opium; shake them well together. From half an ounce to a
quarter of a pint of this may be employed as an enema, which should be
administered with great gentleness, as the desire is that it should be
retained. This should be repeated every third hour, or oftener if the
symptoms seem urgent, and there is much straining after the motions. From
a tablespoonful to four times that quantity of the ether and laudanum
mixture, in a small quantity of simple syrup, may be given every second
hour by the mouth; but if there is any indication of colic, the dose may
be repeated every hour or half hour; and I have occasionally given a
second dose when only ten minutes have elapsed. Should the purgation
continue, and the pain subside, from five to twenty drops of liquor
potassae may be added to every dose of ether given by the mouth; which,
when there is no colic, should be once in three hours, and the pills
directed below may be exhibited at the same time:--
Prepared chalk Five grains to one scruple.
Powdered ginger Three to ten grains.
Powdered carraways Three to ten grains.
Powdered capsicums One to four grains.
Confection of roses A sufficiency.
To the foregoing, from two to eight grains of powdered catechu may be
added should it seem to be required, but it is not generally needed. Opium
more than has been recommended, in this stage, is not usually beneficial;
and, save in conjunction with ether, which appears to deprive it of its
injurious property, I am not in the habit of employing it.
I have been more full in my directions for diarrhoea than was perhaps
required by the majority of cases. Under the administration of the ether
only I am, therefore, never in a hurry to resort even to the liquor
potassae, which, however, I use some time before I employ the astringent
pills, and during the whole period I persevere with the tonic. The diet I
restrict to strong beef tea, thickened with ground rice, and nothing of a
solid nature is allowed. Should these measures not arrest the purgation,
but the faeces become offensive, chloride of zinc is introduced into the
injection, and also into the ether given by the mouth. With the first,
from a teaspoonful to a tablespoonful of the solution is combined, and
with the last half those quantities is blended. A wash, composed of two
ounces of the solution of the chloride to a pint of cold water, is also
made use of to cleanse the anus, about which,
|