oz. j.; Mucilage of Starch fl. oz. xv.).
oz. v.; Ointment of Resin oz. viij. Prepared by adding the Oil of Turpentine gradually to the Melted Ointment, and stirring until a uniform liniment is obtained).
* Med. Phys. Journ., vol. xlvi. pp. 185 - 206.
Bouchardt's Annuaire, 1846.. Loud. Journ. of Med., April
oz. j.; Coarsely Powdered Resin grs. lx; Yellow Wax oz. ss.; Prepared Lard oz. ss. The ingredients are melted together by the heat of a steam or water bath).
In Typhus and Typhoid Fevers, and in the advanced stages of continued and inflammatory Fevers, the Spirit of Turpentine by mouth, in enemata, or externally in fomentation, is a remedy of the highest value. When the vital energies are greatly depressed, when Coma or Stupor are present, or if Delirium with Subsultus Tendimim, &c., exists, Turpentine, either by mouth or in the form of enema, often arouses the vital powers, and exercises a most beneficial influence. In the Tympanitis of Fever, it also proves most essentially useful. Drs. Graves,* Copland, and others, speak highly of its efficacy; the former advises it in doses of f3j., with f3iss. of Castor Oil, to be repeated every sixth hour; and the latter administers it in enemata, and applies it externally to the abdomen in fomentations. I have seen striking benefit result from its employment; indeed, there are few remedies which deserve more confidence. In Intestinal HAemorrhage, in Hiccough, &c., it also proves highly serviceable, removing these conditions and tranquillizing the nervous system. Prof. Huss states that, in the epidemic Typhoid Fever which prevailed at Stockholm in 1841-2, he found Turpentine fomentations, as described above, extremely useful; they were applied to the abdomen when the diarrha was profuse, and to the chest when pulmonary complications existed. Its external application should never be omitted in the latter stages of Typhus. It may also be given internally with advantage. Dr. Shapter§ considers that, in the third or last stage of Remittent Fever, the Oil of Turpentine, in doses of gutt. xxx., is perhaps one of the most safe and useful medicines which we can employ. He remarks, that it often immediately controls the character of the symptoms. and changes entirely the nature of the alvine secretions. Stimulants, &c., are advisable at the same time. Dr. Ward,|| in the treatment of the Malarious Intermittens of Ceylon, found great advantage from the administration of f3ss. - f3j. of Spirits of Turpentine (with a sufficient quantity of Castor Oil to act as a cathartic) at the commencement of the cold stage. The remedy was repeated every succeeding cold stage, and he frequently found no other treatment was required. In the Bronchitis of Typhus Fever and other adynamic Fevers, the effects of Turpentine internally, to use the words of Dr. Murchison,* are sometimes marvellous. In extreme cases, when the tubes are filled with secretion, the face livid, and the patient has not the strength to cough, or when other remedies fail, recourse should be had to Turpentine. It may be given as follows: - Ol. Terebinth. x. - xx., Aether. Sulphuric. vel Chloric. xv. - xxx., Spt. Juniper Co. xxx., Mist. Acacia? fiss., M. This may be repeated every two hours at first, until the desired effect is produced. After a few doses, the patient often begins to cough and to expectorate large quantities of viscid mucus, with great relief to the respiratory symptoms. Under its use the urine is increased. Next to Turpentine, Dr. Murchison thinks the following worth a trial: - ℞ Creasoti, Acid. Acetic. āā xviij., Spt. Aether. Co., Syrup. āā f3ss., AquAe fvij., M., sumat coch. mag. ij. 2a vel 3a qq. hora.
* Clin. Lect., vol. i. p. 132, et seq. Dict. Pract. Med., art. Fever. Dub. Journ., Sept. 1845.
§ Lib. of Med , vol. i. p. 253. || Amer. Med. Times, Sept. 15, 1860.
2734. In Puerperal Fever, the internal exhibition of the Oil of Turpentine, in doses of one or two tablespoonfuls every three or four hours, in cold water, and sweetened, was first proposed by Dr. Brenan, of Dublin, in 1814. He regarded it almost as a specific; and in this opinion he is joined by Drs. Douglas, Blundell, Copland, and other judicious practitioners. Dr. Murphy observes that he agrees with Dr. Copland§ in stating that there is certainly no remedy so efficacious as a decided and judicious use of the Spirit of Turpentine, in doses of fss., with Castor Oil, every three or four hours. Dr. Dewees || regards it as a doubtful remedy, and limits its use to the termination of the first stage. Dr. J. Clarke tried it fairly, but without success; and Dr. D. Davis ¶ was thoroughly disappointed in its efficacy. Sir C. Locock** states that it is now and then successful; he adds, " But as a forlorn hope, after effusion has taken place, we have known it tried, and in two cases with success." Dr. Churchill, after observing that he has never seen it exert any remarkable influence on the disease, judiciously observes, that it is certainly beneficial when the intestines are tympanitic, especially in the form of enema, and as a counter-irritant to the abdomen. Its extremely nauseous taste is a great objection to its use. M. Trousseau speaks favourably of the combination of Opium and Turpentine in this class of Fevers.