SPECIFIC OPTHALMIA. 443 



Pathognomonic Peoofs. — The disease is manifested peri- 

 odically, and it generally attacks the deep seated tissues of the 

 affected organ. 



Treatment. — The best remedies and modes of treatment 

 in general are — Aconite, Arsenicum, Tincture of Iodine, Nitric 

 Acid, Chlorate of Potass, Ammonia Citrate of Iron, Nux 

 Vomica, China, and Sulphur. 



Aconite. — Aesenicum and Belladonna. — Aconite is 

 indicated at the commencement of the disease, especially when 

 the malady is associated with a high degree of fever. The fever 

 cannot in these cases be regarded as sympathetic of the inflam- 

 mation of the eye ; it is, in my opinion, to be considered as an 

 integral part of the disease. Use the Aconite in 2-drachm 

 doses of the 1st dilution, and give it to the patient morning, 

 noon, and night. A lotion of Aconite may also be used to the 

 eye, consisting of Tincture of Aconite 4 drachms, mixed with a 

 pint of water, which should be applied to the eye three or four 

 times a day by means of a small broad-ended syringe. The 

 Aconite may either be given alone or in alternation with Arseni- 

 cum 3 in 2-drachm doses, or Belladonna 1 in 2-drachm doses. 



Aesenicum is indicated both in the acute, sub-acute, and 

 chronic forms of the disease ; in the latter it may be given with 

 advantage in alternation with the Ammonia Citrate of Iron. 

 The use of the two should be steadily persevered with for at 

 least two or three months in succession. Use the Arsenicum 

 in 2-drachm doses of the 3rd dilution, and the Iron in 2 or 

 3 -drachm doses. The patient should have about two doses of 

 each kind of medicine per week. 



Chloeate of Potass. — Nux A^omica. — China. — Sul- 

 PHUE. — These are all excellent remedies to give in Specific 

 Opthalmia, especially in the chronic forms of the disease. Grive 



