It should be given in smaller doses than those advised in Gonorrhoea, and should be persevered in for some time. It may sometimes be advantageously conjoined with Colchicum. It proved very successful in the hands of M. Ribes.
Dr. Churchill speaks highly of it, in doses of exv. thrice daily. If the stomach is delicate, it may be made into pills with Magnesia (ut supra); at the same time he advises a blister to the sacrum. Dr. Dewees § also states that he has occasionally succeeded with Copaiba, when other remedies had been fully tried without advantage.
Dewees,|| on the authority of Dr. Ruan, employed Copaiba in some cases with the best effects. It may be given in the doses mentioned in Leucorrha.
980. In Hmorrhoids or Piles of long standing, particularly when occurring in old persons, Copaiba, in doses of gutt. xv. - xxv., thrice daily, is productive of great benefit. Cullen ¶ states that he has often employed it with success. To old persons the taste of Copaiba is not generally unpleasant.
981. In Chronic Cystitis, occurring in persons of a strumous diathesis, or in debilitated constitutions, Dr. Cumin ** states that the best remedy is Copaiba, combined with Cubebs; and Mr. Liston says that it will often remove speedily the most intense irritation when all other means have failed.
982. Diseases of the Lungs, when attended with excessive secretion, are often benefited by Copaiba, which exercises a powerful influence over the pulmonary mucous membrane. In Chronic Bronchitis, Bronchorrha, and Chronic Coughs attended with profuse expectoration, Copaiba has been advised by Armstrong,* Laroche, Phillipart,) and others. Dr. C. B. Williams § states that he has often seen it restrain and modify the bronchial secretion. It is particularly useful in old persons. It is inadmissible when fever or much vascular irritability exists.
* Med. Times, March 10, 1849. Med. Chir. Rev., No. lxi. p. 215. On Diseases of Females, p. 135 § On Diseases of Females, 3rd Ed. p. SO.
|| Op. cit. p. 49. ¶ Mat. Med., part ii. p. 190. ** Cyc. Pract. Med., vol. i. p. 505. Elements of Surgery, part iii. p. 105.