DISTEMPER 153 



A useful combination for general routine of cases 

 is as follows : 



IJ Glycoheroin oz. iiss 



Nuclein solution oz. iiss 



Potassium citrate dr. 11 



Aquae q. s oz. x 



M. Slg. — Give four drams twice dally. 



Gastrointestinal complications are treated with the 

 usual agents for the control of vomiting, diarrhea, 

 and intestinal fermentation. 



The nervous symptoms should be controlled by 

 ice packs applied to the head, if terebral congestion 

 occurs, followed by the internal administration of 

 bromids, preferably strontium bromid in five to 

 twenty-grain doses, since this salt is less liable to 

 create gastric disturbance than is potassium bromid 

 Chorea* is best treated by the prolonged adminis- 

 tration of Donovan's solutionf, and paralysis is most 

 successfully combated by strychnin and electrical 

 - massage. The exanthema requires only the appli- 

 cation of an antiseptic wash, such as chinosol (1- 

 1000). 



The eyes require treatment from the onset of the 

 disaese. All discharge must be wiped away with 

 cotton-wool swabs soaked in a warm solution of 

 boracic acid and a few drops of a five-per-cent solu- 

 tion of protargol dropped into the conjunctival sack. 

 When ulcerations occur a ten-per-cent solution 

 of protargol should be used, or the ulcers should 

 be touched lightly with a stick of silver nitrate. 

 Any opacity left may generally be removed by the 



•Recently considerable publicity has been given to the hypo- 

 dermic use of a normal brain (rabbit) emulsion in the treatment 

 of chronic cases of chorea. Its value in this connection has not 

 yet been determined. 



tDonovan's solution consists of arsenic iodid and mercuric 

 iodid, of each one part, in 100 parts of distilled water. 



