A guide for emergencies, containing the homœopathic treatment ... / Title Contents

Title Contents


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A GUIDE FOit EMERGENCIES CONTAINING THE IIOM(EOPATHIIC TREATMENT OF SUCH DISEASES AS REQUIRE IMMEDIATE ATTENTION, AND OF SUCH AS MAY BE TREATED WITHOUT THE ASSISTANCE OF A PHYSICIAN; AND ALSO CONTAINING THE TREATMENT OF CASES OF POISONING, AND OF EVERY COMMON VARIETY OF ACCIDENTS. FOR THE USE OF FAMILIES. THIRD EDITION. BY HENRY B. MILLARD, M.D., A.M., LATE PROFESSOR OF THE PRACTICE OF MEDICINE IN THE NEW-YORK MEDICAL COLIEE AND HOSPITAL FOR WOMEN, ETC.: AUTHOR OF " THE CLIMATE AND STATISTICS O

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Entered, according to Act of Congress, in the year 1871, by CHARLES T. HURLBURT In the office of the Librarian of Congress at Washington, D. C

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LIST OF REMEDIES PRESCRIBED. REMEDIES. ABBREVIATIONS. Aconite.................................Ac. Aloes.............................. Al. Arsericu;m alb.......................... Ars. Belladonna.............................Bell. Bryonia alb.......................... Bry. Chamomilla...................... Charn. Cochwum.............................. Colch. Colocynth...............................'ol. Dulcamara.............................Dulc. Euphrasia..........

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PREFACE. It has been for a long time the design of the writer, a design seconded by many under his care who were desirous of having such a book in their houses, to prepare a manual of directions, which, with an accompanying case of medicines, might be used in such cases of emergency as are most liable to occur, and in which it is important that some means of relief should be resorted to at once; but until the present time he has been unable to prepare it, though daily more and more convinced of

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IV PREFACE. petent to treat all diseases, and partly because there is at present no lack of works on domestic practice He has, however, given directions for the mnaagement of a few diseases, such as may not be considered of sufficient gravity to demand the assistance of a physician, or such as may occur and requirP treatment, when there may be no physician accessible, as during absence from the city in the summer. in travelling, &c. Among these are included dysentery, diarrhoea

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PREFACE. V edy, and the dose may be recognised as easily as possible, and has given as few remedies as possible, so, in short, that the directions may be of practical use, and fulfil the objects for which they are intended. Under the head of "Poisoning," he has included only those cases liable to occur from the most common poisons, such as are most frequently kept in households, and are most liable to be given by mistake or in overdoses. Both the diseases and accidents are arran

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PREFACE TO THE THIRD EDITION. In presenting to the public the Third edition of this work, I beg to remind the critical reader, that the preparation of a medical work, as small even as this, for the use of others than physicians, is by no means an easy task. The difficulty consists in being obliged to write upon the nature, distinction, and treatment of serious diseases, in a manner perfectly comprehensible to readers presumedly ignorant of medical terms and of everything pertaining to medicine.

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PREFACE TO THIRD EDITION. VII me to hope that I have to some extent succeeded in my purpose. Important additions have been made in the present edition, by inserting an Index of Remedies useful in various complaints, rules for the use of several remedies not mentioned in the former editions, and adding chapters on Fevers, Scarlatina, and Measles. H. B. M. 47 EAST 25TH STREET, NEW-YORK, JANUARY 1, 1871.

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INTRODUCTION. General Directions and Explanations, Selections of Remedies, Doses, &c. 1.-In the occurrence of any of the diseases or accidents mentioned in this work, send for medical assistance, unless it be in diseases not attended with immediate danger, as headaches, colds, &c., or unless medical assistance is not within reach. Do this, no matter how confident of yourselves; in the meantime, employ the various measures for relief that are directed. The aid of a physician is always desirable,

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INTRODUCTION. IX by the patient's case, or because the case does not present every symptom given under the remedy, that that remedy is not to be employed. The rule generally is, to select that remedy which seems to be suited to the greatest number of the symptoms *of the case, or the most important ones, or which is suited to certain causes or conditions. 3. -Sometimes no single remedy will be found to cover all the principal conditions and symptoms of the case, but there may be two

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X -TRODUCTION. tinctures or liquids is to be prepared by mixing five drops with halfa tumbler of water. The dose of this is a tea-spoonful. The tumblers should be perfectly clean, should be kept covered, and a separate tea-spoon used for each tumbler. The dose of any powder is about five grains (except when a different quantity is directed). It is not necessary that the exact weight should be given; this could not be done without weighing it; it will be sufficiently accurate to gi

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INTRODUCTION. XI and two years, two drops; and for an infant from six months to one year old, one drop may be mixed with half a tumbler of water; and for an infant under six months, a drop with three quarters of a tumbler, of which the dose is a tea-spoonful. The powders are not to be given dry, as to adults. Five or six grains are to be dissolved in a third of a tumbler of water, of which the dose is a tea-spoonful to a child between one and two years old, and half a teaspoonful

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SMI BINTRODUCTION. child from ten to fifteen years old, ten to fifteen grains; to a child five to ten years old, six,o ten grains; to a chile two to five years old, four to eight grains; to a child from one to two years old, four grains; to a child under one year, two to three grains. Sulphate of zinc should be given dissolved in a little water. A number of powders of Sulphate of Zinc, of different sizes, accompany the cases of medicines. 9.-FREQUENCY OF DOSES.-No exact rule can be

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INTRODUCTION. XIII and should be carefully kept out of the reach of chtldren. When however you are obliged to treat a case without the assistance of a physician, and you have commenced the use of certain remedies, do not, because the disease does not get better at once, change the medicines for fear you are not giving the right ones. Decide upon the proper medicines according to your best judgment, and after using them for a considerable time, if the symptoms are not relieved, you can

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PART I. THE TREATMENT OF DISEASES. APOPLEXY. A fully developed attack of apoplexy is characterized by loss of sensation, thought and voluntary motion, and occurs in one of three ways. 1. The head, neck and face are full and flushed, the breathing deep and puffing, or slow; the patient lies as if in a deep sleep. This condition may be developed suddenly, or may come on very slowly, the patient sometimes being at first affected with drowsiness, which terminates in insensibility, and in this form

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APOPLEXY. 15 in the head, noises in the ear, confusion of ideas, nausea, vomiting, loss of memory, flashes of light, or specks before the eyes DIAGNOSIS.*-IS is important that this disease should not be mistaken for epilepsy, which it sometimes resembles, as the management of the two diseases is quite different. It may be distinguished from epilepsy by the circumstance, that in apoplexy the breathing is free and unembarrassed, though it may be heavy, while in epilepsy the re

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16 APOPLEXY, ration; raise the patient up, with the head elevated, and give an injection of five or six teaspoonfuls of spirits of turpentine beaten up with the yolk of an egg and mixed with a pint of water; if the turpentine be not at hand, give an injection of warm water. In the first variety, apply cloths wet with cold water to the head, and as soon as the patient can swallow, give Ac. and Bell. in alternation every fifteen minutes, till the symptoms are alleviated, when they

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APOPLEXY, IT there exist disorders of the stomach, bowels or liver, give Ac. and N ux. at similar intervals. ABOVE ALL, when af attack is threatened or has set in, bear in mind this one rule: Always produce an evacuation of the bowels. It the attack is setting in and the symptoms are not severe, this may be done by the administration of a full dose of castor oil. If the attack have set in, or the symptoms are severe, resort to injections of warm water, or, what is better, turpe

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18 BLEEDING FROM THE LUNGS. II. Bleeding from the Lungs, Is often preceded by some oppression ot the chest, or by a slight cough. The blood is of a bright red color. and has a saltish taste; it is generally brought up in mouthfuls, or in small quantities at a time i the quantity raised may vary from a teaspoonful to cupfuls. TREATMENT.-If it be slight, no immediate treatment is necessary; if it be at all profuse, place the patient in a recumbent position, with the head raised, permit a

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BLEEDING FROM THE NOSE. 1.9 curs in weakly, pale individuals, or is the result of an injury, a blow, &c., measures should be resorted to to suppress it. TREATMENT.-The patient should sit up, keep perfectly quiet, and stimulants should be avoided; then the most convenient and effectual measures that can be resorted to by non-medical persons are as follows: 1. Raise and hold perpendicularly above the head, the arm of the side from which the blood flows, and with the other hand close firm

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20 CATARRHS, COLDS, &C. tailed treatment has therefore not been entered upon, as to have done this would not only have required a good deal of space, but would have been foreign to the object of the directions, which are intended simply as guides in cases of emergency, and in the treatment of ordinary affections, where no physician is at hand. For ordinary cold affecting the system generally, with or without chillness and heat, pains in the limbs, lassitude, feverishness or headache,

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CATARRHS, COLDS, &C. 21 For cold affecting principally the chest or windpipe, and accompanied by considerable accumulation of phlegm in the throat, Stibium and Hepar are the proper remedies. DosE.-Same as in paragraph above. If the cold be accompanied by pain in the chest, tightness and oppression and aching, with short, quick breathing, give Stib. and Phos. in alternation, an hour or two apart. DosE.-Add four drops of Phos. to half a tumbler of water, and give a teaspoonful at a dose.

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22 SORE THROAT. will lie on a three cent piece. The Nux. to be prepared by mixing five drops in half a glass of water; dose a teaspoonful. For hard dry cough, accompanied with soreness, give 3klerc. Dulc. and Stib. in alternation, two hours apart. Dose.-As much of each as will lie on a three cent piece. For a hard, loose, rattling cough, particularly if worse night and morning, or if accompanied by a cold in the head, give Kali Bich. and Stibium in alternation, two hours apart. Do

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CATARRHAL AFFECTIONS IN INFANTS. 23 Dos. —Five grains of each of these medicines at a dose; to a child above two years of age, half these doses. If there be hoarseness or soreness in the larynx or windpipe, give Spong. and Stib. two hours apart. DoSE.-Five drops of Spongia to be mixed with half a tumbler of water; a teaspoonful to be given at a dose. Five grains of Stibium at a dose. Catarrhal Affections in Infants. Upon infants these troubles make a much more profound impression than upon

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24 COLIC. Kali Hyd. in alternation, firom half an hour to an hour apart; or, if the breathing become very rapid, as often as half an hour apart, until there is an improvement. DOSEs.-The Verat Vir. and Kali to be prepared according to directions for doses on pages ix and x..3. If the cold be accompanied by hard, dry cough, give Stib. and Nux in alternation, two hours apart. DosE.-Same as in case 11. If accompanied by a loose, rattling cough, or by a rattling of phlegm in the ch

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COLIC. 25 ture; a chill; unripe or indigestible food. Sometimes, obstructions of the intestines. TREATMENT.-If unaccompanied by inflammation, which may be recognized by the pain being greatly Increased by gentle or hard pressure, try at once to get the bowels to move by giving a dose of castor oil. The dose for an adult is two full tablespoons; for a child from five to ten years old, half that quantity; if this do not produce an evacuation from the bowels in an hour or two, put

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26 COLIC OF INFANTS. III. If the pains are principally about the navel, give Merc. Dulc. and Bell, unless Nux. should be indicated, as in case I. DOSES, ADMTNISTRATION, &c.-The dose of.Merc. Dulc. in a severe case of colic, should be about siix grains. Four drops of Coloc. or five of Nux. or Bell, is to be mixed with half a tumbler of water; the dose of either of these is a teaspoonful. The intervals of the administration of the doses must vary according to the severity of the pain

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COLIC OF INFANTS. 27 by unsuitable or impure food; by improper food, cabbage, pork, etc., eaten by the mother or nurse. Treatment.-If the bowels are confined, a movement should be produced by giving an injection of warm water. If the bowels are inclined to costiveness; if the passages are not too loose and are not like diarrhea, if the passages arb healthy, give Coloc. and Nux. If, with the colicky pains, there is looseness of the bowels, the passages being either too frequent, or t

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28 COLIC OF INFANTS. tioned above may be added to a glass of water, and the two remedies selected may be given while the paroxysm is very distressing, in alternation, fifteen minutes apart, until one or two doses of each have been given; after that, if the pain continue very severe, every half hour in turn, until relief is obtained. After that, if the child do not sleep; if the crying and pain continue to be somewhat troublesome, they may be given an hour or two apart. The medicines

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CONSTIPATION OF INFANTS. 29 which coroners' inquests have disclosed the fact that children have lost their lives from the use of these various preparations, and it is no exaggeration to say that they have shortened the lives of thousands of infants. Peppermint, aniseed tea, are frequently not objectionable, when the passages are perfectly healthy, and there is no diarrhlea. The other remedies however, will be almost always found much more satisfactory. Constipation of Infants. Constipa

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30 CONVULSIONS OF CHILDREN. old, half as much again Sulphur may be given and three drops of Nux, mixed with a glass of water. Convulsions of Children. While convulsions constitute a class of diseases the most alarming to which children are liable, on the other hand it is no slight gratification to know, that in a large proportion of cases, properly selected and applied remedies will afford speedy relief. When a child is seized with convulsions, bear in mind these two important points.

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CONS ULS1ONS OF CHILDREN.'3] cake, confectionary, &c. Even a bit of orange peel may produce them. 4. Constipation. 5. Flatulence. 6. Worms. Do not however, attribute the convulsion to this cause, unless you are certain of the presence of worms by the child's having passed them. This is the only reliable evidence of their existence. 7. The sudden disappearance of eruptions, as in scarlet fever or measles; the imperfect development of the eruption in these diseases; the sudden suppression of skin

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32 CONVUISIONS OF CHILDREN. and this system being so liable to derangement convulsions are much more liable to occur at this period than at any other. After the first year the mortality from convulsions diminishes rapidly. It is important, therefore, that the greatest care should be exercised at this time of life, in everything that affects the digestive system of the child; the state of the bowels, the process of teething, etc. SYMPTOMs.-There is no mistaking a convulsion when it has o

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OONVULSIONS OF CHILDREN. 33 water and milk; of sweet oil and milk; of molasses and water, or of soap and water. 3. If the convulsion be attended with flushed face, fullness of the head, and the child is of a full habit, apply cloths wet with cold water to the head. 4. Give a warm bath; as warm as it can well be borne. Immerse the child all over, and let it remain in the bath five or ten minutes unless the paroxysm begin to abate sooner, when it should be taken out and wrapped in warm bl

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34 CONVULSIONS OF CHMLDKEN. The following special remedies should be given not so much with reference to the nature of the convulsion, as to the cause, when the latter is known. 1. If the child's stomach is known to have been overloaded with unsuitable food, pastry, nuts, raisins, etc., give an emetic, recourse to this means of relief being in some cases indispensable. For mode of administering the emetic, dose, etc., see Introduction page XI. 2. If the convulsion be owing to suppresse

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CONVULSIONS OF CHILDREN. 35 DOSE.-To a child less than two years old, five grains mixed with a little white sugar; more than two years, five to eight grains. This medicine may be discontinued as soon as it has been followed by green stools, or by the passage of worms. GENERAL REMEDIES, Suited to the various characteristics of the convulsion, and without particular reference to the cause. When the child is of a full habit, the pupils are enlarged; there is short, panting, or heavy brea

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36 CIorUP. DosE.-The same as in the preceding case. When there is rolling of the head, twitching of the face, twitching of the legs, dilated, staring pupils, foaming at the mouth, shrieking, pale or fiery red face, give Hyos. in the same manner as the medicines in the preceding cases. When there is lethargy, tremor, heaviness, stupor; heavy breathing; tossing of the arms and legs about; give Opium. DosE. —Same as in the preceding cases. In convulsions which cannot be traced to

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CROUP. 37 the larynx and windpipe, or they are covered with a thick fluid. Croup is an exceedingly rare disease in infants less than a year old. It occurs most frequently during the second year; after that, generally between the second and seventh years. Fat children are most subject to it, and it comes on in most cases in the night. The causes of croup are those of ordinary colds or catarrh; sudden exposure, even a draught from an open door, may produce it. Symptoms preceding

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38 CROUP. is one of the most characteristic signs of croup; sometimes complete loss of voice; difficulty of breathing; crowing inspiration, becoming long and wheezing as the attack continues; fever; hot, flushed face when the cough is severe or long, the child seems almost on the point of suffocation. In severe cases, as the disease advances, the voice becomes almost or quite extinct; the child stretches back its neck; the eyes are protruded; the face becomes discolored or pal

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CROUP. 39 TREATMENT.-1. Wrap a piece of flannel, folded and wet in cold water, around the child's throat, and cover this with a dry flannel. 2. Dissolve one of'the one grain powders of Tartar Emetic in a tumbler of warm water, and give a teaspoonful every five minutes; as symptoms of nausea appear, diminish the frequency of the dose, giving it every ten or fifteen minutes; the medicine should be given so as to keep the child just on the point of nausea, or nauseated as much as

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40 FALSE CROUP. give the dc. and Tart. Emet. at intervals of from half an hour to two hours apart, according to the amount of hoarseness, cough, fever, &c., remaining. 7. But if the breathing become free; and as the cough becomes free and loose, the voice more distinct, and particularly if there seem to be an accumulation of phlegm and a rattling in the throat, give Tart. Emet. and Hepar at intervals of from half an hour to two hours apart. The dose of Hepar for an infant is two

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FALSE CROUP. 41 It may also occur before or after dentition, and is generally owing to some of the causes calculated to produce convulsions, as enumerated in the chapter on convulsions. SYMPTOMS.-The child is seized suddenly, generally in the night, with difficulty of breathing; it throws up its arms, and makes the most violent exertions to get breath, but it seems impossible for the air to enter; the child struggles violently; the face becomes pale and a cold sweat breaks out upo

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42 FALSE CROUP. page of breath, or a slight crowing sound may be heard with the child's inspiration. Sometimes even during these slight attacks, the thumb will be closed, the fingers drawn tightly in, or the great toe drawn a little apart from the others. These paroxysms, however, if not checked, are liable to become more frequent, and increase, till they equal in severity the attacks described above. Between the paroxysms, the breathing is in no wise obstructed. SYMPTOMS PRECEDIN

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FALSE CROUP. 43 4. Give an injection of warm water or of milk an(t water. 5. If the spasm be not accompanied with catarrh, let the wind blow freely over the face and chest; not, however, on the back. 6. Do not attempt to force medicines down the throat while the child is choking, but as soon as the child can swallow, give Samb. every half hour until complete relief is obtained. DOSE.-As much as will lie on a three cent piece, not heaped up. As the paroxysms are liable to return a

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44 DfARRHI(EA OF GROWN PERSONS. In "Child Crowing," the attacks come on suddenly, without generally being preceded by any but slight symptoms; the spasm lasts but a short time, and the breathing is perfectly free in the intervals; there is no fever, and seldom any cough; the voice rarely becomes extinct; additional evidence of " Child Crowing" is that it is generally owing to some of the causes of nervous irritation mentioned above. CROUP is generally preceded by decided catarrhal sympt

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I)ARRICEA OF GROWN PERSONS. 45 bowels are irritated by it. commence the treatment with a dose of castor oil. 1. In diarrhoea caused by cold, a chill, or suppressed perspiration, with thin and watery or dark yellow, or slimy stools,without much constitutional disturbance, with or without slight colicky pains in the bowels, give Ipecac. and Verat. Alb. in alternation, two hours apart. DosE.-For an adult, 5 drops of each of these medicines to be mixed with half a glass of water; for a chi

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46 D[ARRIMEA OF GROWN PEiRSONS. desire to drink; the diarrhoea being worse after eating or drinking, or being produced by eating unripe fruit, give Arsenicum and Veratrum, in the same doses and in the same manner as Ipecac. and Verat. are directed in the first paragraph above 4. For dark colored, slimy or mucous, jelly-like stools; for greenish stools streaked with blood; greenish stools without blood; putrid, sour smelling stools; with or without bearing down behind; with chilliness, s