234 DB CHASE'S RECIPES. 



letters for which a free motion of the tongue is requisite. At whatever time 

 the operation may be necessary it is easily done by a pair of scissors; but the 

 surgeon must be careful not to wound any of the neighboring large vessels. 



1. GANGRENE.— Tkeatment.— When the result of cold, the part 

 becomes first white, and a restoration of the suspended circulation should be 

 attempted by rubbing with snow, if it can be procured ; if not, with a coarse 

 cloth or flesh-brush. No heat must be applied ; even that of the bed-covering 

 will sometimes set up inflammation. Camphorated spirit of wine is, perhaps, 

 the best liniment that can be used. After the rubbing, if it appears to be at 

 all effectual, apply cold poultices. If, in spite of these efforts, a discoloration 

 of the skin shows that gangrene has really commenced, apply to the part a 

 poultice of flaxseed with a little powdered riharcoal in it, and also spirit 

 lotions, to keep the disease from spreading. 'Jhe co)istitution of the patient 

 must be soothed and supported by some anodyne and stimulant. Cooper 

 recommends from 7 to 10 grs. of carbonate of ammonia, with 20 or 30 drops 

 of tincture of opium, 2 or 3 times a day or more frequently if required. A 

 bolus composed of 5 grs. of carbonate of ammonia, with 10 grs. of musk, may 

 be given every 4 hours, with excellent effect. When the gangrene has pro- 

 ceeded to a sloughing sore, a port wine poultice is a good application, as is 

 spirits of turpentine, to stimulate the parts. 



2. Apply yeast poultice mixed with charcoal powder, and renew the 

 poultice often; or keep the part well covered with charcoal powder. 



If, however, the gangrene is not stopped in its first stages, it can seldom 

 be after; and the only chance of saving the patient's life is to amputate the 

 limb; and this must be done before the morbific influence has spread far 

 towards a vital part. 



BLOODY FLUX. — Tkeatment.— In mild cases, give a table-spoonful 

 of castor oil and 2 tea-spoonfuls or paregoDo, mixed, once a day. Sometimes, 

 In place of the above, a dose of Rochelle powder, dissolved in water, with 

 30 or 40 drops of laudanum, may be taken. A moderate quantity of flaxseed 

 or slippery elm tea, may be taken as a drink, and the bowels be well emptied 

 by an injection of starch. 



When there is much pain in the bowels, a mustard poultice laid upon them, 

 will have a good effect. The starch injections should, in such case, have a }^ 

 tea-spoonful of laudanum mixed with it. The compound syrup of rhubarb 

 and potassa will often act favorably, given in table-spoonful doses. 



If there is reason to suppose the liver is affected, give podophyllin, or some 

 other liver remedy recommended under the head of "Liver." 



The patient should not be allowed to sit up, and must be kept very still, 

 and be allowed only a very scanty diet, as flour porridge, well boiled, rice 

 . water etc. 



RUPTURE (Hernia).— Children and old people are most liable to this, 

 <;hough sometimes they occur to persons of middle age. If difficult, or impos- 

 sible to be returned, it is called strangulated rupture, and requires the best 



