MEDICINAL TREATMENT OF "COLICS" 131 



upon by the bile or not, aloes causes an intense conges- 

 tion of the large intestines; thus aloes adds congestion to 

 congestion and consequently makes enteritis a great deal 

 more likely to supervene upon a case of impaction when 

 it is used. 



The second danger can be combated by the addition 

 of intestinal antiseptics, the writer's favorite being two- 

 dram doses of resublimed naphthalin administered three 

 or four times daily. This drug may be given in capsules 

 or suspended in linseed oil. 



The third danger can be combated only indirectly — 

 by removing the cause of the impeded circulation as 

 quickly as possible, but in attempting to do this, we 

 should not substitute the more common danger — en- 

 teritis by forced treatment, i. e., from the use of aloes 

 and similar irritating purgatives. 



The above remarks, regarding forced treatment, 

 have, perhaps led the reader to think, that the writer's 

 treatment is slow, requiring, probably five, six or more 

 days to re-establish bowel movements. I wish to as- 

 sure you, that such is not the case ; that one, two or 

 three days is about the time required for the treat- 

 ment of impaction of the bowels in ninety-nine out of 

 one hundred cases. These periods comparing with 

 three, six and nine-day cases treated by the old-line 

 methods. 



Since the writer has made eserine an essential part 

 of his treatment, for practically every form of colic, 

 impaction, following colic, has almost ceased to occur 

 ill his practice; however, impaction does occur as a 



