The patient's health should be carefully watched, as in these cases fever very often comes on. Should there be any shiver- ing, an aperient should be given. Thirst should be relieved by iced lemonade or soda-water, and a saline draught should be taken about three times a day. The following will be found most useful: Take of solution of acetate of ammonia, i drachm; sweet spirits of nitre, 20 minims: water to i fluid ounce. Mix. A compound fracture is always longer in recovering than a simple one, the process of restoration some- times extending over many months, through the frequent falling off of small fragments of bone, each of which will keep up a discharge of matter until it is removed, either by the use of the forceps, or by the extrusion of the pus. Ganglion. — Symptoms. — A swelling upon one of the joints, most frequently met with on the back of the wrist. Its seat is the sheath of the tendons. Treatment. — Hard, steady pressure should be made upon it with the thumb of the operator's hand, that holds the arm firmly at the same time. If the pressure be made hard enough, 540 MEDICINAL. and kept tip long enough, the tumor will generally burst and the fluid be dispersed. A tight bandage should be applied immediately afterwards and kept on a few days. Sometimes, if the ganglion be small, it will give way under a smart, sharp blow with a book. Goitre. — Derbyshire Neck. — Bronchocele. — Symptoms. — Peculiar enlargement of a gland that is situated at the front and sides of the neck. The swelling, at first slight, and only amounting to a trifling degree of fulness, is prone to increase rapidly, and to cause inconvenience in breathing, as well as considerable disfigurement by its bulk. Treatment. — The treatment consists in the amendment of the general health, by removal from any locality where the malady is known to prevail, or by remedies directed to correct irregularities of menstruation, to which also it is sometimes attributable. The best medicinal agents are iodine and steel, alone, or in their various forms of combination, with the exter- nal application of iodine as tincture, painted on the enlargement night and morning, until the skin becomes too irritable to bear it. The application can be resumed when the skin has recovered, or the iodine may be applied as ointment thus; Ointment of iodine of potash, i ounce; ointment of idoine of mercury, one half drachm. Mix. Apply night and morning. Gout. — Symptoms. — An attack of gout is generally preceded by disturbed digestive functions, broken sleep and feverish- ness. The symptoms of an attack generally come on in the course of the night. Severe throbbing pain in some joint, generally in the joint at the ball of the great toe, accompanied with great tenderness, sufficient to prevent the patient from bearing the least movement of the bedclothes over the joint affected. With these symptoms there is a feverish condition, with thirst, rapid pulse and furred tongue. The joint affected is red and swollen, the pains become more and more acute, extending sometimes up the leg, and the fever becomes more severe. This goes on until morning, when a perspiration breaks out, and the paroxysm is over. It, however, probably occurs again the next night, subsides, and recurs at intervals.

AI-modernized reading of the original text

The patient's health should be carefully watched, as in these cases fever very often comes on. Should there be any shivering, an aperient should be given. Thirst should be relieved by iced lemonade or soda-water, and a saline draught should be taken about three times a day. The following will be found most useful: Take of solution of acetate of ammonia, i drachm; sweet spirits of nitre, 20 minims: water to i fluid ounce. Mix. A compound fracture is always longer in recovering than a simple one, the process of restoration sometimes extending over many months, through the frequent falling off of small fragments of bone, each of which will keep up a discharge of matter until it is removed, either by the use of the forceps, or by the extrusion of the pus. Ganglion. — Symptoms. — A swelling upon one of the joints, most frequently met with on the back of the wrist. Its seat is the sheath of the tendons. Treatment. — Hard, steady pressure should be made upon it with the thumb of the operator's hand, that holds the arm firmly at the same time. If the pressure be made hard enough, and kept tip long enough, the tumor will generally burst and the fluid be dispersed. A tight bandage should be applied immediately afterwards and kept on a few days. Sometimes, if the ganglion be small, it will give way under a smart, sharp blow with a book. Goitre. — Derbyshire Neck. — Bronchocele. — Symptoms. — Peculiar enlargement of a gland that is situated at the front and sides of the neck. The swelling, at first slight, and only amounting to a trifling degree of fulness, is prone to increase rapidly, and to cause inconvenience in breathing, as well as considerable disfigurement by its bulk. Treatment. — The treatment consists in the amendment of the general health, by removal from any locality where the malady is known to prevail, or by remedies directed to correct irregularities of menstruation, to which also it is sometimes attributable. The best medicinal agents are iodine and steel, alone, or in their various forms of combination, with the external application of iodine as tincture, painted on the enlargement night and morning, until the skin becomes too irritable to bear it. The application can be resumed when the skin has recovered, or the iodine may be applied as ointment thus; Ointment of iodine of potash, i ounce; ointment of idoine of mercury, one half drachm. Mix. Apply night and morning. Gout. — Symptoms. — An attack of gout is generally preceded by disturbed digestive functions, broken sleep and feverishness. The symptoms of an attack generally come on in the course of the night. Severe throbbing pain in some joint, generally in the joint at the ball of the great toe, accompanied with great tenderness, sufficient to prevent the patient from bearing the least movement of the bedclothes over the joint affected. With these symptoms there is a feverish condition, with thirst, rapid pulse and furred tongue. The joint affected is red and swollen, the pains become more and more acute, extending sometimes up the leg, and the fever becomes more severe. This goes on until morning, when a perspiration breaks out, and the paroxysm is over. It, however, probably occurs again the next night, subsides, and recurs at intervals.

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