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American Materia Medica, Therapeutics and Pharmacognosy

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inflammations of the thoracic viscera or of the pleura. In pleuritis its<br />

indications are usually all present. Uncomplicated cases will yield to this<br />

agent alone. Occasionally, though, more rapid results will be<br />

accomplished by alternating it with aconite or with asclepias tuberosa. It<br />

must be continued if effusion be present.<br />

One physician, in two cases of pleurisy where there was at least a pint of<br />

serum in the pleural sac of each, gave bryonia alone, <strong>and</strong> persistently<br />

using it for a reasonable time, the entire quantity in both cases was<br />

absorbed, <strong>and</strong> the patient made an excellent recovery.<br />

In bronchitis, with short, quick cough, with quick, sharp pains, especially<br />

if the sputum be bloody or frothy, bryonia acts directly. It should be given<br />

in small doses, at short intervals, <strong>and</strong> should be persisted in. It will<br />

subdue the pain <strong>and</strong> the cough promptly <strong>and</strong> exercise as marked an<br />

effect on the fever as any special sedative known.<br />

In pneumonitis it may be positively indicated. If used in combination<br />

with other specific remedies, abatement of the symptoms will be even<br />

more rapid in these cases. Although opposed to complex medication, the<br />

author has used the following combination in these conditions in infants<br />

<strong>and</strong> children with the most happy results. The two prescriptions should<br />

be given as specifled in alternation. In severe cases in small children, or<br />

during severe paroxysms, it is very desirable to give a yet smaller dose<br />

<strong>and</strong> alternate the remedies every twenty or thirty minutes:<br />

Rx— Tinct. Aconiti, U. S. P. 5 drops<br />

Tinct. Belladonnae, U. S. P. 8 drops<br />

Aquae Dest. 32 ounces<br />

M. Sig. Half of a teaspoonful every hour, alternated with the following<br />

prescription every half hour:<br />

Rx— Tinct. Bryoniae 8 drops<br />

Tinct. Ipecacuanhae 4 drops<br />

Aquae Dest. 32 ounces<br />

M. Sig. Half teaspoonful every hour, alternated with the above as stated,<br />

every half hour.<br />

I have in late years been using bryonia in acute neuritis. I have found in<br />

many cases the precise indications for the use of this remedy, <strong>and</strong> in one<br />

Ellingwood’s <strong>American</strong> <strong>Materia</strong> <strong>Medica</strong>, <strong>Therapeutics</strong> <strong>and</strong> <strong>Pharmacognosy</strong> - Page 84

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