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American Materia Medica, Therapeutics and Pharmacognosy

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may take a wine-glass of this every hour, until the pint is taken. It may<br />

induce vomiting <strong>and</strong> purging, but if the bowels do not move freely, a<br />

physic should be given near the end of the treatment, or sometimes a<br />

glycerine enema will be sufficient. If not at first successful, the treatment<br />

should be repeated within. a few days. When the fresh bark cannot be<br />

obtained, the alkaloid or its salts may be resorted to. This agent has been<br />

used in diarrhea <strong>and</strong> in colliquative night sweats. In bronchorrhea <strong>and</strong><br />

as a gargle in various forms of sort throat, it has produced good results. It<br />

has been used both internally <strong>and</strong> as a douche in leucorrhea.<br />

QUASSIA. Quassia amara.<br />

Synonym—Simaruba Excelsa.<br />

CONSTITUENTS—<br />

Quassin. Dose, one-third of a grain.<br />

PREPARATIONS—<br />

Extractum Quassiae Fluidum, Fluid Extract of Quassia. Dose, from<br />

ten minims to one dram.<br />

Tinctura Quassiae, Tincture of Quassia. Dose, from one-half dram to<br />

one dram.<br />

Physiological Action—The taste of quassia is so intensely bitter that with<br />

some patients it acts as an emetic at once. It stimulates most positively<br />

the salivary, mucous, gastric <strong>and</strong> intestinal canal. It is an anthelmintic<br />

<strong>and</strong> parasiticide.<br />

Specific Symptomatology—Extreme inactivity of the digestive <strong>and</strong><br />

assimilating organs from debility—a cessation of function from lack of<br />

power, is an indication for the use of this remedy. The evidences are a<br />

broad, flabby tongue, pale, thick, indented with the teeth, sometimes<br />

heavily furred, coated with a dirty white or brownish coat, mucous<br />

membranes of the mouth pale, anorexia, general feebleness.<br />

Therapy—It is one of the best of what is known as “stomach bitters.” In<br />

debility of the stomach or intestinal structures, <strong>and</strong> inactivity of the<br />

secreting organs, the tonic effects of this agent are most pronounced. In<br />

convalescence from severe acute disease, the conditions there often<br />

existing are satisfactorily corrected with this remedy.<br />

Many forms of dyspepsia depending purely upon atonicity, are cured by<br />

Ellingwood’s <strong>American</strong> <strong>Materia</strong> <strong>Medica</strong>, <strong>Therapeutics</strong> <strong>and</strong> <strong>Pharmacognosy</strong> - Page 367

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