MEDICINAL TREATMENT 193 
up with one-minim doses of creosote, or salicylic acid 
(grs. i1.). 
Dysentery is usually accompanied by-intense straining, 
which, if unallayed, may lead to prolapse of the rectum. 
To overcome this ¢enesmus narcotics are indicated, such as 
opium, morphine, or chloretone, the latter probably 
proving as efficacious as any; or chloretone compound 
ointment (Parke, Davis) may be employed containing : 
Chloretone, grs. xl. ; calomel, grs. xii. ; hydrastine, gr. i.; 
hamamelin, grs. vii. ; lanolin base, 3i.; supplied in collap- 
sible tubes wth elongated nozzles, suitable for rectal 
medication. 
Other agents which have been successfully tried in the 
treatment of diarrhoea, and from which choice may be 
made, are: Tannoform, grs. ili. to grs. x. ; tannigen, grs. iii. 
to grs. vill. ; tannic acid, grs..ii. to grs. vi.; gallic acid, 
gers. ii. to grs. v.; cupri. sulph., gr. 4 to grs. ii.; ferri. 
sulph., grs. ill. to grs, x.; alum. chlor., grs. v. to grs. x.; 
sod. hyposulph., grs. ili. to grs. xv. ; arsenic, gr. y1; to gr. 34. 
Astringent enemata often prove of great utility, es- 
pecially in those instances in which the appetite is in 
abeyance, for then we may add food substances such as 
egg, starch, cornflour, arrowroot, etc. The medicinal 
enema should contain: Lig. opii. sed., mx.; mucil. amyl., 
3vi.; or lead acetate, opium, and starch gruel, at 100° F. ; in 
other cases the mucilage may be omitted, and the rectum 
washed out with solutions of tannin or alum (1 to 2 per 
cent.), or of argentum nit. (¢ to 1 per cent.). The usual 
care and slowness of administration must be observed in 
this procedure as was recommended in the giving of 
nutrient clysters, and where these injections become ~ 
responsible for increased irritation and tenesmus, they 
must be discontinued. 
The food must usually be lessened in amount, given at 
regular intervals, of an easily assimilable and muci- 
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