152. In Epilepsy, Dr

Pereira* states that he has employed the Sesquicarbonate with obvious benefit. It should be given in large doses (gr. x. - gr. xx. for an adult), properly diluted. He found it particularly successful in hysterical Epilepsy, and in that form of the disease which Sauvages called Lypothymia, and which the patient describes as " dying aWay." He also regards it as a most valuable remedy in Hysteria.

153. Diseases Of The Skin

In Lepra and Psoriasis, M. Caze-nave successfully employs this salt, in doses of gr. v., gradually increased to gr. xxiv. daily. In Syphilitic Eruptions, Dr. Schedel states that he has known this salt succeed when mercurials have failed. The dose gr. lx. daily in Oj. of barley-water. The remedy, he adds, is certainly disagreeable at first, and often causes nausea, but with a little patience the stomach is soon brought to bear it. In Erysipelas, occurring in debilitated subjects, it proves highly useful. Dr. Watson§; observes that, after a preliminary purgative, he commences the use of this salt, and that, generally speaking, a large proportion of his cases recover. It is also strongly recommended by Mr. Wilkinson (see sect. 155).

154. In Scarlet Fever, the Sesquicarbonate is perhaps the most valuable remedy we possess. It was originally prescribed by Withering, and has been extensively used by Drs. Peart, Strahl, Bodenius,|| Bieken, &c. Dr. Rieken¶ considers that it enters into the blood, and ameliorates its crasis, and also removes the depression of the nervous system. He speaks in the highest terms of its efficacy, and recommends that 5j. be dissolved in Aq. fvj., and that of this f3j. - f3iv. be given every one or two hours, according to the strength of the patient and the urgency of the case. It was found most useful in the nervous and inflammatory forms. More recently, it has been strongly advised by Mr. Wilkinson,** who has employed it successfully in above 200 cases. He does not depend, he states, upon its diuretic, nor its diaphoretic qualities, but believes that it possesses the power of increasing the strength of the arterial action, at the same time that it diminishes its frequency; that it supports the vis vitAe, without increasing the heat and irritability of the system, and by such means, counteracts the tendency in Scarlatina Anginosa and Maligna to ulceration and sloughing, and all the other evils which sometimes attend this disease. It should be given as advised by Rieken. Further evidence, if necessary, in favour of this remedy is adduced by Mr. C. Witt.

* Mat. Med. vol. i. p 450. Med. Times, Aug. 9, 1851. J Lib. of Med. vol. i. p. 440. § Lectures, vol. ii. p. 833. || Med. Chir. Rev. No. lxxx.

¶ On the Use of Carb. of Ammonia in Scarlatina, 8vo. 1842.

** Lond Journ. of Med. Sept. 1851.

An Effectual Remedy in Scarlet Fever. London: 1802.

Dr. B. W. Richardson also has found the greatest benefit from its employment. He gives it in 5 gr. doses every one or two hours.

155. In Rubeola, Urticaria, Roseola, Erythema, and in other diseases of the same class, Mr. Wilkinson also bears witness to the value of the Sesquicarbonate. He states that for seventeen years he has administered this remedy as advised in the last section, and that he has not only never lost a patient in the above diseases, but has never had a case of the kind that has ever appeared dangerous, or that has given him a moment's anxiety. In Erysipelas he found it no less successful; and in this disease, and also in Urticaria, the lotion originally proposed by Peart may be employed with advantage to allay the irritation of the surface.

153 Diseases Of The Skin 16 Ammon. Sesquicarb. 3j., Plumb. Acet. 3j., Aq. RosAe fviij., M. ft. lotio.