j. - ij.) proves signally useful. Fomentations, sinapisms, &c, may be used at the same time. If obstinate constipation be present, the Opium may be combined with Calomel, and followed by Castor Oil, or some carminative aperient.
Holland observes that in the more complex cases, although the cause cannot be thus obviated, yet much relief may be afforded by the application of a strong opiate ointment, or a little Muriate of Morphia, to the blistered surface of the epigastrium.
Opii, in an aromatic water or effervescing draught, is often an effectual palliative. In the Vomiting of Pregnancy, it also proves effectual; but it should not be frequently repeated, as it appears, according to Dr. Denman, to exercise a prejudicial effect on the foetus. Dr. Dewees states that he has seen prompt advantage from the application to the epigastrium of a plaster, composed of equal parts of Opium, Camphor, and Soap. It is also sometimes an effectual palliative in vomiting attendant on Cancer of the Stomach.
1973. In Chronic Diarrha, arising from irritation or increased peristaltic action, an opiate enema (exl.) will often prove effectual, or Opium may be given in a draught, with mucilage, at bedtime. In the Diarrhoea of Children, the Pulv. CretAe Aromat. c. Opio is very effectual; and in the Diarrhoea of Phthisis, small doses of Opium may be given with manifest advantage. Cases of ordinary Summer and Autumnal Diarrhoea will generally yield to a dose of Calomel (gr. ij. - gr. iij.) combined with P. Opii gr. j., followed by a dose of Rhubarb or Castor Oil, and subsequently the following mixture: - TAe. Opii exxx.; TAe. Catechu fl. drs. iij.; Spt. Ammon. Aromat. fl. drs. ij.; Mist. Cretae ad fl. oz. vj., M. sumat. fl. oz. j., 4ta quaque hora.
1974. In Dropsy, Opium has been employed by Brocklesby,
* Edin. Monthly Journ., Nov. 1853. Medical Notes and Reflections, p. 431.
Diseases of Females, 6th Ed., p. 211.
Sir G. Baker, Mason, and others, with the view of diminishing irritation, and promoting the action of other remedies, particularly that of diuretics. Dr. Graves * speaks very favourably of it's influence in these cases, especially when conjoined with the daily use of the vapour bath. "There seems," he observes, " to be an analogy between Chronic Dropsy and Diabetes, and experience has proved to me that this mode of treatment is most likely to be attended with success. Opium and other diaphoretics," he adds, " increase the strength, remove dropsical swellings, diminish the quantity of albumen in the urine, and bring on convalescence, without producing any bad effects on the head or digestive system."
1975. In the Passage of Biliary Calculi, or Gall-Stones, the intense agony is more effectually relieved by a full dose or doses of Opium, than by any other remedy, particularly if it be combined with the use of the hot bath. Two grains of solid Opium, or exl. of T. Opii, administered either by mouth or in the form of enema, will generally be found sufficient; but should it not prove so, it may be repeated in half an hour. The same treatment is applicable to Jaundice, depending upon the impaction of a gall-stone in the ducts. Dr. Thudichum regards Opium rather as an auxiliary in these cases than to be relied upon alone, and he speaks strongly of the danger of over-dosing the patients with opiates.