic, Fowler's Solution of - - - - 4 Febrifuge, 5 to 15 drops. iEther, Sulphuric, ... - - 4 Diffusible, stimulant and anti-spasmodic, dose 1-2 to 2 drachms. Spt. Nitre, dulcis, - - . - -1 Refrigerent, diuretic, and anti-spasmodic, dose 20 to 40 drops. Aqua Rosarum, - - . - - 1 Slightly astringent. Arrow Root, Bermuda, - - - - - 1 Nutrient. Argent. Nitrat. --••-% Tonic, anti-spasmodic and escharotic, half to 4 grains. Blue Pill, mass, ----- 2 Stimulant and anti-syphilitic, dose 5 to 8 grains. Boras, Sodas, ..--.. 4 Detergent, 1 scruple to 1 drachm, in gargles. Bismuth, oxyd. alb. ..... 1 Tonic and anti-spasmodic, dose 2 to 12 grain?. Burgundy Pitch, - - - - - l Externally rubefacient. Black Drop, --.... 1 Anodyne and sudorific, 5 to 15 drops. Balsam Copaiva, - .... 8 Astringent, dose 20 to 60 drops in any emollient mixture. Solidified Copaiva, ----- 2 . Two four-grain pills are equal to a dose of the balsam. Oil of Copaiva, in vials, - - - % doz. This may be used in the same manner as the balsam, dose 5 to 10 drops. For a Country Physician. 247 Balsam Tolu, .... Dose 10 to 30 grains. Black Oxyde of Mercury, .... For extemporaneously making Blue Fills, 1-4 grain equal to 4 grains of the latter. Bac. Juniper, ...... Diuretic and cordial, infusion, a tea-cupful every 3 or 4 hours. Cubebs, ....... In gonorrhea, 20 to 30 grains. Oil of Cubebs, ..... This is a valuable adjunct to copaiva, 10 or 15 drops added to a copaiva mixture will increase its virtues considerably in cases of gonorrhea. Sulphur, sublimed, ..... Laxative and diaphoretic, dose 1 to 3 drachms. Bol Armeniae, ...... Perkins' Blister Cloth, - - - 1 box. A very convenient article for the country physician, being„roady spread for immediate use. Creta, ppt. ...... Antacid and absorbent, dose 10 grains to 2 scruples. Carb. Ferri, ...... Tonic and emenagogue, dose from 4 to 20 grains twice a day. Carb. Magnesia, ..... Absorbent, purgative, used for acidity in the primavia, and cases of poisoning by sulphuric acid, dose from 1 scruple to 2 drachms. Canella alba. ...... Stimulant and slightly tonic, dose from 10 grains to 1 drachm. Citrated Kali, ..... This is a very valuable medicine in fevers; 1 drachm dissolved in 4 oz. of water instantly produces the saline mixture, similar and equal in every respect to that prepared with fresh lemon juice and salt of tartar. Pulv. Colocynth, ..... Drastic purgative, dose 2 to 10 grains. lb. oz. l 248 Catalogue of Medicines lb. oz. . Cream of Tartar, - - - - - 2 Purgative, diuretic and refrigerent, dose 4 to 6 drachms. Catechu, ...... 2 Astringent, dose 3 scruples to 1 drachm in infasion or mixture. Cochineal, - - - - • - 1 Anti-spasmodic and anodyne, in whooping cough. Cort. Peru. Rub. - - - - - I Tonic, febrifuge, and antiseptic, in adynamic intermittent fevers, scorbutus, gangrene, &c. Cort. Peru, (common) or Carthagena, ... 8 l-12th the value of the former. Cort. aurant. . - - - - . 1 Refrigerent. In fevers and inflammations 1 scruple to 1 drachm. Cort. Mazerion, ..... 4 Stimulating diaphoretic, dose 1 to 4 grains. Caryophillum, - - - - - 4 Tonic, stomachic, and emenagogue, dose 6 to 12 grains. Cassia, ...... 4 Stimulant, cordial, dose 10 to 20 grains. Calomel, ...... 8 Purgative, vermifuge and syphilitic, dose 1 to 12 grains. Corrosive Sublimate, ..... i Dose 1-4 to £ grain in solution. Cera. alb. - - - - - - - 3 External application in the composition of cerate. Denarcotised acidulous tincture of Opium, 8 This will bo found very useful in cases where opium and common laudanum disagrees with the patient. This is sedative without the stimulating properties of opium. Dose 15 to 25 drops. Secale Cornut. pulv. .... j In parturition, dose 20 to 30 grains in powder. Einplast. Epispastic, .... g For a Country Physician 249 lb. oz. Emplast. Adhesive, .... 8 ditto, spread on linen, . . \yd. Dyacylony simple, ... 8 ditto, cum. gum ... 8 Roboians, ..... g Extract Gentian, ..... 1 Tonic and stomachic, dose 1 to 4 grains. Extract Colocynth, Comp. .... i Cathartic, 5 to 10 grains. Extract Hyosciami, .... l Narcotic, anti-spasmodic, and resolvent in all nervous disorders, dose 1 to 2 grains. Extract Cicuta, ..... l Narcotic, anodyne, and resolvent, dose 2 to 10 grains, externally in cataplasms, lotions, &c. in scirrhus and cancerous affections. Extract Stramonii, ..... Narcotic and resolvent in epilepsy, histcria, corea and cancer. Extract Glycyrrhiza, >■ 1 Demulcent in allaying coughs, dose £0 to 60 grains. Carpenter's Precipitated Extract of Bark, - 1 Two grains of this extract are equal to one grain of the sulphate, and is at one third the price. Carpenter's Compound Fluid Extract of Sarsaparilla, i doz One table-spoonful of this extract added to a pint of water, in- stantly produces the Lisbon diet drink of the usual strength. It is particularly recommended to the faculty as an active prepara- tion of sarsaparilla, and for its convenience and portability. CAUTION. The reputation and demand for this article has induced base imitations of it, against which the faculty should be on their guard. Caustic, Potass. ..... i Used externally as an escharotic. 2G 250 Catalogue of Medicines lb. oz. Cantharides ..... 4 Internally, stimulant and diuretic ; and externally rubefacient and epispatic, dose 1 to 3 grains. Conserv. Rosarum, ----- 4 As a vehicle for other remedies. Elaterium, (Clutterbuck,) - - - - £ Dose 1-8 to 1-4 grain. Flor. Chamomile, ----- 4 Aromatic and emenagogue, dose, in infusion, from 2 scruples to 2 drachms. Fol. Senna Alexandria, - Purgative, 2 drachms to 1 ounce, in infusion. Fol. Digitalis. ..... 2 Diuretic and sedative, dose 1 to 5 grains. Fol. Uva Ursi, ..... l Astringent and diuretic, dose 1 scruple to 1 drachm two or three times a day. Fol. Sabina, ...... A powerful stimulant, with diaphoretic, emenagogue and anthel- mintic properties, dose 5 to 10 grains two or three times a day. Opium, ...... 4 Narcotic, anodyne and sudorific, dose ^ to 3 grains. Manna, Flake, ..... 4 Laxative, dose for children 1 to 4 drachms, adults 1 to 2 ounces. Camphor, - - - - - - 5 Sedative, vermifuge and sudorific, dose 2 to 20 grains suspended in emulsion. Gum Myrrh, Pulv. - - - - - 2 Tonic, vermifuge, emenagogue and stimulant, scarcely used except externally, dose 15 to 30 grains. Gum Assafcetida, - - - '. 3 Antispasmodic, dose 12 to 30 grains; in enema £ drachm. Gum Guaiac, ...... 4 Sudorific and antisyphililic, in gout, rheumatism, syphilis, &c, dose 2 to 1 drachm in powder ; tincture. 1 drachm to 1-2 ounce. For a Country Physician. lb. Gum Aloes, ...... Drastic purgative, dose 5 to 30 grains. Cum Ammoniac, ..... Stimulant and expectorant, dose (5 to 20 grains in emulsion. Gum Kino, -..,.. Tonic, astringent and febrifuge, tincture £ to 1 drachm; powder 15 to 30 grains. Gum Gamboge, ..... Drastic purgative, in passive dropsy, chronic jaundice, vermes, &c, dose 5 to 15 grains. Gum Scammony, - - - - Drastic purgative, dose 5 to 20 grains. This is the Alleppo scam- mony, the Symrna is very inferior, and should not be used. Gum Arabic, ..... Demulcent and pectoral, dose £ to 1 ounce. Glyster Pipes, - - - - i doz. Hydriodat Potass, - - - - - See the remarks on this article and Iodine in a preceding part of this work. Iodine, ...... Kermes Mineral, ..... Diaphoretic, expectorant and emetic, dose 1 to 2 grains. Patent Lint, - Magnesia, Calcined, . . - - Antacid and purgative, dose 1 to 2 drachms. Oleum Olivarum, . . - 1 bot. Purgative, emetic and demulcent, dose £ to 4oz. Oleum Bergamot, . . . • 1 oz. Used in giving fragrance to cologue water and other articles. Oleum Lemon. - - - - - Used the same. Olem Ricini, - . - 2 bot. Purgative, dose 3ij to gij. 252 Catalogue of Medicines lb. oz. Oleum Cinnamon, ..,..] Stimulant, cordial, dose 2 to 5 drops. Oleum Caryophilli, v 1 Tonic, stomachic, and emenagogue, dose 5 to 10 drops. Oleum Carui ...... 1 Stimulant and carminative, used as an adjunct to purgative pills, dose 1 to 10 drops. Oleum Juniper, ----- 1 Carminative, diaphoretic and diuretic, dose from 2 to 10 drops. It is sometimes given in dropsy, and may be added to foxglove when given in pills. Oleum Lavender, - - ... 1 Stimulant and cordial, dose 1 to 4 drops. Oleum Sabina, ..... 1 Stimulant, diaphoretic and emenagogue,,dose from2to 6 drops. Oleum Wormseed, ..... 1 Anthelmintic, 10 to 20 drops. Oleum Menth. Pip. .... 1 Stimulant and carminative, dose 1 to 3 drops. Oleum Sassafras, ..... l Stimulant, sudorific, and diuretic, in chronic rheumatism and cu- taneous affections, dose 2 to 10 drops. Oleum Croton Tig. ... l vial. Purgative, 1 to 2 drops. See full account of it in a preceding part of this work. Oil of Black Pepper, ... l vial. This is much more active than the piperine, one drop of which is equal to 3 grains of the latter. It is a valuable adjunct to qui- nine, 1 or 2 drops added to 6 grains will greatly increase the powers of that medicine. Oil of Amber, rectified, l Stimulant, anti-spasmodic, and rubefacient, dose from 5 to 12 drops. Anniseed, - - - - . 2 Carminative, dose from 5 to 15 drops, For a Country Physician. 253 lb. oz. Merc. Precipit. Alb. ..... 1 Externally, in the form of ointment for cutaneous eruptions. Merc. Precipit. Rub. ..... 4 Escharotic, externally incorporated with cerate or other ointments. Piperine, ...... £ This is highly approved of by the faculty as an adjunct to qui- nine in intermittent fevers. For a full and detailed account of this article, see a preceding part of this work. Pill Boxes, .... 2 papers. Pulv. Jalap, ...... 8 Purgative, dose in powder, 15 to 30 grains. Pulv. Rhei, - - - . . 8 Purgative, dose 30 to 40 grains. Pulv. Ipecac. ------ 4 Emetic, purgative, and diaphoretic, dose in powder 15 to 30 grs. Quicksilver, (hydrargyrum) .... 4 Vermifuge, in decoction 1 pound of mercury to 2 pounds of water. Rass. Lig. Quassia, ----- 4 Tonic, stomachic and febrifuge, dose in powder from 1 scruple to 1 drachm, infusion 1 to 2 drachms, tincture half drachm to 1 oz. Rad. Gentian, ------ 8 Bitter, tonic and febrifuge, tincture half to 2 drachms. Rad. Colombo, - - - - - - 1 Stomachic and anti-emetic. Employed in nervous affections of the stomach, dose half drachm to 1 ounce. Rad. Colombo Pulv. ----- 8 Rad. Serpentaria, - -.. - - - 4 Tonic, febrifuge, and diaphoretic, dose from 1 to 2 drachms in infusion. Rad. Seneka, ----- 4 Stimulant, expectorant, and diaphoretic, dose, decoction, half to 1 ounce ; powder 10 grains to half drachm. Rad. Spigelia, - - - - Vermifuge, dose 2 to 4 drachms in infusion. 254 Catalogue of Medicines lb. oz. Sarsaparilla, - - - n. - 1 Sudorific, in syphilis, diseases of the skin, gout, and rheumatism ; dose, decoction 1 to 2 ounces ; the fluid extract is the best prepa- ration, see a preceding part of this work. Rad, Scilla, ..... 4 Diuretic, emetic, and expectorant, in dropsies, fyc. dose from 4 to 12 grains, oxymel and syrup, 2 drachms to half an ounce. Rad. Glycynhiza, ..... 8 Mild demulcent, in decoctions generally, and joined to other re- medies. Rad. Valerian, ------ 4 Anti-spasmodic, tincture 25 to 60 drops, dose> in powder 20 to 30 grains. Sponge, fine, ------ 2 Sem. Fceniculi, ------ 4 Carminative, used with senna and other purgative medicines. Sem. Anisi, . . . - . . . 4 Used same as the above. Sulphate Quinine, i Tonic and febrifuge, dose 1 to 5 grains. Compound Syrup of Hepatica, - - % doz. This is a valuable tonic and expectorant medicine, and will be highly useful in most cases of pulmonic and hepatic affections. For a full aqeosnt of this article see a preceding part of this work. Sup. Carb. Soda, - - - - . 4 Stimulant, diuretic, and sudorific, dose 20 to 40 grains. Sapo. Castile, - . - . . .'4 Aperative and dissolvent, used as an adjunct to aloes and other purgatives in pills, externally in fomentations, lotions and baths. Sulph. Zinci. -----., Dose 1 to 5 grains, externally in solution. Sulph. Copper,' . . E-xtornally in solution. For a Country Physician. 255 Spermaceti, Demulcent, emollient, dose 1-2 to 1 drachm in the form of emul- sion, externally in the composition of several ointments. Salts, Glauber ..... ----Epsom ..... Purgative, 1 1-2 to 2 ounces. Sal. Tartar, (Sub. Carb. Potass.) Deobstruent, diuretic and antacid, used in saline draughts neu- tralised with lemon juice. Sal. Rochelle, ...... Purgative, 1-2 to 2 ounces. Sal. Soda, (sub. carb.) ..... Antacid, diuretic, dose 10 to 20 grains. Sal. Ammonia, (muriate,) .... Diaphoretic, diuretic, febrifuge and tonic, dose 10 grains to 2 scru- ples, externally discutient. Sal. Nitri, --.... Refrigerent and diuretic, and when externally applied, cooling and detergent; dose 10 to 15 grains. Sal. Martis, ---... Tonic and febrifuge, dose from 1 scruple to half a drachm in so- lution or pills. Sac. Saturni, - - - . . Styptic and anti-sudorific, externally 2 drachms to 1 ounce in a pound of water, internally, 1 grain ih pills or solution. Sulph. Potass, ---... Purgative, dose half to 2 ounces in water. Ung. Merc. Fort. ..... Externally applied. Ung. Citrini, ...... Externally applied, stimulating and detergent in hepatic and other cutaneoufe eruptions. lb. oz. l 256 Catalogue of Medicines Carpenter's Compound Fluid Extract of Spigelia, i dot. .This will be found a very convenient article for the practitioner, and can be administered without difficulty to children, the dose being small and not unpleasant. It will be found one of the most efficient vermifuges yet introduced. Carpenter's Compound of Sarsaparilla, Cubebs and Copaiva, . - - - 4 doz. An efficient remedy in gonorrhea, gleets, strictures, Sec. Carpenter's Oil of Cantharidin, - - 2 vials. This will be found a very convenient article for children, it pro- duces speedy vesication by rubbing a„drop or two on the part. Carpenter's Compound Extract of Boneset, \ doz. A valuable tonic and febrifuge in fevers. Carpenter's Compound Cerate of Copaiva, \ doz. This will be found one of the most efficient remedies in anthrax, and burns, and as a soothing and healing application to all ulcer- ated surfaces. Carpentei's Saratoga Powders, - - i doz This is a valuable medicine where the stomach is debilitated, and ordinary medicines cannot be retained. Ii is much preferable to •the Seidlitz Powders, being equally aperient, and at the same time possessing valuable tonic and chalybeate effects. Carpenter's Compound Extract of Buchu. 2 bot. This is a new article highly valuable in diseases of the bladder. It is recommjfcded by soaie i.f the most distinguished physicians iri the English Medical Journals. For a full account of it see a prece- ding part of this work. Composition Mortar and Pestle, - - - No. 1 Glass Funnel, - "1 Graduated Measure, - - - - "1 Scales and Weights, - - - - l set. Spatluas, different sizes, - - - - "2 Sheep Skin, ..... "1 Syringes, Penis, - - - - . - "6 257 For a Country Physician. Syringes, Female, Ho. Enema, pint, Stomach Tube, elastic, - Scarificator, Cupping Glasses, - Thumb Lancets, - Catheters, elastic, Bougies, Pocket Case of Instruments, Teeth Extracters, in case, Breast Pipe, Nipple Shells, Quart Specie Bottles, Do. 'Tinctures, Pint Species, Do. Tinctures, - Half pint Salt mo. Do. Tinctures, 4 oz. Tinctures, - Wrapping Paper, blue and white, Assorted Vials, Vial Corks, The following articles can always be had at Carpenter's Chemi- cal Warehouse, and are frequently wanted by the physiciam. who has become established in successful practice. French Skeletons on Wires—male and female. These are very superior, the bones are white as snow, the teeth perfect, and put together in the most neat and substantial manner, and with the greatest anatomical precision. Arterial Preparations. Very complete arteries and veins injected, and muscles displayed. Dissected Heads and separated Craniums. 2H ■ « 3 " 1 " 1 " 1 " 6 tt 2 " 6 " 6 - 1 set. - 1 do. - No. 1 - " 4 ■ " 12 " 12 " 12 - " 12 - " 6 - " 6 - " 6 - qrsi: 3 - gross. ^ . do. 1 258 Catalogue of Instruments, 6fc. Heads sawed in various ways. Ditto, with Dr. Gall's phrenological marks, illustrating his sys- tem of Phrenology, and referring by numbers to his work. French Anatomical Preparations, preserved in alcohol. Superior Skeletons unwired perfect from 10 to 20 dollars, ac- cording to quality. G. W. C. always keeps on hand a large assortment of London and American Surgical Instruments of all descriptions, of the most superior quality. He will also at any time have made to order, any description of surgical instruments which may be wanted. Very superior sets of Cupping Instruments, in mahogany cases with exhausting syringes, &c. They are now in general use in this city, and are much preferable to the ordinary mode of cupping. Pill Machines, to make from 12 to 24 pills, and size from 1 to 4 grains. They will be found a very convenient and highly use- ful article for the physician who has a large practice. Superior French Syringes of every description, for the ear and eye ; Penis, Female, Enema, Stomach Pumps, &c. &c. These are made of block tin, and are much superior to the pewter syringes; they are made very true, being bored and turned, instead of cast; and work as true as an air pump. Eye Glasses, to wash the eye without the necessity of bathing it with a cloth, which frequently irritates, and only has access to the exterior. 25 cents each. Very neat small cases for filing, plugging, and scaling the teeth. Obstetrical Models, or machines of leather, with mannakin, complete, for illustrating the practice of obstetrics. Obstetrical instruments of every description, all complete and of the best quality. Splints for the thigh, each aim, and legs, all complete. For a Country Physician. 259 Amesbury's Apparatus for Fractures of the Leg and Thigh. Vaccine Virus Bottles for preserving the virus. Having made arrangements with one of the Vaccine Physicians of this city, physicians in the country will be supplied with fresh virus, by application to the subscriber, on the lowest terms. "Having made preparations particularly for supplying physicians in the country, they can at all times depend upon receiving every article carefully selected, of the choicest and most unexception- able quality, and their orders will receive the most prompt and particular attention." Breast Pumps in mahogany boxes, with stop-cocks. Silver-eye Syringes in boxes, with gold and silver probes. Brass Injecting Syringes for anatomical preparations. Brass and Block-tin self-injecting Syringes, with elastic tubes ; a very superior and neat article. Very superior Block-tin Enema syringes. Quart, pint, half pint, 4 and 2 oz. These are much superior to the common pew- ter syringes usually sold, and are the kind recommended by Pro- fessor Dewees in his practice of medicine. Stethescopes of various patterns and sizes; mounted with ivory and plain. Elastic Enema Syringes. Do. Penis Syringes, a new article ; the injection liquid can be carried in the syringe. Minum Measure, a very convenient article to measure drops. Superior Silver Lancet cases, for 2 and 4 Lancets. Medical Spoons, to administer remedies to children. Bleeding Vessels, graduated from 1 to 16 oz ; a very useful and convenient article. Suspensary Bandages, silk and cotton. Evans's genuine Lancets, a very superior article. Medical Saddle Bags, for the country practitioner. 260 Catalogue of Instruments, tyc.for a Country Physician. Fine Bleached Sponge, a very superior article for surgical use. Porcelain and Human Teeth, very superior, and imported to order from France, and kept constantly on hand. The human teeth are in bottles containing eight teeth of the front upper row. Gold, Silver and Tin Foil for plugging. Materials and apparatus for the manufacture of porcelain teeth. ©AfAMWl OF SURGICAL, INSTRUMENTS Used in Practice, fyc It will no doubt be interesting to the practitioner to have a list of the surgical instruments now in use, with a description of the contents of the different sets and cases, which are put up under various names. Lythotomy. In a neat mahogany case, containing the following instruments: Dr. Physic's Gorget, with 6 blades of different sizes. 4 pair Forceps, different sizes 4 Male Sounds, 4 Male Staffs, 1 Female Sound, 1 ------- Staff, 1 Scoop, 1 Hamula, 1 Scalpel, 1 pair of Forceps, with a screw for breaking stone Amputating. In a neat mahogany case, containing the following: 1 Capital Saw, 1 Metacarpal do. 262 Catalogue of Surgical Instruments. 2 Capital Knives, 1 Catline Knife, 1 pair Artery Forceps, with slider, 1 Scalpel, steel handle, 1 pair Bone Nippers, 1 Tourniquet, 12 Curved Needles, 1 Tenaculum. Trepanning. In a neat mahogany case, containing the following: 2 Trephines, 1 Elevator, 1 Hey's Saw, 1 Scalpel, with Raspiter, 1 Brush. Midwifery. In a neat leather case, containing the following; 1 pair Forceps, 1 Vectis, 1 Crotchet, 1 Perforating Scissors, 1 Blunt Hook. Dissecting. In a neat mahogany or morocco case, containing the following; 6 Scalpels, 1 Single Hook, 1 Double hook with a joint, Catalogue of Surgical Instruments. 263 1 pair Forceps, 1 Silver Blow Pipe, 1 pair Scissors. Pocket Instruments. JSo. 1, or fourfold. In a neat morrocco case with a lock,containing the following: 1 pair crooked Scissors, 1 ---- straight do. 1 ---- Dressing Forceps, 1 ---- Dissecting do. 1 Director, 1 Spatula, 2 Silver Probes, 1 Tonsil Forceps, 1 Curved probe-pointed Bistouryj 1 Large Scalpel,1 1 Gum Lancet, 1 Abscess Lancet^ 1 Tenaculum, 1 Small Scalpel, 1 Straight Spear Bistoury, 1 Silver Female Catheter, 1 Physic's Forceps and Needlej 6 Curved Needles, 1 Thumb Lancet, 1 Physic's Guarded Bistoury, 1 Seaton Needle. Pocket Instruments. No. 2, or threefold. In a neat morocco case with a lock, containing the following: 1 pair crooked Scissors, 1 ---- Dressing Forceps, 264 Catalogue of Surgical Instruments. 1 pair Dissecting do. 1 Director, 1 Spatula, 2 Probes, 1 Tonsil Forceps, 1 Curved probe-point Bistoury, 1 Straight Spear do. 1 Large Scalpel, 1 Tenaculum, 1 Abscess Lancet, 1 Gum do. 1 Thumb do. 6 Curved Needles. Pocket Instruments. No. 3, or twofold* In a neat morrocco case with a lock, containing 1 large Scalpel, 1 pair straight Scissors, 1 Curved Spear Bistoury, 2 Probes, 1 Tenaculum, 1 Spatula, 1 Pair Dressing Forceps, 1 Director, 1 Gum Lancet, 1 Thumb Lancet, 6 Curved Needles. Eye Instruments. In a neat case, containing 3 Knives, 1 Iris Knife, Catalogue of Surgical Instruments. 265 2 Needles, curved and straight, 1 Curette and Hook, 1 silver Speculum, 1 pair Forceps, 1 ----Curved Scissors. Phlebotomy. Silver Spring Lancets, button-trigger, Do. do. do. lever, Brass do. do. do. ----Horse do. do. German silver Spring Lancets, a neat and cheap article. Thumb Lancets, Lancet Phlemes. Cupping. In a neat mahogany case, containing 6 Glass Cups with brass caps and valves, and a Breast Glass for exhausting the breast, 1 Brass Pump or Exhauster, 1 *Scarificator, improved. * Or with German scarificator. Cupping. In a neat mahogany case. 6 Glass or Horn Cups, with stop cocks and breast glass, 1 *Scarificator, improved, 1 Brass Pump, or Exhauster, * Or with German scarificator. 21 266 Catalogue of Surgical Instruments. Pessaries. Doctor Dewees's silver gilt, do. do. plain, do. flexible metallic, do. ivory, do. wood, Gum Elastic, Glass Pessaries, a new article, and recommended by Professor Dewees. Teeth Extractors. In a neat morocco case, containing the following : 1 Foxe's Key, spring bolt, 1 Curved Forceps, double joints, 1 Straight do. do. 1 Tooth Punch, 1 Gum Lancet. Any other key can be substituted for Foxe's, if desired, but it is decidedly the best for extracting teeth generally. Instruments for scaling and plugging the teeth, in neat morocco cases, containing 12 Scalers and Borers, assorted. Also cases of six do. / These are very neat instruments, and are much used, the price being very low. Teeth Instruments. Hinge Fulcrum Key, with a spring bolt, ivory handle, Do. do. ebony do. Catalogue of Surgical Instruments. 267 Dr. Foxe's Key, spring-bolt, ivory handle, Do. ebony do. Dr. Clarke's improved Spring Key, with a pivot, ivory handle, Do. do. do. ebony do. Curved Turn Key with a pivot, Plain Fox's Key, ebony handle, Curved Common Key, Straight do. do. Curved Forceps, double joints, Straight do. do. Hawk's Bill do. do. Pelican — do. do. Forceps, common joints, Curved Tooth Punches, Straight do. do. Tooth Files, Gum Lancets. Trusses. Eberle's ivory patent, Do. do. double, Do. wood do. Do. do. do. Ivory Turnpads, Do. do. double, Wood do. Do. do. double, Leather do. Do. do. double, Plain Ivory Turnpads Do. do. double, 268 Catalogue of Surgical Instruments. Opposite sided do. Do, do. double, Bellows Head do. Do. do. double, Common spring Turnpads, Do. do. double, Children's do. Do. do. double, Umbilical, Suspensory. Catheters and Bougies. Silver Male, Do. Female, Flexible Metallic Male, Do. do. Female, Gum Elastic Male, ---------- Bougies, Flexible Metallic do. Rectum Catheters and Bougies. Miscellaneous. Curved Trochars, for bladders, Straight do. Lancet-pointed, Do. do. Angular, Polypus Forceps, Double Canulas, for extracting polypi, Tubes for Tracheotomy, Dr. J. K. Mitchell's Spine Apparatus, Do. do. with improved chair, Bulloeg's Sound, Catalogue of Surgical Instruments. 269 Bullet Forceps, Doctor Physic's Tonsil Instrument, Scarificator for Tonsils, Dewees's Obstetrical Forceps, Heighton's do. do. Boudelocque's do. do. Hall's do. do. Davis's do. do. Seabold's do. do. Improved Breast Glasses and Pump, in case, Syringe and Elastic Tube for extracting poison from stomach, Doctor Bond's Oesophagus Forceps, Stethoscopes, Cooper's Bistoury, Doctor Physick's Guarded Bistoury, Improved Womb Syringes, in cases, Do. Ear do. Hare-Lip Pins, Silver Lachrymal Pins, Probangs. In addition to the above, the author will have made to order any description of instruments used in the practice of surgery. CATALOGUE OF PREPARATIONS, On hand, and furnished at Carpenter's Chemical Warehouse. ------:o;------ Preparation of the adult, entire, exhibiting the muscular and ner- vous systems, arterial and venous circulation, with the heart in situ. Do. of different ages, from the adult to the fetus. Do. of the adult, muscular and nervous. Do. do. muscular, nervous and arterial. Do. of the head, showing the sinuses of the dura mater, tentorium, and all the preservable parts of the head and its appendages, as the submaxillary and parotid glands. Do. of half of the head, showing the encephalic circula- tion, duct of Steno, and parts pertaining to the section of the head. Do. of the trunk, with the heart, diaphragm, kidneys, and bladder in natural situation, connected by the ure- ters, rectum, uterus in the female, thoracic and ab- dominal nerves, superior and inferior mesenteric ar- teries, entire. Catalogue of Anatomical Preparations. 271 Preparation of a section of the thorax and abdomen, showing the vena azygos, thoracic duct, splanchnic nerves, and the intercostal nerves, arteries and veins. Do. of the hand or foot injected with mercury, showing the dermoid vessels minutely. Do. of the penis, showing the corpora cavernosa, corpus spongiosum uiethras, glands penis, vena magna ipsius, with the arteries attached. Do. of the young subject, showing the circulation of the fetus in utero. Do. of the upper and lower extremities, muscular and nervous. Do. do. do. do. and arterial. Do* do. do. do. and venous. Do. of the adult heart, with the vessels connected Do. fetal do. Do. of the stomach, showing the cardiac and pyloric ori- fices, with and without the duodenum attached. Do. of entire or separate portions of intestines, exhibiting the arterial and venous circulation. Do. of larynx, trachea, pharynx, and oesophagus attached, chordee vocales and thyroid gland. Do. of the testicle injected with mercury. Do. of the placenta, showing its circulation. Do. of the side view of the pelvis, showing the penis, blad- der, rectum, and vesicular seminales. Do. of the ligaments, either of the whole subject, superior or inferior extremities. Do. of the pelvis ligamentous, with the fetal head, for the study of midwifery. These, with many other anatomical preparations not mentioned J72 Catalogue of Anatomical Preparations. in the list will be furnished, carefully put up, and sent to any part of the country. They are prepared in such a manner that insects will not touch them, and they will retain their perfect state and beauty for years. Every part of the preparation is retained in its natural situation, in order that it may not only serve as a guide to the surgeon, but for the student of anatomy. THE FOLLOWING IS A LIST OF ARTICLES Which should be purchased by a AT THE OUTSET OF HIS BUSINESS. The quantities to be proportioned according to his location and extent of the business anticipated. Antimony Tartrate, " crude " pulv. " Sulph. Aur. " Glass of Alcohol, 36 deg. Aqua Fortis iEthiop's Mineral Arsenic, white pulv. " Fowler's solution Ammo. Carbon. Acid, Benzoic " Citric " Muriatic " Nitric " Oxalic " Pyroligneous " Tartaric, in crystals " " pulv. " " Prussic ■ .Ether, Sulphuric " Nitrous Aqua Ammo. Anodyne, Hoffman's Arrow Root, Bermuda Argent. Nit. Blue Pill, Eng. Blacking, Paste Bole Armenia Borax, refined » Borax, prude Brimstone, roll " flour Bac. Juniper " Lauri " Cubebs Bismuth, oxide " metallic Blood Root Bees' Wax Bed pans, earthen " pewter Burgundy Pitch Barbadoes Tar Balsam Copaiva Balsam Sulphur " , Peru " Tolu Black Drop Cantharides " pulv. Cobalt " pulv. Cayenne, American " African Cera alb. Caustic Potash Cream Tartar pulv. Creta Ppt. Cort. Peru flav. " " " pulv. " " rub. " " " pulv. Canella alb. Cascarilla Coit. Anchusa " Angustura " Sassafras " Aurant. " " ground Cochineal Cowage down Castor Fib. Colocynth pulv. Cloves Court Plaster Silk paper Coc. Ind. Corros. Sub. Charcoal pulv. Corks, vial " bottle common " " velvet Chlorine Tooth Wash Dragon's Biood Dover's Powders Essence of Sprute, for beer " Rose Ens. Veneris Ergot 2k Emp. Epispastic " Hydrargyri " Roborans " Saponis " Adhesive, superior " Diac. cum Gum " " Simple . Extract of Jalap Logwood Butternut Hyosciami Gentian " Belladona " Taraxici Rhubarb Valerian Rhatania Balsam Copaiva Cicuta Glycy. opt. " refined Flowers of Roses " Chamomile " Lavender " Althea French Chalk Fol. Anthos " Digitales " Senna Alex, best " " India opt. " Uva Ursi Gum Thus " Hemlock " Tragacanth " Galbanum " strained " Arabic, Turkey " " India " Scammony, Aleppo '" Smyrna " Gamboge " Opium " Camphor " Myrrh, opt. Turkey 27 4 List of Articles for a Druggist. Gum Myrrh, India " Assaf'cetida, best " Boiz.,ic " Kino " Ammo. opt. " Guiac. " ,M;istic " Aloes Ginger Root " " powdered " " Jamaica Glyster Pipes llarmwgate Salts Hord. Pearl Honey Lint, English Lemon Syrup, opt. Isinglass, Kussia Sheet " American Iodine Ivory Syringes Iceland Moss Morphine Musk Magnesia Carb. " calcined Manna, Flake '" small " " sorts Nux Vomica Oat Meal Orris Root, opt. " " pulv. Otto Rose, pure Oil Anniseed " Wormwood " Cubebs " Valerian " Copaiva " Peppermint " Wormseed " Savine " Fennel " Almonds " Olives " Lemon, pure " Bergamot, pure " Ricini opt. " Cassia " " Lavender, spike «s " garden " Juniper " " Origanum, pure « Anthos " '< Carraway " '-. Cloves " « Spearmint « Wintergreen « Tanzy " Pulegi « Amber, rectified « Spruce ec Hemlock « Fir « Croton in vials « Orange « Sassafras » Linseed Pocket Lights Precipitate, Red Phosphate of Iron Qua-sia Wood, rasped Quicksilver Rad. Gentian " " pulv. " Colombo India " " pulv. " Ipecac. " " pulv. Rad. Rhei India, opt. " " " pulv. " Gallangal " Hiliebure " " pulv. " Glycy. " Scillse " Strp. Verg. " Seneka " Spigelia, roots only " " with stalks and leaves " Jalap, pulv. " Curcuma ground " Sarsaparilla " Colchicum " Anchusa Saunders Wood ground Sponge, coarse " fine bleached Sem. Cardamom " Colchicum " Chenapodii " Fennel " Annis " Coriander " Fenugric " Sinapis Carui Sal. Martis, real " Succini " Nitre, refined " Diuretic " Absynth « Tartar " Ammo. Ind. « " English " Soda " Rochelle " " pulv. " Glaub. " Epsom Sugar of Lead, white tup. Carb. Soda " " " pulv. Sulph. Quinine, Sperm Ceti Soda Powders Seidlitz Powders Sago Slippery Elm Bark Spirits of Tar Sjringes, P. P. " female " 1 oz. " 2oz. " 10 oz. " 16 oz. " self 24 oz. in boxes « " 16 oz " " " 10 oz " « « 6 oz " Spatulas, from 3 to 12 inch assorted Trusses, common " patent, several kinds Tin Foil Tartar Vitriol Tamarinds Tonqua Beans Turpeth Mineral Tincture Mur. Iron Ung. Althea " Stramonium '; Baziiicon " Merc. Fort. " " " Mit. •' Citron " Simplex " Carb. Zinci. Wafers, opt. " " 2d. Wash Balls Windsor Soap, F.ng. While Vitriol crystallized. BRUSHES. Extra Fine Ground Paint Brushes, assorted from No. 7 to 0000 Common Faint Brushes, as- sorted from No. 5 to 00 Sash Tools, assorted from No. 1 to 8 Oval Varnish Brushes, assort- ed from No. 6 to 1 Flat Badgers' Brushes, in knots, assorted from No. lto4 Thick Flat Badger, in tin, assorted from 1 to 4 inch Flat Camels' Hair in tin, as- sorted from J to 4 inch Thick Plat Bristle Varnish in tin, assorted from No. 1 to 8 Fine Bristle Grainers, assort- ed from 1J to 4 inch Veining Brushes, assorted from No. 1 to 4 Artists' Fine Pencils, 6 sizes bound in silver wire, 6 sizes bound in brass, 6 sizes bound in' thread, 8 sizes flat in tubes Sable Pencils, flat and round tubes assorted " " Long and Short Red " " Black in quills Camels' Hair Pencils long & short, assorted Camels' Hair Pencils, goose quills single Camels' Hair Pencils, goose quills assorted Camels' Hair Pencils, Swan " " " Duck " " " Crow " " " Pigeon Gilders' Tips, Badgers' hair ''• " Camels' u\ Redding Brushes Tar Brushes, short handle " " long " Sprinkling Brushes, No. 1, 2,3, Masons' Colouring Brushes, No. 1, 2, 3 Flesh Brushes, assorted from No. 1 to 8 Tooth Brushes from 3 to 5 row'd " " 3 " solid back H " Crystals, English « " " French Aqua Rosse, opt. in pint bottles Antimony, Golden Sulphur, pure Ammonia, Nitrate of, pure Aventurihe, white " yellow Acidulated Lemon Drops, Lofdon, 5 and 10 lb. cans " " " Jib. cans " Rose, 5 and 10 lb. " " " Jib. « Asbestos, in J lb. boxes Bird Lime, 1 lb. pots Bolus Knives, cocoa handles, (best steel,) from 34 to 12 inch blades Boxes, Pill, (card,) London " Tooth Powder, No. 1,2,3, (white wood) assorted, labelled, and varnished, Lon- don made and well seasoned " Lip Salve, No. 1 and 2 Boxes, Steel, Tinder, plain " " " engraved " Pill, glazed paper, white edges gilt " 2 sizes Boxes, Fancy, (6 patterns,) Boxes for Soda Powders, " forSeidlitz " " Phosporus, flat, tin " " round, tin " Plain round paper, 1 oz. " Coloured, French Pill, high and low " White Metal, Shaving " Jeweller's Paper, in nests of 6 " Square Paper, in nests of 6, from 3 to 9 inches long " for single Powder Puffs, embossed paper Bougies, Wax Black Drop, Howit's " " Braithwait't Brome, 1 drachm vials Brucine, do Barytes, pure, " Muriate of " Nitrate of Boule de Mars Bismuth, Metallic " Oxide of, Pelletier's Blow Pipes, to fill Otto Rose Vials Beans, St. Ignatius, or Feve St. Ignace " Tonqua Brushes, London Tooth, common, silver wire, " " " Trepanned " " " marked" Youths' and Misses'" " for Portrait Painters, Badger's Hair, " " " Martins' " « " Bristles, " " " Camels' Hair, short " " " Camels' Hair, long Bronze, pale List of French and English Chemicals, $c. 295 Bronze, Yellow " White " Crimson " Green Balances, Salter's patent Conf. Senna, l lb. pots o 'i .?Vs*;. Gall. 4lb. pots, Colchici. Vinum. l lb. Wles 1 inoture " Sem. fresh Calcis. Murias, l lb. bottles Cheltenham Salts, efflorescent Court Plaster, black " " pink Corn Rubbers, Prout's, fin ereat «.■,,.»„! «»• VUI i'n bales of ffofKgro Chalk, French, white Cobalt, Oxyde of, pulv. " blue Carmine, in 1 oz. papers " superfine Cochineal Cinchonine Cardamom Seeds, fresh Calomel, London, genuine Dragon's Blood, Reed, superior Delphine, 1 drachm vials Dentists' Composition Leaf Emp. Adhesive, Eng. (linen) " „ " . . " cotton " Hyd. Ammon. " Diachylon " Adhesive Ext. Colocynth. C. " Sarsaparilla, C. One ounce of this extract, added to one quart of water, instantly forms the compound decoction of Sarsapa- rilla, of the London Pharmacopeia. " Hyosciami " Conii, Eng. " Belladona do. " Aconite, do. " Opium, dry, Pelletier's " Angelica " Balsam Copaiva, concent'd. Pelletier's " Black Pepper " Belladona, pure " Nux Vomica, alcoholic " Opium, demorphinized, pure " Toxicodendron " Aloes " Black Hellebore " Cicuta, 1st. and 2d. quality, French " Dandelio, Pelletier's " Fennel " Kahinca, for the dropsy, by Pelletier " Gentian " Jalap " Rhubarb, watery . " Rhatania " Valerian Eau Medicinale de Husson, for the gout Ear Trumpets, of silver and natural shells " " Pointer's patent Gum Elastic *' " double Elaterium, Clutterbuck's " Pelletier's Emetine Essence of Ginger, Oxley's Evaporating dishes, 10 in a set Formulary of the Paris Hospitals, in En- glish, by Ratier " Magendie's in English « " French Flacons, Toilet, painted and gilt porcelain, newest patterns " glass, moulded, assorted forms Flor. Spor. Funnels, Wedgwood, Gum Ammon. Colat. 1 lb. pots Gold Beaters' Skins, London Grains de Same Dr. Frank's, in boxes, Oold, Mu riate of; 2 drachm vials " Oxide of, 1 « « Gum Elastic Bougies " " '? hollow " Catheters " " Rectum Bougies " " Catheters " Pessaries, round ' " « oval " " Seton Tapes « « NjPPle Shields, ., .. " . " and boxwood " " Stomach Tubes " " Bougies, armed " Injection bam " t. " " Philcsophical Apparatus - 285 ----------Medicines, &c. for a Physician - - 244 -----------------------------Druggist - - 273 ------------■----------------Country Storekeeper 277 ----------Surgical Instruments - - - 261 ----------French and English Chemicals - - 294 Caution to Physicians ..... 242 Chlorides of Lime and Soda .... 270 Chamomile - - - . . - 145 Carbonate of Iron ..... 210 Chalybeate Ginger Powders - - . . 214 Index. 311 Cinchona, Adulteration of . . - 61 Calisaya . . . . -53 History of - . . . . 48 ——---Maracaibo . . . . - 77 --------Oblongifolia . . . . 56 --------Loxa - . . . . -55 Cinchonine, Sulphate of .... 59 Cinchona, Precipitated Extract of ... 64 Cinchonine and Quinine .... 199 Citric Acid ...... 151 Citrated Kali ..... 199 Colchicum Root ...... 122 -----------—Wine of .... 123 ---------Seed of - - - - 124 -------------Wine of - - - "! H>- Copaiva Balsam - - - - - - 196 ------Solidified - ., - - - 74 ------Oil of......197 ------Cerate of - - - - 238 Chemicals, Catalogue of - - „ - - - 294 Compound of Sarsaparilla, Cubebs, and Copaiva - 304 Confection, Aromatic Chalybeate - - • 211 Cofigress Powders - - - . Compound Tonic Extract - Cornus Florida - ___________Extract of - 203 204 Circinat. ________Extract Cornine, Sulphate Crenata Diosma, Extract Croton Tiglium 225 200 202 205 203 215 167 312 Index. Croton Tiglium, Oil of - - - - -107 Cubebs, Oil of - - - - - 198 Cyanic Syrup - - - - - - 150 Cyanuret of Potassium - 161 ■■——----:— Zinc • - - - ib. t ' -----Iodine ..... 162 D Delphine - * - - . - - 163 Digitaline - - - - - - 182 Druggist, Catalogue of Medicines, &e. for a - - 273 Diosma Crenata, Extract ? - - - 215 Denarcotized Extract of Opium - - - - 26 -----------Acidulous Tincture of Opium - - 17 Doses of Medicine - . - - 244 E Elm Bark - 146 Emetic, Tartar ...... 210 Emetine ---... 137 —-----Pastiles of - . . - 138 -------Syrup of . . . - 139 Ergot - - . . . - 119 -----Wine of ----- iJ. Eupatorium Perfoliatum - 241 Extract of Bark, Precipitated 65 ■.--------Black Pepper * P . . - 104 --------Buchu, Compound - . . 215 --------Boneset, Compound - - . . 240 ------Compound Tonic .... 200 --------Cornus Florida «... 203 ------■-------- Circjnat - 205 Index. 31 Extract of Mustard . - - - 72 ——- Nux Vomica, alcoholic - . . .131 Tincture of Opii . Denarcotized - Fat Manna 132 26 26 201 Quinine Rhubarb . . . - Sarsaparilla, Compound - . . i8g - Spigelia, Compound . . - 299 Extracts, Vegetable . . . . .240 English and French Chemicals .- , . 294 P 153 Feni Carbonat - . ... . . _ . 211 ----Hydriod- Liquid - 129 Flake Manna - - - - . . 240 Fluid Extract of Buchu - 215 ------------Pink Root .... 299 ----------— Sarsaparilla - . • . - 189 Fol. Senna - . . . . - ]07 Flu Anthen Nob - .... 145 French and English Chemicals, Catalogue of - - 294 Cum Aloes - - . . . 147 ----Ammoniac - - - - , . 14« ----Myrrh. - - - - - . 149 Gentianine - - - . . . 169 ---------Syrup of - - ... - 170 Ginger Powders. Chalybeate - r- - - 214 314 Index. Gold, Pieparations of Hepatica Triloba Syrup Hydriodate of Iron, Liquid - -----------Potass, Solution -----------------Ointment Hydragyri. Mass. H 164 228 129 125 126 109 Iodine -----Tincture -----Ointment Ioduret of Mercury, Proto Deuto Ointment of Pills of - Ointment of Tinct. 0f Sulph. ^Eth. Pills of - Iron, Hydriodate Liquor of * lodo Hydrargyrate of Potassium Iodide of Lead Iodine, Cyanurete of - Iron, Carbonate of Instruments, Surgical, Catalogue of K Kali, Citrated - L Lead, Iodide Lime, Chloride - 124 125 127 127 128 129 127 128 ib. 128 ib. 129 130 131 162 211 261 131 173 Index. 315 Liquid Chloride of Soda Liquor Ferri Hydriod Liverwort, Compound Syrup of Lupuline - --------Pills of - --------Tincture of -- Syrup of M Manna .... Medicines for a Physician, Catalogue of 1---Druggist, do. — ■■------Storekeeper, do. Meloe Vesicat. Mercury, Black Oxide ■-------Experiments on Proto and Deuto lodurets ---------------Ointment Tincture Pills Morphia Solut. Acetate of Moss Irish - Moschus Mixture, Pectoral - Moxa Myrrh, Gum Narcotine Nux Vomica, Extract M Tinct NicotianaTabacum - . - 517 - - 129 - - 228 - - 164 - - 265 - - ib. ■ - 165 _ - 153 ■ - 244 - - 273 - 277 - - 121 ■ - 200 - - 109 - - 127 ■ - 128 - - ib. - ■ 129 30, 33, 136 - - 31 ■ - 83 - - 155 - - 160 - - 155 - - 149 . - 31 • . 131 • . 132 . . 143 316 Index. o Oil of Black Pepper -----Croton ----------- Soap of -----■ Copaiva . ----- Cubebs ------ Cantharidin *- ----- Euphorbia Lathyris ----- Sinapine ----- Tobacco Ointment Hydriod. of Potass --------Iodine ---------Proto Ioduret of Mercury -------- Deuto do do s ---------Iodide of Lead . ---------Veratrine Opium, Turkey . . ■•• * —■-----East India ------English ------Extract of ------Denarcot. Acid. Extract of ---------------------Tincture ------Dr. Hartshorne's Acet'd Tinct. of ------Rezin Coutchouc, Oil and Acid ------Manufacture of . Oxide of Mercury . P Pastiles of Emetine Peruvian Bark Pectoral Mixture . Index Pepper, BIack, Extract of T *----OH of Phosphorus Pill, Hydrarg. PiUsofProtoIoduret of Mercury — Deuto do " Srtychnine Lupuline *------ Veratrine Piperine . Platina. Preparations of Potass, lodo-Hydrargyrate, Solut. of ------Hydriod Solut . _"--------------Ointment —-----Cyanuret Poppy, Cultivation of Preface to the 1st Edition -------------2nd Edition^ Prussic Acid Pyroligneous Acid Piper Cubeba, Oil of Powders, Chalybeate Ginger ------- Saratoga --------Bedford Spring Physicians, Caution to -------- Catalogue of Medicines for Preparations, Anatomical, Catalogue of Pink Root, Compound Extract of . Q Quinine, Sulphate —-—■ ■■•'.- Extract 317 . 104 105, 195 183 109 129 128 132 165 144 92 164 130 125 126 161 38 5 11 159 157 198 215 225 306 224 244 270 299 62 20J 318 Index. Rhubarbine - Rhubarb, Syrup of - --------Extract of Rheum - Red Bark .... s Salacine - Saratoga Powders Sarsaparilla ..... ---------Compound Fluid Extract of - ---------Cubebs and Copaiva, Compound of Scammony .... Senna Secale Cornutum - ---------------Wine of *. ^ Selection of Peruvian Bark ^^ Sinapine, Oil of Solidified Copaiva Socotrine Aloes Soda Chloruret Soda, Chloride Liquid Soda Lozenges Soap of Oil of Croton . Solanine .... Solution Hydriodate of Potass. -------lodo. Hydrargyrate of Potass Slippery Elm Bark Spigelia, Compound Extract of Spanish Flies Stramonii, Sem. Extract . 81 89 90 150 56 Index. Strychnine --------- Pills of Tincture of Sulphate of Quinine . ---------Rhubarb Surgical Instruments, Catalogue of Syrup of Liverwort - Emetine ------- Cyanic ------- Lupuline ■"■ Gentianine 319 132 ib- 134 62 87 261 228 139 162 165 170 Tartar Emetic . Tincture of Deuto and Proto-Iodurets of Mercury --------- Iodine «... --------- Extract Nux Vor^J . ---------Opii Denarcot. ---------Lupuline --------- Opium, Hartshorne's --------- Strychnine --------- Veratrine .... Tiglium Croton .... Tonic Extract Tobacco . u Ulmus Urea 210 128 125 132 27 165 29 134 HI 166 200 143 146' 163 Vegetable Extracts * 210 320 Veratrine . ---------Pills of ---------Tincture of ---------Ointment of Wine of Ergot -<------ Colchicum Root -----------------Seed Index. 140 141 ib. 142 119 123 ib, Zinci Cyanuret 161 ERRATA Pags 939, eleventh line for Dispensatory, read Dispensary. ■• I- *m jty/' 3ft rf* £ -*■- .-* V- ? ^jtesaste^cife