148 COMPLICATIONS. 



By means of this medicine he succeeded in removing 

 an enlargement of the liver and spleen which had 

 existed for nine months, which was accompanied by 

 emaciation, pallor, and irritative fever : to these we must 

 add the mineral acids, which have proved very successful 

 in the hands of Murchison and myself, namely, the 

 Nitric, hydrochloric, and the compound Nitro-hydro- 

 chloric acids. 



In all cases of waxy degeneration we must at all 

 times be on the look-out for complications, the chief 

 being 



1. A sluggish condition of the bowels, to be counter- 

 acted by Aluminia, Bry., Gale, c., Lycop., Nux Vom. 

 Opium, or Sulph. 



2. A harassing diarrhoea, which is wont to supervene 

 in the latter stages of the malady, and which most pro- 

 bably arises from ulceration of the mucous membrane of 

 some part of the intestines ; must be checked by Ars., 

 Ary. Nit., China, Merc. Corr., Ipec., or Veratrum, Album 

 and Tannic Acid injections. 



3. Vomiting, which is an important symptom in some 

 cases, and is usually accompanied by a clean tongue 

 and cessation of appetite, should be corrected by Ars., 

 Cuprum, Nux Vom., Ary.-Nit., Ipec., or the mineral, 

 acids, coupled with pepsine and ice. 



4. ALBUMIN URIA. The urine must be carefully and 

 repeatedly examined, and the first trace of albumen met 

 with must be combated by warm baths, the vapour, or 

 the Turkish bath, and the nitric or hydrochloric acid. 



5. DROPSY. Serous effusions into the peritoneum 

 and other organs and parts of the body must be removed 

 by Turkish baths or the lamp bath, Ars., Chin., Colchicum 



