The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
A matter of some consequence is the opinion of M. Regnault respecting
the comparative activity of various preparations of digitaline. In his
preface to the seventh edition of Soubeiran’s _Traité de Pharmacie_,
this author remarks on the serious difference which exists between
various samples of so-called digitaline. He declares that he finds
himself driven to employ exclusively the _granules_ of Hornolle and
Quevenne. Under the head of digitalis also we may notice the employment,
by MM. Dumesnil and Lailler, of a combination of opium (in the form of
_extrait gommeux_) with tincture of digitalis. This appears, according
to the authors, to have a calming effect upon the excitement and
sleeplessness of insane patients, with less tendency, at the same time,
to congestive effects than is the case when opium is given alone. They
say that not merely does it produce better immediate effects, but that
it can be more harmlessly continued after the original excitement has
calmed down than other narcotics. But they remark that as digitalis, in
therapeutic doses at least, has a well-known tendency to wear out the
susceptibility of the organism for it, it is best to suspend its use as
soon as may be. Two formulas are employed by the author:—
POTION NO. 1.
Extrait gommeux d’opium ⅓ grain.
Tincture of digitalis 7½ minims.
Syrup 1 ounce.
Distilled water 5 ounces.
POTION NO. 2.
Extrait gommeux d’opium ⅔ grain.
Tincture of digitalis 15 minims.
Syrup 1 ounce.
Distilled water 5 ounces.
According to circumstances, the stronger or the weaker of these two
prescriptions is the allotted potion for twenty-four hours. We have
recounted all this gravely, but must not be expected to preserve our
gravity to the last. Not even the respected name of M. Dumesnil can keep
down an irresistible tendency to laugh when we are seriously told that
7½ minims of tincture of digitalis, taken in two separate doses in the
course of twenty-four hours, will avert the mischievous excitement which
might otherwise be caused by ⅓ grain of extract of opium similarly
distributed! That neither potion No. 1 nor potion No. 2 can be
considered a dangerous narcotic we quite allow; but we fancy that must
be because there is so little opium in either of them, not because there
is so much digitalis. In fact, if we might be allowed to make a delicate
suggestion to our therapeutical brethren of _Outre-mer_, it is, that
just now they are going the least bit in the world crazy over digitalis
and its wonderful properties. However, we have nothing but praise for
such researches as those of MM. Oulmont and Hirtz, already noticed in
these pages.
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