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American Materia Medica, Therapeutics and Pharmacognosy

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greatly improves the function of the liver.<br />

In ague when quinine is given as an antiperiodic, if from one-fourth to<br />

one grain of lept<strong>and</strong>ra be given with each dose in the intermission, the<br />

effects are much more marked <strong>and</strong> the influence is more permanent. It is<br />

dem<strong>and</strong>ed in malarial fevers of all kinds, <strong>and</strong> especially in remittent<br />

fever. It is given alone at the onset of the attack as a laxative <strong>and</strong> in the<br />

remission, in small doses in conjunction with the antiperiodic, proving a<br />

most valuable auxiliary to the treatment. As an addition to vegetable<br />

tonics when malarial conditions prevail, it improves the tone of the entire<br />

gastro-intestinal canal <strong>and</strong> increases the functional activity of the<br />

gl<strong>and</strong>ular organs. In some cases small doses in wine will produce<br />

excellent results.<br />

In the treatment of jaundice it is a valuable auxiliary, <strong>and</strong> combined with<br />

the tonics here indicated its influence is most desirable. It clears the<br />

skin, produces black alvine evacuation, <strong>and</strong> assists in overcoming the<br />

entire train of symptoms.<br />

Lept<strong>and</strong>ra has no superior in a case of this character <strong>and</strong> must be used<br />

freely to be appreciated. It is certainly under-estimated.<br />

VIBURNUM. Viburnum opulus.<br />

Synonyms—Cramp Bark, High Cranberry, High-bush Cranberry.<br />

PREPARATIONS—<br />

Fluid Extract High Cranberry. Dose, from ten to thirty minims.<br />

Specific Symptomatology—The specific influence of the agent is<br />

exercised in relieving irregular spasmodic pains of the womb <strong>and</strong><br />

ovaries. It is antispasmodic in its action upon the entire pelvic viscera,<br />

influencing spasmodic contractions of the muscular structure of the<br />

bladder, <strong>and</strong> spasmodic stricture to a limited extent.<br />

One of its specific indications is pain from the pelvic organs which begin<br />

in the back, extending through to the loins <strong>and</strong> down the thighs. This is<br />

corrected with twenty drops every hour or two. If this is accompanied with<br />

severe or profuse menstruation with a sensation of dragging weight in the<br />

back, the pains extending clear around the body, a drop or two of<br />

cimicifuga or ten drops of helonias with every dose will relieve the pain.<br />

Ellingwood’s <strong>American</strong> <strong>Materia</strong> <strong>Medica</strong>, <strong>Therapeutics</strong> <strong>and</strong> <strong>Pharmacognosy</strong> - Page 459

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