§ 228. Incarcerated hernia.

Hernia, unless it should have been occasioned by mechanical causes, in which case it requires surgical treatment, is a dynamic disease, and can be removed by internal treatment. The incarceration arises from a spasmodic contraction of the bowel, which soon leads to inflammation. Nux vomica is the most suitable specific for that condition. Shortly after its administration, the spasmodic phenomena disappear, and the hernia can be replaced. If relief should not set in two hours after the exhibition of Nux, it is not the proper remedy. Some physicians recommend large doses of Opium instead of Nux. In some cases of violent spasms, Belladonna will prove curative, even in volvulus.