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Individual Drugs. ABIES (Tsuga canadensis). - Southwest School of ...

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is rapid. The more diffusible stimulants, therefore, are to be given first,<br />

and closely followed by the digitalis. Atropine may stimulate<br />

respiration, and caffeine (or hot c<strong>of</strong>fee) sustain the heart. Nitrite <strong>of</strong> amyl<br />

may be used cautiously, allowing but a whiff or two, lest the stimulant<br />

action be passed and dangerous depression induced. A full dose <strong>of</strong><br />

strychnine sulphate or nitrate (1/20 to 1/10 grain) should be given<br />

subcutaneously to sustain the heart-action. Of the newer biologic<br />

products, possibly adrenalin chloride (1 to 1000) or pituitrin,<br />

hypodermatically administered, might aid in preventing circulatory<br />

collapse.<br />

Therapy.—External.-As a topical agent, aconite, in tincture or as an<br />

ingredient <strong>of</strong> anodyne liniments, may be applied to relieve pain, allay<br />

itching and reduce inflammation. Its use, however, must be guarded as<br />

it is readily absorbed. A well-diluted spray gives relief in the early<br />

stage <strong>of</strong> tonsillitis and when quinsy occurs, and it relieves the distress<br />

and shortens the duration <strong>of</strong> faucitis, pharyngitis, and some cases <strong>of</strong><br />

laryngitis. If used in local inflammations it should be in the earlier<br />

stages. Locally applied above the orbits it may give relief in sinusitis;<br />

used over the mastoid bone it mitigates the pain <strong>of</strong> otitis media and<br />

modifies external inflammation <strong>of</strong> the ear. Its obtunding power gives<br />

temporary relief in facial and other forms <strong>of</strong> neuralgia (when<br />

hyperaemia is present), the neuralgia preceding zoster, pleurodynia,<br />

myalgia, rheumatic gout (rheumatoid arthritis), peridental<br />

inflammation, and so-called chronic rheumatism. It also allays the<br />

pain and itching <strong>of</strong> chilblains, and the discomfort <strong>of</strong> papular eczema,<br />

pruritus ani, and other forms <strong>of</strong> pruritus.<br />

Internal.—Aconite is a most useful internal medicine. The weight <strong>of</strong><br />

evidence from those who use aconite most frequently shows that it is a<br />

safe agent when used in the minute dose and according to specific<br />

indications, and is proportionately dangerous as the dose approaches<br />

that which produces its physiological action. It is capable <strong>of</strong> great good<br />

in the hands <strong>of</strong> the cautious and careful therapeutist, and is capable <strong>of</strong><br />

great harm if carelessly or thoughtlessly employed.<br />

Aconite is the remedy where there is a dilatation from want <strong>of</strong> tone in<br />

the capillary vessels. It moderates the force and frequency <strong>of</strong> the heart's<br />

action, increasing its power, and is, therefore, useful in functional<br />

asthenia; it also lessens pain and nervous irritation. Aconite cases are<br />

those showing a frequent but free circulation; where there is super-<br />

Felter’s Materia Medica - (A) - Page 8

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