SUBACUTE OBSTRUCTION OF THE DOUBLE COLON 105 



B. 01. tereb. "> _ ,.. 



r. V- - - - aa 5ii- 



Spt. ammon. ar. J 



01. lini ad O.i. 



Misce ; fiat haust. 



Sig. : The drench to be given at once. 



This treatment, with the exception of the nux vomica, 

 I repeat again at the expiration of three to four, five, or 

 six hours if the animal is still in pain. In the meantime 

 I throw up frequent enemata of hot water, with some- 

 times the addition of 4 to 6 ounces of ordinary soap 

 liniment. Should the case tend in any way to become 

 protracted, and if the pulse is strong and not too frequent, 

 I inject hypodermically eserine sulphate, i grain. If on 

 the next occasion of my seeing the case there has been 

 no action of the bowels, and peristalsis is still in abeyance, 

 1 repeat the eserine in larger quantities — viz., 2 grains. 



The preparation of eserine that I have found to be the 

 most reliable is the following : 



^, Eserine sulph. - . - grs. viii. 



Aq. chloroformi - - ad gi. 



Dose, I to 2 drachms. 



I would recommend every practitioner to prepare this 

 himself. He will have the satisfaction of knowing 

 exactly the strength of his injection, and he may rely on 

 that preparation keeping practically for any length of 

 time. It should be made in fairly large quantities 

 (say 12 ounces), and, during the handling of the raw 

 drug, it should be remembered that it is highly hygro- 

 scopic. ^ 



So long as the animal remains ill, I continue the 

 administration of ammonium carbonate, this time com- 

 bined with zingib. rad. pulv. in place of nux vomica. In 

 fact, it maybe taken as a general rule that from the com- 



1 This, too, may be obtained in tablet form, in varying combina- 

 tions with pilocarpine, and quite reliably dispensed, from any firm 

 of druggists of r^pnteJDigitized by Microsoft® 



