APPENDIX. 
825 
stead of the Dover’s powder, ipecacuanha 2 or 3 grs. repeated in the same way, or 
1 or 2 grs. of calomel, with from £ to 1 gr. of opium, once or twice a day or oftener, 
till the mouth becomes slightly affected; it is especially good in old cases : whenever 
griping or sickness follow, or a stoppage of the purging, give a dose of physic im¬ 
mediately ; when the straining and irritation of the lower part of the bowels is very 
great, a glyster of 4 oz. of rice-water-gruel, &c., with 60 or 80 drops of laudanum or 
3 grs. of opium twice a-day; when the violence of the disease is gone, and it seem s 
to be kept up merely by weakness of the bowels, use some slight astringent, as a weak 
decoction of the oak-bark galls, of the elm, of the rind of the pomegranate, and bitters. 
The diet must be light and sparing ; avoiding vegetables and acid fruits, drinks, &c. 
using' rice-flour: the mineral acids are good in drink. 
O eJ 
Diarrhcea. 
Give plenty of gruel, rice-water, &c. with a dose or two of rhubarb, which will 
generally carry off the offending matter quickly; and then a dose or two of Dover’s 
powders, or calomel with opium, bathing the feet in warm water. The astringents 
mentioned above. An open state of the bowels, if it does not go too far, is a good 
thing in a warm climate. 
Cholera Morbus 
Is when the evacuations are both upwards and downwards with great prostration of 
strength, cramps, &c., and it is most frequently caused by exposure to cold and 
moisture in the night during warm weather. The first thing to be done, is to dilute 
by rice-water-gruel, thin soup, &c., and then give two table-spoonsful of the following 
mixture every £ hour, 1 hour, or 2 or 3 hours, according to the emergency of the 
symptoms: — laudanum 80 drops, compound spirits of lavender 60 drops, water 
6 oz.; — or take compound extract of colocynth 15 grs., opium 3 grs., divide into 
five pills, two of them to be given at once, and one afterwards, every hour till the 
vomiting ceases: as costiveness is apt to follow, especially when the mixture is used, 
give afterwards (the next day) a small dose of rhubarb, and repeat it if necessary. 
The stomach must be strengthened for a few days by bitters, &c. : where the weak¬ 
ness of cramps at first are excessive, give the opium or laudanum immediately, 
without putting off the time by giving diluents. 
Bile. 
In hot climates the biliary system is apt to be affected; and it is, therefore, a good 
thing to take now then a dose of calomel, 3 or 5 grs., either alone, or with rhubarb, 
or compound extract of colocynth, &c., if the health feels deranged; but merely to 
keep the bowels open in a regular way, take occasionally one of the following pills, 
which are what are called aperient pills (No. 16.): take of calomel 
Opening Pills. 5 scruples, rhubarb, compound extract of colocynth, each 8 scruples, 
powdered ginger or cinnamon, &c. 1 dram, hard soap 2 drams, to 
5 N 
VOL. II. 
