quiet until the ligature and tumor come off, which will be in
about six or seven days, sometimes sooner. Once a day the "toggle" must
be turned part, or the whole of a circle or more, to tighten the cord as
the patient can bear. This will be very painful from beginning to end of
the ligating, but any, even the most sensitive, patient can bear it. The
patient must have quite warm hip baths two, three, or more, times a day,
or as often as the pain is severe, the poultice being replaced after
each bath, and kept constantly on.
If there are several tumors protruding, apply ligatures to two of the
largest, when these are removed, the others will disappear.
Injections of mucillage of slippery elm should be carefully used to move
the bowels daily, or at least once in two days. Let the diet be of corn
or oat meal mush, or rice. As the tumor gradually sloughs off, the
surface heals, so that, though the base where the ligature was applied,
may have been an inch or more across it, there will not be a raw surface
of over an eighth of an inch in diameter, to which _Calendula Cerate_
should be applied. The patient must keep quiet for a few days longer.
Though this is a painful operation, it is not in the slightest degree
dangerous. I have effected complete and permanent cures by this mode in
numerous instances.
Sea-Sickness.
_Nux Vomica_ should be used once in about four hours, for twelve hours
before sailing, as a preventive to sea-sickness.
If, however, symptoms, such as dizziness or blur before the eyes, and
headache, begin to come on, a dose of _Nux_ should be taken, followed in
an hour with _Pulsatilla_.
If the nausea comes on, _Ipecac_ and _Arsenicum_ should be taken
alternately between the paroxysms of vomiting, should that symptom
appear.
If practicable, the patient should lay still upon the back until the
sickness passes off. I have removed sea-sickness immediately in several
instances with _Pulsatilla_ alone, and the last time I had an
opportunity to prescribe for this affection I gave _Podophyllin_. It
removed all the symptoms in a few minutes. That is the only time I ever
tried it, but from the provings I am satisfied it is one of the best
remedies.
Asiatic Cholera.
I was practicing in Cincinnati during the prevalence of Cholera in the
years 1849, and 1850, and in Northern Ohio in 1854, and had abundant
opportunity to observe and treat it. The disease generally begins with a
diarrhoea, which may c
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