Handbook of materia medica, pharmacy and therapeutics : including the physiological action of drugs, the special therapeutics of disease, official and extemporaneous pharmacy, and minute directions for prescription writing / by Sam'l O.L. Potter.

Samuel Otway Lewis Potter

Date:: 1887

Credit: Handbook of materia medica, pharmacy and therapeutics : including the physiological action of drugs, the special therapeutics of disease, official and extemporaneous pharmacy, and minute directions for prescription writing / by Sam'l O.L. Potter. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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$73^ URiEMIA URINARY DISORDERS. Uraemia. Digitalis, the infusion, or a poultice of leaves to abdomen and back (B.). Jaborandi, diaphoretic; eliminates urea (B.); or Pilocarpine hypodermi- cally. Opium. Scanzoni and Loomis urge morphine, hypoderniically, as the most efficacious agent (B.); in acute, not in chronic uraemia (Pf.); Colchi- cum, as diuretic (B.). [See Dropsy.] Saline Cathartics, active are required (B.). Hydragogue Cathartics. Ol. tiglii (gtt. i-ij), or elaterium (gr. I'g to ^), to procure free watery evacuations. Cautiously (B.). Transfusion, in uraemic eclampsia (B.). Water, the vapor-bath or hot wet-pack to induce powerful diaphoresis (B.). [Compare Bright's Disease, Puerperal Convulsions, Scarlatina, and the list of Diuretics and Diaphoretics, on pages 423 and 426.] Urethritis. Aconite, is used to advantage in urethral fever; also for prevention of chill after passage of sound (Ff., W.). Silver Nitrate, locally, very efficient in chronic urethritis in females (Wa.). Tannin, on bougies, once a week for 15 minutes,most efficient for urethritis in the female (Wa.). Zinc Sulphate, cast in sticks, for introduction into the urethra (Wa.). Potassiutn Bicarbonate, with Potassium Acetate, aa gr. x in a large cup of flaxseed tea or a glass of Vichy water, every 4 to 6 hours; with absolute rest in bed, a calomel purge, anS urina- tion under hot water, sufficient for most cases of urethritis, which may arise from lithiasis, leucorrhoea in females, etc. Many cases of aborted gonorrhoea (so-called) were really simple urethritis (Otis). [Compare Gonorrhcea.] Urethral Stricture. Aconite, is of great service in spasmodic stricture (P.). Buchu, in irritable urethra, spasmodic stricture, and gleet (P:). Opium, in full dose or an opiate suppository, with fomentations and a warm bath, will often suffice in spasmodic stricture (CI.). Catheterization, under an anjesthetic in spasmodic stricture if other measures fail to relieve. Also for gradual dilatation in organic stricture, the safest and most generally applicable treatment (CI.). Oil, injected before dilatation (Wa.). Thorough Division, by a dilating urethrotome the best ope- ration for a radical cure; 600 cases thus treated without a death or permanent disability (Otis). Urinary Disorders. Aconite, of great service in retention from chill, sub-inflammatory (P.). Tir- pentine, in hematuria and chronic catarrh of the bladder, incontinence from atony, etc. (B.). Strychnine, sometimes employed with marked benefit in retention or incontinence of the old (P.). Cantharis, frequent or involuntary micturition, especially when coughing, in women from weakness of sphincter; one or two drop doses (R.). Caniiahis htdica, in retention from spinal dis- eases (R.). Digitalis, holds high as a diuretic, ^j or ij of the infusion night and morning, oroftener if necessary; in sudden suppression from cold or damp or after scarlatina, if danger threatens (P.). Benzoic Acid, or the Benzoate of Sodium, in io-15-grain doses, to render alkaline urine acid, and check the formation of phosphates (B.). Nitro-hydrachloric Acid,d\\v\\.e., gtt. x-xv thrice daily in water, for phosphatic deposits (Mears). Ammoniuju Carbonate, in 6-grain doses, 3 or 4 times a day, to make acid urine alkaline. Triticum Re-$