2818. Therapeutic Uses

In Inflammations, observes Prof. G. B. Wood, the medicine acts only as a sedative, and not probably by changing the character of the blood: it should not, therefore, be used to the exclusion of the lancet, and other measures calculated to meet the latter indication. But when the state of the system does not admit of depletion, it may sometimes, doubtless, be employed with advantage. This remark applies to the phlegmasia; generally, excluding gastric inflammation.

2819. In Pneumonia, It Has Obtained Considerable Note From The Writings Of Drs

Osgood, Norwood,§ Cutter,|| and many other American physicians. The plan recommended by Dr. Norwood is to commence with gutt. viij. of the Tincture (ante), repeated every third hour, with the addition of a drop to each successive dose, until the pulse is sufficiently reduced, or nausea supervene; the dose to be subsequently regulated so as to sustain the depressed state of the circulation, with as little disturbance of the stomach as possible. Any excess of nausea may be controlled by a little Morphia. The inflammatory symptoms decline with the reduction of the pulse, and the patient in due time enters into a very favourable convalescence. Dr. C. Hand-field Jones* derived great advantage from it in the treatment of Croup. He gave ij. of the Tincture every hour.

* Amer. Journ. of Pharmacy, xxix. p. 204.

Therapeutics, vol. ii. p. 155.

Amer. Journ. of Med. Sciences, vol. xvi. p. 296.

§ Southern Med. Surg. Journ., June 1850.

|| Amer. Journ. of Med. Sciences, Oct. 1858; and Med. Times and Gaz., June 28, 1862.

2820. In Acute Rheumatism, it is said to possess great powers, when employed with a due regard to the necessity of depletion. It may often be advantageously associated with opiates, and should be given in small doses so as to obtain its sedative without its nauseating effects, and the quantity can be increased as the stomach is found to tolerate it. It is especially recommended by Dr. Osgood. In Chronic Rheumatism it has also been extolled, but it is not so effectual as in the acute form. It is thought to be particularly adapted for the Neuralgic forms of Rheumatism. Benefit has been derived from it in various forms of Neuralgia, especially when it occurs in gouty and rheumatic patients. In Gout, according to Dr. Tully, it is sufficient to effect a cure in the majority of cases. He considers it better adapted for the gout of feeble constitutions than Colchicum, because less apt to weaken by exhausting operation on the bowels.

2821. In Typhoid Or Enteric Fever, It Is Strongly Recommended , By Drs

Norwood, Branch, and others; but, as Stillg justly remarks, it is difficult to believe that a disease eminently specific in character, and most dangerous when its type is most asthenic, can be profitably treated by a medicine which tends so directly to produce such depression of the pulse, and ultimately collapse of the whole system.

2322. The other diseases in which it is said to have been used with benefit are Nervous Asthma, Dysentery, Puerperal Peritonitis, Aneurism, Palpitations of the Heart, and Jaundice. Trustworthy evidence of its value in these affections, however, is still required.