“In the latter case, quietness is most essential: wine and other stimulants, will be necessary; together with a light nutritious diet. “Opiates also will generally be found requisite, such as have been previously enumerated in this chapter. “In all cases of headache, mental tranquillity is of much importance; and the patient should not persevere in the pursuit of any occupation which materially increases the pain. “In this disorder, as well as in many others, accompanied by much irritability, the sleep is often seriously interrupted by slight noises; in most cases, this may be prevented by stopping the ears with small plugs, three quarters of an inch in length, and about one quarter of an inch in diameter. If the plugs be made of white wax, they will generally answer the best, as they admit of being accurately moulded to the form of the openings of the ears. Plugs made of turned wood will sometimes be sufficient. “If such plans as the foregoing do not soon give relief, medical advice should be had, especially where it is supposed that there is too much blood in the vessels of the head. “Tenderness and irritability of the external parts sometimes come on to an almost intolerable extent, in consequence of inflammatory action. They are most effectually relieved by bathing the parts occasionally with cold or hot water, or decoction of poppy-heads, or of laurel leaves, and by using a soothing lotion. The soothing lotion may be made of two drachms of acetate of lead, commonly called sugar of lead, and an ounce of laudanum, in seven ounces of water. It may be applied three or four times during every twenty-four hours. “In these troublesome affections the bowels must be kept rather more active than usual by gentle aperients. The aperients to be, from two to four drachms of Epsom salts. From one to two teaspoonfuls of electuary of senna. From one to two spoonfuls of castor oil. Or from fifteen to thirty grains of magnesia. Any of which may be taken every second night, or every night, as circumstances may require. The diet should be mild, and there must be a total abstinence from spirit, wine, and malt liquor. If these means fail to give the desired relief, it will be advisable to bleed the parts occasionally with six or eight leeches, and to apply poultices of the same kind, and in the same manner, as recommended in another chapter. “A discharge frequently appears from the passage, which is either white, or slightly tinged with green, or blood; in such cases, the parts are to be washed, or the passage injected with a syringe, twice daily, with tepid milk and water, or a weak solution of alum in water. For the wash or injection, twelve grains of alum may be dissolved in six ounces of water, and about two tablespoonfuls injected at each time.