THE SYMPATHETIC SYSTEM 365 



the possible error of increasing the dose too rapidly be- 

 cause of its apparent inefficacy. 



Children have a high tolerance for these products. As a 

 rule, the dose for a child 2J^ is about J4 of the adult dose, 

 that of a child 5 M; of 10 J^. From 15 on, the dose 

 is that of an adult. (Hallion). 



CERTAIN GENERALITIES ON THE CHIEF ORGANO 

 THERAPEUTIC PRODUCTS. 



We will now go over very rapidly the chief organo 

 therapeutic products. As it will be seen, the therapeutic 

 indications are usually the same as those relating to the 

 physiology of the organ. 



BILIARY ORGANO THERAPY. Bile acts in the intes- 

 tines as a regenerator of the mucosa and a stimulant of 

 intestinal peristalsis. It helps in the assimilation of fats 

 and has an antiseptic action. It can, to a certain extent, 

 supplement a decrease in the secretion of bile and is the 

 best biliary stimulant as well as the best cholagogue. 



Fresh bile is used in enemata or as a dry bile extract. 

 The indications are: constipation, muco membranous 

 entero colitis, gall stones, intestinal fermentation, etc. 

 The extract of bile has been advocated in pulmonary 

 tuberculosis (Lemoine and Gerard). 



DUODENAL ORGANO THERAPY. The duodenum has an 

 external secretion. The duodenal secretion contains two 

 ferments, erepsin and enterokinase. There is also an 

 internal secretion which is secretin. This substance, at 

 the time gastric contents enter the duodenum, stimulates 

 the secretion of pancreatic, bile and intestinal juices. The 

 chief action of duodenal organo therapy is to stimulate 

 the action of secretin and re-enforce biliary, duodenal and 

 pancreatic secretions and stimulate the contractions of 

 the intestines. 



