Southern Medical and Surgical Journal - Georgia Regents University

—786 Secale Cornutumfor the Eyes. [November,within the first twenty-four hours—a circumstance which hehas frequently verified since. The first case that came underhis care was an example of exophthalmos, accompanied withenlargement of the thyroid gland and hypertrophy of the heart.After a few weeks' use of the secale, the hypertrophy ofthe heart and thyroid, as well as the projection of the eye, muchdiminish. The patient however left off the medicine, and theexophthalmos returned worse than ever. Since that period hehas employed the secale in various cases in which increasingcontractility of the muscles of the bloodvessels or other tissuesseemed to be indicated. It was found of especial advantage ina disturbed state of the accommodation-power of the eye, especiallyinduced by over-taxing the organ on small objects withan insufficient amount of light. Children from some of theschools have furnished the author with many instances, and theyhave always been relieved by the secale. He relates a case inwhich impaired vision was always brought on by sewing orreading, and wherein the signs of some amount of chronic congestionwere visible. Belief rapidly followed, and when the affectionrecurred some months after, it was as speedily relieved.He has also found the secale of great use in several cases ofacute or chronic inflammation of the eye, and especially inblepharitis and the pustular conjuDctivitis of children, the caseproving much more rapid, and relapse being much less rare,than when local means alone are relied upon. No benefithas been derived from it in granular conjunctivitis and trachoma.Proceeding upon the theory of its stimulant action upon thevaso-motoric nerves, the author has extended the employmentof the secale to other local disturbances of the economy ;and,as already observed, he has had frequent occasions of observingits transitory influence in hypertrophy of the heart, withouthaving any reason to believe that it is of any permanent utilityin affections of this organ, the heart always returning to its formersize soon after the use of the secale has ceased. In manycases of both chronic and acute hyperemia it has proved ofgreat service, and especially in cases of galactorrhea, and in indurations,tumefactions, and catarrhal affections of the uterus.Also, it has been very useful in enlarged spleen from intermittentfever, and when large doses of quinine have failed. It isespecially indicated in the cases of relapsing intermittent dependingupon enlarged spleen. In erysipelatous affections, it hasoften done good service applied externally as a cataplasm. Theauthor formerly gave ten grains ter die, but now gives but five,combining it with magnesia, or, when chlorosis is present, withChir. Review, and Am. Jour, of Med.iron.Sciences.[Brit, and For. Med_.