R. B Todd speaks highly of the value of this salt, given in doses of 3ss. - 3j., frequently during the day. He prefers it to Squills, Cantharides, &c., as causing much less irritation. If larger doses are employed, it acts on the bowels, and, being carried off by them, does not prove so powerful a diuretic.
2252. In Albuminuria, Cream of Tartar, given in such doses as to purge freely, is favourably spoken of by Dr. Heaton§ and others. In many cases, it appears to produce at least temporary benefit. Besides acting on the bowels, a portion is carried into the system, and may operate favourably on the kidneys.
2253. In Hepatitis, various remedies have been proposed to procure a free discharge of bile, and to prevent suppuration, after blood-letting and vascular depletions have been carried sufficiently far. "Amongst these remedies," observes Dr. Copland,|| " the Bitartrate of Potash is the most efficacious in promoting a discharge of bile, in removing viscid and tenacious secretions, from the intestinal mucous surface, and in lowering inflammatory action." It should be prescribed in full doses, from gr. lx. - oz. ss., twice or thrice daily, in the form of electuary; and it is often advantageously conjoined with small doses of tartarized Antimony, or with the Biborate of Soda, &c, according to circumstances. In some cases, it is advisable to prescribe the salt during the day, and to administer a mercurial at night.
* Cyc. of Pract. Med., vol. ii. Lib. of Med , vol. v. p. 135. Lectures, Med. Gaz., April 6,
1849. § Prov. Journ., April 4, 1849. || Dict. Pract. Med., vol ii. p. 745.
clxxx. - oz. ss. every six hours, in the form of electuary, with the pulp of tamarinds and syrup of Ginger, will often open the bowels, and procure the excretion of bile, when other means fail. The practice was recommended by Selle, and was found to succeed in some hopeless cases, by Dr. Cheyne. According to Dr. Copland,* it is more efficacious after the exhibition of mercurials; and, when the substance of the liver is acutely affected, may be depended upon as an appropriate refrigerant purgative. The efficacy of the Pulvis JalapAe Co. in this disease depends mainly upon the presence of this salt.
Malcolmson observes, that, "of all diuretics, none is so generally successful, and universally useful, as Cream of Tartar, which has generally been adopted by experienced practitioners in Beriberi. Its laxative effect, grateful taste, and soothing qualities are powerful recommendations, in addition to the direct benefit from its diuretic powers." He advises its exhibition in any simple bland vehicle, and to make it a common drink. Mr. Ridley, who strongly advocated this salt, advises its exhibition in punch or gin.
2256. In a Thickened Condition of the Valves of the Heart, and in some Chronic Diseases of the Heart, a powerful diuresis acts beneficially as a derivative. Dr. Hope states that, in this class of diseases, when the urine is high-coloured and scanty, he has found this salt a valuable auxiliary to other treatment. It should be given in doses of gr. lx. - gr. clxxx. daily, in divided doses.
2257. In Fevers and Inflammatory Attacks, an agreeable and useful refrigerant drink is formed by dissolving gr. lx. - gr. xc. of Potas. Tart. Acid. in Oj. of boiling water, and flavouring with lemon-peel and sugar. It may be used as a common drink.
Tart. Acid., given with an equal quantity of Sulphur, proves useful. Its effect is rendered more certain by the addition of Conf. Sennse. Much of the benefit in these cases is doubtless due to the Sulphur; but I am inclined to think that the Cream of Tartar bears no insignificant share also, having frequently observed that in Chronic Dysentery, when the stools are loaded with mucus, this is greatly diminished by the exhibition of the Acid Tartrate of Potash alone.
* Dict. Pract. Med., vol. i. p. 728. On Beriberi, &.c, p. 271.
Cyc, Pract. Med., vol. iv. p. 430
2259. In Rupia, Rayer* considers that one of the best local applications is Cream of Tartar, finely powdered, and well dusted over the ulcerations.