OCR Text |
Show 736 IPECACUAN mild, active, purgative medicine, such as I kaye recommended in treating on the dysentery, in my Observations on the Diseases of the Army, in orderto clear therest of the alimentarycanal. In habitual diarrheas, Dr. Fothergill has recommendedto give, every morning while the patient is in bed, one grain, one grain and a half, or two grains of it in any commondraught, which, he says, sometimes acts as an emetic, and brings upbile; and sometimesgives a few stools extraordinary; and thata small bason of thin gruel should begiven to promote its operation; and a cordial anodyne draught, if nothing forbid it, at night to secure rest; and he says, a few doses. of these medicines gene. restrain the discharge. But he observes that such doses, rger ones repeated oncein six hours, often make the disease worse. Dr. Aketiside recommends in the chronical spasmodic asthma, to give from three to five grains of ipecacuan every morning, or fromfive to ten grains every other morning, for a month or six weeks together; aud says, thatfumbrice his patients have com. plained of the fatigne and nauseousness attending it, yet they found suchrelief as to acquiesce in it, and sometimes to desire to return to it after it had ek laid aside. Of late a notion has prevailed, that the keeping up a nausea y meansof small doses of ipeeacuan, or of waterysolutionof in promoting the cure of metic tartar, was of great fevers, as well as of fluxes, from a belief that they affected the nervous system, and were capable of exciting the action of the extremevessels, and ofincreasing the secretions bythe skin, and method of the internal organs. Hitherto I have not founc ons, and I have always observed, that to answer my expe such a dese of an emetic as emptied the stomach freely, and gave had a muchbettereffect than those a shake to the whole frame, which kept the patient in a dishours together; and I am perSener who has attended an opportunity of trying and seeing the effects o dif erent medicines, will ever recommend for general practice in fevers, though it id this nauseating : icular cases. olume ofhis Treatise on the Materia six grains of this root gegenerally yomit {en grains vomit as powerfully as a scrapic, nay, as two scruples; and that therefore he thinks it uséless to order larger doses as an emetic. And in the year 1757, Dr. Pye relates, in the first volume of the M ions and Inquiries, published at London, a number of cases of patients bouring under fevers, diarrhceas, and dysenteries, where very small doses of this root, from one to eight grains, are said to have operated as the most gentle manner, and with the greatest good effects; from medicine may be given fr whence he concludes that this grain to six grains, with the utmost safety, to persons of all ¢ and in the greattest state of debility, Since the publication of Dr. Pye’s Observations, I have frequently ordered the ipecacuan, in the small doses he recom. mends, but they have often failed of operating as [ expectec nay, 1 have often seen ten or twelve grains have little eff when some days after a scruple has operated freely on 4the same person ; I therefore now almost a confine the small doses to children, or people who are very weak’; but where thepatient is an adult, and strong, and I wish that}he should vomitf y I generally order from fifteen to thirty grai from an ounce to an ounce andahalfofthe Dr. Bergius says that the powder of ipecacuan, given in so 1 small doses as the thir had stopt uterine h in the hemoptoe INK rpte th part of a grain, every twoorthree hours, ce lit without effect € Joined to opium (ad iit is in ‘eh Teas called Dover’s) der "one of the Waet powerful sudorific medicines we which has often produced copious sweat in rheumatic, dropsical and other cases, after other remedies hadfailed. When it was first introduced for the cureof dysenteries, it used to be given from a scrupleto half a drachm or a drach m in substance; or in form of such a strong watery infus ion as opes tated powerfully as an emetic. Geoffroyis of opinion that most irtues in the cure of dysenteries are contained in the wa- 'Yinfusions; though he says that the rootitself is much more cacioug in the dysentery, and in other diseases, than any of its preparations. uan is exhibited in Substance, in powder. Full vomiting will generally be produced in an adult by a scruple or half a dpackin and though ess might answerthe purpose, fortunately an over-doseis scarcely ‘tended with any inconvenience, as the whole ofit is yomited 3B |