2737. Nervous And Spasmodic Affections

In Hysteria, during a paroxysm, a Turpentine enema (fl. oz. j. ad Aq. Hordei fl. oz. viij.) is a most effectual remedy. Dr. Conolly** states that he has seen complete resolution of rigid and apparently intractable spasm ensue a few seconds after an enema of this description. It is also a valuable internal remedy in these cases.

* Guy's Hosp. Reports, vol. ix. Edin. Med. and Surg. Journ., Jan 1849. Op. cit., vol. ii. p. 113.

§ Op. cit., vol. i. p. 11.

|| Op. cit.

¶ Cyc. Pract. Med., vol. iv. p. 594. ** Ibid., vol. ii. p. 578.

2738. In Asthma and Angina Pectoris, particularly when occurring in old and debilitated subjects, great relief is experienced from applying to the chest flannels steeped in hot Spirit of Turpentine, or, which is perhaps preferable, a flannel wrung out of hot water, and sprinkled with the oil.

2739. In Epilepsy, It Has Been Advised By Drs

Percival, Latham, Foville, Copland, Graves, and others. Dr. Watson* observes that if he were called upon to name any single drug from which, in ordinary cases of Epilepsy, he should most hope for relief, he should mention Turpentine. Dr. Cheyne relates two cases of what he designates Epilepsia Stomachica, which were successfully treated by giving, once a week, a Calomel pill at bedtime, and on the following morning this draught: -

2739 In Epilepsy It Has Been Advised By Drs 234 Ol. Ricini f3iij., Ol. Terebinth. f3ij., Mucilag. AcaciAe f3iij., Aq. Menth. Vir. f3vj., M. The form of Epilepsy in which we may expect this drug to be the most beneficial is that dependent upon an overloaded state of the bowels, or on the presence of worms (a very common cause); in these cases, it should be given in doses sufficient to prove cathartic. It may also partly act as a derivative. These remarks apply equally to Chorea and to some other nervous affections.

2740. In Puerperal Convulsions, enemas containing Turpentine prove of the highest service. They are advised by Sir C. Locock, both in the active and in the atonic varieties. In the Convulsions of Children, Dr. Copland§; advises the use of a Turpentine liniment, to be rubbed on the epigastrium and abdomen or along the spine. Dr. Graves|| mentions a case in which the following mixture proved successful, when other remedies had failed: -

2739 In Epilepsy It Has Been Advised By Drs 235 Ol. Terebinth. f3j., Ol. Pacini f3iv., Syr. Papav., Mucilag. Arab., Aq. Fnic. āā f3ij., M. cap. f3j. 3tiis horis.

2741. In Tetanus, Turpentine Often Appears To Exercise A Powerful Influence

Dr. Philips ¶ details a case in which the jaw fell immediately after the administration of an enema containing it; and other instances are recorded, in which it appears to have mitigated the severity of the symptoms. It is chiefly adapted for idiopathic Tetanus. In a case under my care, relaxation of the spasms followed the exhibition of fij. of Ol. Terebinth., with fj. of Ol. Pacini; the patient soon afterwards passing six long worms (Lumbrici). It should not be trusted to alone, but it proves a valuable adjunct to other remedial measures. It is the best cathartic which can be employed, and its external application in the form of liniment sometimes proves of service.