The Cleveland Medical Gazette, Vol. 1, No. 3, January 1886Various
History
The Cleveland Medical Gazette, Vol. 1, No. 3, January 1886
Various
Medicine -- Periodicals; Surgery -- Periodicals
HOMELY FACTS.
BY F. STEWART, CLEVELAND, O.
Not long ago as a bottle was placed upon the counter of a pharmacist to
be refilled, its inner walls were observed to be richly decorated with
the active principles of the compound. A witch-hazel doctor standing by
declared the decorated walls to be the secret of the patient's recovery,
but upon inquiry it was found that the patient was no better. Still they
had decided to try another bottle, and the apothecary was not the one to
object. The investigation was carried no farther, but if it had been the
same old story of _incompatibles_ would have been retold. To the aqueous
solutions containing oleoresinous tinctures or extracts (such as
cannabis indica, guaiac, benzoin, lupulin, ginger, myrrh, cubeb,
eucalyptus, sumbul, and many others) a sufficient quantity of carbonate
or calcined magnesia should be added. A few grains (say three to twenty)
to the prescribed dose will suffice for a good suspension, and will be
found in most cases unobjectionable of course in an acid mixture.
There are many conflicting reports of this class of medicines, owing to
unscientific prescribing as well as unreliable preparations. The
activity of this class of medicines demands nothing short of strong
alcohol for their extraction. Yet many weak and worthless preparations
may be found in the market. If the unscientific observers would look
more to the quality of their goods, these conflicting reports would
begin to subside.
A physician once told an apothecary that he prescribed fluid extracts
because he found them more reliable than the tinctures. This was not
true, and could not be proven. Upon investigation it was found that his
prescribed dose of fluid extract of digitalis was equivalent to
fifty-five drops of the tincture, a dose larger than he intended to
prescribe. With such science the witch-hazel doctor will ride a high
horse, and come in on the home stretch with flying colors. No singer can
sing well who sings too many songs, and no beginner will prescribe well
who prescribes too many medicines. This song has been sung much but not
half enough, for it is not borne in mind. Many fail with a remedy simply
because they have failed to master it.
Mastering the few is said to be the key to success, and the writer
believes it, for he has seen it proven. An eminent physician from New
York was once called in consultation to a western city. His prescription
was mercury iodide, potassium iodide, and infus. gentian. He stated (and
the other physician said, “I see”) that the only object of the potassium
was to dissolve the mercury iodide. But potassium's great affinity for
iodide accepted it, at once dropped the free mercury to the bottom,
likely to be taken all at the last dose, equal to fifteen or twenty
grains of blue pill. He had failed to master this remedy.
Public-domain text, read in full here on John Shaqi.
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