SEVERAL  MODES  OP  ADMINISTERING  OLEUM  MORRHUiE.  175 
I  have  frequently  found  that  giving  the  oil  but  once  a  day, 
between  supper  and  bed  time,  for  the  first  week,  and  then 
adding  a  dose  two  hours  after  dinner,  works  well.  Chewing -a 
clove  before  taking  the  oil  prevents  the  taste  being  impressed. 
An  excellent  remedy  is  the  oxalate  of  cerium  in  this  state  of  the 
stomach.  I  have  repeatedly  ordered  it,  either  alone  or  with 
extract  of  conium,  with  the  happiest  results.  Here  I  place  my 
confidence.  But  I  never  neglect  uniting  the  oil  with  the  lime 
water. 
The  third  condition  must  be  overcome  by  adding  to  the  oil 
its  bulk  of  glycerine.  I  prefer  Bower's  of  Philadelphia.  Chlo- 
roform thoroughly  mixed  with  the  oil  by  long  agitation  has 
overcome  the  difficulty.  But  it  must  never  be  lost  sight  of 
that,  whenever  any  difficulty  is  experienced  in  taking  the  oil, 
it  must  be  administered  in  very  small  doses,  so  as  to  gradually 
and  cautiously  accustom  the  stomach  to  the  remedy.  Further- 
more, many  cases,  in  which  the  oil  was  at  first  exceedingly  re- 
pugnant and  disgusting,  by  perseverance  and  the  cautious 
adoption  of  adjuvants,  &c.;  all  repugnance  was  eventually  over- 
come, and  the  greatest  benefit  possible  was  derived  and  ex- 
perienced from  its  use. 
I  have  found  the  oil  manufactured  by  John  C.  Baker  &  Co., 
of  Philadelphia,  the  best  I  have  ever  used.  It  is  remarkably 
pure.  One  patient  assured  me  "  that  it  tasted  like  almond 
oil,"  while  a  young  lady  observed  to  me  that  she  "  could  eat 
it  as  a  relish  on  her  bread." 
Often  it  occurs  that  the  oil  after  its  passage  from  the  stomach 
into  the  duodenum  causes  a  disturbance  in  the  bowels.  I  have 
relieved  this  by  ordering,  an  hour  after  the  oil  is  taken,  the 
aromatic  spirits  of  ammonia.  At  other  times  small  portions 
of  sulphur  taken  with  the  oil  accomplishes  the  purpose.  But 
these  cases  are  true  cases  of  duodenal  dyspepsia  and  require 
treatment  for  that.  To  accomplish  a  cure  in  such  cases  I  gen- 
erally order:  R.  Reduced  Iron  Bii.,  Hypophosphite  Lime  31., 
Hydrastine  Biv.  [verberin. — Ed.]  ;  triturate  well ;  take  four  to 
eight  grains  three  times  a  day.  A  decoction  of  Rhatany  taken 
several  times  a  day,  works  well.  But  if  the  tongue  is  red  the 
hydrochloric  acid  with  the  tincture  of  iron  is  often  the  best 
