Vol. 60, 1909 - University of North Carolina at Chapel Hill

XXVIII THE CHARLOTTE MEDICAL JOURNAL.
phine, but these had little eifect and were to idiosyncrasy of the patient. He used
unsatisfactory, So also with double the 1-100 grn. of scopolamine and 16 grn. of
dose of scopolamine. He believed the best morphine, repeating the same dose of scodose
was 1-100 grn. of scopalamine and 1 6 pohimine if necessary without the morgrn.
of morphine. He usually administered phine. As the patient was not so conscious
it toward the end of the first stage of labor, of the pains then, these cases required more
when the pains were coming regularly every careful attendance of the medical man. One
few minutes. Occasionally a second dose patient had expressed herself to the effect
of Scopolamine of 1-200 grn. was necessary, that she had some feeling of pain, but in a
but he found it advisable not to repeat the
morphine. With these doses the pain of
the uterine contractions was markedly difar-away
manner, as if the pains were in
the other side of the room. He had found
as much thirst from large as from smaller
minished and in some cases abolished altogether,
and the patient slept soundly in the
doses. It was useful in cardiac cases and
where one had to hasten labor.—The Lonintervals
between the pains and after the don Lancet,
completion of labor. Further, the memory
Treatment of Malaria.
of the pains was in most cases strikingly
blurred, and many of the patients awoke Ter-Grigoriantz treats malaria as follows:
with no recollection whatever of their During the acute stage the temperature is
labors. He had found no ill effects from taken every two hours; if it has dropped
the drugs upon the mother except a little one degree from its highest point, two doses
tendency to postpartum hemorrhage, but
occasionally the children were born sleepy
of 0.3 Gm. of quinine hydrochloride are
given within two hours. On the following
and required to be revived. In no case was day another dose is given four and two
the child's condition serious and none were hours before the attack, and a third one at
stillborn. He believed that the treatment night before retiring. This applies to the
was most suited for nervous primiparae, and quotidian form; in the tertian tj'pe the
particularly in private practice. He em- morning doses of the second day are omitphasized
the necessity of using the drug in ted. If the attacks cannot be checked in
a freshly prepared form. this way, the patient receives an injection
Dr. Haultain had used 1-200 grn. of sco- of Laverau's solution (quinine hydrochlorpolamine
with 1-6 grn. of morphine during ide, 3 Gm.; antipyrine, 2 Gm.; distilled
the first stage, when patients were often too water, 6 Cc.) daily at 9 and 1 o'clock. No
ready to cry out for relief. Its effect lasted more attacks will occur, yet the disease may
about from five to seven hours, and it had remain dormant for years. In such cases
the advantage that during the second stage, injections of arsenic are indicated. The
if the pains were very severe, then a very prominent symptoms of malaria larvata are
small quantity of chloroform was required
to relieve them. On several occasions he
a large, hard spleen, atony of the stomach
with hyperacidity and constipation, headfound
the effects pass off, and that when aches with various other nervous symptoms,
the second stage came on the patient exag- and anemia. The best drug to remove these
gerated the suffering. In several cases the symptoms, according to the author, is
condition of the child gave very great anxi- atoxyl. It is used as .5 per cent, solution
ely when the dose mentioned above had been in 0.5 per cent, carbolic acid ( /