Fluids act quicker than solids, and powders sooner than pills.
685. Best Method of Preventing the Nauseous Taste of Medicines
Castor oil may be taken in milk, coffee, or spirit, such as brandy;
but the best method of covering the nauseous flavour is to put a
tablespoonful of strained orange juice in a wineglass, pour the castor
oil into the centre of the juice, and then squeeze a few drops of
lemon juice upon the top of the oil. The wineglass should first be
dipped, rim downwards, into water, so that the interior may be wetted.
Cod liver oil may be taken, like castor oil, in orange juice.
Peppermint water neutralizes, to a great extent, the nauseous taste of
Epsom salts; a strong solution of extract of liquorice, that of aloes;
milk, that of cinchona bark; and cloves that of senna.
To-day, Lays Plans for Many Years to Come.
686. An Excellent Way to Prevent the Taste of Medicines
An excellent way to prevent the taste of medicines
is to have the medicine in a glass, as usual, and a tumbler of water
by the side of it; take the medicine, and retain it in the mouth,
which should be kept closed, and if drinking the water be then
commenced, the taste of the medicine is washed away. Even the
bitterness of quinine and aloes may be prevented by this means. If the
nostrils are firmly compressed by the thumb and finger of the left
hand, while taking a nauseous draught, and so retained till the mouth
has been washed out with water, the disagreeable taste of the medicine
will be almost imperceptible.
687. Giving Medicines to Persons
Medicines should be given in such a manner that the effect of the
first dose shall not have ceased when the next dose is given,
therefore the intervals between the doses should be regulated
accordingly.
688. Doses of Medicine for Different Ages
It must be plain to every one that children do not require such
powerful medicine as adults or old people, and therefore it is
desirable to have some fixed method of determining or regulating the
administration of doses of medicine. Now let it be supposed that the
dose for a full-grown person is
one drachm
, then the following
proportions will be suitable for the various ages given; keeping in
view other circumstances, such as sex, temperament, habits, climate,
state of
general health
, and idiosyncrasy.
| Age |
Proportion |
Proportionate Dose |
| 7 weeks |
one-fifteenth |
or grains 4 |
| 7 months |
one-twelfth |
or grains 5 |
| under 2 years |
one-eighth |
or grains 7.5 |
| under 3 years |
one-sixth |
or grains 10 |
| under 4 years |
one-fourth |
or grains 15 |
| under 7 years |
one-third |
or scruple 1 |
| under 14 years |
one-half |
or drachm 1/2 |
| under 20 years |
two-fifths |
or scruples 2 |
| above 21 years |
the full dose |
|
| above 65 years |
the inverse gradation |
|
689. Drugs, with their Properties and Doses
The various drugs have been arranged according to their properties,
and the doses of each have been given. Many, however, have been
necessarily omitted from each class, because they cannot be employed
except by a medical man. The
doses
are meant for adults.
690. Classes of Drugs
Medicines have been divided into four grand classes
-
General stimulants;
- Local stimulants;
- Chemical remedies;
- Mechanical remedies.
691. General Stimulants
General stimulants are subdivided into two classes, diffusible and
permanent stimulants: the first comprising narcotics and
antispasmodics, and the second tonics and astringents.
692. Narcotics
Narcotics are medicines which stupefy and diminish the activity of the
nervous system. Given in small doses, they generally act as
stimulants, but an increased dose produces a sedative effect. Under
this head are included alcohol, camphor, ether, the hop, and opium.
693. Alcohol
Alcohol, or rectified spirit, is a very powerful stimulant, and is
never used as a remedy without being diluted to the degree called
proof spirit; and even then it is seldom used internally. It is
used
externally
in restraining bleeding, when there is not any vessel of
importance wounded. It is also used as a lotion to burns, and is
applied by dipping a piece of lint into the spirit, and laying it over
the part. Freely diluted (one part to eighteen) with water, it forms a
useful eye-wash in the last stage of ophthalmia.
Used internally
, it acts as a very useful stimulant when diluted and
taken moderately, increasing the general excitement, and giving energy
to the muscular fibres; hence it becomes very useful in certain cases
of debility, especially in habits disposed to create acidity; and in
the low stage of typhus fevers.
Dose
.—It is impossible to fix anything like a dose for this remedy,
as much will depend upon the individual; but diluted with water and
sweetened with sugar, from half an ounce to two ounces may be given
three or four times a day. In cases of extreme debility, however, much
will depend upon the disease.
Caution
.—Remember that alcohol is an irritant
poison
, and that
daily indulgence in its use originates dyspepsia, or indigestion, and
many other serious complaints. Of all kinds of spirits the best as a
tonic and stomachic is
brandy
.
To-morrow, Sinks into the Silent Tomb.
694. Camphor
Camphor is not a very steady stimulant, as its effect is transitory;
but in large doses it acts as a narcotic, abating pain and inducing
sleep. In moderate doses it operates as a diaphoretic, diuretic,
antispasmodic, increasing the heat of the body, allaying irritation
and spasm.
It is
used externally
as a liniment when dissolved in oil, alcohol,
or acetic acid, being employed to allay rheumatic pains; and it is
also useful as an embrocation in sprains, bruises, chilblains, and,
when combined with opium, it has been advantageously employed in
flatulent colic, and severe diarrhœa, being rubbed over the bowels.
When reduced to a fine powder
, by the addition of a little spirit of
wine and friction, it is very useful as a local stimulant to indolent
ulcers, especially when they discharge a foul kind of matter; a pinch
is taken between the finger and thumb, and sprinkled into the ulcer,
which is then dressed as usual.
When dissolved in oil of turpentine
, a few drops placed in a hollow
tooth and covered with jeweller's wool, or scraped lint, give almost
instant relief to toothache.
Used internally
, it is apt to excite
nausea, and even vomiting, especially when given in the solid form.
As a stimulant
it is of great service in all low fevers, malignant
measles, malignant sore throat, and confluent small-pox; and when
combined with opium and bark, it is extremely useful in checking the
progress of malignant ulcers, and gangrene.
As a narcotic
it is very useful, because it allays pain and
irritation, without increasing the pulse very much.
When powdered and sprinkled
upon the surface of a blister, it
prevents the cantharides acting in a peculiar and painful manner upon
the bladder.
Combined with senna
, it increases its purgative properties; and it
is also used to correct the nausea produced by squills, and the
irritating effects of drastic purgatives and mezereon.
Dose
, from four grains to half a scruple, repeated at short
intervals when used in small doses, and long intervals when employed
in large doses.
Doses of the various preparations
.—Camphor mixture, from half an
ounce to three ounces; compound tincture of camphor (
paregoric
elixir
), from fifteen minims to two drachms.
Caution
.—When given in an overdose it acts as a poison, producing
vomiting, giddiness, delirium, convulsions, and sometimes death. Opium
is the best antidote for camphor, whether in excess or taken as a
poison.
Mode of exhibition
.—It may be rubbed up with almond
emulsion, or mucilage, or the yolk of eggs, and by this means
suspended in water, or combined with chloroform as a mixture, in which
form it is a valuable stimulant in cholera and other diseases. (
See
Mixtures,
-
).
695. Ether
Ether is a diffusible stimulant, narcotic and antispasmodic.
696. Sulphuric Ether
Sulphuric Ether is used
externally
both as a stimulant and a
refrigerant. In the former case its evaporation is prevented by
covering a rag moistened with it with oiled silk, in order to relieve
headache; and in the latter case it is allowed to evaporate, and thus
produce coldness: hence it is applied over scalded surfaces by means
of rags dipped in it.
As a local application
, it has been found to afford almost instant
relief in earache, when combined with almond oil, and dropped into the
ear.
It is used
internally
as a stimulant and narcotic in low fevers and
cases of great exhaustion.
Dose
, from fifteen minims to half a drachm, repeated at short
intervals, as its effects soon pass off. Give in a little camphor
julep, or water.
697. Nitric Ether
Nitric Ether is a refrigerant, diuretic, and antispasmodic, well known
as "
sweet spirit of nitre
."
Used externally
, its evaporation relieves headache, and it is
sometimes applied to burns. It is used
internally
to relieve nausea,
flatulence, and thirst in fevers; also as a diuretic.
Dose
, from ten minims to one drachm. The smaller dose taken in a
little warm water or gruel is useful as a sudorific in cases of cold
and chill, to induce and promote the proper action of the skin which
has been checked. If a larger dose be taken, it acts as a diuretic and
not as a sudorific, and so fails to produce the desired effect.
To-day, His Food is Dressed in Dainty Forms.
698. Compound Spirit of Sulphuric Ether
Compound Spirit of Sulphuric Ether is a very useful stimulant,
narcotic, and antispasmodic.
Used internally
in cases of great exhaustion, attended with
irritability.
Dose
, from half a drachm to two drachms, in camphor julep. When
combined with laudanum, it prevents the nauseating effects of the
opium, and acts more beneficially as a narcotic.
699. The Hop
The Hop is a narcotic, tonic, and diuretic; it reduces the frequency
of the pulse, and does not affect the head, like most anodynes.
Used externally
, it acts as an anodyne and discutient, and is useful
as a fomentation for painful tumours, rheumatic pains in the joints,
and severe contusions. A pillow stuffed with hops acts as a narcotic.
When the powder is mixed with lard, it acts as an anodyne dressing in
painful ulcers.
Dose
, of the
extract
, from five grains to one scruple; of the
tincture
, from half a drachm to two drachms; of the
powder
, from
three! grains to one scruple; of the
infusion
, half an ounce to one
and a half ounce.
700. Opium
Opium is a stimulant, narcotic, and anodyne.
Used externally
it acts almost as well as when taken into the
stomach, and without affecting the head or causing nausea. Applied to
irritable ulcers in the form of tincture, it promotes their cure, and
allays pain. Cloths dipped in a strong solution, and applied over
painful bruises, tumours, or inflamed joints, allay pain. A small
piece of solid opium stuffed into a hollow tooth relieves toothache. A
weak solution of opium forms a valuable collyrium in ophthalmia. Two
drops of the wine of opium dropped into the eye acts as an excellent
stimulant in bloodshot eye; or after long-continued inflammation, it
is useful in strengthening the eye. Applied as a liniment, in
combination with ammonia and oil, or with camphorated spirit, it
relieves muscular pain. When combined with oil of turpentine, it is
useful as a liniment in spasmodic colic.
Used internally
, it acts as a very powerful stimulant: then as a
sedative, and finally as an anodyne and narcotic, allaying pain in the
most extraordinary manner, by acting directly upon the nervous system.
In acute rheumatism it is a most excellent medicine when combined with
calomel and tartrate of antimony; but its exhibition requires the
judicious care of a medical man.
Doses of the various preparations.
—.
Confection of opium
, from
five grains to half a drachm;
extract of opium
, from one to five
grains (this is a valuable form, as it does not produce so much after
derangement of the nervous system as solid opium);
pills of soap and
opium
, from five to ten grains;
compound ipecacuanha powder
("Dover's Powder"), from ten to fifteen grains;
compound kino
powder
, from five to fifteen grains;
wine of opium
, from ten minims
to one drachm.
Caution
.—Opium is a powerful
poison
when taken in
too large a quantity (
See
Poisons
,
pars
.
-
), and thus
should be used with extreme caution. It is on this account that we
have omitted some of its preparations. The best antidote for opium is
camphor.
701. Antispasmodics
Antispasmodics are medicines which possess the power of overcoming the
spasms of the muscles, or allaying any severe pain which is not
attended by inflammation. The class includes a great many, but the
most safe and serviceable are ammonia, assafœtida, galbanum,
valerian, bark, ether, camphor, opium, and chloroform; with the
minerals, oxide of zinc and calomel.
702. Ammonia
Ammonia, or Sal Volatile, is an antispasmodic antacid, stimulant and
diaphoretic.
Used externally
, combined with oil, it forms a cheap and useful
liniment, but it should be dissolved in
proof
spirit before the oil
is added. One part of this salt, and three parts of extract of
belladonna, mixed and spread upon leather, makes an excellent plaster
for relieving rheumatic pains. As a local stimulant it is well known,
as regards its effects in hysterics, faintness, and lassitude, when
applied to the nose, as common smelling salts.
It is used
internally
as an adjunct to infusion of gentian in
dyspepsia or indigestion, and in moderate doses in gout.
Dose
, from five to fifteen grains.
Caution
.—Overdoses act as a
narcotic and irritant poison.
To-morrow, is Himself a Feast for Worms.
703. Bicarbonate of Ammonia
Bicarbonate of Ammonia is used internally the same as
sal volatile
.
Dose
, from six to twelve grains. It is frequently combined with Epsom
salts.
704. Solution of Sesquicarbonate of Ammonia
Solution of Sesquicarbonate of Ammonia, used the same as
sal
volatile
.
Dose
, from half a drachm to one drachm, combined with some milky
fluid, like almond emulsion.
705. Asafœtida
Asafœtida is an antispasmodic, expectorant, excitant, and
anthelmintic.
Used internally
, it is extremely useful in dyspepsia, flatulent
colic, hysteria, and nervous diseases; and where there are no
inflammatory symptoms, it is an excellent remedy in hooping cough and
asthma.
Used locally
as an enema, it is useful in flatulent colic, and
convulsions that come on through teething.
Doses of various preparations
.—
Solid gum
, from five to ten grains
as pills;
mixture
, from half an ounce to one ounce;
tincture
, from
fifteen minims to one drachm;
ammoniated tincture
, from twenty
minims to one drachm.
Caution
. —Never give this drug when inflammation exists.
706. Galbanum
Galbanum is stimulant, antispasmodic, expectorant, and deobstruent.
Used externally
, it assists in dispelling tumours when spread upon
indolent leather as a plaster, and is useful in weakness of the legs
from rickets, being applied as a plaster to the loins.
Employed internally
, it is useful in chronic or old-standing
rheumatism and hysteria.
Doses of preparations
.—Of the
gum
, from ten to fifteen grains as
pills;
tincture
, from fifteen minims to one drachm. It may be made
into an emulsion with mucilage and water.
707. Valerian
Valerian is a powerful antispasmodic, tonic, and excitant, acting
chiefly on the nervous centres.
Used internally
, it is employed in hysteria, nervous languors, and
spasmodic complaints generally. It is useful in low fevers.
Doses of various preparations
. —
Powder
, from ten grains to half a
drachm, three or four times a day;
tincture
, from two to four
drachms;
ammoniated tincture
, from one to two drachms;
infusion
,
from two to three ounces, or more.