Dr. Nevins * also speaks highly of a pessary composed of equal parts of powdered Galls and Alum, inclosed in a fine muslin bag.
* Med. Chir. Rev. lxi. p. 214. On Habitual Constipation. Diseases of Females, p. 81.
§ Lib. of Med. vol. iv. p. 316. || Diseases of Females, 8vo, 1840.
110. In Hmaturia which resists the action of the Acetate of Lead and other ordinary remedies, the injection into the bladder of a solution of Alum (gr. xx. ad Aq. Oj.) is sometimes effectual in arresting the discharge. This should not be had recourse to, until it has been ascertained that the bladder, not the kidneys, is the seat of disease. Dr. Prout observes that he has '' never seen any unpleasant consequences follow the use of this expedient; and that he has seen it immediately arrest the most formidable hAemorrhage, when all other remedies had failed, and when the bladder had repeatedly become again distended with blood almost immediately after its removal." If, after the use of the injection, coagula remain in the bladder, they should be broken up by repeated injections of cold water. Alum in doses of gr. x. - xv. may be given internally at the same time; although, as an internal remedy, it is less efficacious than Gallic Acid. In Catarrh of the Bladder it is highly spoken of by Sir J. Eyre, in doses of gr. x. - xv. thrice daily.
In Purulent Ophthalmia, a collyrium of Alum (gr. xxx. ad A. fl. oz. vj.) is a useful cleansing application. In the severer forms, a saturated solution of Alum, dropped into the eye, is occasionally of great service. In the Purulent Ophthalmia of Egypt, Clot Bey found great benefit from dropping into the eye a mixture of the saturated solutions of Alum and Sulphate of Zinc. Dr. Rognetta speaks highly of its value.
112. In the Ophthalmia of India, commonly known as "Country Sore Eye," I can speak from experience of the efficacy of the following native application: - Place some finely-powdered Alum on a heated plate of iron, and whilst the salt is in a state of fusion, add a small portion of lemon or lime juice, until it forms a black soft mass. This, whilst hot, is placed entirely round the orbit, taking care that none of it gets beneath the eyelids, as it causes, under these circumstances, intense agony. One or two applications, each being allowed to remain on for twelve hours, are sufficient in ordinary cases to effect a cure.
113. In the Ophthalmia of Infants, after the subsidence of acute inflammation, a collyrium of Alum (gr. iv. ad Aq. fl. oz. j.) is one of the most serviceable applications which can be had recourse to. I have employed it with success in some hundreds of cases. It has also the recommendation of Ramsbottom, Lawrence, Pereira, &c. In Ophthalmia Tarsi, a similar collyrium is advised by Mr. Howard.
114. In Ecchymosis of the Eye, and in some forms of Ophthalmia, an Alum poultice is an effectual application. It is made by agitating a small piece of Alum with the white of an egg, until it forms a coagulum. This is placed between two pieces of thin rag, and applied to the eye for some hours.
* Trans. of Pharmacol ia, 1851, 342.