Botanic Remedies 201 



nor lower blood pressure. But it must be admitted 

 that in the respiratory tract ipecac has an effect 

 upon pulmonary congestion and indirectly upon 

 hemorrhage. Here ipecac, not emetine, should be 

 used. 



Pyorrhea alveolaris (Riggs's disease) may, and often 

 does, depend partly upon ameboid infection. Eme- 

 tine is not a "specific" in pyorrhea, as has been 

 claimed; but it materially aids, in conjunction with 

 dental surgery and proper antisepsis, in clearing up 

 a case. 



CEPHAELINE has a true ipecac action but is rela- 

 tively more emetic and less nauseant and causes 

 relatively more renal irritation and less cardiac 

 depression, thus differing markedly from emetine. 



Cephaeline is employed as an emetic and ex- 

 pectorant in doses of 1-24 to 1-6 grain, in pill, tritu- 

 ration, or syrup. 



It is asserted that ipecac, or cephaeline, is of 

 value applied to the pustules of anthrax. 



Ipecac itself is emetic, expectorant, and diaphor- 

 etic. 



THERAPEUTICS OF IPECAC. The therapeutics of 

 the ipecac alkaloids having been given, it remains 

 to say somewhat of ipecac itself. 



Ipecac is a safe emetic, though depressing, at least 

 transiently. The emetic dose is 15 grains, though 

 less is usually effective. Fl. is emetic in 15-minim 

 doses; syrup, 4 fluidrachms. In laryngismus stridulus 

 it is the best emetic available, while in acute indiges- 

 tion it is also the emetic of choice. 



On the other hand, minute doses (1-10 to 1-5 

 minim fl.) often relieve nausea and vomiting, par- 

 ticularly of the type in which there is defective or 



