Hypodermic Treatment

6461

1. Empty the bowels thoroughly.

2. Inject into the center of an internal varices a few drops of crystallized carbolic acid, rendered fluid, with a little glycerine.

3. Do not inject during acute inflammation.

4. Select one pile at a time.

5. Counteract febrile reaction with a drop of tincture of aconite.

- Wm. R. D. Blackwood, M. D.

6462

℞ Acidi carbolici.........gr. j

Aquae............. x

M. S. Inject into the tumor hypodermically. - Prof. W. H. Van Buren.

6463

℞ Acidi carbolici,

Tincturae belladonnae,

Tincturae hamamelis,

Tincturae ergotae ......āā 3 j

M.S. Can inject one drachm without any symptoms of poisoning. - J. N. Smith, M. D.

Surgical Treatment

6472

1. Excision with knife or scissors.

2. The ecraseur of Chassaignac or the wire of Maisonneuve.

3. The application of various acids and caustic paste.

4. The injection of carbolic acid or other caustic or astringent fluids into the body of the pile.

5. Cauterization, "ponctuee" of Demarquay.

- Reeves.

6. Cauterization, "linear." - Woillemier.

7. Removal by the galvanic cautery wire.

8. Removal by the clamp and scissors, applying the actual cautery to arrest hemorrhage.

9. Dilatation of the sphincter muscles.

10. Removal by means of the screw-crusher.

11. Ligature. - Allingham.

6473.*

Treatment by forcible dilatation of the sphincter ani. This is effected by the use of a bi-valve speculum. In this operation the patient must be placed under the influence of anaesthetics.

- Fontain.

Treatment By The Clamp

6474

The pile to be removed is drawn well down, and a powerful clamp is applied to its base and at once tightly and firmly closed by the action of the screw at the end of the handles. The portion of the pile which protrudes inside the lips of the clamp is then to be removed with curved scissors. The clamp should be kept applied to the stump of the pile for about a minute longer, or for a still longer period if the pile be large and thick. - Pollock.

Strangulated Hernia Remedies Recommended

Aconite.

Belladonna.

Chloral.

Chloroform.

Coffee.

Cold.

Ether.

Ether spray.

Forced enemata.

Ice.

Iodine.

Lead, acetate of

Lobelia. Oak bark. Oil, castor Oil, cloves Oil, olive Oil, turpentine Opium. Potassa. Tartar emetic. Taxis. Tobacco. Water.

Strangulated Hernia - Formulary Of Selected Remedies

6475

℞ Tincturae acouiti . ........ xx

Tincturae nucis vomicae...... 1

Syrupi simplicis......... ℥ j

Aquae fontanae......... ℥ iij

M. S. One teaspoonful every ten to twenty minutes. - Dr. S. V. Martinity.

6476.*

℞ Chloroformi........... 3 ij

Ovi vitelli............℥ j

Syrupi simplicis......... ℥ ij

M. S. One teaspoonful every ten minutes until relieved. Taxis to be enforced.

6477

℞ Morphiae muriatis........gr. j

Aquae..... ........3 j

M. S. Inject hypodermically fifteen drops. Taxis not to be neglected. - Philippe.

6478

Place the patient in the inverted position, and then resort to taxis. - Dr. J. C. Warren.

6479

Puncture the hernial tumor with a hypodermic needle, and withdraw the gas by means of a respiratory syringe. - M. Duplong.