2508. In Dysmenorrha, The Mustard Hip-Bath Is Well Spoken Of By Dr

Ashwell.* It should be repeated three or four times a day, the patient remaining in it from thirty to sixty minutes, or even, if the pain be very severe, until faintness is induced.

2509. In Uterine Discharges Arising From Ulcerated Carcinoma, Dr

Ashwell found much benefit from the following vaginal injection: -2509 In Uterine Discharges Arising From Ulcerated  206Pulv. Sinapis 3ij., Aq. Ferv. fxvj., M. This should be employed once a day, or two or three times a week, and should be of a strength to excite only a little tingling. It is particularly useful when the discharge is thin and ichorous.

2510. Sinapisms, or Mustard Poultices, are excellent counter-irritants, producing a certain and rapid effect. They are usually made with flour of Mustard, mixed to the consistence of a poultice with water or vinegar. There are a few points of importance to be noticed in their preparation. M. Faure has shown that the stimulating properties of the powdered seeds are not disengaged in hot water (190° F.), and that they are readily so in cold water; hence it follows that a sinapism, to be efficacious, should be made with cold water, and that in foot-baths the Mustard should be first mixed with some cold water, to which the hot water can be afterwards added. All liquids which coagulate albumen should also be avoided in the preparation of Mustard poultices and baths. (For the explanation of the action of hot water, &c, see ante.) These results agree nearly with those of Trousseau and Blanc. They found that vinegar very much impaired the stimulant property of the common brown Mustard, in which the husk is mixed with the flour; that the English flour of Mustard was equally efficacious if mixed with water or vinegar; that it was less active if mixed with alcohol; and that cold water was the best and most efficacious fluid for its composition. Dr. Paris advises its mixture with the oil of Turpentine; but if it be desired simply to increase the stimulating effect of the poultice, the surest way is to add a small portion of bruised Capsicum or Cayenne pepper. In persons of delicate skins, as in women and children, it is advisable to place a piece of muslin between the poultice and the skin. If a sinapism is allowed to remain in contact with the skin above twenty or thirty minutes, it may cause vesication; this should always be avoided, as the ulcers which result are extremely difficult to heal, and sometimes assume a gangrenous appearance. It should be removed when it causes great pain.

2511. In all Inflammations of Serous and Mucous Membranes, where the inflammatory action is not severe, or where the patient will not bear more active treatment, sinapisms, or poultices of linseed meal, or bread containing Mustard, are valuable counter-irritant applications. In the treatment of inflammatory attacks in children, they often prove of the greatest service.

* On Diseases Peculiar to Women, p. 109, et seq.

Ibid.

Archiv. Gen. de Med, Sept. 1830.

2612. In Apoplexy, Delirium, Coma, Paralysis, Congestive Headaches, and in Cerebral Affections occurring in the course of Fevers, sinapisms, to which have been added Chillies or oil of Turpentine, may in most instances be applied with evident advantage, to the soles of the feet and the inner parts of the calves and thighs. Their action is that of a speedy and powerful derivative.

2513. In Cholera, Colic, Colica Pictonum, Ileus, and in Spasmodic Affections of the Bowels, unattended by Inflammation, a strong Mustard poultice over the whole surface of the abdomen affords, in most cases, a great amount of relief. Gastrodynia is also often much benefited by its application.

2514. In continued and other Fevers, when they assume a Typhoid character, and particularly when complicated with head affections, the application of Mustard poultices to the extremities, acting as a revulsive and stimulant, proves often of great service, restoring the vital powers in a remarkable manner. In Puerperal Typhus, Prof. Osiander* states that the application of large Mustard poultices to the mammae, so as to excite a powerful revulsion from the uterus, has in several instances seemed to act more beneficially than any other means which he has employed.

2515. In Gout, the application of a Mustard poultice to the inflamed part often affords speedy and evident relief. Prof. Gravest mentions three cases in which it proved successful. In retrocedent Gout, a sinapism placed over the originally affected part, or to the extremities, is occasionally effectual in causing the disease to reappear in its former, or in a less dangerous locality.

2516. In Coughs attended with much Dyspna, a sinapism to the chest often affords relief. Hooping-Cough is often benefited by sinapisms to the spine. In the Bronchitis of Typhus Fever, an emetic of Mustard, observes Dr. Murchison, is said to act sometimes like a charm, by promoting copious expectoration, and allowing free ingress of air into the bronchial tubes, so as to save the patient from impending suffocation.