APPENDIX. 137 
one of pleurisy, two of pneunionia, four of emphysenia, five of broi- 
chitis, five of heart failure, and seven of tuber¢ulosis of the lungs in 
different stages. One to thee giaimes of the tincture were given 
daily i in doses of 3/10 to 6/10 of a gramme. Dr. Schengut fotind 
the tincture to act as an emetic in doses of 1 to 2 grammes, No 
styptic or other ation on the digestive ofgans was observed, and no 
benefit was derived from it in the tase of dysentery, He says: 
‘Further expetiments in this direction were suspended, and the 
application of the temedy was confined to diseasés of the air pas« 
wages. In stich cases Naregantia has proved to be an excellent 
expectorant, and éspecially in cases where, with a limited aniount of 
secretion in the bronchi, a disposition eXisted to extreitie coughing, 
but where there was the presence of a tough and tenacious sputum 
Which émibarrassed the elimination of this undesirable factor. In one 
é symptom n 
of cases of heart difficulty, comprising two of fatty degeneration of 
the heart in which catarrh of the air passages existed, Narégantia 
proved itself very serviceable. In the case of one patient with fatty 
heart, after several days’ tse of Narega amia the objective syniptoms 
of c¢atatrh disappe eared, the rasping diminished miate erially, and 
although the quantity of the sputum at first increased, it finally 
almost teased, 
Dr. Schengut also states that the tinctire of Nareganiia has a 
tlecidedly beneficial aétion in cases of pulmionary emphysema, and 
that it seemed to aid the expectoration in pneumonia during the 
period of re-solution where the rales were prominent and frequent. 
In the case of patients affected with dyspnaa, he found that the 
breathing becanie less difficult under its influence, but the effects 
seemed to be due to an increased freedoni of expectoration and the 
¢onsequent renioval of accumiulated secretions from the lungs, an 
opinion whith agrees with the results of experiments on animals by 
Prof. von Basch, showing that it has no dirett action on the respira- 
tory centres. : 
No special influence on the circulation has been obsetved under 
the influence of Naregamia, only a short and irregular increase of 
pressure being noted after large doses reaching up to 5 grammes, 
Naregamtia does not exert. any perceptible effect upon the digess 
tive organs, and no toxic properties reside in the remedy; 
B 
