APPENDIX* 137 



bue of pleurisy J two of pneumonia, four of emphysema, five of broii- 

 bliitis, five of heart failure, and seven of tuberculosis of the luugri in 

 different stages. One to three grammes of the tincture were given 

 daily in doses uf 3/10 to 6/10 of a grammfe. Dr. Schoshgut foUnd 

 the tincture to act as an emetic in doses of 1 to 2 grammes. No 

 styptic or other action on the digestive organs was observefl, and no 

 benefit was derived from it in the case of dysentery* He says : 

 *' Further experiments in this direction were suspended, and the 

 iajpplication of the remedy was confined to diseases of the air pas- 

 sages. In such cases Naregamia has proved to be an excellent 

 expectorant, and especially in cases where, with a limited amount of 

 secretion in the bronchi, a disposition existed to extreme coughing, 

 but Avhere there was the presence of a tough and tenacious sputum 

 which embarrassed the elimination of this undesirable factor. In one 

 case of bronchial catarrh, whieli from time to time betrayed asthma- 

 tic symptoms, Nareganiia rendered great service. In d number 

 Cf cases of heart difficulty, comprising two of fatty degeneration of 

 the heart in which catarrh df tlic air passages existed, Narcgaiiiia 

 proved itself very serviceable. In the caso of one patient with fatty 

 beai't, after several days' use of Naregamia the objective symptoms 

 of catarrh disappeared, the rasping diminished niaterially, and 

 although the quantity of the sputum at first increased, it finally 

 almost ceased. 



Dr. ^clioengut also states that tlie tiuctiire of Naregamia lids a 

 decidedly beneficial action in cases of pulmonaiy empliysema, and 

 that it seeilied to aid the expectoration in pnenmonia during the 

 period of re-solutidn where the i-rdes were prominetit aiid frequent. 

 In the case df patients affected mth dyspnoEia, he found that the 

 breathing became less difficult under its influence, but the effects 

 Seemed to be diie to an increased freedonl of expectoration and the 

 consequent removal of accumulated secretions from the lungs, an 

 opinion which agrees with the results of experiments on animals by 

 I'l'of . von Ba,3ch° showing that it has no direct action on the rdspii-a- 

 t^i'y centres. 



No special influence on the circulation lias been observed under 

 tlie influence of Naregamia, only a short and irregular inci-ease of 

 pressure being noted after large doses reaching up to 5 grammes. 

 /Naregamia does not exert any perceptible effect upon the diges- 

 tive organs, and no toxic properties reside in the remedyi 



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