Amongst others who strongly advocates the use of the Hydrochlorate in this affection, is Trussen. He states that he derived decided benefit from it, in doses of gr. xv. every two hours, combined with extract of Liquorice. It is reported to relieve the vomiting and heartburn, so constantly attendant on this disease, more speedily and uniformly than any other remedy.
178. Hemorrhages, In HAemoptysis, Dr Copland § advises this salt, in combination with Hydrochloric Acid, thus: - Ammon. Hydrochlor. 3iss., Acid Hydrochlor. f3ss., Decoct. Hordei Co. Oj. M., Cap. coch. amp. iij. 2dis vel Stiis horis. Lentin advises it to be taken in 3ss. doses, every two hours, with 3ss. Ext. Glycyrrh. It appears to be chiefly applicable to passive cases, when the vital powers are depressed. In Hmatemesis, a formula similar to the above has been employed with advantage. In Uterine Hemorrhage, Dr. Copland || considers that it will prove serviceable, especially in cases of debility, and when the discharge is draining or remittent. It may then be given with Cinchona or small doses of Opium.
179. In Typhus and Typhoid Fevers, the Hydrochlorate has been advised by Hoffman, Jacob, Munro, Hillary, M'Causland, Gmelin, and others. Dr. Copland states that he has frequently employed it, and Dr. Conwell found it of great service in the fevers of India. Schmidt prefers it in those cases attended by diarrhoea. It is rarely used at the present day. (Copland.) In the Diarrho-a of Fever, it is recommended by Hufeland. ¶
180. In Intermittent Fevers, it was formerly employed, and is stated to be capable of arresting the fits. Brocklesby and Pringle thought favourably of it, when the disease was of an inflammatory character. It requires to be given in large doses. It is now rarely prescribed.
* Thermal Comfort, 8vo. Lond. 1844. Dict, of Med. vol. i. p. 617. Hufeland's Journal, 1844.
§ Med. Dict vol. ii. p. 87.
|| Ibid. p. 117.
¶ Stark, Archiv. b. i. st. 3, p. 39.
181. In Hooping Cough, the Hydrochlorate was recommended by Stoll at an early stage, with Oxymel. Dr. Copland* states that he has found it an excellent refrigerant, anti-spasmodic, and tonic, in several instances. It might be advantageously combined with Ipecacuanha.
In order to allay the intense itching, a solution of the Hydrochlorate occasionally proves useful. The following ointment may also be employed: - Ammon. Hydro-chlor. 3j., Pulv. Hellebor. Alb. ss., Adipis iij. M. (E. Wil-son.)
Dr. Addison highly commends the topical application of the powdered Hydrochlorate. In this manner the cough, which is caused by the uvula falling upon the back of the pharynx, is often removed. (Nevins.)
Dr. Paris,§ in these cases, recommends a plaster composed of Lead plaster ss., Soap 5ij., Hydrochlorate in fine powder 3ss.: the two former are to be melted together, and when nearly cold, the salt is added. Its efficacy depends upon the evolution of ammoniacal gas. It requires to be renewed daily. The same plaster has been found useful as a discutient, in Chronic swellings and indurations.
lx. - oz. ss. ad. Aq. Oj.) has occasionally been used as an injection. It has also been used as a lotion in Scabies and Ulcers. In Snake Bites, Mr. Minas || extols as an internal remedy the following: - Ammon. Hydrochlor. Calcis Chlorinat. aa 3j. Aq. fxxiv. boiled to fxx.: strain. Of this f3j. to be given every half-hour for about six hours, after which the interval is increased, and so continued for twenty-four hours. Excision of the bitten part, cauterization with Nitrate of Silver, ligatures above the wound are also to be had recourse to, and the patient should on [no account be allowed to sleep for the first twenty-four hours.