TELA ARANE^. 



"I will give the history of a case of chronic intermittent that came un- 

 der my care, and the treatment in the same, in order to compare Tela 

 Aranese with other remedies given. 



"In December, 1874, I was called to see Nellie P., age 10, suffering with 

 tertian intermittent fever, with which trouble she had been afflicted for 

 over two years. She was of a bilious temperament; very much emaciated 

 icterus hue of skin and conjunctiva; abdomen distended, which in palpa- 

 tion disclosed an enlarged liver and spleen, the latter extended to the 

 crest of the ileum, and could be easily traced through the abdominal pari- 

 etes; bowels constipated and relaxed alternately, urine very highly colored, 

 with frequent desire to urinate, especially during the febrile stage; cough 

 troublesome, but on examination could not detect disease of the lungs; 

 heart during the paroxysm and subsequent reactionary fever exhibited 

 great irregularity of action; oedema about eyes and face. 



"Paroxysms occurred regularly every third day; cold stage lasting from 

 one to two hours; fever from six to eight hours; pulse 120 per minute; 

 skin hot and dry; patient delirious, with nervous twitching of limbs; respira- 

 tion hurried; fluttering of heart; great thirst and at times sick at stomach; 

 during the high fever, incontinence of urine, which passed in great quan- 

 tity and of very offensive odor. During the intermission the patient would 

 be up and about the house. It was evident from the length of time that 

 the patient had been afflicted, the deranged condition of the system, and 

 the grave character of the symptoms, that I had one of those perplexing 

 chronic intermittents to treat, which annoy and discourage the patient from 

 the long delayed relief. As several reputable physicians had treated her 

 without success, and ague specifics had been tried in vain, I was fully aware 

 that I had a harassing ease on hand, and withal one not devoid of interest. 



"Without saying more, I will give the cours.e of treatment that I pur- 

 sued. I give the prescriptions numbered in the order that they were used 

 in the case, with the exception that they were sometimes refilled with other 

 treatment to suit indications (all of which failed). 



"ist. R Liq. Potassae arsenitas, dr. iv; Fid. Ext. taraxaci, fl. oz. iss; 

 Syr. simplex, oz. i'. M. S. Teaspoonful after each meal and at bedtime. 



"2d. B Chinoidine, dr. ii; Nitric acid, dilute, dr. i; water, oz. i. M. S. 

 Take five to eight drops in water every four hours. 



"3d. IJ Quiniae sul., grs. xxx; Arom. sul. acid, oz. §s; Tinct. gelse- 

 mium, oz. i; Liq. pota^ae arsehitas, dr. iii; Tinct. menth. piperitis, oz. i. 

 Syr. simplex, oz. iii. M. S. Teaspoonful every four hours. 



"4th. B Ext. eucalyptus globulus, oz. i; Ext. glycyrrhiza, oz. i. M. S. 

 Teaspoonful every two hours. Of this she took two bottles in succession. 



"Sth. B Tine, iodine, dr. iii; Fid. ext. taraxaci, oz. ii; Syr. lemon, dr. v; 

 Syr. simplex, oz. i. M. S. Teaspoonful after each meal and at bedtime. She 

 took two bottles of this in the course of treatment. 



"I gave quinine freely for several days in succession, compound chinoi- 

 dine pills, composed of chinoidine, sulphate of iron, and piperine; I gave 

 cathartics, including calomel in full and broken doses. This treatment 

 was kept up for several months, alternating from one to another, when I 

 thought necessary to make a change. And yet, I could not break up the 

 paroxysms longer than one week, when they would return, and this inter- 

 mission would occur at long intervals. 



"I then prescribed the following tonics: 



"B Qiniae sul., gr. xxx; Mur. tinct. ferri, dr. iii; Phos. acid, dil., oz. ss; 

 Syr. lemon, oz. iii. M. S. Teaspoonful every four hours. 



"She was kept on this prescription for two or three weeks, when her 

 mother came to me and stated that Nellie's chills were getting worse, and 

 that if I could do anything for the child, to do it. What to do next was the 

 question. The decision was — try cobweb. 



"I carried the medicine to my patient, and left the following directions: 

 Begin four hours before the expected chill, and give a teaspoonful every 

 hour, until she had taken four' doses, then a teaspoonful before each meal 

 and at bedtime, until all was taken. The medicine was given as directed. 

 The anticipated chill came, but was very light compared with the others, 



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