Wilkinson.* The treatment employed is thus summed up:• - 1, An incision into each of the Whartonian ducts; 2, an emetic of Ipecacuanha; 3, Sesquicarbonate of Ammonia in water, hourly, as concentrated as it could be swallowed; 4, an opiate at bedtime, with wine and nourishment in such quantities as the patient could be prevailed upon to take. He places great stress upon the Ammonia having been given in a concentrated form.
157. In Puerperal Insanity, when great debility exists, together with defective subcutaneous circulation and cold extremities, the Carbonate of Ammonia (gr. vj. - viij.) with Camphor, may be given every third hour, with advantage. (Dr. Prichard.) In Phlegmasia Dolens, the Sesquicarbonate in full doses, according to Dr. Mackenzie, is often valuable, especially when there is great prostration.
Armstrong § found that in those cases attended by much debility, a languid state of the circulation, and deficient cutaneous secretion, were much benefited by the use of this salt. He speaks of it as a valuable resource in these cases.
159. In Mercurial Erethism, no internal remedy is more to be trusted than the Sesquicarbonate, in conjunction with Camphor and other stimulants.
160. In Drunkemiess, after the stomach has been emptied, the Sesquicarbonate may be given internally with advantage. Its application to the nostrils is also beneficial. It is inferior to the Oxide of Zinc.
* Op. cit.
Lib of Med. vol. ii p. 142.
On Phlegn asia Do'ens. London: 1802.
§ On Scrophula. 8vo. 1812.