In Acute Inflammation of the Heart or its Membranes; in that of the Lungs, Pleura, Peritoneum, the Brain and its Membranes; and also in Acute Bronchitis, Tartar Emetic is a powerful therapeutic agent. It controls the action of the heart and arterial system, lowers the force and frequency of the pulse, depresses the action of the vascular system, increases the urinary secretion, and produces a certain amount of diaphoresis. It may be employed alone, or in combination with Calomel and Opium. The dose of each article, or the omission of one article altogether, must be regulated by the state of the patient, the particular form of inflammation to be subdued, and other concomitant circumstances. As a general rule, after bleeding in sthenic cases, this combination may be administered with every prospect of benefit. By the diligent use of these remedies, together with an antiphlogistic regimen, saline refrigerants, and careful attention to the bowels, there are very few inflammations that will not yield, if taken in an early stage, but the patient requires to be carefully watched, and any signs of returning inflammation should be met with a repetition of the same remedies. In Acute Hepatitis the value of Antimony has only recently been pointed out by Dr. H. C. Cutliffe.* He prescribes gr. 1/4 with Nitre in solution every half-hour. A few leeches, hot fomentations, and spoon diet, the only accessories. He speaks very favourably of this treatment. There are some inflammations, however, in which Antimony must be administered with great caution; thus in Acute Meningitis it should never be given in such doses as to produce vomiting: should this effect be produced, the medicine should be omitted or the dose diminished. In Pleuritis, also, it is necessary to guard against its emetic effect; and in Nephritis it is seldom admissible, in consequence of the great tendency to vomiting which generally accompanies this inflammation. Dr. Watson considers Antimony most useful in inflammation of mucous membranes, and not nearly so valuable a remedy as Calomel, when serous membranes are the seat of disease. When, however, these remedies are combined, they appear almost equally useful, whether the seat of inflammation be the mucous or serous surfaces.
* Indian Register of Med. Science, Oct. 1848.