40 
Drug  Smoking, 
(  Am.  Jour.  Phamu 
\       Jan.,  1880, 
symptom  :  constitutional  treatment  by  ferruginous  tonics  and  cod-liver 
oil,  or  it  may  be  by  iodide  of  potassium  or  arsenic,  must  be  resorted  to, 
if  it  be  intended  to  give  the  asthmatic  patient  permanent  relief  from 
distressing  disease.  With  acute  conditions  of  the  disease,  with  bion- 
chial  complications  of  such  a  nature  as  to  contra-indicate  the  use  of 
iron,  there  is  probably  no  treatment  better  for  a  majority  of  cases  than 
the  use  of  iodide  of  potassium  with  stramonium  ;  in  many  cases  of  like 
character  I  have  derived  very  good  results  from  the  administration  of 
hemlock  in  combination  with  the  hypophosphite  of  soda,  but  for  the 
prevention  of  the  disease  I  know  no  treatment  to  compare  with  iron 
and  cod-liver  oil. 
But  for  soothing  and  diminishing  the  dyspnoea,  neurotics  may  be  used 
with  great  effect,  and  the  following  combination  is  that  which,  up  to 
this  time,  has  given  me  the  best  results. 
The  same  form  of  cigarette  is  used  as  described  in  my  former  con- 
tribution on  this  subject,  and  the  paper  is  soaked  in  the  following  drugs 
according  to  the  recipe  here  given  : 
Extract  of  opium,  .  .  .  •       S^'  'if 
Exract  of  stramonium,  .  .  .  gr. 
Tincture  of  Indian  hemp,  .  .  •        ^  k 
Tincture  of  hemlock,  .  .  .  '•^L  if 
Tincture  of  lobelia,       .  .  .  •       ^  if 
Tincture  of  tobacco,  .  .  .  ^9 
Oil  of  anise,    .  .  .  .  •  ¥ 
Nitre,      .  .  .  ,  .  g'"-  4 
Or  for  a  sheet  of  Swedish  paper  sufficient  to  make  sixty-four 
cigarettes  the  formula  may  be  given  thus: 
Tincturae  tabaci, 
Tinctura?  coiiii, 
Tincturas  lobeliae, 
TinctuPde  cannabis  Ind  , 
Extract,  opii, 
Extract,  stramonii, 
Olei  anisi,  . 
Potassas  nitratis, 
Splr.  V.  r.,  . 
'T  his  formula,  which  is  a  complex  one,  has  only  been  obtained  from 
repeated  experiments,  leading  step  by  step  to  the  addition  of  some 
effective  remedy,  and  to  the  elimination  of  less  effectual  drug«. 
As  it  is  sometimes  desirable  not  to  give  opium  or  Indian  hemp,  I 
3  ii- 
3  ii. 
TTL  xxxii. 
gr.  i. 
gr.  ii. 
V(l  viii. 
gr.  xvi. 
ad  z  liss. 
