784 EPITOME OF MODEEN TKEATMENT OF 



should be clipped and the parts cleansed with soap and water and 

 lysol solution (3 per cent.). Then balsam of Peru should be ap- 

 plied and a dry wool dressing and bandage. For exuberant granu- 

 lations, use a powder of tannic acid and iodoform (1-3). When 

 these become large and of fungoid character ("Grapes"), they must 

 be removed by knife, scissors or white-hot shovel or firing iron and 

 parts dressed first with gauze moistened with creolin solution (5 

 per cent.) and later with Peru balsam and dry dressing. In chronic 

 swelling of the legs (Elephantiasis) with grease, give a course of 

 tonics: iron, 201; arsenic, 226; bitters, 554, 420. 



Grogginess. See Navicular Disease. 

 Haematemesis. See Hemorrhage. 



Keart Disease, Chronic. 



1. Valvular Lesions. 2. Enlargement (Hypertrophy, Dilata- 

 tion). 3. Myocarditis, Acute and Chronic. 



In Hypertrophy with violent action of the heart or palpitation, 

 spirit of chloroform, 296, and tincture of aconite, 464; also in pal- 

 pitation, belladonna, 384, may be useful with aconite or bromides, 

 243. 



In palpitation, with feeble heart-beat and weak sounds, give digi- 

 talis, 452, or strophanthus, 455, or camphor, 550. 



In valvular disease, with dyspnea, weakness, and other signs of 

 failing compensation, give fluidextract of digitalis, or this with 

 strychnine, 408. As substitutes for digitalis: strophanthus, 455, and 

 caffeine, 395. With high-tension pulse, combine nitro-glycerin, 309, 

 with digitalis. With urgent dyspnea, give morphine, 368. 



In dropsy, give H. and C. aloes and salts; D., co. jalap powder 

 (3ss). Also digitalis with squill and potassium acetate; see Dropsy. 

 With dilated heart and urgent dyspnea and cyanosis, venesection, 

 629. Atheroma as a cause of heart disease in the old is treated 

 with potassium iodide (H., 3i; D., gr. x) thrice daily. 



In' chronic heart disease, rest, concentrated, nutritious diet, with 

 water between meals and not directly before exercise, are indicated. 



Myocarditis demands treatment as for valvular disease — rest, diet, 

 stimulants, iodides. In Myocarditis of over-fat animals, reduce fat. 

 See Obesity. 



In chronic heart disease with infrequent pulse, digitalis is contra- 

 indicated; use camphor, 550, ether, alcohol or aromatic spirit of 

 ammonia. When there is anemia, iron is of great value. 



Heat Stroke. See Sun StroJce. 



Hematuria. 



Ice to loins. Ergotin under the skin, 629; or gallic acid, 593, with 

 extract ergot internally. In hematuria of acute nephritis, after 



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