Liston, who observes that the exhibition of the Extract (Ph. L.) in this and other inflammatory affections, is often followed by great abatement of vascular excitement; so that the necessity for the abstraction of blood is done away with. It may be given in doses of half a grain, in substance or dissolved in pure water, every third or fourth hour. Mr. Erasmus Wilson confirms this view, and observes that it proves especially useful in checking the heart's action, and in promoting cutaneous transpiration. Mr.'Liston remarks, that after Aconite has performed its office, Belladonna (gr. 1/16) is productive of the greatest benefit.
42. Painful Sprains and Bruises are much benefited, in most instances, by the local application of the Tincture twice or thrice daily. Two cases, illustrative of its efficacy, are quoted by Prof. Graves. §
E. "Wilson|| states that, in three instances, he succeeded with the external application of T. Aconiti, in combination with T. Opii, but that in some other instances it failed.
44. In Amaurosis, arising in connexion with Gout or Rheumatism, Aconite, externally and internally, is favourably spoken of by the German physicians; but it has not been adopted by English practitioners. Employed with caution, it might prove serviceable.
Dr. Copland ¶ says that he has prescribed the Alcoholic Extract with decided benefit. As a means of preventing rigors after the passage of a catheter into the urethra, Mr. Long** found Fleming's Tincture in doses of m. ij. (in Aq. f. i.) an effectual measure.
46. In Diseases of the Heart, particularly in those in which the chief indication is to diminish the action of that organ, Dr. Fleming found Aconite a most valuable remedy. In functional derangement, it will often, he observes, be found, in conjunction with appropriate treatment in respect to diet, regimen, &c, equal to obtaining a complete cure. In certain cases of organic disease, its use has been followed with great alleviation of the painful symptoms; but in a large class of cases, where some obstruction exists, which prevents the heart from transmitting the necessary quantity of blood, by the usual number of pulsations, and it is forced to make up for such inadequacy by more frequent and forcible contractions, the use of Aconite is decidedly contra-indicated. Here it is evident that its effect would be to diminish the frequency necessary to enable the heart to perform its task. "When, however, it is really desirable to reduce the action of the heart, as in simple hyper-trophy, or functional disorder, Dr. Fleming prefers the use of Aconite to that of Digitalis, considering that its action is more purely sedative, more uniform, and its effects, at the same time, less dangerous.
* Med Dict. vol. ii. p. 50. Elements of Surgery, 2nd Ed. p. 61. Diseases of the Skin, p. 146. § Clin. Lect. vol. ii. p. 548.
|| Op. cit. p. 209. ¶ Med. Dict. vol. ii. p. 538. ** Liverpool Med. Chir. Rev.. Jan. 1868. Op. cit.