This section is from the "A Practical Treatise On Materia Medica And Therapeutics" book, by Roberts Bartholow. Also available from Amazon: A Practical Treatise On Materia Medica And Therapeutics
Delirium Tremens : Alcohol, 576, of great utility when assimilation can not proceed without it. Bromides, 652, may cure the preliminary "horrors," and succeed in mild cases of delirium tremens. Chloral, 617, very effective, but dangerous in old topers and cases of weak heart. Paraldehyde, 585, Hypnone, 590, Urethan, 588, are safer and probably not less efficient. Pilocarpine, 683, has proved highly useful. Chloroform. 597. by the stomach, lessens delirium and procures sleep. Arnica Tincture, 676, highly serviceable when there is much depression. Digitalis, 512, tincture or infusion, especially the former, in full doses in cases with cardiac depression, anaemia of brain, due to low tension and lessened vis-a-tergo. Opium,640, must be given cautiously, and the attempt to overwhelm the brain avoided. Quinine, 207, to restore digestion and support the powers of life. Cannabis Indicar 556, sometimes is remarkably quieting. Ammonium Carbonate, 239, required in condition of depression. Capsicum, 788, has hypnotic effects of great value in mild cases.
Dementia Paralytica : Paraldehyde, 585, as a calmative. Physo-stigma, 690, has seemed to retard the progress. Gold and Sodium Chlorider 297.
Diabetes: Aliment, 56, 67, all saccharine and starchy food excluded. Buttermilk, 60. The Milk-Cure, 67, has succeeded remarkably in some cases ; Buttermilk, 60, may be better. Alkalies,21S, and Alkaline Mineral Waters. 229, of great value in the glycosuria of obese subjects. Arsenic, 175, and Clemens's solution and Opium, combined with advantage in thin subjects. Sodium Arseniater 175, with phosphate of soda and the Phosphates, 140, which are also useful of themselves. Lactic Acid, 111, has sometimes done good. Oxygen, 367, Hydrogen Dioxide, 368, Salicylic Acid, 399, Opium, 642, especially codeine, restrains the waste of sugar. Gold and Sodium Chloride, 297, is a promising remedy. Saccharin, 418, as a sweetener of foods, and as an antiseptic. Intravenous Injection of Ammonia, 26, in diabetic coma.
Diabetes Insipidus: Dry Diet, 65, Ergot, 501, is one of the most ^ efficient remedies. Pilocarpus, 684, has done good in some cases. Valerian, 554, restrains the flow but does not cure. Muscarine, 730, has been used with apparent success. Auri et Soda Chloridum, 298, has been of benefit when sclerosis is developing. Potassium Iodide, 260, has cured cases of syphilitic origin.
Diarrhcea : Chalk, 223, in the diarrhoea of children, mis-tura cretcs, with or without opium. Calomel, 287, in minute doses, or hydrarg. cum creta, when the stools are pasty and whitish. Bismuth, 163, especially combined with creosote and glycerin, is useful, but large doses are necessary; also Dermatol, 165. Zinc Salts, 318, especially the Oxide, which may be given with bismuth, or the sulphate with morphine in the diarrhoea of adults. Copper Sulphate, 308, is the most efficient of the mineral astringents in chronic diarrhoea ; is usually combined with opium. Arsenic, 172, Fowler's solution, with tincture of opi»m when undigested food is passed soon after meal, and in chronic diarrhoea. Mineral Acids, 116, especially sulphuric, in profuse watery stools, or Hope's mixture. Lead Acetate, 314, one of tie most generally useful astringents. Camphor, 546, with or without opium, for summer diarrhoea. Camphoric Acid, 549, especially in tuberculous diarrhoea. Ergot, 499, has proved very successful in some epidemics. The newer remedies, also highly efficient, are Salol, 409, and Naphtalin, 416, supposed to be decomposed by pancreatic solution, and therefore act locally by the released constituents. Tannic Acid, 343, and vegetable astringents containing it, especially rubus, kino, catechu, are much employed in simple diarrhoea. Aliment, 53, 55, 56, 59, and 66, milk-cure, raw-meat pulp, but caution is necessary in respect to the latter, because of danger of taenia.
Diphtheria : Belladonna, 527, useful at outset to check exudation, and later to support weak heart. Carbolic Acid, 379, locally in solution and spray, and systemically, and Sulphocarbo-lates, 385. Chlorine, 370, aqua chlori and chlorinated lime and soda topically to correct fetor and destroy germs. Hydrogen Dioxide, 368, and Pictet Liquid, 373. Lactic Acid, 110, one of the best solvents. Sulphurous Acid, 247, an antiseptic, in spray of dilute solution to fauces. Quinine by local application to nares and fauces, 207. Potassa Chlorate, 216, 218, more largely used than any remedy, topically, and by the stomach. Iron, 149, tincture of the chloride much employed, undiluted to the fauces, and by the stomach in full doses; also largely prescribed with potassa chlorate. Acid Muriatic, 117, was formerly applied to exudation. Acid Salicylic, 396, and the salicylates, the former also locally, to reduce temperature and prevent systemic infection. Resorcin, 404, acts similarly to carbolic and salicylic acids. Alcohol, 576, very much prescribed for support, and to prevent diffusion of the poison. Pilocarpus, 685, supposed to act locally in detaching false membrane. Eucalyptus, 186, Turpentine, 780, and Tere-bene, 782, in vapor. Salol, 409, Naphtol, 414, and other antiseptics are now used with varying success; but especially the Antitoxins, 438.
Dropsy : Digitalis, 510, one of the foremost remedies, especially in cardiac and renal dropsy, less so in dropsy of cavities. The "digitalis group " contains some of the mosn effective remedies, as Squill, 793, Caffeine, 566, Strophantus, 518, Adonidin,520. and others. They have effects similar to digitalis, and are prescribed under the same conditions. Juniper, 789, Scoparius, 791, and its alkaloid, Sparteine, 519, and other urino-geni-tals having diuretic properties, of great value in cardiac dropsy ; must be used cautiously in renal dropsy Copaiba, 784, especially the resin, has given good results in ascites. Potassa Salts, 218, especially bitartrate and acetate largely diluted, highly useful in renal dropsy. Iron, 151, especially tincture of the chloride, alone or in Basham's mixture, as a diuretic and to correct anaemia. Pilocarpus, 683, very valuable in renal dropsy when secretion of urine is much reduced or suppressed, and when convulsions occur. Hydragogue Cathartics, 767, especially indicated in ascites. Saline Purgatives, 750, in general dropsy. Dry Diet, 54, Milk-Cure, 59, Whey+ 59, and Koumiss Cures, 59.
Dysentery, Acute : Aliment, 66, of first consequence. Saline-Purgatives, 751, especially Epsom salts in acute dysentery, with bloody discharges and high fever. Ipecacuanha, 741, a remedy of highest value in acute, epidemic, and puerperal; must be administered in large doses ; milk a good vehicle. Silver Nitrate, 302, Copper Sulphate, 307, Zinc Sulphate, 318, are excellent astringents, after the more acute symptoms. Lead Acetate, 314, may be used at any period, but better after action of salines, in acute disease. Opium, 630, combined with some of the astringents, but given after the action of salines in the acute disease. Turpentine, 778, in epidemic dysentery of low type. Ergot, 499, has been used with success in acute. One of the new antiseptics, Naphtalin, 416, has proved a valuable remedy in diarrhoea, and it also entirely deodorizes the stools. Salol, 409, is highly efficient in arresting intestinal fermentation.
Dysentery, Chronic : Aliment, 56, 60. Grape-Cure, 55, Arsenic, 172' —Fowler's solution with opium. Iron, 147, pernitrate. a powerful astringent. Tannic Acid, 343, with milk-diet, and the vegetable astringents. Silver, copper, and zinc salts (as above), with opium. Nux Vomica, 482. Ergot, 499, Ipecac, 741, and especially the antiseptics Naphtalin, 416, and Salol, 409.
Dysmenorrhcea : Aconite, 715, and Pulsatilla, 722, for the congestive form especially succeeding to suppression. Ergot, 499, under the same conditions as the two preceding ; also Cimici-fuga, 522, and Potass. Pernianganat., 158, Camphor, 547, Gelsemium, 675, and Apiol, 794, are useful in the neuralgic form. Amyt Nitrite, 706, and Spirit. Glonoin, 709, afford relief quickly. Chloroform, 596, Chloral, 618. Cannabis Indica, 557, Morphine, 641, especially with Atropine, 645, all give relief in painful menstruation. When men-orrhagia coexists, or there is plethora. Sodium Bromide, 657. Electricity, 469; galvanism during the interval is highly useful. Iron, 151, in anaemic cases. Viburnum, 365. Antipyrin, 413, Methylal, 586, Urethan, 588, and other members of the antiseptic group.
Dyspepsia : Diet, 60, 63, 69, the most important, especially the milk-cure. Pepsin, 106, Ingluvin, 106, and Pancreatin, 106, assist digestion in atonic dyspepsia. Mineral Acids, 115, muriatic acid after meals, with or without pepsin, in atonic dyspepsia. In case of an excess of acid in stomach-juice, the mineral acid before meals. In excess of uric acid as well as of stomach acid, Nitric Acid, 116, is the most efficient. Alkalies, 331, to relieve excess of acid ; given before meals, alkalies favor the production of acid gastric juice ; after meals, neutralize acid. Alkaline Mineral Waters, 239, 234, as well as alkalies, are highly useful in dyspepsia of obese subjects. Antiseptics, 375 et seq., should be used when acid fermentation occurs. Bitters, Simple, 181, especially gentian and calumba, stimulate digestion ; may be given with acids or alkalies. Arsenic, 171, drop doses of Fowler's solution relieve irritative dyspepsia. Silver, 301, oxide especially, is very useful. Nux Vomica, 482, is an excellent stomachic tonic, and removes various nervous symptoms. Hydrastis, 190, Eucalyptus, 186, Wild Cherry, 183, Hop, 646, are useful stomachic tonics.
 
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