Insomnia; and Other Disorders of SleepLyman, Henry M. (Henry Munson)
Science
Insomnia; and Other Disorders of Sleep
Lyman, Henry M. (Henry Munson)
Dreams; Insomnia; Sleepwalking
_Hyoscyamus._--As might be inferred from their close botanical
relationship, hyoscyamus and belladonna present many points of similarity.
Their alkaloids are almost identical in chemical and physiological
properties. The extract of belladonna is considerably stronger than the
extract of hyoscyamus. Like other solanaceous plants, this is powerfully
narcotic and anodyne. Sleep is produced only by the use of the drug in
large doses, which also tend to excite delirium, sometimes even reaching
to the height of maniacal fury. Children tolerate hyoscyamus in doses
proportionally larger than can be taken by adults. By many physicians it
is considered the hypnotic _par excellence_ for children. In the various
forms of insanity the tranquilizing influence of hyoscyamus is highly
esteemed. The derivative preparations, hyoscyamine and hyoscyamia, are
preferable for use in this class of cases. The first may be given in doses
of 1-16--1 grain; the latter is much more powerful, and should be given in
doses not exceeding 1-100 grain until the degree of its tolerance has been
ascertained.
_Stramonium._--This is another of the solanaceous plants, possessing many
qualities like those found in belladonna. It is not directly hypnotic.
Poisonous doses produce delirium and persistent insomnia. But its
anti-spasmodic effect upon the paroxysm of nervous asthma renders it
indirectly hypnotic in that affection. For the relief of bronchial spasm
the smoke of the dried leaves should be inhaled in considerable quantity.
It may be smoked in a pipe; or, mixed with saltpetre, it may be made to
smoulder upon a tin plate, while the smoke is drawn by inspiration into
the lungs. Various kinds of medicated pastiles have been prepared, to
effect a similar result by furnishing the drug in a convenient form for
use. _Tobacco_ and _lobelia_ operate in a very similar manner upon all
spasmodic affections of the respiratory passages; but their energy is
almost too great for the comfort of the patient.
_Phosphorus._--Bartholow has recommended this drug in “cases of
wakefulness dependent on cerebral anæmia and exhaustion,” and in “the
wakefulness of the aged, accompanied with muscular cramps, feebleness of
memory, giddiness, and trembling of the voluntary muscles on exertion.” In
minute doses, it is true that phosphorus acts as an irritant of nervous
tissue. It promotes destructive changes in the tissues of the body, and
thus produces a temporary excitement which may favor the processes of
nutrition. Indirectly, it may thus prove beneficial in many cases of
cerebral exhaustion; but as a direct hypnotic it will be found of very
little service. It should be given in doses of 1-100 grain every four
hours.
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