Appendix. 319 



there is preternatural heat and dryness of the skin; apply 

 mustard poultices to chest, abdomen, calves of legs, and 

 spine, and administer an injection of two tablespoonfuls 

 turpentine and four tablespoonfuls castor oil, with a pint of 

 tepid water. A dessert-spoonful of brandy, or a teaspoonful 

 of sal volatile in water, should be given every hour when 

 patient is able to swallow, till reaction sets in ; he must 

 then be kept quiet, and have milk or farinaceous food or 

 broths only, and a simple purgative if necessary. 



LIVER DISEASE. 



Causes. Cold, malaria, intemperance, high temperature, 

 sedentary habits, constipation. 



Symptoms. Dull, aching sensation in right side, pain at 

 top of right shoulder, loss of appetite, nausea, torpid bowels, 

 sometimes diarrhoea or dysentery, and general debility. 



Treatment. Apply mustard poultice or turpentine foment- 

 ation over the right side, and take two compound colocynth 

 pills, or the following antibilious or 



Liver Pills. Take of podophyllin three grains, compound 

 extract of colocynth two scruples, quinine six grains, 

 powdered ipecacuanha four grains, and extract of taraxacum 

 six grains. Mix, and divide into twelve pills. Dose. One 

 every night, followed early next morning, if necessary, by a 

 teaspoonful of Rochelle salts in half a tumbler of water. 



SNAKE BITE. 



Apply a tight bandage two or three inches above the 

 wound, cut out the bitten part, by pinching up the skin 

 between the finger and thumb, or scarify it freely with 

 the point of a sharp knife, by making small incisions all 

 round, allowing blood to flow freely, or press the point of a 

 red-hot iron, or some strong nitric acid or carbolic acid, into 

 the bitten part. Give half a wineglassful of brandy or 

 arrack, or half a teaspoonful of the strongest liquor ammonia, 

 or a teaspoonful of sal volatile diluted with water every half- 



