Kousso. 227 



Kamala. 



This is a resinous substance obtained from 

 the capsules of the fruit of the Rotteria tinctorial a 

 plant which grows in India, China, and other parts 

 of Asia. 



Dr. Mackinnon first directed attention to its value 

 as an anthelmintic a few years since, in a paper in 

 which he stated that its properties were well known 

 to the natives of India ; it was soon afterwards 

 introduced into English practice, — Drs. Leared and 

 Ramskill being amongst the first to pronounce 

 favourably respecting its vermifuge properties, — and 

 it is now looked upon as equal in efficacy and 

 certainty of action to Kousso, and the other most 

 highly esteemed anthelmintics. Its effects are best 

 marked in cases of taenia and of lumbrici. 



It may be given in the form of powder, in doses 

 of one or two drachms, or of the tincture in two- 

 drachm doses ; four or six successive doses should 

 be administered at intervals of four or five hours. 

 It need not be so fi^equently repeated if the worm 

 be expelled, or if there be much purging and 

 griping pains in the bowels ; the latter effects may 

 be often obviated by the combination of hyoscyamus 

 with the remedy, or by the administration of a 

 small dose of castor oil. The tincture is superior 

 to the powder, in consequence of its action being 

 more certain, whilst it rarely produces severe nausea 

 and colic. 



Kousso. 



The dried flowers of the Kousso, or Brayera 

 anthelmintica, have been greatly extolled in the 



Q 2 



