INDIGESTION. B7 



slioald be placed on the ton^e, and washed down with a tablespooufnl of 

 milk before nourishment is taken. 



With the food should be mingled either of tlie following agents —French 

 p epsin three to five grains, the saccharated pepsinflve grains, onepeptonic 

 pill, orflve grains of lactopeptine. When pure pepsin can be secured it is 

 undoubtedly the most admirable agent which canbeusedto assist digestion. 

 It must be remembered however, that during the past few years the 

 quality has sadly degen-erated, and rarely can a reliable preparation be 

 obtained. The saccharated is many times inert, and even the rrench pepsin 

 . the most expensive form, will often be found inactive. The pill peptonic 

 and lactopeptine are more recent preparations, and will probably for a 

 time at lea.st prove reliable. 



As the disease is in a measure controlled, and the need of such frequent 

 feeding and dosing is no longer manifested, the number of meals can be 

 lessened to three, continued for a time, and then restricted to two. The 

 tonics which may be advantageously used are many; among them the 

 elixir bark pepsin and bismuth, the elixir calisaya iron and bismuth, of 

 either a teaspoonful before eating. The chlorate potassa is sometimes 

 efficaciously employed and combined as follows. — 



R Elixir CalisayEe Perri et Bismuth. % ij 

 Potass. Chloratis 5 ij 



Aquae ad. Siv 



Ft. Mist. Sig. Dose one teaspoonful before eating. 

 Strychnine is a useful agent and may be given with pepsin and bismuth 

 as follows. — 



R Pepsini Sacch. Jiss 



Bismuth. Subnitratls 5iss 

 StryohnisB gr. ss 



rt. PH. No. 333:. Sig. Dose one, three times daily before eating. 

 Where constipation exists with gaseous distension, the following is a 

 useful preparation.— 



R Sodse Bicarb. 

 Pulv. Bhei 

 Sacch. Pepsini 

 Pulv. Zingiberis 

 Bismuth. Subnitratls 

 Pulv. Cubebaa aa 3 iij 



Ft. Pulv. Sig. Dose from one third to one half a teaspoonful after eating, 

 in milk. 



At times In cases of indigestion, it will be observed that the discharges 

 from the bowels are clay-colored, an evidence of liver derangements or 



