2616. In The Dyspna Of Phthisis, Sir J

Clark states that he found the extract of Stramonium very efficacious. The dose is from gr. 1/4 - gr. j. daily, when the Dyspna is constant.

2617. In Emphysema Of The Lungs, It Proves Useful

Dr. C. Williams § observes, if the expectoration be not sufficiently free, and a tit of Dyspnoea occur during the night in consequence, benefit may often be derived from smoking Stramonium in the evening; this excites secretion from the bronchial surface, and prevents the congestion which would otherwise ensue during the first sleep.

2618. In Chronic Coughs and Catarrhs, smoking Stramonium often affords great relief, particularly when the cough is hard and dry, and the expectoration scanty and viscid.

2619. In Neuralgia, much relief is occasionally derived from the internal exhibition of the extract. Dr. Marcet || employed it with success, in doses of gr. 1/8 - gr. ss. thrice daily; and Dr. Begbie¶ speaks favourably of it. Dr. Rowland ** found it suc-

* Dict. Pract. Med., vol. i. p. 143. On Diseases of the Heart, p. 413. Cyc. Pract. Med., vol. iv. p. 351, art Phthisis. § Lib. of Med., vol. iii. p. 159.

|| Med.-Chir. Trans., vol. vii. p. 75. ¶ Trans of Med.-Chir. Soc. of Edinburgh, vol. i. ** On Neuralgia, Lond. 8vo, 1838.

ceed only in three cases out of ten; and in these three, partially in two, and completely in one. Dr. Elliotson considered it most useful in Enteralgia. Trousseau particularly advises its external application in the form of fomentations of the leaves (j. ad Aq. Oj.), or in that of ointment (one part of the powdered leaves to four of Lard). (Copland.)

2620. In Insanity, Baron Stoerck First Proposed The Internal Use Of Stramonium

It is occasionally useful, and may be advantageously administered, when, from any cause, Opium is contra-indicated, and a sedative is required. Dr. Burrows* found one grain of the extract procure sleep in furious mania, when other narcotics had failed; but when the effect had passed off, the patients awoke more furious than they had been previously. The same circumstance has been observed with respect to other narcotics. Of fifty-five cases collected from various sources by Bayle, the majority are said to have been benefited by its employment. In Epilepsy, it has in some instances proved serviceable, but most frequently it fails of affording any benefit. Greding, as quoted by Dr. Copland, states that, of twenty-eight epileptics, it cured only two, permanently relieved four, and temporarily relieved eleven. In Chorea, associated with much nervous excitement, it has occasionally been given with advantage. Dr. Graves relates a case in which a cure was effected by the following pills, conjoined with the use of the shower-bath: - ℞ QuinAe Sulph. gr. viij., Ext. Stramon. gr. j.1/4, Pulv. GlycyrrhizAe gr. xv., M. ft. pil. iv., cap. j. quater in die. Although the Stramonium was continued until constitutional symptoms (dilatation of the pupils, &c.) were produced, Dr. Graves is inclined to attribute the improvement more to the shower-bath than to the Stramonium or Quinine. In Nervous and Rheumatic Headache, Dr. Copland § says that he has prescribed it with benefit.

2621. In Dysmenorrha, Stramonium Has Been Given Internally By Dr

Ferguson. He states that, in the severe forms of the disease, it has been productive of the most marked good effects.

2622. In Diseases of the Eye, in Cataract, Iritis, deep-seated Ulceration of the Cornea, &c., the local application of an aqueous solution of the extract proves especially useful from its power of dilating the pupil. It is an excellent substitute for Belladonna, although it is generally regarded as inferior by British practitioners. (See Atropa Belladonna.)

2623. In Dracunculus Or Guinea- Worm, Mr

Forbes recommends poultices of the bruised leaves of the Datura. He states

* Comment. on Insanity, 8vo, Lond. 1828. Dict. Pract. Med., vol. i. p. 808.

Clin. Lect., vol. i. p. 535.

§ Op. cit., vol. ii. p. 535.

|| Lib. of Med., vol. iv. p. 312.

that he has long employed them with decided advantage; leeches and fomentations only being had recourse to when inflammation exists in the neighbourhood of joints.

2624. To painful Nodes and Rheumatic Swellings, particularly when they partake of a Syphilitic character, I have found a leaf of the Datura, moistened in spirit and bound over the painful part, afford very great relief. Fomentations of the leaves (oz. j. ad Aq. Ferv. Oj.) may also be employed with benefit. To painful and irritable Piles, an ointment, composed of one part of the powdered leaves and four of Lard, is a useful anodyne application, but its use requires caution.