Still, there are many alleviatives by which the suffering may be
rendered more endurable--by which now and then our patient may be
helped to catch a few moments of that heavenly unconsciousness which
makes the nervous system stronger to fight the battle out to its
blessed end--by which processes of Nature may be slowed when they get
too fiery-forceful for human courage to endure, or accelerated when
the pull seems likely to be such a long one as to kill or drive mad
through sheer exhaustion. I have spoken of bromide of potassium. This
in connection with the pack may in many cases wisely be continued
throughout the whole progress of the case, and often hastens the
restoration of general nervous equilibrium by many days, removing to a
very pereptible degree that _hyperaesthesia_, that exaggerated
sensation of all the natural processes normally unconscious, which
continues to rob the sufferer of sleep long after acute pain is
lulled. The greatest variety of opinions prevails upon the subject of
cannabis and scutellaria. The principal objection to the cannabis lies
in two facts. First, it is very difficult to obtain any two
consecutive specimens of the same strength, even from the same
manufacturer. Second, in its gum state it is exceedingly slow of
digestion, and unlike opium not seeming to affect the system at all by
direct absorption through the walls of the stomach, it is very slow in
its action; the dose you give at 4 P.M. may not manifest itself till 9
or even midnight, and even then may still move so sluggishly that you
get from it only a prolonged, dull, unpleasant effect instead of a
rapid, favorable, and well-defined one. If it is given in the form of
a fluid extract or tincture, its operation can be more definitely
measured and counted on, but the amount of alcohol required to
dissolve it is sufficient often to complicate its effects very
prejudicially, while in any case the immense proportion of inert
rubbish, gum, green extractive, woody fibre, and earthy residuum is so
great as to be a severe tax on the digestive apparatus--often
seriously to derange the stomach of the well man who uses it, and much
more the exquisitely sensitive organ of the opium-eater, I might add a
third objection-the fact that its effects vary so wonderfully in
different people--but the physician can soon get over that by making
his patient's constitution in the course of a few experiments with the
drug the subject of his careful study. Both its lack of uniformity and
its difficulty of exhibition may be nullified by using the active
principle. It has been one of the _opprobria medicinæ_ that in a
drug known to possess such wonderful properties so little advance has
been made toward the isolation of the alkaloid or resinoid on which it
depends for its potency. I have for years been endeavoring to interest
some of our great manufacturing pharmaceutists in the attainment of a
form--condensed, uniform, and portable--which should stand to cannabis
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