Q.V E4-Tm 1826 '**,» ***!<:■». •'•'i'»*^V V !t '• " - '-**+:■* '»5j aK^psjfc?^ ■.&•>. •"•*-;--V"-.. Wi?** «*- ARMY MEDICAL LIBRARY WASHINGTON Founded 1836 ^^§3B|§^ m ftSHtk t i Section______............. .1. — Number ...^..(^.S»...J. $ A.___ ,1--------_----,----------------------- Fohm 113c, W. D., S. G. O. 3—10643 (Revised June 13, 1936) > T-C / *■»% k THE MEDICAL FORMULARY: BEING A COLLECTION OF PRESCRIPTIONS, DERIVED FROM THE WRITINGS AND PRACTICE OF MANY OF THE MOST EMINENT PHYSICIANS IN AMERICA AND EUROPE. TO WHICH IS ADDED, Containing the usual Dietetic Preparations and Antidotes for Poisons. THE WHOLE ACCOMPANIED WITH A FEW BBIEF PHARMACEUTIC AND MEDICAL OBSERVATIONS. BY BENJAMIN ELLIS, M. D. Lecturer on Pharmacy. " Morbos autem, noa eloquentia sed remediis curari."— Cels. De Med. Lib. I PHILADELPHIA : H. C. CAREY & I. LEA—CHESNUT STREET. 1826. QV \82& EASTERN DISTRICT OP PENNSYLVANIA, to wit. BE IT Remembered, that on the thirteenth day of December, in the fifty- eth j ear of the independence of the United States of America, A. D. 1825, Dens ami* Ellis, M. D. of the said district, hath deposited in this office the title of a book, the right whereof he claims as Author, in the words following, to wit: "The Medical Formulary: being a/collection of Prescriptions, derived from the writings and practice of many of the most eminent Physicians iu America and Europe. To which is added, an Appendix, containing the usual Dietetic Pre- parations and Antidotes for Poisons. The whole accompanied with a few brief Pharmaceutic and Medical observations. By Benjamin Ellis, M. D. Lec- turer on Pharmacy. * Morbos autem, non eloquentia sed remediis curari.'— Cels.De Med. Lib. I." In conformity to the act of the congress of the United States, intituled " An act for the encouragement of learning, by securing the copies of maps, charts, and hooks, to the authors and proprietors of such copies, during the times there- in mentioned."—And also to the act, entitled,*' An act supplementarv to an act entitled ' An act for the encouragement of learning, by securing the copies of maps, charts, and hooks, to the authors and proprietors of such copies during the times therein mentioned,' and extending the benefits thereof to the arts of de- signing, engraving, and etching historical and other prints." , * ..* : D. CALDWELL, l . I Clerk of the Eastern District of Pennsylvania. SKERBETT—LOCUST STREET, PHILADELPHIA. TO N. CHAPMAN, M. D. PROFESSOR OF THE INSTITUTES AND PRACTICE OF PHYSIC AND CLINICAL PRACTICE IN THE UNIVERSITY OF PENNSYLVANIA, etc. etc. WHOSE TALENTS AND URBANITX Have raised him to the first rank in his Profession, and have acquired for him the confidence and esteem OF A LARGE AND ENLIGHTENED COMMUNITY, THIS WORK IS VERY RESPECTFULLY DEDICATED BY HIS OBLIGED FRIEND THE AUTHOR. Philadelphia, Dec. 1825. PREFACE. THE elegant and judicious formation of prescrip- tions is one of the difficulties which the young practi- tioner in medicine is obliged to encounter. While a student, he is compelled from the circumstances under which he is placed, to confine his attention to the leading principles of the science. Consequently the minor points, (and the art of directing medicines* is considered one of them,) are postponed to that period when he shall have undertaken the practical duties of his profession. To obviate in some measure the inconvenience which the graduate at first experiences, the volume now offered to the public was undertaken and ex- ecuted. It contains in a condensed form, and we think advantageously arranged, many of the most important prescriptions employed in modern practice, and which, though most of them may be already recorded, are scattered through various medical works. The arrangement framed by Professor Chapman for his Therapeutics, appearing to combine greater advantages than any other, we have taken the liberty of adopting as the basis of this Formulary. Vl PREFACE. Each class has bepn sub-divided into Powders, Pills, and Liquids; without any attempt to preserve the different preparations of the same article together, but only with a view to convenience. A few concise rules will be found prefixed to each class, and obser- vations have been attached to those prescriptions, which possess peculiarities either in their composition or effects. The application of the remedies to diseases has been left to the judgment of the practitioner, and Therapeutical detail as much as possible avoided, as it would have been inconsistent with the nature and design of the work. The object is to furnish models for extemporaneous formulae, the proportions of which may be either in- creased or diminished, according to the age, sex, con- stitution, or idiosyncracy of the patient, all of which are to be taken into consideration when a prescription is directed, as well as the climate and peculiar epide- mic which may be prevailing. The prescriptions have been couched in the Latin language, and the names of the several articles will be found regularly terminated. To furnish something like a Medical Grammar, was the intention, to those unacquainted with the dead language; and even those versed in the classics, may occasionally find words used in prescriptions which are new to them. A class of Dietetic preparations has been placed in the Appendix No. I. they are written in the English PREFACE. vii lan'guage, and it is hoped they may be found useful in furnishing directions necessary to be given to the nurse. In the Appendix No. II. we have arranged those poisons which are usually taken by accident or de- sign, with their appropriate antidotes and some prac- tical observations. The materials for the work have been collected from various sources, the writings of different authors, periodical journals, manuscripts, and the contributions of our friends. It is hoped, therefore, that the diffi- culties which have attended its progress will form some apology for the errors which it may possibly be found to contain. As a reason for not more frequently attaching the names of authors to the prescriptions, it may be observed, that they are a kind of common medical property which every physician feels himself privileged not only to employ, but modify as may best correspond with his own views. It is therefore diffi- cult to say to whom many of them belong; they have been touched, and re-touched, till they have lost their identity. In conclusion, we beg leave to present our acknow- ledgments to some of our friends for the encourage- ment they have given to the undertaking. To Dr. Chapman we are particularly indebted for the kind- ness and interest he has manifested in its publication, and offer to him, (the only return we can make,) our warmest thanks. It is with particular pleasure we Vlh PREFACE- embrace this opportunity of expressing our obligations to our friend Dr. S. G. Morton, whose intimate ac- quaintance with the subject, and classical knowledge, are only equalled by the kindness and industry he has displayed in facilitating the work. There are others whose names it would gratify us to mention, but who we know will be more pleased by our silence. The countenance they gave us on the present occasion has only increased the debt pre- viously incurred. December, 1825. INTRODUCTION. PREVIOUS to entering upon the main object of this work, it may perhaps be allowable to notice a few circumstances, which, though they appertain more especially to Pharmaceutic Chemistry, appear to be called for in this place; and though they are of course familiar to every physician, still they may be useful to such students as have not yet turned their attention to prescriptions. In the first place, then, it is requisite to be well acquainted with the signs of quantity, or those sym- bolic characters which are used in writing prescrip- tions. In the ancient practice of medicine, there was a vast number of these symbols, not only for the pur- pose of denoting the quantity of the ingredient, but the ingredient itself. Most of these, however, have become obsolete, and a few only are retained, as in- dispensable to the convenience of the practitioner. These will be found in the following table, which is adopted in the Pharmacopoeias for the regulation of weights. English Name. Latin Name. Symbol. Contains. A pound, Libra, ft, 12 ounces. An ounce, Uncia, z, 8 drachms. A drachm, Drachma, 3, 3 scruples. A scruple, Scrupulus, % 20 grains. 8 V INTRODUCTION. In the manipulation of liquid substances, measures have in most countries superseded the use of weights: the table of measures recommended by the London College, gives particular names and symbols to the parts forming a gallon, in order to prevent their be- ing confounded with those denoting weights; as in the following table:— English Name. Latin Name. Symbol. Contains. A gallon, A pint, A fluidounce, A flui drachm, Congius, Octarius, Fluiduncia, Fluidrachma, none, 0, f3. 8 pints. 16 fluidounces. 8 fluidrachms. 60 minims. It has been thought unnecessary in the following pages to prefix the f to the signs of quantity used for liquids, inasmuch as it is not a custom in this coun- try to do so, nor does the omission lead to any ambi- guity in compounding prescriptions. The minims used in the table, have been adopted by the London College in place of drops; but this is a refinement of little practical importance, and the same symbol, (*i,) is sometimes used by medical writers, though very improperly, to denote both the one and the other.* It is true that the size of a drop is varied according to the greater or less fluidity and gravity of the liquid, and the shape of the vessel from which it is dropped; but as a general rule, we cannot do better on these occasions, than use a small phial * It will be well to recollect that "ten minims of any fluid, if measur- ed by the graduated minim measure, will amount to about fifteen drops." INTRODUCTION. xi with a thin edge. Doctor Dorsey observes, that, et whenever great precision is necessary, it is easy to dilute %e active medicine, and give it in form of a mixture." If sixty grains be diffused in six ounces of water, for instance, each half ounce will contain five." Whenever a table-spoonful of any liquid is order- ed, it is considered to be equal to half an ounce by measure; and in the same way a tea-spoonful is used for a drachm: these measures are sufficiently accurate where no great precision is requisite. All the prescriptions contained in this work, are given in the Latin language, without any other ab- breviations than those in common use to denote the quantity of an ingredient. The directions for the ad- ministration of medicines are expressed in English. Prescriptions, as usually sent to the Apothecaries, are much abbreviated, and the same course may be pursued with regard to those contained in this col- lection ; and for the information of students who have not been in the practice of writing prescriptions, a list of the usual abbreviations is subjoined. Xii INTRODUCTION. TABLE OF ABBREVIATIONS. Abbreviation. Latin Word- -------------■-----———- • • m English Word* aa. *Ana, Of each. Aq. Tepid. Aqua Tepid a, Warm water. Aq. Ferv. Aqua Ferventis, Hot water. Chart. Chartula, A small paper. A spoonful. Coch. Cochlear, Coch. Mag. Cochlear Magnum, A table-spoonful. Coch. Parv. Cochlear Parvum, A tea-spoonful. Collyr. Colljrium, An eye-water. Contus. Contusus, Bruised or broken. F. vel Ft. Fiat, vel Fiant, Let there be made. Fol. Folium, vel Folia, A leaf or leaves. Garg. Gargarysma, A gargle. Gr. Granum, vel Grana, A grain, or grains. A drop, or drops. Gtt. Gutta, vel Guttae, Haust. Haustus, A draught.- Infus. Infusum, An infusion. M. Misce, Mix. ■ Mass. Massa, A mass. Mist. Mistura, A mixture. PH. Pilula, vel Pilulae, A pill, or pills. Pulv. Pulvis, vel Pulveres, A po wd er, or po wd er s. Q. S. Quantum Sufficit, A sufficient quantity. R. Recipe, Take. Rad. Radix, A root. S. Signa, Write. Ss. Semi, vel Dimidius, The half. Tine. Tinctura, A tincture. The terms Aqua Fontana, Aqua Fluvialis, and Aqua Fontis, are indiscriminately used in this work to denote common water. The last of the three may be considered somewhat objectionable from its ortho- graphical resemblance to Aqua Fortis. The doses throughout the book are applicable to adult age, unless the contrary is specified. properly a Latin word, but the Greek preposition INTRODUCTION. xiii Finally, the author, in adopting the names of me- dicines, has given those the preference which are in common use among physicians, without regard to the ever-varying nomenclature of modern chemistry; for, as the celebrated Gregory has justly observed, " nefas certe foret nomina mutare quse omnibus in ore sunt, et bene intellecta." CONTENTS. Class I. Emetics -......13 II. Cathartics.......18 Enemata - - - . . 30 III. Diuretics -......32 IV. Anthilitics ------- 37 V. Diaphoretics - - - - . . 41 VI. Expectorants -.....49 Inhalation - - - . $j Fumigation - - - r. . 58 VII. Emmenagogues - - - - , . 59 VIII. Anthelmintics ------ 64 IX. Epispastics ......jq Blisters - ,' - - - - . n,, Setons -.....73 Issues , -.....i0m Escharotics - - > - - . 79 X. Stimulants - - - - - - • . 83 XI. Narcotics.....- - 90 XII. Antispasmodics - - - ' - - - 98 XIII. Sialagogues - - - - - . 102 XIV. Tonics......-107 XV. Astringents - - - - - - 120 Injections -.....126 XVI. Absorbents ......130 Appendix, No. I. Dietetics.....134 II. Poisons > -' - - - 141 Index..... 145 1 CLASS I. EMETICS. IN the administration of Emetics, a few simple rules are worthy of attention. Whatever may be the apparent necessity of emptying the stomach, we must take into consideration all the circumstances of the case, and more particularly if there exists much ar- terial excitement, with determination to the head; for where these symptoms are present, blood-letting should always be premised. Where poisons have been taken, our object is to evacuate the stomach as speedily as possible, and for this purpose we select an emetic, which is prompt in its action. But where the excitability of the stomach is greatly diminished by the action of a Narcotic, it is necessary to assist the emetic by the addition of some excitant. Where such an effect is caused by opium, the system may be generally rendered susceptible by the use of vinegar, mustard, or ammonia. In these cases, however, the stomach-tube is our best resource. Where free vomiting is desirable, it is most effec- tually solicited by plentiful draughts of tepid water or chamomile tea. There are a few cases in which Emetics are obvi- ously inadmissible, as in Apoplexy, or where there is great determination of blood to the head, depend- ing upon constitutional causes ; Pregnancy ; Hernia; Prolapsus Uteri; Active Haemorrhage from the lungs 3 It EMETICS. and uterus, &c. If Emetic medicines are ever allow- able in any one of these diseases, it is in nauseating doses only. By the frequent use of Emetics, the stomach ac- quires an increased susceptibility to their action ; hence persons of delicate habits should use tjiem cau- tiously. POWDERS. Powder of Ipecacuanha. R. Pulveris Ipccacuanhae, 9ij. Divide into two doses.—Signa.—One to be taken in a little molasses, or sugar and water, and followed by a draught of tepid water. If the one powder does not produce the desired eft'ect, the second to be taken in like manner. Powder of Ipecacuanha with Tartarised Antimony. R. Pulveris Ipecacuanhae, 9j. Tartritis Antimonii et Potassae, gr. j. Misce.—To be taken in the same manner as the former. Ipecacuanha is supposed by some to counteract the effects of opium by a specific principle, and hence the above prescription is often used where that drug has been taken. A more prompt emetic, however, will in all cases be preferable to this. Powder of Ipecacuanha with Rhubarb. R. Pulveris Ipecacuanhas. -------Rhei aa. £)j. Misce, et signa.—To be taken in syrup. More or less purging will generally follow the emetic operation of this dose. The above are the principal combinations of ipe- cacuanha for the purpose of vomiting. It fulfils se- EMETICS. 15 veral other indications, which will be noticed un- der their appropriate heads. Powder of Sulphate of Copper. R. Sulphatis cupri, gr. ij. vel x. Signa.—To be given in a little syrup or water. This medicine is seldom employed as an emetic, except in those cases of poisoning where other arti- cles have failed, or are not at hand. It should be fol- lowed by a draught of warm water, but all vegetable astringent infusions are incompatible substances. , Powder of Sulphate of Zinc- R. Sulphatis Zinci, gr. x. vel 3SS' Signa.—To be taken in molasses, and followed by a draught of warm water. This medicine is very prompt in its operation; it is most generally employed in cases of poisoning; it is also used as a nauseating remedy in phthisis; and both as an emetic and tonic in dyspepsia. The sto- mach is said to be invigorated, rather than exhausted by its operation. WINES, MIXTURES, &e. I Vine of Ipecacuanha with Antimony. R. Vini Ipecacuanhas, ^j. Tartritis Antimonii et Potassae, gr. j. Fiat Solutio.—Signa.—A tea-spoonful to be taken every ten or fifteen minutes until vomiting is induced, which may be as- sisted with tepid drinks. Jlntimonial Wine. R. Vini Antimonii, |j. Signa.—A tea-spoonful to be taken every ten or fifteen minutes until free emesis is effected. \ 10 EMETICS. If antimonial wine is given for the purpose of pro- ducing speedy vomiting, we may safely give an ounce of it at once; and, in the croup of infants, a tea-spoon- ful every fifteen minutes, until the medicine operates, is a safe dose. Solution of Tart rite of Antimony. R. Tartritis Antimonii et Potassae, gr. vj. Sacchari Albi, 3j- Aquae Fontis, ^iv. Misce.—Fiat Solutio.—A table-spoonful to be given every ten or fifteen minutes until it operates freely. The wine of antimony possesses no advantage over this extemporaneous prescription; and unless we know the proportion of antimony contained in each ounce of the former, and know also that it has been recently made, the latter is decidedly preferable. Solution of Sulphate of Zinc, fyc. R. Zinci Sulphatis, 3iss. Aluminis, 3ss. Aquae ferventis, Oss. Misce.—Let the solution be filtered through blotting paper___. Signa.—A table-spoonful for adults, and a tea-spoonful for a child of six months old, (and so in proportion to the strength and age of the patient,) every morning upon an empty sto- mach. This is the celebrated solutio vitriolica of Dr. Moseley, who principally employed it in dysentery and phthisis pulmonalis. Mustard Draught R. Pulveris Sinapeos, 3j. Aquae tepidae, Sacchari Albi, 3j- Vini Antimonii, 5ss. Aquae Cinnamomi, 5vj. Fiat mistura.—Signa.—A table-spoonful three or four times a day. This is a stimulating diaphoretic, and will be found serviceable in pectoral diseases, accompanied with an excessive mucous discharge, which appears to depend upon debility of the lungs. Mixture with Camphor, Antimonial Wine, fyc. R. Misturae Camphoratee, 5ss. Aquae Ammoniae Acetatae, ?ss. Vini Antimonii, gtt. xl. Tincturae Opii, gtt. xx. Misce, et Signa.—To be taken at bed-time, or oftener, but in the latter case diminishing the quantity of laudanum. For the prescription for Mistura Camphorata see stimulants. Mixture with Gum Guaiacum, $c. R. Pulveris Gummi Guaiaci, 3ij. -------Nitratis Potassae, 3iss. -------Gummi Arabici, 3j. Tartritis Antimonii, gr. iss. Pulveris Glycyrrhizae, 9j. Aquae Fluvialis, vel Menthee, |viij. Fiatmistura—Signa—A table-spoonful three or four times a DIAPHORETICS. 47 This preparation, if made without the extract of liquorice, is disposed to turn green, which gives it an unpleasant appearance, and alarms the patient some- times so much as to induce him to refrain from it until the physician arrives. Dr. Griffitts has therefore used the liquorice, which he says completely prevents the change of colour. It is employed principally in rheu- matic cases. Solution of Sulphate of Magnesia with Tartar Emetic. Give of this solution a table-spoonful every hour. For the prescription see Cathartics. Solution of the Citrate of Ammonia, fyc. R. Succi Limonis Recenti, 5j. Subcarbonatis Ammoniae, q. s. ad saturandum. Sacchari Albi, 3j. Aquae Fluvialis vel Menthae, 5iv. Fiat Mistura.—Signa.'—A table-spoonful may be taken every two or three hours, pro re nata. This preparation is seldom employed in the prac- tice of this city. It may, however, be beneficially given, where we wish a pleasant stimulating diapho- retic. Infusion of Boneset. R. Eupatorii Perfoliati, 5j. Aquae Bullientis, Oj. hifuse for thirty minutes in a covered vessel. Then decant and take a wine-glassful every hour, till perspiration is freely pro- duced. The infusion must be taken as hot as it can be drunk, otherwise it will be likely to produce vomiting. Decoction of Sarsaparilla, fyc. R. Give of the Compound Decoction of Sarsaparilla a tea-cup fVil four or five times a da v. is DIAPHORETICS. This preparation, the formula for which is to be found in almost any Pharmacopoeia, has long been ce- lebrated in the sequehe of syphilis, and the disease produced by the improper exhibition of mercury. It is also much employed in rheumatism. The rules laid down in the Dispensatories for the preparation of the decoction should be closely observed. Infusion of the Asclepias Decumbens, or Pleurisy Root. R. Radicis Asclepiadis Decumbentis, ±j. Aquae Bullientis, Oiss. Fiat infusum.—Signa.—A tea-cupful to be taken warm, as fre- quently as the stomach will bear it. Professor Chapman observes of this plant—" as a diaphoretic, I think it is distinguished by great cer- tainty and permanency of operation, and has this es- timable property, that it produces its effects without increasing much the force of the circulation, raising the temperature of the surface or creating inquietude and restlessness."—Therapeutics, vol. I. p. 3*7. Decoction of Barley with Nitrate of Potash. ~R. Decocti Hordei, Oj. Nitratis Potassae, 3ij. Succi Limonis, 5j. vel 5ij. Fiat potus—To be used warm by the patient as a common drink. Infusion of Pipsisseway. R. Pyrolee Umbellatae, 5j. Aquae Bullientis, Oj. Fiat infusum.—A tea-cupful every two hours. * For Decoction of Barley see Dietetics. ( 49 ) CLASS VI. EXPECTORANTS. DURING the administration of Expectorants the patient should be kept warm, and, if the complaint be violent, in bed. Experience has proved that free purging is hurt- ful in nearly all pulmonary diseases. Gentle evacua- tions from the bowels, however, are indispensable, and will be found to aid the operation of this class of medicines. POWDERS, PILLS, &c. Powder of Myrrh, Ipecacuanha, fyc. R. Pulveris Myrrhae, gr. xij. Ipecacuanhae, gr. vj. Potassae Nitratis, 3ss. Misce, et divide in doses quatuor.—One to be taken even- fourth hour. A stimulating expectorant.—Paris, Pharma- col gia. Compound Powder of Ipecacuanha. R. Pulveris Doveri, 3SS* Divide in chartulas iij.—Signa.—One, two or three times a day, in sugar and water. This remedy is introduced under the head Diapho- retics, where perhaps it most properly belongs; but it often proves of such decided advantage as an expec- torant, that it also deserves an insertion here. g 9 SJ ON. 0. 50 EXPECTORANTS. Powder xvith Nitrate of Potash, Calomel, Opium, Aquae Fluvialis, 5iv. Fiat solutio, et adde— Tincturae Tolutanae, ^ss. ---------Opii, gtt. xl. vel. 1. A tea-spoonful to a child every two hours, and a pap-spoonful, , (or more,) as frequently to an adult. This preparation is one of great value in pertussis and all spasmodic diseases of the chest. Solution of Gum Ammoniac, fyc. R. Gummi Ammoniaci, 3j- Aquae Fontanae, ^iv. Fiat solutio, et adde— Oxymellis Scillarum, lij. Tincturae Opii Camphoratae, 5ss. A table-spoonful may be given every two hours. This is a stimulating expectorant, and is useful in cases where debility appears to be the principal dis- ease of the lungs. Mixture with Milk of Assafcetida and Acetate of Ammonia. R. Gummi Assaefoetidae, 3SS- Liquoris Ammoniae Acetatis. Aquae Menthae, aa. 5ij. Fiat mistura.—A tea-spoonful to children and a table-spoonful to adults in coughs, pro re nata. The simple solution is frequently employed, and may, in some cases, be found to answer every pur- pose of a more complicated prescription. EXPECTORANTS. 5n Mixture with Balsam Peru, fyr. R. Balsami Peruviani, 3ss. Mucilaginis Acaciae, 3'j- Aquae Cinnamomi. -----Distillatae, aa. ^ss. Misce.—Signa.—To be taken at once, and repeated three or four times a day.—In cases of debilitated lungs. The different Balsams have been almost proscribed from the class of expectorants on account of their sti- mulating qualities. Balsam Copaiva was once em- ployed, and has again been proposed by a modern writer, in diseases of the trachea. The author once used it with great advantage in that peculiar hoarseness which sometimes results from a violent attack of measles. Mixture of Gum Ammoniac and Nitric Acid, vulgo, Nitric Lac Ammoniac. R. Gummi Ammoniaci, 9ijss. Acidi Nitrici, 3V)- Aquae Fontanae, ^viij. Pour the Nitric Acid, and water together, then add the com- pound gradually to the gum, incorporating them well together in a composition mortar. This preparation is strongly recommended in pro- tracted catarrh, and some stages of phthisis pulmo- nalis, by Dr. J. Stuart, author of a treatise on Colds. Mixture of Spermaceti, fyc. R. Spermatis Ceti, 3ij. Sacchari Albi, 3iij. Tincturae Opii Camphoratae, ^ss. Aquae Fluvialis, ^viij. Rub the spermaceti and sugar together with the yolk of an egg, then gradually mix the water.—\ table-spoonful for a dose four or five times a day.—In Catarrh. 56 EXPECTORANT^. Mucilage of Gum Arabic. R. Gummi Acaciae Optimi, 3J. Aquae Fei ventis, 3'iv. Fiat solutio. Used in most pectoral diseases. Infusion of Flaxseed, &■<,. R. Seminum Lini Contus. 5j. Radicis Glycyrrhizae, ^ss- Aquae Bullientis, Oij. Macerate for two or three hours near the fire in a covered ves- sel; strain, and add lemon juice sufficient to make it agree- able. It may be given as a common drink in catarrh. Decoction of Iceland Moss. R. Lichenis Icelandici, ?j. Aquae Fluvialis, Oiss. Boil to one pint, and strain. This remedy once acquired great celebrity in coughs; but was overrated and lost its reputation. It contains a bitter quality, which often recommends it in dyspepsia and in phthisis. From this it may be freed if necessary, by macerating it before boiling, and throwing the first liquor away.—To be taken ad libitum by the patient. Solution of Prussic Acid, #c. R. Acidi Hydrocyanici, gtt. viij. Gummi Acaciae. Sacchari Albi, aa. 3ij. Aquae Fluvialis, gviij. Fiat solutio.—A table-spoonful to be given three or four times a day. This remedy is now seldom employed in this coun- try, although it enjoyed a short lived reputation when EXPECTORANTS. 57 first introduced. It is, however, possible that the cases to which it is applicable have not been suffi- ciently discriminated, and that it has been too hastily proscribed from our practical Materia Medica. The author of this work is acquainted with a case of chro- nic hepatitis, where, after every other remedy appa- rently failed, it was productive of the most unequivo- cal benefit. The quantity in this case was gradually increased to ten drops in the day. Its general application, however, has been to dis- eases of the chest. Decoction of Seneka-Root. R. Radicis Polygalae Senegas Contusae, ^j. ------Glycyrrhizae, 5ss. Aquae Fontanae, Oiss. Boil down to a pint, and strain. This decoction is serviceable in pectoral diseases. In croup, the author has seen it productive of great benefit. INHALATION. Inhalation is a means of applying remedies direct- ly to the lungs. The best instrument for this purpose is the Inhaler of Mudge. As a substitute for this the common tea- pot may be used, or a funnel inverted over a bowl. The substances usually selected for inhalation are— The steam of warm water. The steam of vinegar, produced by pouring it in to boiling water. Also, Balsam Tolu, as follows:— R. Balsami Tolutani, ^j. Aquae Bullientis, Oj. Misce.—To be inhaled in debility of the lungs 58 EXPECTORANTS. iEtber is also used alone, or impregnated. When saturated with cicuta, and inhaled from a wine-glass, it is said to be serviceable in protracted catarrh, pneumonia, consumption, &c. Stramonium is an ar- ticle recommended particularly in asthma and con- sumption. The root is cut, dried, and smoked from a common pipe. Fumigations of tar and turpentine are also recom- mended from high authority. The former is said to have cured consumption. The remedy is applied by placing the tar on a dish over coals, and suffering it to evaporate slowly. The fumes of resin are frequently employed by Dr. Parrish of this city; he places some pieces of the ar- ticle on a hot shovel or some coals, and allows the patient to inhale it gradually until it is ascertained whether it can be borne. To some persons it is very agreeable, while the lungs of others cannot tolerate it. He has found it beneficial in debility of the lungs, whether idiopathic or the result of disease; and also advises it in pertussis and phthisis. ( 59 ) CLASS VII. EMMENAGOGUES. EMMENAGOGUES are those medicines which promote the menstrual discharge, or restore it when entirely suppressed. Although by some authors the specific action of these medicines to the uterus, has been questioned, if not denied, yet by others, whose authority is equally to be trusted, it has been fully ' acknowledged. It must, however, be observed, that amenorrhcea occurs under opposite states of the system; and where general debility appears to be the cause of the local disease, it is adviseable to accompany the emmena- gogue with an active course of tonics. While, on the contrary, if the obstruction is apparently the effect of a plethoric habit, bleeding, cathartics, &c. are essen- tial preliminaries to the exhibition of a specific remedy. POWDERS. Powder of Hiera Picra. R. Pulveris Hieras Picrae, 3j- Divide in chartulas, vj.—One three times a day. This article is placed under the head of cathartics, but it is a remedy so generally employed as an em- menagogue, that it appears necessary also to insert it here. Powder of Madder. R. Pulveris Rubiae Tinctoriae, jss. Signa.—A small tea-spoonful to be taken morning, noon, and night, in sugar and water. 60 EMMENAGOGUES. Powder with Savin, » This preparation was originally prepared by the celebrated Hufeland, and is now taken from Dr. Chapman's Therapeutics, p. 176, vol. 2. The violence of the remedy, and its very great power, are generally known to physicians. We need hardly repeat the necessity there is for the greatest caution in its administration. It is sometimes given in sweet oil, but this is said to be extremely nauseous. A saturated solution of aether has also been employed, and is perhaps as neat a mode as any other. This solution contains about eight grains to the ounce. Mustard Wliey. R. Lactis Vaccinae, Jfyj. Seminum Sinapeos Contus. ^j. Simmer until the caseous part separates, then strain, and add— Vini Albi, ^vj. Signa.—A draught of this whey may be taken every hour or two in low fevers, and cases of debilitated stomach. Wine Whey. R. Lactis Vaccinae, Oss. Vini Albi, (Madeira,) ^j. vel. ^ij. Boil the milk and then add the wine. There are few mild stimulants more employed, or more useful than wine whey. Dr. Chapman speaks of it as having particularly a kindred action with car- bonate of ammonia. The dose to be regulated by 88 STIMULANTS. the circumstances of the case; from four ounces to ten during the day. Infusion of Cayenne Pepper. R. Pulveris Capsici Annui, 3lss- Aquae Bullientis, Oss. Fiat infusuin.—Signa.—A table-spoonful for a dose in severe colic, or gout in the stomach. For the external use of it, see Rubefacients. Infusion of Cloves. R. Caryophilli Contusi, 3j- Aquae Bullientis, Oss. Fiat infusum.—Signa.—To be employed in the same cases, and in similar doses, as the former. This preparation is also very useful as an adjunct to Bark in intermittent fever*. An infusion of Ginger Is also an excellent stomachic, and may be employed with great benefit in debility of the stomach and bowels. Mixture with Wine, fyc. R. Vitelli Ovi, j. Olei Cinnamomi, gtt. xx. Misce, et adde— Vini Albi, (Madeira.) Aquae Cinnamomi, aa. iiij. -----Distillatae, 5ij. Sacchari Albi, 3ij. Signa—Three spoonsful for a dose. During convalescence irom low fevers. Mixture of the Hydriodate of Potash, $c. R. Hydriodatis Potassae, gr. ij. Sulphatis Magnesiae, |ss. Tartritis Antimonii et Potassae, gr. ss. Aquae Fluvialis, |yj. Misce—Signa—A tea-spoonful three or four times a day. In scrofula. J STIMULANTS. 89 Iodine and its preparations have been so seldom employed, that it is difficult to say to what class it properly belongs. We have taken the liberty of in- serting it here from convenience. Ointment of Hydriodate of Potash. R. Hydriodatis Potassae, 9j. Cerati Simplicis, ^j. Fiat Unguentum. To be applied to scrofulous swellings where the skin is unbroken. ( 90 ) CLASS XI. NARCOTICS. NARCOTICS have been denominated Sedatives, from their power of diminishing action; Anodynes, from their capability of alleviating pain; and Hyp- notics or Soporifics, from their power of inducing sleep. A few words only will be necessary as general rules for their administration, and any peculiarities that individuals of the class may possess will be no- ticed under the appropriate prescriptions. It is well known they possess the power of fulfilling two indi- cations, viz. of exciting and depressing the powers of the system. To obtain the first of these re.sults, it is necessary to begin with small doses, and repeat them frequently —while in order to arrive at the second, a full dose must be given, and not resorted to again for a consi- derable length of time. We should also bear in mind, that the system very soon becomes habituated to their action, and the doses must be continually enlarged if it is found necessary to maintain their impression. The difference between the susceptibility to their action when the body is in a morbid or healthy condition, should not be forgotten during their exhibition. PILLS. R. Pulveris Opii, gr. xij. Saponis Albi, gr. iij. Misce et divide in pilulas xij—Of which one is the ordinary dose to produce sleep. NARCOTICS. 91 In equal weights of powdered and soft opium the former is much the most powerful, the latter contain- ing a considerable proportion of water. This should be recollected when we are directing them in the shape of pills. An opium pill that has been made long enough to become perfectly hard and dry, will be retained by an irritable stomach when a fresh one would be re- jected. Pills of Opium, Hyosciamus, fyc. R. Pulveris Opii, gr. iv. Extracti Hyosciami. -------Conii, aa. gr. xv. Fiat massa in pilulas vj.—Dividenda.—One every night where an anodyne is required. Pills of Extract of Hyosciamus. R. Extracti Hyosciami Nigri, 9j. Divide in pilulas x.—Of which one may be given every four hours, increasing the dose as required. This medicine is employed as a substitute for opium, and is said not to constipate the bowels. Pills of Extract of Stramonium. R. Extracti Stramonii, 3SS- Divide in pilulas xv.—Signa.—-One three times a day. The powdered leaves and seeds are also employed in similar doses. Vide Expectorants. Opiate Confection. R. Confectionis Opii, 3ss. To be gn en for a dose.—One grain of opium is contained in forty-three grains of the Edinburgh confection. Pills of Extract of Cicuta. R. Extracti Cicutee, 3j- Pulveris Foliorum Conii, q. s. m NARCOTICS. Ut fiat massa et in pilulas xx dividenda—One of these pills night.and morning, may be taken at the commencement, gra- dually increasing them to two, three,, four, or more, as the patient can bear them. Pills of Opium, Digitalis, fyc. R. Pulveris Opii. -------Digitalis, aa. gr. vj. Conserves Rosarum, q. s. Ut fiant pilulae xij—Signa.—One to be taken every four hours. Useful in Asthma, &c. Pills of Extract of Cicuta and Calomel. R. Extracti Cicutee, 9ij. Calomelanos, gr. xv. Misce fiant pilulae xv.—Signa.—One three times a day. In pseudo-syphilitic affections. Pills of Powdered Nux Vomica. R. Pulveris Nucis Vomicae, 3ss. Conservae Rosarum, q. s. Ut fiant Pilulee x—Signa.— One to be given two or three times a day, closely watching the effects. In paralysis. Pills of the Resin of Nux Vomica. R. Extracti Nucis Vomicae Resinosi, gr. x. Divide in pilulas xv.—One pill twice a day, gradually augment- ing until the tetanic, effects are produced. Pills of Strychnine. R. Strychninee, gr. ij. • Conservae Rosarum, q. s. Ut fiant pilulae xxiv.—Of which one pill may be given once or twice a day, according to the idiosyncrasy of the patient. This latter medicine is still more powerful thaw the two former; for .their mode of preparation,' manner of exhibition, and peculiar effects, see Ma/gendie's Formulary, page 82. It is only necessary in this place to observe, that great nicety is requisite in di- viding the mass into pills of equal strength. NARCOTICS. 93 MIXTURES, TINCTURES, &c. Opiate Mixture. R. Pulveris Opii, 9ss. Sacchari Albi, 3j* Aquae Cinnamomi, ^vj. Fiat mistura.—Signa.—A table-spoonful may be taken every two hours, so that the whole be consumed in the twenty-four. In cases of tetanus and colica pictonum. Hemlock Mixture. R. Succi Cicutae Spissati, 3ss. Syrupi Papaveris Albi, ^j. Aquae Fluvialis, ^vij. Misce.—A table-spoonful three or four times a'day for a dose. Tincture of Resin of Nux Vomica. R. Extracti Nucis Vomicae Exsiccati, gr. iij. Spiritus Vini Rectificati, ^j. Fiat tinctura.—This tincture to be given in doses of fifteen or twenty drops in any kind of drink. This preparation, and the pills made of the resin of nux vomica, have been employed in France; but are so exceedingly poisonous, that they ought to be resorted to with the greatest caution. Opiate Collyrium. R. Pulveris Opii, gr. j. Camphorae, gr. v. Mucilaginis Acaciae, ^j. Misce, et fiat collyrium. Anodyne Draught. R. Tincturae Opii, gtt. xv. vel. xxv. Syrupi Papaveris, 3ij- Spiritus Cinnamomi, 3j. Aquae Fontanae, ^iss. Misce.--Signa.—Anodyne draught. Laudanum is very disa- greeable to some persons; combined as above, the taste may be covered. 13 94 NARCOTICS. As the regulation of doses for children, is one of the most difficult parts of prescribing, to the young practitioner, and as laudanum is an article so univer- sally employed in their diseases, we subjoin the fol- lowing graduated table from Dr. Dorsey's Syllabus, 1817, page 36. From a child at birth, or within a month after \ to 1 drop. Under a year old.....k to 2 or 3 From one to two years of age - - 1 to 5 From two to five -.....2 to 8 From five to ten - - - - - - 5 to 15 From ten to fifteen - - - - ' - 10 to 20 At fifteen years • - - - . - • - - 15 to 20 For an adult - .....25 to 30 It is important in the employment of this remedy, that it should be a saturated tincture, and perfectly transparent. For these reasons it should be obtained from the apothecary in small quantities, as it is liable to deposit partof the opium; hence the liquid near the surface is weaker, and causes that in the bottom of the vial to be very strong if it be shaken before using. Infants have been destroyed by the exhibition of thick laudanum. Physicians, therefore, should al- ways examine the vial, if any be in the possession of a family, before trusting the nurse .to give a dose to a child. Solution of Acetate of Morphine. R. Acetatis Morphinae, gr. xvj. Aquae Distillatae, Jvj. Acidi Acetici Diluti, Jij. Misce.—The dose is from six to twenty-four drops. This preparation, as also the sulphate of morphine, have been much employed in Paris; they are stated to produce all the beneficial effects of opium, without any of the inconveniences attending that substance. NARCOTICS. 95 The acetate is prepared by directly combining mor- phine and acetic acid, and evaporating the solution to dryness.—See Magendie's Formulary, p. 38. Black Drop. R. Tincturae Opii Acetatae, 3i. From six to eight drops of this preparation may be given to an adult for a dose. It is said to be three times the strength of laudanum, but has obtained celebrity from the fact, that it equally promotes the ends of laudanum, without affecting the head and stomach. Where it cannot be had, it is stated by Dr. Chapman, that by giving the alcoholic tincture of opium in vinegar, we obtain nearly the same results. Elixir Paregoric. R. Tincturae Opii Camphoratae. A tea-spoonful of this may be given to an adult for a dose. It is principally employed as an expectorant. Wine of Opium. The dose of the Vinum Opii is the same as the spiritous tincture; though we believe it is seldom employed, except as an exter- nal application to chronic inflammation of the eyes. Tincture of Digitalis. R. Tincturae Digitalis, 3ij. Of which ten drops may be given, at first twice or three times a day, increasing the quantity as the system becomes accus- tomed to it. The peculiar character of this remedy should in- duce caution in giving' it. For its particular, applications and effects, see Ex- pectorants and Diuretics. Infusion and Tincture of Digitalis. Vide Diuretics and Expectorants. Infusion of Cicuta. R. Foliorum Cicutae, |ss. Aquae Bullientis, Oj. Fiat infusum et cola—Signa.—To be applied as a wash to can cerous and scirrhous ulcers. A cataplasm is also employed for the same pur 96 NAKCOTJCS. pose, made by mixing the powdered cicuta leaves with a bread and water poultice. Solution of the Extract of Belladona. R. Extracti Belladonna?, 9j. Aquae Fontanae, ^iij. Fiat solutio.—Signa.—To be applied to the eye in cases of ca- taract, for the purpose of dilating the pupil and exposing the lens. The extract of belladonna is occasionally given in doses of a grain three or four times a day. Infusion of Hyosciamus Niger. R. Foliorum Hyosciami Nigri, 5ss. Aquae Bullientis, Oj. Fiat Infusum.—Employed as an external application to cancer- ous, scrofulous, and other indolent ulcers. Decoction of Bitter Sweet. R. Dulcamaras, ^j. Aquae Fluvialis, Ojss. Boil down to a pint and strain. Dr. Chapman directs a wine-glassful to- be taken frequently, and gradually increased, until a pint is consumed daily, in chronic eruptions, &c The same preparation is employed as a wash. Decoction of Stramonium in Milk. R. Foliorum Stramonii, 3ij- Lactis Recentis, Oiss. Boil down to a pint and strain. Apply to gouty, rheumatic, and other painful swellings. Stramonium ointment is a very good application to piles, &c. &c.—Chap. Therap. p. 254. Opium Enema. R. Pulveris Opii, gr. ij. Mucilaginis Acaciae, 5ss. Lactis Tepefacti, ivj. Misce pro enemate.. NARCOTICS. 97 •. ,' Laudanum Enema. R. Tincturae Thebaicae, 3j- Infusi Lini, gyj. Fiat enema. It is generally observed that three times the quan- tity of a remedy may be thrown into the rectum, that may be taken into the stomach. As regards opium, however, we believe it to be too much, particularly in children. Suppository of Opium. R Pulveris Opii, gr. ij. Saponis Albi, 'gr. iv.. Misce bene.—Introduce into the rectum, where an enema cannot be administered. t ; Plaster of Opium, 8,*c •• R. Opii Puri. Camphorae, aa. 3SS- Emplastri Lithargyri, ^ij. " Melt the plaster, and havirig previously powdered the other ar- ticles, mix them gradually, stirring it. For local pains. Plaster of Opium. R. Pulveris Opii. ------r- Camphorae. -------Saponis Albi, aa. 3j. ' Tincturae Thebaicae, q. s—ut fiat emplastrum. . This plaster is recommended by Dr. Dewees, and is employed in the* same cases as'the above. Ano- ther, and the most common plan, is to spread The- riaca Andromachi on leather of the size required, and cover it with powdered opium, sprinkling a lit- tle laudanum to promote the adhesion of the-opium. ( l>8 ) CLASS XII. ANTISPASMODICS. ANTISPASMODICS are those medicines which allay spasm, and compose the irregular action of the nervous system. Some of the most powerful of them are derived from the class of Narcotics. Pills of Assafcetida and Soap. R. Gummi Assaefcetidae, 3j. Saponis Albi, gr. x. Aquae Fontis, q. s. Ut fiant pilulae xx.—Two or four of these pills may be taken for a dose and repeated pro re nata. Pilulae Assaefcetidae cum aloe, et -----------------■- cum Rheo, May be given in the same doses as those made with soap only. Opium Pills. As under Narcotics. Pills with Castor and Salt of Amber. R. Castorei, 3j. Salis Succini, 3ss. Extracti Gentianae, q. s. Ut fiant pilulae xxiv—Dose three pills night and morning. In hysteria. Calomel Pills. As under Sialagogues. ANTISPASMODICS. 99 Bolus with Valerian and Rust of Iron. R. Pulveris Radicis Valerianae, 3j. Sub-carbonatis Ferri, 9ss. Mucilaginis Acaciae, q. s. Ut fiat bolus.—One three times a day. Bolus with Musk and Camphor. R. Camphorae, gr. v. Moschi, gr. xv. Syrupi Simplicis, q. s. Ut fiat bolus.—Signa.—To be taken at once. This is a pretty strong dose, but can be readily mo- dified by the practitioner. To confine the aroma, musk should always be kept in vials, whether in pills or otherwise. Bolus with Musk and Sub-carbonate of Ammonia. R. Moschi. Sub-carbonatis Ammoniae, aa. 9ss. Conservae Rosarum, q. s. Ut fiat bolus.—To be taken every third hour. Recommended in mortification accompanied with spasmodic action. Musk Mixture. R. Moschi Optimi, 3ij> Sacchari Albi, 3j- Pulveris Gummi Arabici, 3'j- Aquae Fontanae, ^vj. Fiat mistura.—Signa.—A table-spoonful to be given every one or two hours. Mixture with Musk, 4"C R. Misturae Moschatae, ^vj. Tincturae Opii Camphoratae, ^ss. --------Valerianae Ammoniatae, 5J- Misce.—Signa.—A tea-spoonful three or four times a day. For children in pertussis. 100 ANTISPASMODICS. Tincture of Assafcetida, Castor, Misce et divide in chartulas xij.—Signa.—One" three times a day. This prescription has been successfully employed in obstinate intermittents". Pills of Extract of Bark, fyc. R. Extracti Cinchonas.. --------Gentianae, aa». 3j- Sulphatis Ferri, 3ss. Pulveris Myrrhas, 3j- Olei Carui, gtt. x. Syrupi Zingiberis, q. s. Ut fiant pilulae lx.—Signa.—Three to be taken three times a day. 15 110 tonics. Pills of Sulphate of Quinine, fyc. R. Sulphatis Quiniae vel. Quininae, gr. x. Conservae Rosarum, q. s. Ut fiant pilulae x—Signa.— One to be given every hour in the apyrexia of intermittent fever. These are the names given for the essential princi- ple of the yellow bark by Brande in his Manual of Pharmacy. Dr. Paris calls it Quina. There is also another principle obtained from the cinchona lancifo- lia, or pale bark, which possesses very nearly the same powers as the first. This is called Cinchonia. These preparations produce all the effects of the Pe- ruvian bark, and have now almost entirely super- seded it. The sulphate of quinine affects the chest of the consumptive patient with tightness in an equal degree with the bark; and we have several times ob- served it to produce a soreness of the mouth exactly resembling that resulting from mercury. The obser- vations of some of our friends have confirmed this fact. An alkaline principle has recently been obtained from the Common Dogwood, Cornus Florida, which appears from the experiments of Dr. S. G. Morton to be in most respects analogous to the quinine; it was discovered by Mr. G. W. Carpenter of this city, who calls it Cornine; it is used in the form of sulphate in the same cases and in similar doses as the sulphate of quinine.—Vide Philadelphia Medical Journal, vol. xi. p. 195. Pills of Ammoniuret of Copper. R. Cupri Ammoniati, 3j. Conservae Rosarum, q. s. Ut fiant pilulae xxx.—Signa.—One or two to be taken at bed time. In Epilepsy. TONICS. Ill Pills with the Sulphate of Copper. R. Sulphatis Cupri, gr. iv. Extracti Cinchonas, gr. xxxij. Syrupi Simplicis, q. s. Ut fiat massa, in pilulas xvj. dividenda.—One to be taken fom times a day. In obstinate intermittents. Pills of the Oxide of Bismuth. R. Sub-nitratis vel. Oxidi Bismuthi, 3ij. Mucilaginis Gummi Acaciae, q. s. Ut fiant pilulae xxx.—Signa.—One to be taken every two hours. In Dyspepsia. Pills of Muriate of Ammonia, Arsenic, fyc. R. Muriatis Ammoniae, 3ss. Pulveris Opii, gr. viij. Arsenici Albi, gr. vj. Syrupi Simplicis, q. s. Ut fiant pilulae xxxij.—Of which one may be given three times a day. In intermittent fevers. These pills are strongly recommended by- some practitioners. Much care is requisite in preparing them. Pills of Muriate of Ammonia, Iron, Src. R. Muriatis Ammoniae et Ferri, 9j. Pulveris Rhei,gr. viij. Conservae Rosarum, q. s. Ut fiat massa in pilulas v. dividenda. This remedy is recommended in rachitis, and is to be continued with one pill a day for a fortnight, and then intermitted for the same length of time and again resumed. The intention of this direction appears to be to prevent the system from becoming habituated to the medicine. 112 TONICS. Pills of Oxide of Zinc R. Oxid' Zinci, 9ij. Conservae Rosarum, q. s. Ut fiant pilulae x—Signa—One three or four times a day. U Epilepsy, Chorea, &c. Dr. Chapman speaks favourably of this medicine, and recommends the above dose to begin with, and gradually to increase it. Pills of Steel Filings. R. Limaturae Ferri, gr. xvj. Extracti Gentianae, q. s. Ut fiat massa.—Divide in pilulas vj.—Signa.—One three times a day, followed by a draught of some bitter infusion. Pills of the Extract of Quassia. R. Extracti Quassiae Mollis, 3j- Pulveris Gentianae, q. s. Ut fiant pilulae xx.—Of which one may be taken three or four times a day, succeeded by a wine-glassful of the infusion of quassia. This is one of the purest bitters, and where we wish the effect of this class only to be exerted, we cannot select a more appropriate preparation. Pills of Nitrate of Silver, fyc. R. Nitratis'Argenti, gr. iij. Pulveris Opii, 3ss. -------Camphorae. -------Nucis ^ktehatae. aa. 9j. Mucilaginis Acaclasi, q. «. Ut fiat massa.—Divide in pilulas xlv.—Dose.—One morning and evening. In Chorea and Epilepsy. Pills of the Sidphate of Iron. R. Sulphatis Ferri, 3j. Extracti Gentianae, q. s. Ut fiat massa.—Divide in pilulas xxx.—One to be taken morn ing, noon, and night. In Dyspepsia. TONICS. 113 Electuary of Cinchona, Rust of Iron, 8fc. R. Pulveris Cinchonas Optimae. -------Sub-carbonatis Ferri, aa. ^j. Balsami Copaivae, q. s. Ut fiat electuarium.—To be made, (by the patient,) into pill ■ of the ordinary size. Of which four may be taken three times a day. Pills of the Nitro-Muriate of Gold. R. Nitro-Muriatis Auri, gr. v. Pulveris Glycyrrhizas Radicis, 3iss- Mucilaginis Acaciae, q. s. Ut fiat massa.—In pilulas Ixxv. dividenda.—Signa.—One or two thrice a day. In Syphilis, &c. This metal is placed under the head of tonics by Dr. Chapman, and we have followed his example. Although once much extolled, it is now seldom used. Pills of Ammoniuret of Copper and Extract of Quassia. R. Cupri Ammoniati, 3SS- Extracti Quassias Mollis, 3iss. Misce, et divide in pilulas xxx.—Of which one may be takeu .three times a day. In nervous diseases. MIXTURES, &c. Griffith's Myrrh Mixture. R. Gummi Myrrhae, 3j. Sulphatis Ferri, 9j. Sub-carbonatis Potassae, 3j. Sacchari Purificati, 3ij. Aquae Fontanae, ^vj. Fiat mistura.—Dose.—A table-spoonful according to circum- stances. Employed as a tonic'in phthisis. Mixture with Sulphuric Acid, <$-( R. Sulphatis Ferri, gr. ij. Acidi Sulphurici, gtt. x. Sacchari Albi, 3j« Aquae Fontanae, 3J. 114 TONICS. Misce.—Signa.—A tea-spoonful for a dose, to be repeated every two, three, or four hours. Designed for children. Vinous Infusion of Carbonate of Iron, fyc. R. Sub-carbonatis Ferri, 5iss. Pulveris Radicis Gentianae. Corticis Aurantii Contusae, aa. 5ss. Vini Lusitanici Rubri, Oij. Macerate for two or three days, and give a wine-glassful two or three times a day. In dyspepsia arising from intemperance. Mixture with Tincture of Bark and Citrate of Potash. R. Succi Limonis Recenti, 5jss. Sub-carbonatis Potassae, 3j. Tincturae Cinchonae, ?j. Aquae Cinnamomi, 5iij. Misce.—Signa—A table-spoonful every two hours. In cases where it is desirable to promote the insensible perspiration whilst we are giving the Bark. Decoction of Cinchona. R. Corticis Cinchonas Contusae, 5j. 1 Aquae Fontis Frigidae, Oj. *: Boil for ten minutes—and while hot add— Serpentariie Radicis, 5ss. Corticis Aurantii Contusae, 3ij. And suffer them to infuse for half an hour near the fire in a covered vessel.—Dose.—A wine-glassful every hour. If the bark be boiled longer than ten minutes it deposits extractive and resinous matter, becomes paler, and is less efficient. The last ingredients are directed to be infused because their aromatic propev ties would be dissipated by decoction. Decoction of Bark, ss- , Tincturae Opii, .gtt. lxN --------Kino, 3ij. \quas. Menthae, 5vj. . • 132 ABSORBENTS OR ANTACIDS. Fiat mistura.—Signa.—A table-spoonful for a dose every two hours. In Diarrhoea. Solution of Salt of Tartar. R. Sub-carbonatis Potassae 3j- Sacchari Albi, 3j- Tincturae Lavandulae Compositae, 3u- --------Opii, gtt. xl. Aquae Menthas, jiv. Misce.—Signa.—A table-spoonful every one or two hours. In Sickness of the Stomach occasioned by Acidity. The opium in the above prescriptions may be omitted at the discretion of the practitioner. Mixture of Salt of Tartar, Ammonia,