The value of Alum in Menorrhagia and HAematuria has been already considered. It likewise proves serviceable in purely atonic Hemoptysis. Dr. Theophilus Thompson * considers that it is one of the best direct astringents which can be employed, and thinks that it acts more efficiently when allowed to dissolve in the mouth than when taken in mixture. He advises the following prescription for this purpose: -Pulv. Gum. AcaciAe, Sacch. Alb. aa 3iij., Pulv. Tragac. 5iss., Aluminis 3ij., Ext. Catechu 3iij., Aq. RosAe q. s. ft. massa. Divide into sixty lozenges. In atonic Hmatemesis, Alum in doses of gr. viij. - xij. thrice daily, in combination with Opium, proves serviceable, although it is of inferior efficacy to the Acetate of Lead. In profuse atonic Epistaxis, the injection of a solution of Alum (gr. cxx. ad Aq. fl. oz. vj.) into the nostrils often proves effectual in arresting the discharge. In Hmmor-rhage from leech bites, in that from the gums after the extraction of a tooth, and in other superficial hmorrhages, a saturated solution, or the powder of Alum, locally applied, is often an effectual styptic.
In the Chronic stage of Hooping Cough, no remedy, in my practice, has proved more efficacious than Alum, given in increasing doses. A very excellent formula is recommended by Dr. Golding Bird: + - ℞ Alum. gr. xxv., Ext. Conii gr. xij., Aq. Anethi fiij., M. Dose, a dessert-spoonful every four or six hours, for a child of two or three years old. The quantity of Conium may often be advantageously diminished.
117. In Dilatation of the Heart, and Aneurism of the Aorta, Alum has been advised by Kreysig and Dzondi. Sundelin, also, mentions a case of supposed dilatation of the heart, in which relief was gained by the use of Alum. (Pereira. )
118. In Diabetes, under the idea that the discharge might be arrested by the use of powerful astringents, Alum, in combination with other remedies of the same class, was advised by Dover,§ Brocklesby,|| and others; but Dr. Brisbane¶ satisfactorily proved that it was incapable of arresting the disease.
119. In Intermittent Fever, Alum was, at one time, much used, it having been recommended by Ettmuller, Lindt, Muller, and others. Lange and De Mera prescribed it with aromatics and Sulphuric Acid, or Ether, and Adair with Cinchona. (Copland.**) It is rarely used at the present day.
* Lancet, July 19, 1851. Guy's Hospital Reports, April, 1853. Mat. Med. vol. i. p. 669.
§ Legacy of a Physician, &c. p. 33. || Med. Obs. and Enq. vol iii. ¶ Select Cases, &c. Svo. 1772. ** Med. Dict. vol. i. p. 944.
Erasmus Wilson* states that in one very obstinate case, he succeeded in healing the ulcerations, after other applications had failed, by injecting a strong solution of Alum beneath the undermined edges. To the ill-favoured ulcers left by Ecthyma, he advises the application of a solution of Alum, with or without Opium.
121. To fiat nvi, Dieffenbach recommends the use of a compress of lint to be firmly bandaged on the morbid structure, and to be frequently wetted with a solution of Alum. The lint should be disturbed as little as possible, and the compression maintained, if necessary, for several weeks. When the nAevus becomes white, flat, and firm, its speedy cure may be expected. (E. Wilson.)