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
Pilocarpus, 642, does good when skin is dry and harsh. Galvanism, 470, has special value in cases of neurotic origin. Sulphides, 250, afford relief in bath or as an ointment.
Pruritus Vulv.« : Borax, 225, a saturated solution freely applied ; also Potassium Bicarbonate, 225, in solution. Corrosive Mercuric Chloride, 294, in solution of sufficient strength. Oleate of Mercury, 294, Cyanide of Potassium, 703, as an ointment or in solution, if strong enough, relieves greatly, but must be used cautiously ; also Hydrocyanic Acid, 702, diluted, which may be prescribed in lotion, with borax. Silver Nitrate, 303, a solution painted on the affected parts, gives great relief. Sulphites, 248, also as a lotion. Oleates of Mercury and Morphiney 294.
Psoriasis : Cod-liver Oil, 126, of the greatest value both internally and locally in cases of strumous origin. Arsenic, 174, in chronic cases ; may increase the disease at first, but persistently used may effect a cure. Phosphorus, 136, acts similarly to arsenic, and may accomplish better results. Locally— Silver Nitrate, 303, Lead—ointment of the iodide, 315, Coptis, 183, especially in psoriasis of the tongue, Sulphur Baths, 253, and the Sulphides, 249, 250.
Ptyalism : Belladonna, 526, also Hyoscyambie and Du-boisine, of same group, very effective in mercurial, and ptyalism of pregnancy. In some rare examples, Pilocarpine, 642, effective. Locally—Tannin, 345, and the Vegetable Astringents, 340 et seq.
Puerperal Convulsions : Anaesthetics, 605, especially chloroform ; the relief is temporary, but time is gained for other measures. Chloral, 617, in considerable doses is useful. Morphine. 640, hypo-dermatically, is the most valuable agent in the uraemic form, but full doses are necessary. Amyl Nitrite, 705, by inhalation, may do good in cases characterized by high tension of the vessels. Veratrum Viride, 720, has proved to be a successful remedy—" invaluable." Bloodletting, 814, is necessary when there is cerebral congestion. Bromides, 654.
Puerperal Fever : Quinine, 201, in large doses, first in importance. Opium, 640, when there are wakefulness and delirium, especially when local peritonitis exists. Salicylic Acid, 396, and the Salicylates, Resorcin, 404, and Carbolic Acid, 380 ; also, of the same class, Salol, 409, Antipyrin, 412, Acetanilid, 426, and all effective antipyretics, are remedies of great value. Turpentine, 779, when there is much tympanites or depression. Po-tassa Permanganate, 157, has been used with success internally.
Puerperal Mania : Anaesthetics, 605, may be necessary In violent cases. Bromides, 653, will quiet, in cases with tendency to cerebral congestion. Chloral, 617, is a highly serviceable hypnotic, but its persistent use in anaemic cases is harmful. Duboisine, 542, Hyoscya-mine, 538, and Hyoscine, 540, are probably the best hypnotics when there are much excitement and restlessness, as well as wakefulness, and the most successful when there is much motor excitement. Cha-lybeates, 150, and Quinine, 207, are necessary when there is debility. Morphine, 641, under some circumstances is the best hypnotic.
Puerperal Peritonitis : Opium, 640, is the most important remedy, and is probably curative. Quinine, 205, in considerable doses, is next in value; a combination of quinine and morphine. Turpentine, 779, is indicated in a condition of systemic depression and when tympanites is present. Ice, 84, Heat, 88, to the walls of the abdomen.
Purpura : Digitalis, 509, to overcome the low tension. Ergot, 500, slows the heart and raises the tension, and thus checks transudations. Sulphuric Acid, 117, Gallic Acid, 344, Lead Acetate, 314, are astringents of more or less value. Turpentine, 779, is of great value usually. Iron, 151, is usually indispensable, especially the tincture of the chloride ; also Hcemol, 54. Ferratin, 53. Oil of Erigeron, 184, is useful.
Pymhia. : Quinine, 201, in large doses. Salicylic Acid, 396, Resorcin, 404, Salol, 409, Antipyrin, 412, and the Antiseptics in general, are useful in varying degree. Alcohol, 582, and the Malt Liquors, 584, have an important place.
Pyelonephritis : Eucalyptus, 187, and the Urino-genital Remedies, especially Cantharis, 799, Turpentine, 781, Pipsissewa, 790, Erigeron, 790, Gallic Acid, 344, and the Antiseptic group, 392 et seq.
 
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