491. In Small-Pox, The Treatment Advised For Scarlet Fever Has Been Found Effectual

Mr. E. Wilson § states that he has seen this remedy exhibited with the greatest benefit, both as a prophylactic and as a curative measure.

492. In Erysipelas, the internal use of Belladonna, in repeated doses of 1/16 of a grain, is often very effectual in reducing the excitement of the arterial system, and in procuring rest. It is best given after the exhibition of Aconite (see sect. 41). Belladonna has been administered internally in cases of severe burn by Mr. Hutchinson.|| He has found it of most use in children in whom general febrile symptoms, attended with restlessness and loss of appetite, have set in without local complication. Where the bum itself is very painful, and the patient unable to procure sleep, Belladonna is inferior to Morphia.

493. In Phlegmasia Dolens, much benefit sometimes arises from the local application of an ointment, composed of equal parts of Ung. Hydrargyri and Ext. BelladonnAe.

494. In Dysentery, in order to relieve the tormina, tenesmus, and morbid sensibility, Belladonna is extolled by some German physicians, Gesner¶ and Ziegler,** and others. It has been rarely used in British practice, and has apparently no advantage over Opium.

* Lancet, 1836-7, vol. ii.

The Institute, Jan. 4, 1851.

Ibid. Feb. 1, 1851.

§ Diseases of the Skin, p. 96.

|| Med. Times and Gaz. Jan.?, 1864. ¶ Bibliothec. Med.Pract.vol. ii. p. 55. ** Beobachtung, p. 35.

495. In The Diarrha Of Phthisis, M

Delhage * found Belladonna very effectual in arresting the discharge.

496. In Stricture of the oesophagus, a Belladonna plaster to the sternum, or friction with a Belladonna liniment, is often signally useful as a palliative. In Cynanche Tonsillaris, Belladonna in small doses, frequently repeated, is stated by M. Popper frequently to effect a cure in twenty-four hours, if it be not of a syphilitic character, nor associated with diphtheric inflammation.

497. In Insanity, Belladonna has been recommended by Vogel, Buchoz, Ludwig, Hufeland, and others. J. Franck advises it in Mania, complicated with Epilepsy; and Mliller prefers the powdered root to the Extract, and gives it in gradually increased doses, until the pupil becomes dilated. In England it has been employed, and is favourably mentioned by Drs. Seymour and Burrows. Dr. Millengen states that he found Belladonna preferable to Hyoscyamus or Conium, and that the external employment of the Extract, according to the endermic method, has been very effectual in reducing the excitement, more especially when applied to the epigastric region. Dr. Copland, from whose valuable Dictionary the above is an extract, states that he has employed the following pills with evident advantage: -495 In The Diarrha Of Phthisis M 50 Ext. Belladon. gr. ij., Camphor, gr. xij., Ammon. Carb. gr. xij., Pulv. Capsici gr. iij., Pulv. AcaciAe et Balsam. Peru. q. s. ft. pil. viij. Dose ij., every six hours.

498. In the Delirium occurring in Fevers, and in Erysipelas, Belladonna is sometimes a more effectual sedative than Opium, and is often admissible when the latter is not so. It was found particularly useful by Mr. Blackett§; in the delirium occurring in Erysipelas of the scalp. It may be advantageously combined with Camphor.

499. In Typhus and other Low Fevers, attended with a contracted state of the Pupil, Dr. Graves || advises the exhibition of Belladonna, with a view of correcting that condition of the brain which gives rise to this symptom. It is applicable only in those stages of the fever when there exists much nervous susceptibility and restlessness, and when sedatives, cteris paribus, are indicated. Dr. Graves looks upon a contracted state of the pupil as contra-indicating the administration of Opium, and mentions several cases in his own practice, remarkably benefited, when that symptom was present, by the exhibition of Belladonna, combined with Musk or Tartar Emetic, as the circumstances of the case required. (See Dr. Graves' excellent remarks, art. Opium.)

500. The Lactifuge Property Of Belladonna Was First Noticed By

Dr. Goolden.* He cites two cases in which the external application of the Extract around the areola of the breast was followed by a marked decrease and eventual arrest of the lacteal secretion. Its efficacy is attested also by Mr. Burrows, of Liverpool, and Mr. Blythman.

* Lancet, 1841-2, vol. i. p. 531. Ranking's Abstract, 1856, vol. xxiii. p. 116. Vol. ii. p. 531.

§ Lond. Med. Repository, vol. xix. || Dublin Journ. of Med. Sciences, July 1, 1838.

501. In profuse Mercurial Salivation, the internal administration of the Extract, in doses of gr. iiss., proved useful in the hands of Dr. Espenbeck.§ He likewise used it successfully as a prophylactic.