THERAPEUTIC USES. 7e> 



tation was now heard on the eighth day of the attack, and thd 

 pulse and temperature began to rise, and three days later the 

 patient was convalescent. He has found the same lowering of 

 the pulse and temperature in acute bronchitis, pleurisy, acute 

 phthisis, and acute rheumatism. He has rarely seen diuresis,. 

 and never met with any bad results. The amount taken has 

 varied from 7 to 37 grains. He thinks that venesection may 

 be used with the digitalis. In pneumonia. Millet abjures vene- 

 section nearly altogether, but combines the digitalis with 

 kermes giving to adults on the first day -fth of a grain of 

 each every hour, and gradually increasing the dose by -5-^gth 

 of a grain daily, so that on the ninth day the dose is |ths of 

 a grain. The medicine is not stopped at once, when improve- 

 ment takes place, but is continued some time longer. Improve- 

 ment generally occurs about the sixth or eighth days, and the 

 circulation is then affected. Among 87 cases of children, of 

 which 53 were very bad, with much delirium and adynamia, 

 there was but one death. Oppolzer gives it in small doses, 

 along with ipecacuan and cold effusion externally, where the 

 dyspnoea is more from the fever than from local changes. In 

 reference to a case of pneumonia, Traube remarks that the 

 rapidity of action of digitalis varies much in different cases,, 

 taking much longer if the person be strong, and the disease at 

 its height, than when it is near a close, or in a chronic case. 

 Schneider says that in acute inflammation digitalis, in doses of 

 2 1 to 3 J grains every two hours, reduces the pulse, and lowers 

 the temperature of the skin. These effects, he says, are inde- 

 pendent of each other. Clutterbuck advocated its employment 

 in continued fever. Wunderlich recommends its employment 

 in severe cases of typhoid fever, when the evening temperature 

 rises above 108°, and the pulse one-half in the second week. It 

 has been proposed as an anti-periodic in ague by Davy. Graf- 

 feneuer, Gerard, and Bouillaud have treated between 40 and 50 

 cases successfully by it. 



Nervous Affections. — Serre, by the use of Debout's pill of 

 quinine, IJ grains, and digitalis, gr. ^th, every night for three 

 months, has cured several cases of long standing hemicrania,. 

 and, among others, his own, which had lasted 15 years. Boison 



