Felters Materia_Medica-H

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    HAEMATOXYLON.

    The heart-wood ofHaematoxyloncampechianum , Linn (Nat. Ord. Leguminoseae).

    J a m a ic a a n d t h e We s t In d i es .

    Co m m o n Na m e : Logwood.

    P r in c i p a l Co n s t i t u e n t s .Tannin and haematoxylin, an alkaloida l in dicator.

    P r e p a r a t i o n s .1. DecoctumHamatoxyli, Decoct ion of Logwood (Logwood, 1 ou n ce;

    Wat er, 16 flu idoun ces). Dose, 1 to 2 flu idoun ces .

    2 . Extractum Ham atoxyli, Extra ct of Hxm atoxylon. Dose, 5 to 30 grains .

    3 . S pe cific Med icine Logw ood. Dose, 5 to 30 drops.

    A c t i o n a n d Th e r a p y . -A mild, unirri tating astringent and tonic

    formerly much used in chronic diarrhoea and summer complaint of

    children, and in passive hemorrhages, and colliquative sweats. I t isn ow seldom em ployed.

    HAMAMELIS.

    The leaves, bark and twigs of Ham am elis virginiana , Linn (Nat. Ord.

    Hamamelidaceae), collected in the autumn. Common in the United States. Dose,

    5 to 60 grains .

    Co m m o n Na m e s .Witch-Hazel, Snapping Hazelnut, Winterbloom.

    P r in c i p a l Co n s t i t u e n t s .A bit ter b ody, tan n in, a n d a volat ile oil .

    P r e p a r a t i o n s .-1. AquaHamamelidis , Hamamelis Water, (Distillate of Hamamelis,

    Distilled Witch-Hazel, Distilled Extract of Witch-Hazel). Dose, 5 drops to 2

    fluidrachms.

    2 . Specific Medicine Hamamelis . Dose, 5 to 60 drops.

    Spec i fi c In d ica t ions .Venous debili ty, with relaxed and full t issues;

    pallid mucosa or occasionally deep red from venous engorgement, or

    deep blue from venous stasis; excessive mucous flow, with venousrelaxat ion; passive hemorrhages; prehemorrhagic states, with venous

    fullness; varicoses; hemorrhoids with weight and fullness; rectal

    prolapse; dull aching pain in pelvis, genitalia, or rectum, with perineal

    relaxation and fullness; relaxed or engorged and painful sore throat;

    gastro- intest inal i r r i tabi l i ty , with venous weakness and mucous or

    muco-bloody passages. Locally to inflamed, ulcerated or wounded skin

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    or mucosa, especially where venous circulation is debili tated;

    con tu s ion s , bru ises , an d m u scu lar s oren ess from exer t ion or exposu re .

    A c t i o n a n d Th e r a p y .External. Witch-hazel bark and its f luid

    preparations are astringent. The disti l late and the specific medicine

    are sedative and slightly astringent. The latter two form agreeablygrateful and soothing appl icat ions to the skin and mucous surface in

    irri tated and inflamed conditions and where venous relaxation is

    present. The specific medicine is an elegant and heavy disti l late,

    carrying a large proportion of the oil , as compared to the ordinary

    dist i l la te , and is much to be preferred where a bland and soothing yet

    astringent effect is required. Where more alcoholic stimulation is

    permitted or desired the ordinary disti l late may be used. As a rule, the

    specif ic medicine is best for use upon mucous, and the dist i l la te uponthe cu tan eou s s u r faces .

    Witch-hazel disti l lates are splendid applications for sprains,

    contusions, wounds and inf lamed swell ings, and for sunburn, tan,

    freckles, and dilatation of the capillaries of the skin. They are cooling

    and rel ieve smart ing and pain. Used alone or combined with an equal

    quantity of bay rum they form an elegant face wash to remove excess of

    soap and heal abrasions af ter shaving. Witch-hazel is one of the most

    comforting applications for painful hemorrhoids. I t may be used ice

    cold or hot, as preferred. App lied to the ten der pa rts a fter th e par tu rien t

    toilet , i t removes soreness of the t issues from childbirth. Rubbed uponth e sk in , or ap plied b y mea n s of compr ess es, i t is an efficien t lotion for

    muscular soreness and aching af ter severe exer t ion; f rom cold,

    exposure , or when due to bru ises and s t ra ins . I t s use should be

    accompanied with gent le massage. Compresses wetted with witch-

    hazel give marked relief in acute cutaneous inflammations, chafing,

    an d es pecia l ly in m am m it is .

    Incised wounds, ragged cuts from glass or t in, barbed wire injuries,

    and crushed fingers are quickly relieved of pain and heal rapidly when

    th e followin g is a pp lied: Rx Ech a folta , 1/ 2 flu idou n ce; Asep sin , 15grains; Specific Medicine Hamamelis and Water, enough to make 4fluidounces. Mix. Apply upon gauze. A similar preparation, with but

    two drachms of the echafolta, or the disti l late with menthol, makes a

    good dressing for burns and scalds. Glycer in and hamamelis , equal

    parts, or equal parts of Specific Medicine Hamamelis and Lloyd's

    Colorless Hydrastis give excellent results in irr i tation and

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    inf lammation of the aural canal due to inspissated cerumen, or to

    efforts to rem ove th e latter.

    Sprayed upon the throat the specific medicine or the disti l late, suitably

    di luted, is a useful and sedat ive astr ingent for angry and deep red

    sorethroats, with relaxation of membranes; or in pharyngitis, faucitis,and tonsill i t is, with hyperaemia or congestion. The specific medicine

    is especially soothing and astringent in congestive nasal catarrh. Few

    local was h es give greater r elief in th e a n gin a of sca rlet fever th an th ose

    of which witchhazel forms a part . They relieve pain, cleanse the parts,

    and constr inge the relaxed t issues and di lated vessels . I t may also be

    ad ded to local was h es for u se in diphth er ia .

    Together with colorless hydrastis, or other non-alcoholic hydrastispreparations, with or without a grain of alum or of zinc sulphate, i t is a

    most effective collyrium for acute conjunctivitis, with dilatedconjunctival vessels. Especially is it effective in vernal conjunctivitis.

    The same combinations are exceedingly useful as an injection in

    gonorrhea , a f ter the acute symptoms have subsided and a ca tar rhal

    s ta te has su pervened.

    Internal. Ham am elis h as an im portan t tonic effect up on ven ous debi lity,

    act ing upon the coats of the veins throughout the body. Unlike some

    vascular remedies i ts action is not merely local, but extends

    throughout the whole venous system. I t is therefore a remedy of muchvalue in var icoses, hemorrhoids, and passive hemorrhages. When

    indicated, the t issues are pal l id and relaxed, and in some instances

    deep red, due to venous engorgement. There is a sense of fullness or

    th ickening an d weight a n d congest ion . Th ese ar e especia l ly prom in ent

    in the type of hemorrhoids benefited by hamamelis. I t is of some value

    in oozing of blood from the mucosa, in passive bleeding from the nose,

    lungs, and stomach, but is a bet ter remedy for the venous relaxat ion

    that precedes these hemorrhages and which renders the i r occur rence

    easy. I t is of less value in hemoptysis than lycopus, and is adapted to

    su ch cas es as are ben efited by geran iu m a n d er igeron .

    Hamamelis is a decidedly useful remedy in congestive conditions with

    marked tissue debili ty. I t should be given a fair tr ial in congestion of

    the ovaries, with dull aching pain and sense of weight and fullness; in

    chronic congestive conditions of the uterus, with soft and flabby cervix

    and patulous os; in uter ine subinvolut ion; and in leucorrhea, with

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    sponginess of the vagina and tendency to prolapsus of the womb; and

    in pr olap s e of th e rectu m , with ven ou s fu lln ess . It frequ en tly relieves in

    va ricocele, with sen s e of weight a n d d ra ggin g.

    Hamamelis should also be given in nasal catarrh and ozaena, with

    congest ion and tendency to recurr ing epistaxis , and thickened andre laxed mucosa , wi th abundant mucous or muco-purulent d ischarge;

    and in chronic inf lammation of the fauces, pharynx, and larynx with

    sluggish venous circulation, and greatly relaxed tissues. For chronic

    diarrheal , and sometimes acute bowel disorders, as cholera infantum

    and dysentery , i t i s prompt ly cura t ive when much mucus i s passed ,

    and especially if the passages are t inged with blood. In all cases in

    which it is indicated there is debili ty of the venous circulation and

    relaxat ion of the mucosa; and where possible i t should be usedconcu rren t ly in tern al ly an d local ly .

    HEDEOMA.

    The leaves and tops ofHedeomapulegioides (Linn,) Persoon (Nat. Ord. Labiatae).

    Comm on in American woods a n d waste p laces . Dose, 5 to 60 gra ins .

    Co m m o n Na m e s : Penn yroyal, Am erican Penn yroyal, Squ awm int, Tickweed.

    P r i n c i p a l C o n s t i t u e n t .A fragrant volatile oil (Oleum Hedeomae).

    P r e p a r a t i o n s .1. Specific Medicine Pennyroyal. Dose, 5 to 60 drops.2 . Oleum Hedeomae , Oil of Pen n yroyal. Dose, 2 to 10 drops.

    3 . Infusu m Hedeomae , Infusion of Pennyroyal (1 ounce to Water, 16

    fluidounces), ad libitum .

    Spec i fi c In d ica t ions .Amenorrhea of long standing, with pallor and

    anemia and dark circles around the eyes; the pat ient complains of

    languor , lassi tude, takes cold easi ly , has pain in back and l imbs, andexhibits full , prominent veins (Hennell) ; suppressed lochia.

    Action .Oil of pennyroyal produces toxic effects when given inoverdoses. A drachm caused severe headache, difficult swallowing,

    intense nausea, severe retching without emesis , intolerable bear ing

    down, laborl ike pains, abdominal tenderness, const ipat ion, dyspnea,

    sem ipa ralysis of th e lim bs , an d n ervous weak n ess a n d prostra t ion.

    T h e r a p y .External. Oil of Pennyroyal is rubefacient and relieves the

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    i tching of insect bites. I t is useful in embrocations for rheumatic pain.

    I t is sometimes appl ied to the hands and face to protect against

    mosquitoes, f leas, and other insects. A cloth saturated with oil ofpenn yroyal may be hu n g in s leepin g apa r tm ents to repel su ch insects .

    Internal. Oil of Pennyroyal is useful in nausea, s tomach cramps,flatulent colic, and amenorrhea in debili tated subjects. I t is frequently

    used to prevent griping from other medicines. I t may be given upon

    sugar or in emulsion. I t and the dilution in alcohol are also credited

    with calmative properties in spasmodic cough, whooping cough, and in

    hysteria from menstrual debili ty. A drachm of the specific medicine

    given in hot water is the most cer tain agent we possess to restore

    suppressed lochia. The infusion is a popular and pleasant remedy for

    acute colds. I t acts chiefly as a diaphoretic, and for this effect i t is oneof the most certain of medicines; and a relic of domestic methods once

    in favor am ong ph ysician s, a s well a s th e laity.

    HELLEBORUS.

    The root ofHelleb orus niger, Linn (Nat. Ord. Ranunculaceae.) Subalpine woods of

    cen t ra l an d sou th e rn Europe . Dose, 1 to 10 gra ins .

    Co m m o n Na m e s : Black Hellebore , Chr is tm as Rose .

    P r i n c i p a l C o n s t i t u e n t s .Two toxic glucosides, helleborin (acting upon the heart

    an d as a dr as t ic ca th ar t ic), and helleborein (narcotic).

    P r e p a r a t i o n .S pecific Med icine Helleborus . Dose, 1 / 10 to 3 d rops .

    A c t i o n a n d Th e r a p y .Hellebore is a powerful gastro-intestinal and

    nerve poison, and produces death by convulsions and exhaust ion.

    Small doses st imulate the hear t . Large doses are drast ical ly cathar t ic ,

    and in this way it exerts also emmenagogue effects. Helleborus was

    once largely used as a revulsive in various types of insanity, but is no

    longer employed for such a purpose. In minute doses i t may be

    employed to increase cardiac power and ar ter ial tension and slowrapid act ion of the hear t . I t increases renal act ivi ty and has caused

    rapid disappearance of noncompensatory symptoms in hear t disorders.I t is also suggested when there are jelly-like passages in bowel

    affect ions. Scudder advised i t as an emmenagogue when the pat ient is

    annoyed by f lashes of heat , burning of the surface of the thighs and

    nates, and sensitiveness of the pelvic and perineal t issues. Properly

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    used i t might prove of advantage in hypochondria dependent upon

    reproductive atony. The dose should be fractional. Rx Specific

    Medicine Helleborus, 5 drops; Water, 4 fluidounces. Mix. Sig.: Oneteas poonfu l every two to fou r h ou rs .

    HELONIAS.

    The rhizome of Chamaeliriumluteum , Gray (Helonias dioica , Pursh)-(Nat. Ord.

    Lil iaceae). Abundant in woodlands, meadows, and wet places in some parts of the

    Uni ted S ta tes . Dose, 10 to 30 grains .

    Co m m o n Na m e s : Blazing Star, Unicorn Root, Starwort, Drooping Starwort, Devil 's

    Bit.

    P r i n c i p a l C o n s t i t u e n t .A yellowish , b itter pr inciple, chamaelirin .

    P r e p a r a t i o n .Specific Medicine Helonias . Dose, 10 to 30 drops .

    Spec i fi c In d ica t ions .Sense of weight, congestion, or expulsion of thepelvic cont ent s, with m en ta l torpor, d esp ond en cy, or irr ita bility; gas tric

    and other disturbances reflexly due to pelvic relaxation; strong, sticky

    leu corrh ea; pelvic fu lln ess with disch ar ge.

    A c t i o n a n d Th e r a p y .Tonic, diuretic, and vermifuge. (For relation to

    Aletris, compare Aletris.) Helonias is a valuable uterine tonic,

    specifically adapted to uterine weakness in which relaxation of t issueis so great as to give the sensation of downward pressure, dragging or

    expulsion-or as the patient expresses i t , a sensation as if everything in

    the pelvis would fall out or be expelled. Marked irritability and

    despondency are of ten associated with such disorders, and whenmenstruat ion occurs there is a feel ing of undue ful lness, as i f the

    womb and rec tum were d is tended wi th b lood, and about to be pushed

    out of the body. There is associated aching and propulsive pain. In

    anemic cases the drug i s usefu l in amenorrhea , and in leucor rhea

    should be given internally, while hot antiseptic and astringent

    injections are used locally. Helonias is said to correct sexual lassitudein both sexes, and to have checked nocturnal losses due to excesses

    and associated with enfeebled body, impaired memory, and mental

    apathy . In ch loro t ic anemia dependent in a measure upon u ter ine and

    ovarian weakness, i t is also asserted to be very serviceable, and

    reputed to improve loss of appetite, indigestion, and malassimilationwhen aggravated by sexual weakness. I t is also said to relieve the

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    nausea and vomit ing of pregnancy, to prevent miscarr iages, and to

    correct gas tr ic complicat ion s of albu m in u ria .

    HEPATICA.

    The leaves ofHep atica nobilis va r. acu ta (Anemoneacutiloba ) (Pursh) Steyermark, andof Hepatica nobilis var. obtusa ( A. hepatica) (Pursh) Steyermark (Nat. Ord.

    Ranunculaceae). Common in r ich woods in the United States. Dose, 5 to 60

    grains.

    C o m m o n N a m e s : Liverleaf, Liverwort, American Liverleaf, Kidney Liverleaf (A.

    Hepa tica), Hear t Liverleaf (A. a cu tiloba ).

    P r in c i p a l Co n s t i t u e n t s .Tan n in , mu cilage , an d a b land oleores in .

    P r e p a r a t i o n .Sp ecific Medicine Hep at ica. Dose, 1 to 60 drops.

    Spec i f i c Ind ica t ion .Irritation and hypersecretion of mucous

    m e m b r a n e s .

    A c t i o n a n d Th e r a p y .A mild, mucilaginous astringent, used

    sometimes to allay bronchial irr i tation, with free secretion and similarconditions of the gastro-intestinal tract. I t may be exhibited when there

    is subacute or acute inf lammation, and in cough with expectorat ion of

    bloody mucus. I t is one of the negative medicines that occasionally

    meets special conditions when more energetic agents, seemingly

    indicated, would aggravate. I t came into use under mistaken ident i ty

    for another plant and acquired a great reputat ion for vir tues i t did not

    pos s ess . Th e in fu sion m a y be given liber ally.

    HIPPOCASTANUM (Aes cu lus Hipp oc as t an u m ).

    The bark and fruit of AesculusHippocastanum , Linn (Nat. Ord. Sapindaceae). Asia

    an d Eu rope; p lan ted in United Sta tes . Dose (ba rk), 1 t o 60 gra ins; (rind of n u t) 1 to

    10 grains.

    Co m m o n Na m e : Ho r s e Ch e s t n u t .

    P r i n c i p a l C o n s t i t u e n t s .Aesculin, the glucoside giving fluorescence to watery

    an d a lka l ine s o lu t ions , argynaescin, and a s te rn u ta to ry, sapon in (aphrodaescin ).

    P r e p a r a t i o n .S pecific Med icine Hors e Che s tnu t. Dose, 1 / 10 to 10 d rops .

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    Spec i fi c In d ica t ions .Vascular engorgement, with dull , aching pain

    and fullness, throbbing of the vessels, and general malaise; visceral

    n eu ra lgia; dist u rba n ces reflex from vas cu lar con gest ion of th e rectu m .

    A c t i o n a n d Th e r a p y .The act ion and therapeut ic uses of

    hippocastanum are closely similar to those of Aes culus glab ra , whichsee. By som e it is b elieved to ha ve a s omewh at s tron ger action u pon t h e

    venous circulation. I t is often a remedy of value in neuralgia of the

    abdominal and pelvic viscera, when there is plethora. I t is a remedy for

    congestion and engorgement, and not for active conditions. Uneasy

    and throbbing sensat ions, with dul l , aching pain in any par t of the

    body, bu t es pecially in th e h epa tic region, is a n in dication for it . It m ay

    be used for non-bleeding piles when full , purple and painful, with a

    feeling as if a foreign body is in the rectum; there may also be i tchingan d h eat , or s imply a sen se of u n easiness or discomfort . Wh en proct it is

    and neuralgic pain come from this engorged hemorrhoidal state i t iseffective, as i t is also in reflex disorders depending upon the rectal

    involvement-such as headache, spasmodic asthma, dyspnea dizziness,

    an d d is tu rbed d iges t ion .

    HORDEUM.

    The decorticated seeds ofHordeum distichon , Linn (Nat. Ord. Graminacee). Native

    of central Asia; cult ivated in all tropical and temperate cl imes.

    Co m m o n Na m e : Bar ley.

    P r i n c i p a l C o n s t i t u e n t s .Maltose, dextrin, fat ty matter , s tarch and proteids. I t

    contains no gliadin, as does wheat, hence no gluten can be obtained from it . After

    germin at ion i t yields diastase (m altine), a sta rch -digesting bod y.

    P r e p a r a t i o n . Decoctum Hordei, Decoction of Barley (Barley Water). Dose, ad

    libitum .

    A c t i o n a n d Th e r a p y .Outside of its food value in broths, barley is

    useful as a demulcent and dr ink for fever pat ients and those suffer ingfrom diarrheal complaints. Barley flour, made into a thin pap, is useful

    in infant feeding, and a decoction of barley provides a soothing

    injection for rectal inflammations and a medium for the conveyance of

    medicines into the bowels in dysentery. I t is also a good gastric

    len it ive a fter a cu te p oison in g by ir r i tan ts .

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    HUMULUS.

    The strobiles ofHum ulus Lupu lus , Linn (Nat. Ord. Urticaceae). Europe and Asia;

    common in cult ivation.

    Co m m o n Na m e s : Hops , Hop.

    P r i n c i p a l C o n s t i t u e n t s .Lupulin (see Lupulinum), hop-bit ter acid, humuli-

    tan nic ac id , res in s , vola t i le o il and as par agine , t r imeth ylam in e, an d ch olin e .

    P r e p a r a t i o n .Specific Medicine Humulus . Dose, 1 to 60 drops.

    Speci f ic Indica t ions .(See Lupulinum .)

    A c t i o n a n d Th e r a p y .External. A hop-pillow is a favorite device for

    procuring sleep. The odor of the hop has a decidedly sedative influence

    upon some individuals, relieving headache and producing sleep; inothers i t produces intense headache, with nausea and vomit ing.

    Probably the psychic effect has much to do with i ts value in insomnia.

    A hot "hop bag" applied to the face is a favorite domestic cure for

    n eu ralgic face a che, a n d a h op pou lt ice h as an odyn e proper t ies.

    Internal. This is a remedy to relieve nervous excitability in fevers and to

    induce sleep. I t a lso checks fermentat ion of the stomach contents and

    th u s proves u sefu l in fermen tat ive dyspeps ia with acid eru ctat ions. For

    other uses see Lupulinum , which has superseded hops largely as anin te rn a l m ed ic in e .

    HYDRANGEA.

    The root ofHydrangeaarborescens , Linn (Nat. Ord. Saxifragaceae). A handsome

    shrub a long s t reams and in damp, rocky s i tuat ions in the southern and middle-

    wes t s t a te s o f th is cou n t ry . Dose, 5 to 60 grains .

    Co m m o n Na m e s : Wild Hydra n gea, Seven Bark s.

    P r i n c i p a l C o n s i t i t u e n t s .The glucoside hydrangin (C34H25O11), saponin,

    resins, and fixed and volati le oils .

    P r e p a r a t i o n .Specific Med icine Hy drangea . Dose, 5 to 60 drops.

    Spec i f i c Ind ica t ions .Vesical and urethral irritation, with gravel;

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    difficult urination; deep-seated renal pain; bloody urine; irr i tation of

    the bronchia l mem bran es .

    A c t i o n a n d Th e r a p y .Hydrangea is diuretic and sedative to cystic

    and urethral irr i tation, with passage of gravelly urine. I t does not

    dissolve gravel, but is believed to be of value in preventing theirformation, especially alkaline and phosphatic concretions. I t should be

    administered in hot water . Hydrangea may be used in any renal

    disorder with dysuria , blood in the ur ine, or deep-seated pain in the

    region of the kidneys. I t is not contraindicated by inflammation and

    may be employed with safety in acute nephrit is. I t is especially

    serviceable in alkaline urine and in bladder irr i tation of the aged with

    tendency to catarrh. Unquest ionably hydrangea has a kindly act ion

    upon the mucosa of the ur inary organs and i t has al terat ive proper t iesma kin g it u sefu l in s t ru m ous d iseas es .

    HYDRASTIS.

    The dried rhizome and roots of Hydrast is canadensis, Linn (Nat. Ord.

    Ranunculaceae) United States and Canada in r ich, shady woods. (Chiefly Ohio,

    Indiana, Kentucky, and West Virginia.)

    Co m m o n Na m e s : Golden Sea l, Yellow Root, Yellow Pu ccoon , Or a n ge Root.

    P r i n c i p a l C o n s t i t u e n t s .Three alkaloids: berberine (yellow); and hydrastine a n d

    canadine, both wh ite .

    P r e p a r a t i o n s a n d De r i v a t i v e s .1. Specific Medicine Hydrastis . Dose, 1 to 30

    drops .

    2 . Colorles s Hy d ras tis (Lloyd's). Dose, 1 to 15 dr ops. Lar gely emp loyed locally.

    3 . Hydrast ineMuriate (Hydrochlorate of Berberine). A yellow powder. Dose, 1

    to 5 gra ins .

    4 . Hydrastin (Resinoid), not now used.

    5 . Hydrastin (Comb ined Hydra s t in). Only su bsta nce n ow sold a s h ydra s t in .

    6 . Hydrastina , Hydrastine. (Alkaloid, both natural and synthetic.) Permanent

    white or creamy crystals or powder, almost insoluble in water; soluble in

    ch loroform ; less so in a lcohol. Dose, 1 / 12 to 1 / 3 gr . ; average dose , 1 / 6 gra in .7 . Hydrastinae Hydrochloridum, Hydrastine Hydrochloride (Hydrastine

    Chloride). White or cream-colored powder, odorless, hygroscopic, very soluble in

    alcohol an d water . Dose, 1 / 12 to 1 / 3 gra in ; average dose , 1 / 6 gra in .

    8 . HydrastininaeHydrochloridum , Hydrastinine Hydrochloride (Hydrastinine

    Chloride). Odorless, light-yellow crystals or powder, very soluble in water and

    alcohol. Dose, 1 / 4 to 1 gra in ; average dose, 1 / 2 gra in

    9 . Liquid Hydrastis(nonalcoholic). Dose, 1 to 20 drops.

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    Spec i f i c Ind ica t ions .Catar rhal s ta tes of the mucous membranes

    unaccompanied by acute inf lammation (except in acute purulent ot i t ismedia); relaxed tissues, with profuse secretion of thick and tenacious

    yellowish or greenish-yellow muco-pus; relaxation and ulceration of

    t issues of mouth and throat; imperfect recovery from diarrhea ordysentery, with mucous discharges and relaxat ion; aphthae,

    ulceration, or erosion of mucous surfaces; atonic gastric irr i tabili ty;

    irr i tation of mucous surfaces, with feeble circulation; muscular

    soreness aggravated by pres su re;. pa ss ive h emorrh ages from th e pelvic

    organs; ice water dyspepsia; skin diseases depending upon gastr ic

    wron gs wh ich a lso in dicat e hydra st is .

    Action .Extensive experiments by pharmacologists show thatHydrastis alkaloids, particularly hydrastine, are actively poisonous to

    certain animals, producing spinal convulsions followed by paralysis,lowered blood pressure succeeded by a marked r ise, and death. Upon

    man, however, no so-called physiological effects of any moment have

    been observed. In the ordinary medicinal doses i t certainly is not a

    poison to human beings. No cerebral effects have been observed in

    either animals or man; and judging from clinical effects i t probably

    increases contract ion of special nonstr iated muscles, as i t controls

    u ter in e hem orrha ge in wom en an d h as an ecbolic effec t up on th e lower

    mammals. Schatz explains this by asser t ing i ts power upon the

    unstriped fibers of the arteries and denying its effects upon othertubu la r muscu la r s t ruc tu res . I t has a l so been assumed , bu t no t

    experimentally proved, that i t sl ightly increases hepatic secretion in

    m a n .

    T h e r a p y .External. Hydrastis is one of our most efficient topical

    medicin es when a ppl ied in d isorders of th e mu cou s m embra nes ; an d is

    occasionally of service upon the skin. I t is of most importance perhaps

    in ophthalmic practice, being a thoroughly effective subastringent and

    soothing agent in acute and subacute catarrhal and fol l icular

    conjun ctivit is. For th is pu rpose, a n d ind eed for m ost topical effects, th ecolorless preparations are preferred. Lloyd's Colorless Hydrastis inpar t icular is to be commended, for i t is both non-staining and non-

    alcoholic and has almost completely replaced the formerly used

    hydras t in and berber ine prepara t ions . The same medicament may be

    used in superficial corneal ulcer, cil iary blepharit is, and in simple

    trachoma. While signally useful in these affections of the eye

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    ap pen da ges, hydra st is is of n o valu e in intr aocu lar d isorders .

    Inspissated cerumen may be readily softened by colorless hydrastis,thus facili tating its removal by water. I t also controls the irr i tation of

    the aural canal when due to the presence of hardened wax. Eczema of

    the external audi tory canal has been cured by i t . In both acute andchronic otit is media i t may be employed hopefully when there is a

    pu ru len t o r m u copu ru len t d i scharge and gran u la t ions do no t exis t .

    Hydrast is preparat ions are among the most successful remedies in

    catarrhs of the nose and throat . I t should be used both local ly and

    internally in catarrhal and follicular pharyngitis, subacute forms of

    simple catarrhal sore throat following tonsill i t is, subacute rhinitis,

    naso-pharyngeal and re t ro-pharyngeal ca tar rh , and in u lcera ted naso-pharyngeal passages. I t sometimes aids in the cure of syphili t ic

    ulcerat ion of the upper breathing t ract . For catarrhal hyper trophy andengorgement of the turbinates i t is often effective. The abundant

    discharge and thickened Schnieder ian membranes wil l guide to i ts

    selection. Locke advised it for nasal catarrh with thick, tenacious

    mucus and a lmost constant f ronta l headache. When th ick gela t inous

    masses f rom the pharyngeal vaul t constant ly drop into the throat ,

    causing hacking cough and nausea, hydrast is given internal ly and as

    an ingredient of a local wash gives very satisfactory results. In all

    catarrhal affect ions of the upper respiratory t ract , hydrast is should be

    administered for a prolonged per iod to obtain the best resul ts .Hydrastis is valued by some as a topical reducer for chronically

    enlarged tonsi ls , but . l ike most medicines recommended for that

    pu rpos e it fails far often er th an it su cceeds.

    Hydrastis is universally admitted to be a most valuable topical agent in

    gonorrhea. I t is best adapted af ter the f i rst and acute stage has passed,

    though i t is not contraindicated at any t ime during the course of the

    infection. The preparation preferred is the colorless, though other

    hydrast is preparat ions, par t icular ly berber ine and hydrast in sal ts are

    useful, but objectionable on account of their staining qualit ies. Zincsulphate increases the usefu lness of the drug and quicker resu l t s canbe obtained by insti tuting the treatment with a single irr igation with

    some mild silver salt , in order to destroy the gonococci. Care should be

    had not to use ei ther the si lver or zinc compounds too strong or too

    freely lest str icture be produced. The great advantage of the hydrastis

    t reatment alone is that , while perhaps slower , i t never produces and

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    probably prevents str icture. Hydrastis is especially valuable in the late

    sta ge of gonorrh eal u reth r it is , popu lar ly known as gleet .

    Leucorrhea, both vaginal and uterine, is well treated with washes

    containing hydrastis, with or without the addition of indicated

    cleansing and astringent agents. I t heals cervical erosion, which isfrequen tly the s ource of th e ab n orma l secret ion. J ean on valued it

    locally for this purpose and to remove light papillary vegetations. As

    there is usually relaxation and debili ty, some form of hydrastis should

    be given in terna lly at th e sa m e t im e. Locke pra ises h ydra st is as a was h

    for u lcerat ion of th e bladd er du e to ch ronic cyst it is .

    Hydrastis preparations are effective in skin disorders depending upon

    gastro-intestinal debility, with imperfect digestion. Here the local useshould be accompanied by i ts internal exhibi t ion. Such disorders as

    sluggish cutaneous ulcers, acne, eczema of the scrotum, and eczemaof the anus and marginal area, and other or if ices of the body come

    under i ts inf luence when used in this manner . I t is commonly

    employed locally to give tone to the rectal tissues, being especially

    useful in prolapse of the rectum and sometimes rel ieves non-

    ulcerat ing hemorrhoids. In f issures of the anus, rectal ulcers, and

    proctit is i t is a very painful application, and unless very carefully used

    and in small amounts i t may provoke the very condit ions sought to be

    relieved by it . Such conditions readily rebel against continuous

    s t imu la t ing an d tonic t rea tm ent wh en i r r itab ility and sen si t ivenes s a rep r o n o u n c e d .

    In most conditions, save those of the conjunctiva, hydrastis gives the

    best topica l resu lt s when a lso adm in is tered in terna lly.

    Internal. Clinically hydrastis is known to stimulate the salivary, gastric,

    and intestinal secretions, and, to a slight extent, that of bile. I t

    cer tainly has a most decided act ion on mucous surfaces, and is one of

    th e mos t effective of bit ter tonics. It sh ar pen s th e app etite an d pr omotes

    digest ion. Disorders of a subacute character and atonic states withincreased flow of mucus are the types benefited by hydrastis. I t ispreeminently a mucous membrane remedy, al laying i r r i tat ion when

    present , toning relaxat ion and correct ing catarrhal tendencies. I t

    should be considered when subacute and chronic inf lammation with

    free secret ion a re presen t . For a ph th ous stom ati t is it is equ aled on ly by

    coptis and phytolacca; and is then to be used in the less act ive forms

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    bordering on chronicity. For gastric irritability it is one of our best

    remedia l resources , but should -not be used when the s tomach i s

    acutely inflamed. The more the tendency toward chronic debili ty withoversecretion the more effective is hydrastis. It first relieves the

    irri tation, then restrains the secretions, and finally gives tone to the

    gastr ic membranes. Without quest ion i t is our best s ingle drug forchronic gastric catarrh, or so-called chronic gastri t is. In that form due

    to alcoholic abuse, in which occurs the morning vomiting of

    drunkards, with disgust for food and craving for s t imulants , hydrast is ,

    with or without capsicum and nux vomica, gives incomparable resul ts .

    In this af termath of chronic alcoholism success at tends this t reatment

    in just so far as the pat ient may be prepared to take and assimilate

    nourishment . Usual ly the hydrast is is more eff icient with capsicum,

    and the latter may be given in l iberal quantit ies of beef soup or othereasily digested food regularly administered. Bartholow, one of the great

    therapeut ic authori t ies of his t ime, and one who was largelyresponsible for the introduction of hydrastis and other Eclectic

    medicines into the materia medica of the regular school, went so far as

    to declare that in sufficient doses of the t incture or f luidextract

    hydrastis is probably the best substitute for alcoholic beverages when it

    is desired to abandon the use of spir i tuous st imulants . Small doses of

    specific medicine hydrastis are indicated in that form of dyspepsia

    accompanied by the belching of putrescent gases, and followed by

    weakness or sense of goneness at the pit of the stomach. I t also

    re l ieves an unpleasant d is t ress jus t be low the s ternum, amount ingalmost to an internal i tching and causing one to constant ly shif t or

    contract the muscles of the epigastric region. This condition is largely

    due to gastric irr i tation with distention by gases, and is promptly

    relieved best by colorless hydrastis, although the specific medicine is

    effective. When irritability is marked in stomachal debility small doses

    of the fluid preparations are to be preferred, but when there is but l i t t le

    irr i tabili ty larger doses may be used, or hydrastin or berberine salts

    may be given immediately after meals. Specific medicine hydrastis, or

    Lloyds colorless h ydra st is, b oth in doses of 10 drops before m eals a n d

    at bedtime, are the best agents we have employed in icewaterdyspepsia, a p ecul iar ly Am erican com plaint du e to the im m oderate u seof iced dr inks and ices. For gastr ic ulcer no t reatment should be

    considered without a fair and generous t r ial of hydrast is , geranium,

    and b ismuth subni t ra te . In the t rea tment of s tomach d isorders wi th

    hydrast is or i ts der ivat ives, the fact must be kept prominently in mind

    that it is only in conditions of atony, with gastric irritability or

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    subacute inf lammatory symptoms, with increased secret ion, that the

    drug is of any benefit . Acutely inflamed tissues, so far as the gastro-

    in test in al t ract is con cerned , abs olu tely proh ibi t its em ploymen t .

    Hydrastis, though most effective in gastric disorders, is valuable in

    certain affections of the accessory digestive organs. It is ofunquest ioned worth in catarrhal s tates of the intest ines and gal l duct ,

    in duodenal catarrh aggravated by neighboring biliary concretions,

    and in chronic constipation due to debili ty and imperfect action of the

    intestinal glands. I ts use must be persisted in for a long period. I t is a

    serviceable tonic for enfeeblement of the gastro-enteric tract of infants

    and chi ldren, as well as adul ts , and offers support in convalescence

    from severe and depleting intestinal discharges, debili tating stomach

    and bowel disorders, the prostration occasioned by fevers and otheracute affections, and hemorrhage. I t is asserted of value in hepatic

    congest ion. I t is a quest ion, however , whether i t has any markedspecific action upon the l iver proper, and that benefit , if any, derived

    from it in hepatic disorders is largely due to i ts salutary effect upon the

    du odenu m an d b i le du ct an d i t s proper t ies of a genera l ton ic .

    Hydrast is controls passive hemorrhage. I t is not adapted to copious

    act ive hemorrhages , as gas t r ic and post -par tum hemorrhages , but in

    those forms only of renal, uterine, or pulmonary bleeding in which

    small quant i t ies of blood are passed at a t ime and are recurrent in

    form. I t is adapted to and is successful in rare cases to restrainbleeding and to reduce the size of uterine fibroids, and similarly in

    uterine subinvolution. In passive hemorrhages occurring in virgins

    and during the climacteric i t is distinctly useful. Good results have

    followed its intercurrent use in congestive dysmenorrhea,

    menorrhagia, and metrorrhagia, chiefly functional in character. I t is a

    comparatively slow-acting drug in most forms of hemorrhage, but i ts

    effects a re perm an ent .

    Hydrastis, locally to relieve pain and retard growth, has been advised

    in carcinomata, par t icular ly mammary cancer . While i ts generalalterative and tonic properties and control over circulatoryengorgement may make i t a desirable general or support ing agent in

    carcinomatous cachexia, i t is folly, in the l ight of present-day

    knowledge of this malignant scourge, to hope for any appreciable

    results from hydrastis, certainly not for a cure.

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    HYOSCYAMUS.

    The leaves and flowering or fruiting tops ofHyoscyam us niger, Linn (Nat. Ord.

    Solanaceae). Europe; naturalized in waste places in the United States. Dose, 2 to

    10 grains.

    Co m m o n Na m e : Henbane .

    P r i n c i p a l C o n s t i t u e n t s .Two alkaloids: Hyoscyamine (C17H23NO 3), probably

    identical with duboisine (from Duboisia) and daturine (from Stramonium); and

    hyoscine (scopolamine) (C17H21NO 4)

    P r e p a r a t i o n .Sp ecific Med icine Hy oscy am us . Dose, 1 / 10 to 20 d rops .

    D e r i v a t i v e . Hyoscyaminae Hydrobromidum, Hyoscyamine Hydrobromide

    (Hyoscyam ine Brom ide). Dose, 1 / 200 gra in .

    Spec i fi c In d ica t ions .Nervous irr i tabili ty, with unrest and insomnia;

    dilated pupils and flushed face, accompanied by debili ty; fr ight andrest lessness in sleep; night terrors; loquaciousness; garrulousness;

    destructiveness; busy muttering delir ium, or singing, talkativeness,

    amusing hallucinations and il lusions, particularly in fevers; choking

    sensations; the insomnia of debili ty, exhaustion, or insanity; the

    excitabili ty of the insane; urethral irr i tation in the feeble, with urging

    to u r in ate; rap id, palpitat ing h ear t act ion; m u scu lar s pas m s; spas m odic

    pain; sharp, dry nervous cough, aggravated by the recumbent posi t ion.A remedy to rel ieve pain, spasm, and nervous unrest in the aged and

    th e in fan t , an d in th e an emic an d th e debilita ted .

    Action .The physiological actions of hyoscyamus, belladonna,stramonium, and duboisia are quite similar, differing chiefly in degree

    and less in qual i ty . They produce the same dryness of the throat ,

    flushing of the face, dilatation of the pupils, quickening of the

    respiratory and hear t act ion, i l lusions, hal lucinat ions and del i r ium.

    While the alkaloids of these drugs also act in the same general

    manner , there are shades of dif ference which make some var iat ion ineffects. Thus hyoscine (scopolamine) acts somewhat as a check upon

    its as socia ted h yoscyam in e in th e pa rent dru g, the la t te r a lka lo id b ein g

    more closely all ied to atropine in action. This check upon the latter

    makes hyoscyamus less exci tant and less fur iously del i r iant than i ts

    congeners and it is less l ikely to cause cerebral hyperaemia. Underhyoscyamus the pr imary s t imula t ion observed under be l ladonna and

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    stramonium and their alkaloids may be absent , or at least i t is of very

    much shor te r du ra t ion and subdued charac te r , so tha t under i t s

    influence sleep is induced without much previous excitement. This isof great a dvan tage in th e t reatm ent of th e in sa n e.

    There is l i t t le observable difference between atropine and hyoscyamineupon the mechanism of ocular accommodation, but the lat ter

    sometimes fails to produce mydriasis. There is also but l i t t le variation

    in their effects upon the heart or breathing. Scopolamine (hyoscine),

    however , is said to cause st ronger mydriasis and more quickly than

    atropine, though it is of shorter duration. Hyoscyamine is more

    hypnotic and less del i r iant than atropine, but this is probably due to

    the presence of hyoscine in commercial hyoscyamine. I t is well-

    establ ished knowledge that scopolamine is more depressant to thehigher cerebral centers than ei ther hyoscyamine or atropine, and that

    even smaller amounts act decidedly as a hypnotic . Hyoscyamine actsmore powerful ly upon the per ipheral nerves, hence hyoscyamus is a

    bet ter agent than bel ladonna to combine with cathar t ics to lessen

    griping and tormina. Moreover, i t does not restrain secretion and is

    likely to pr ove m ore or less la xat ive.

    Great care must be observed, however , in the use of hyoscine and

    hyoscyamine. The former, in particular, in large doses dangerously

    depresses respiration, and if in any case i t must be given in full doses

    its effects u pon brea th in g sh ould be closely watch ed.

    The symptoms of poisoning by hyoscyamus and i ts alkaloids are

    sufficiently similar to those named under belladonna for diagnosis,

    an d th e t r ea tmen t is th e sam e as th e re r ecomm ended .

    T h e r a p y .According to the dose in which it is administered

    hyoscyamus is a cerebral st imulant or a cerebral sedative. I t is largely

    used under condit ions in which opium would be indicated, but is not

    acceptable on account of the const ipa t ion , nausea , and headache

    induced by i t . Hyoscyamus does not , l ike opium, restrain secret ion,and proves laxat ive rather than const ipat ing. Hyoscyamus is a saferdrug for old persons and chi ldren than bel ladonna or opium. As a

    remedy for pain i t is relatively far weaker than the latter , but should be

    preferred in mild at tacks and especial ly in such when associated with

    spa sm odic tubu lar con t rac t ions .

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    Hyoscyamus is the remedy for nervous irr i tabili ty and irr i tation (small

    dos es), an d m en ta l excita tion with great m otility (lar ge doses ).

    Hyoscyamus allays spasm and relieves pain. I t is a better agent for

    spasmodic d isorders and per iphera l pa in than bel ladonna, but less

    effective than opium. Where i t can be made to control the pain,however, i t should always be preferred to the latter . Hyoscyamus is a

    bet ter remedy for spasm, especial ly tubular and sphincter ic spasm,

    than for pain, but if the latter is caused by the former i t is doubly

    efficient. It cannot be relied upon, however, for very severe paroxysms

    of eith er pa in or spa sm su ch a s a t ten d ba d cas es of calcu li coliceith er

    biliary or renal. But i t does very well in the milder attacks. In all

    painful and spasmodic condit ions i t takes rather ful l doses, except in

    states characterized by nervous irr i tation with feeble circulationinother words, in nervous depression rather than in nervous

    excitability; then small doses act specifically. Properly selectedaccordin g to th is d epression or the contra ry, an d in doses to m eet each

    condition, i t is extremely useful in spasmodic dysmenorrhea, f latulent

    colic, gastrodynia, spasmodic bowel disorders, painful hemorrhoids,

    spasmodic cyst ic pain, spasmodic asthma, and whooping cough. As a

    remedy for pain i t will usually be found to meet depressed conditions

    best . Hence i ts value in nervous headache, the headache of debi l i ty ,

    the vague pains of so-called chronic rheumatism, idiopathic neuralgia,

    visceral pain, urethral pain, and that of herpes zoster . The more these

    cases show nervous i r r i tat ion, weak circulat ion, tendency to anemia,an d con sta n t bu t not violent u n rest , the bet ter they are h elped by sm all

    doses of th e dru g.

    Hyoscyamus quiets that form of irr i tabili ty akin to pain but not

    am oun t ing to ac tua l pa in , su ch as ir r ita t ion of the b ladder an d u re thra

    with tend ency to sph in cter ic sp as m . Here nerve force is low an d u n der

    similar conditions i t relieves the ever-annoying urging to urinate

    accompanied by tenesmus that is so of ten associated with diurnal as

    well as nocturnal incontinence of urine, and in the cystic troubles of

    the aged and women during the menopause. In combinat ion withcamphor i t has long held a reputation for the relief of nervous erethismproduced by the pa ssa ge of ins t rum ents in to the u re thra .

    Cough, whether occurring in acute or chronic disorders, is controlled

    by hyoscyamus. The more spasmodic or convulsive the bet ter i t acts ,

    though for some reason it is not as effective in whooping cough as

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    stramonium, solanum, or bel ladonna. Probably none of these agents

    act any too well because there is some causat ive factor other than

    spasm, probably of a bacterial character. I t relieves the short , dry,explosive cough of bronchitis. It relieves most irritable dry coughs,

    nervous cou gh, a n d h aras s ing bronchia l cough, cau sed or ma de worse

    upon lying down. It may be given for long periods, preferably in syrupof wild cherry, to rel ieve the cough and nervousness and thus promote

    rest in ph th isis . In m ost of th e forms of cou gh m ention ed m ediu m doses

    must be employed, except where nervous and physical depression is

    very m ark ed. Hyoscyam u s, in th e sm all dose, is often th e best a gent to

    use in pneumonia, with dry cough and sub-del i r ium with widely

    di lated pu pils .

    Hyoscyamus is one of the most important agents in nervous andmental diseases. In the small doses i t meets the depressive types; in

    full doses the excitable and furious manias. One of the chief uses of thedrug (usually in this instance, hyoscyamine, or preferably hyoscine) is

    to produce sleep in acute mania. If of the violent, furious and

    destructive type, with great mental and motor excitabili ty, full doses of

    hyoscine should be given. But if of the sub-delir ious or mildly

    aberrative form, the smaller doses of hyoscyamus are to be preferred.

    Often both drugs fail to overcome the insomnia, in which instance

    wider wakefulness ensues and the pat ient paces the f loor unt i l the

    effect of the drug is spent. Full doses are usually required in

    delusional insani ty, epi lept ic mania, recurrent mania, and puerperalmaniaall with sleeplessness and great mental exci tement . On the

    con trary when in su ch disorders as n ym ph oman ia followin g ch ildbir th ,

    and due more to de l i r ium than to pass ion , and in puerpera l mania , in

    both of which there is a feeble pulse, exhaust ion, cont inuous but mild

    mental agi tat ion, and nervous unrest , then small doses of the parent

    drug give the best resul ts . Small doses of hyoscyamus are also to be

    preferred in th e in sa n it ies , an d in th e delir iu m of acu te diseas es, when

    the pat ient indulges in singing, cont inuous talking, or low mutter ing

    delir iu m , or wh en gar ru lous an d qu ar re lsome, bu t n ot vio lent .

    When insomnia depends upon mere exci tabi l i ty , or when i t is neededto rel ieve rest lessness and unpleasant dreams during sleep, small

    doses of hyoscyamus are splendidly effective. These conditions often

    occur dur ing the acute diseases of chi ldren and are promptly met by

    the drug. For the wandering del i r ium of exhaust ion- the typhomania of

    typhoid fever, i t is often the best calmative we can employ. The patient

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    feels that he is away from home and fr iends and constant ly asks and

    makes an effort to go home. In hysteria with frequent voiding of small

    qu an tit ies of u r in e hyoscyam u s s h ou ld be given in fra ct iona l doses .

    If i t is borne in mind that all of the solanaceae in true therapeutic

    doses produce effects opposite from those of their gross physiologicaction, it will not be difficult to apply them specifically. If strong

    sedation is needed, the large doses are to be given; if st imulation, the

    small doses. For violent maniacal excitement the alkaloids are

    preferable: for mild forms, hyoscyamus.

    Hyoscine is sometimes used in at tempts to cure the opium habit . For

    the violent excitement following the complete withdrawal of the drug it

    is useful , but i t should not be given continuously. I t should beregarded here as an emergency remedy and so employed. I t is an easy

    matter to permanently damage the intel lect with the powerfulso lanaceous a lkalo ids .

    HYPERICUM.

    The leaves and flowering tops of Hy pericum perforatu m , Linn (Nat. Ord.

    Hypericaceae). Eu rope a nd Am erica.

    Co m m o n Na m e : S t . J ohn ' s Wor t .

    P r i n c i p a l C o n s t i t u e n t s .Volatile oil, a resin, tannin, and hypericum red, aresinou s red colorin g prin ciple.

    P r e p a r a t i o n .- Tinctu ra Hy pe rici, Tincture of Hypericum (herb, 8 ounces; Alcohol,

    76 per cent , 16 flu idoun ces). Dose , 1 / 4 to 30 dr ops .

    Spec i f i c Ind ica t ions .Spinal injur ies, shocks, and concussions;

    throbbing of the body without fever; spinal irritation, eliciting

    tenderness an d bu rning pain u pon s light pressu re ; sp ina l in ju r ies an d

    lacerated and punctured wounds of the extremit ies, with excruciat ing

    pa in ; h ysteria. Locally as a vu ln era ry.

    Act ion and Therap y .External. St . J ohn 's Wort is valued b y m an y

    pra ct it ioners as a vu ln erary, mu ch a s a rn ica is emp loyed. Th erefore it

    ha s been u sed extens ively as a local app lica t ion to b ru ises , contu s ion s ,

    spra in s , lacera t ion s , s wellin gs , ecchymoses , an d in a cute ma m m it is .

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    Internal. Hypericu m is sa id to be diu ret ic an d seda t ive, an d as su ch h as

    been used in chronic ur inary disorders, par t icular ly suppression of

    ur ine. I t undoubtedly has a st rong inf luence upon the nervous system.Used according to the indicat ions named above, many physicians

    believe it useful to relieve the painful effects of spinal concussion,

    shocks, etc. , and to prevent tetanic complications. I t will take prettystrong proof to convince most practit ioners of the present day of any

    such vir tue as t rue ant i tetanic proper t ies in this s imple drug. The

    internal uses as given above are based chief ly upon homeopathic

    symptomatology, and the drug has gained li t t le favor in the Eclectic

    school of practice. I t has, without question, a value in nervous

    disorders and should be more ful ly studied and tested, but miraculous

    powers sh ould n ot be h oped for from it .

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    m o n o gr a p h s e x t r a c t e d fr o m

    Th e Ec le c t i c Ma t e r ia Me d ic a , P h a r m a c o lo gy a n d Th e r a p e u t i c s

    by Harvey Wicke s Fe l ter , M.D. (19 2 2)

    NOTE: Throughout these monographs are references to Specific Medicines.

    In some respects Specific Medicines are the single reason that Eclecticismsurvived so long in the face of Organized Medicine and were still being

    manufactured for the surviving Eclectic M.D.s as late as the early 1960s.

    Using u p t o eight organ ic solvent s a n d th e Lloyd Extra ctor, Specific Medicin es

    represented the strongest possible concentration of the bioactive aspects of

    botan icals th a t wou ld s tay in a collo ida l so lu t ion .

    Perfected over fou r d ecades by J ohn Uri Lloyd, each Specific Medicin e was

    prepared according to the nature of THAT specific plant. You cannot translate

    a Specific Medicine into tincture or fluidextract. The latter are GENERIC

    or standard strengths applied across the board to ALL botanicals. A Specific

    Medicine represented the greatest s trength, without degradation, for aPARTICULAR plant, using anywhere from several to all of the solvents to

    achieve this . The Eclectic physician was trained to use botanicals in an

    oftentimes rural sett ing, and these medicines had to resist breakdown in the

    deepest winter and the hottest summer. Since they needed to contain even

    the most ephemeral consti tuents of a plant remedy, Lloyd approached each

    plant separa te ly .

    The amazing quali ty of these preparations assuredly maintained the Eclectic

    Movemen t long after oth ers h ad fad ed. Lloyds recipes were Paten t

    Medicines, were not official, and when relatives finally closed down the

    Lloyd Broth ers Pha rm acy in Cincinn at i, thes e form u lae disa ppea red. On e of

    the hottest topics for many years amongst professional herbalists in North

    America and Europe has been So who has the Lloyd Formulas, already?

    Since we cannot access them, the best approach is the use of well made

    tinctures, capsules or tea. I might suggest the preparations and doses

    recommended in my Herbal Materia Medica 5.0 as a start ing place.. . in many

    respects I am perhaps a Neo-Eclectic at heart, and have tended to follow

    th e la ter Eclect ics in m y app roach to p lants an d dosa ges .

    Michael Moore

    Bisbee, Arizon a

    October, 200 1