Mr. Nunneley|| observes, that "it is certain that in some instances where coma has been intense, the pulse sinking, the tongue dry and glazed, and the teeth imbued with sordes, after other remedies have been abandoned in despair, the administration of the Oil of Turpentine has apparently saved the patient." In extreme cases it should always be employed, and may be given in the manner advised in Typhus Fever [ante). Dr. Copland advises Turpentine fomentations (ante), to be locally applied.
2763. In Enlargements and Injuries of the Joints, in which a stimulating liniment is desirable, Sir B. Brodie¶ states that the following will be found very serviceable: - Ol. OlivAe fiss., Acid. Sulph. Dil. f3ss., M.; et adde Ol. Terebinth, fss., M.
* Cyc. Pract. Med., vol. ii. p. 872. Dublin Med. Journ., vol. xxviii. p. 18!). Lancet, 1851. § Mat. Med., vol. ii.
|| On the Nature and Treatment of Erysipelas, p. 244.
¶ Clin. Lect., Med. Times, vol. xv. p. 337.
Care should be taken to mix the Olive Oil and Acid well together, before adding the Turpentine; for if the Acid and Turpentine be mixed together alone, combustion will ensue. The liniment should be applied twice a day with a piece of lint. To Bruises, Sprains, &c., the ordinary Turpentine liniment (ante) is a very useful application.
Terebinth. has been found by M. Hervieux* to be very effectual in relieving the heat, pain, and swelling. He directs the oil to be poured over the affected parts, which are then to be enveloped in oiled silk. It is then to be kept on until it produces severe pain, when it may be removed. The pain soon afterwards subsides, and the patient is much relieved.
2765. In Chronic Rheumatism, the ordinary Turpentine liniment, diligently applied for fifteen or twenty minutes thrice daily, often proves highly useful. It has also been advised internally, but its efficacy appears doubtful.
Dr. Colles advises the immediate application of caustic; but if this is objected to, he recommends plunging the finger, without delay, into a cup of Ol. Terebinth. The irritation, he thinks, may counteract the power of infection, or alter the mode of inflammation in the wound. (S. Cooper.) Dr. Bland, of Sydney, reports very favourably of the Spirits of Turpentine (f3ij. - f3iv.), given internally or in enema, in cases of the Bites of the Venomous Serpents of Australia. The other usual measures - ligature, excision of the part, prevention of sleep, administration of stimulants - to be used also.
2767. In Burns, Turpentine has been much employed, on the recommendation of the late Dr. Kentish. In severe cases, he applied tepid Spirits of Turpentine over the whole of the injured parts, and immediately afterwards an ointment composed of Cerat. Resinae j. and Sp. Terebinth. fss. spread on cloth or lint. The first dressing was allowed to remain on for twenty-four hours, when the parts were washed with Proof Spirit, or, in a few instances, with tepid Laudanum. Care was taken not to allow the surface to be exposed to the air, and the dressings were not changed more frequently than was absolutely necessary. The internal treatment consisted of Alcohol or Ether given immediately, in proportion to the degree of injury. The whole subsequent treatment was tonic and stimulant. This treatment is chiefly applicable to extensive and dangerous burns, where the vital powers are greatly depressed.
* Med. Times, vol. xvi. p. 354. Dub. Hosp. Reports, vol. iii. p. 222.
Ranking's Abstract, xxxiii. p 127, 1861.