Dewees has seen permanent benefit from the formula advised in the last section. Rest, fomentations, and the hipbath, should be also employed.
Rigby* states that he derived great benefit from the use of Guaiacum. Dr. Dewees also strongly advises the Ammoniated Tincture, as advised in section Ame-norrha. He says that this remedy is more decidedly useful, where the first menstrual period after its use is more than usually severe. It should be persevered in for several months.
Previous to its exhibition in severe cases, antiphlogistic measures should be had recourse to. It acts as a general evacuant on the urinary, cuticular, and abdominal organs. The Mistura Guaiaci is the best form. Dr. Seymour states, after experience in its use in numerous cases, that it acts "with almost unerring success." It has been found to succeed, when Colchicum had previously failed. Dr. Graves regards it as an extremely useful remedy, in cases of Chronic Rheumatism. (See art. Sulphur.)
* On Dysmenorrha, Lond. 12mo, 1844.
Op. cit., p. 138.
Med. Chir. Rev., vol. lviii. p. 657.
1330. In Leucorrha, Bronchitis, and in excessive secretions from Mucous Membranes, occurring in connection with a Rheumatic Diathesis, Drs. Ballard and Garrod* state that they have found Guaiacum highly serviceable and effectual.
Theo. Thompson states that probably the most efficacious remedy is T. Guaiaci Amnion., in doses of from exx. to f3j., every four hours. It is particularly serviceable when the disease assumes a rheumatic character.
J. Bell strongly recommends the internal use of Guaiacum, in doses of 3ss., suspended in mucilage, every six hours. He considers that, when timely administered, it will cut short the disease 99 times out of 100. It has also been found successful in the hands of Mr. Carson§ and others. Dr. Walker,|| who regards Guaiacum as "a specific" in ordinary sore throat, speaks highly of its efficacy in Diphtheria. He prescribes in all cases the following: -Tinct. Guaiaci Ammon. f3ss. - f3vj., Tinct. Cinchon. Co. fss., PotassAe Chlor.iv., Mellis q. s. Aq. ad fviij., M. Dose, from a tea to a table spoonful from one to four hours, or thrice daily, according to the severity of the case. In some cases a strong solution of Nitrate of Silver is applied locally at the same time.
Dr. Pearson¶ found that it possessed the power of arresting the progress of the disease, and of altogether removing some of the symptoms; but he adds that it has no power in eradicating the disease, which reappears in all its violence when the medicine is discontinued. In constitutional Syphilis, its effects are much more marked than in the primary forms. In the former, when the system has suffered from long confinement and a prolonged use of Mercury, he found the health improved, the strength increased, bad ulcers healed, exfoliations completed; and those anomalous symptoms, which would have been exasperated by the use of mercurials, yielded to Guaiacum. In Syphilitic Eruptions, and Nocturnal Pains in the Bones, I have often found Guaiacum, in the form of the Ammoniated Tincture, productive of unequivocal benefit.
1334. In Dropsy, Guaiacum has been administered, with the view of stimulating the cutaneous and renal secretion. It was employed with benefit by Dr. Chamberlaine;** but it is only admissible when the disease is of a purely asthenic character.
* Mat. Med., p. 199.
Lib. of Med., vol. ii. p. 273.
Med. Gaz., vol. xxvii. p. 252.
§ Ibid., vol. xxix. p. 310.
|| Brit. Med. Journ., Dec. 21, 1861.
¶ Obs. on Various Articles of Mat. Med., p. 10.
** Mem. of Med. Soc. of Lond., vol. iii. pp. 301-371.