Pharmacologia: Fourth American, from the Seventh London EditionParis, John Ayrton
Science
Pharmacologia: Fourth American, from the Seventh London Edition
Paris, John Ayrton
Pharmacognosy; Pharmacology; Pharmacy
In apportioning the dose of mixtures, the following proportions are
admissible, although not perfectly accurate. A TABLE SPOON full
(_Cochleare Amplum_) f℥ss. DESSERT SPOON (_Cochleare Mediocre_) more
than fʒij. TEA SPOON (_Cochleare Minimum_) fʒj. A WINE GLASS (_Cyathus_)
although very variable, may be estimated as containing f℥iss. The custom
of measuring the dose of a liquid by dropping it from the mouth of a
phial is very erroneous;[303] it will therefore be proper to dilute an
active medicine that is to be so apportioned, with at least a triple
quantity of water, that its real dose may not be essentially altered by
any slight variation in the quantity.
The temperature at which a liquid medicine should be given may perhaps
merit a few observations. In general, the ordinary degree of heat is
that which will best answer the intention, but in cases of dyspepsia,
the sense of weight and uneasiness, which often follows a dose of
medicine, will be prevented by giving it in a tepid state. This remark
will apply to the administration of the _Decoction of Sarsaparilla_;
Refrigerants should of course be given as cool as possible; Camomile
Infusion, and other vegetable Ptisans, which are designed to promote the
operation of an emetic, will be more efficient when warm. In delicate
chlorotic females I have sometimes found chalybeate draughts not only
more efficacious, but less distressing to the stomach, when exhibited in
a tepid state.
ENEMATA. _Clysters._[304]
_“Lavamenta.”_
This form of applying a medicine furnishes the practitioner with many
valuable resources, although the remedy has not escaped its due share of
persecution. Paracelsus bestowed upon it the epithet “_turpissimum
medicamentum_,” and Van Helmont that of “_pudendum medicorum
subsidium_.”
It is calculated to fulfil the following indications, viz.
1. _To promote the tardy operation of a Cathartic, or to evacuate the
bowels, where, from delicacy of stomach, medicines cannot be
retained, or from debility of body they cannot be safely
administered._
In the administration of a remedy of this kind, there are two essential
circumstances, independent of the _strength_ of its ingredients, which
will modify its activity, viz. IMPULSE and QUANTITY, by which we obtain
the stimulus of distention; warm water without any adjunct may thus be
made the means of overcoming those unrelenting obstructions, which had
refused obedience to more common measures: Clysters, however, when most
forcibly urged, rarely reach beyond the sigmoid flexure of the colon,
and yet when the largest quantity of fluid which the bowels will admit
is introduced with considerable impulse, the local impression is so
powerful that it is at once extended by the medium of sympathy, through
the whole of the alimentary canal, and very thorough and copious
discharges result.
2. _To induce extreme relaxation:_
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