After loosening, a wearisome cough may need to be quieted. This must be done with care, since to stop secretion and dry up a cough will make things worse. Opium and its preparations, including of course morphia, have the most power of this kind. They are often added to cough-mixtures, to be used after free expectoration of phlegm has come on. Wistar's cough lozenges, when made after the regular formula, are composed chiefly of licorice, with a little opium added. Syrup of lactucarium, also, is quieting to cough, and is a milder narcotic than opium. It may be used sooner and with less apprehension of excessive effect. Compound tincture of benzoin often has a very good effect, in fifteen to twenty drop doses, each dose taken on a lump of sugar. Hemorrhage. What causes bleeding must always be the first question. If it is a symptom of a disease, the necessity of treating the disease rather than the bleeding is plain. In such a case, only a large and weakening hemor- rhage calls for special measures on its ac- count. This is true of the bleeding at the nose in the first week of typhoid fever, spit- ting of blood in consumption of the lungs, vomiting of blood in ulcer of the stomach, and bleeding from hemorrhoids ox piles. It is well to state clearly that there are no reme- dies which are always certain to stop bleed- ing from any internal cavity of the body. NosK-Bi,EKDiNG. — Often this is rather relieving than otherwise, in full- blooded young people, who without it would have had headache. The occasion for stopping it comes when it is so large in amount, or con- tinues so long as to weaken by loss of blood. ptir^ r?r r^'Ph ^h p>--p<<^ SPtr^r^t^j^^ -' fS O • • -i r. "■•-■tr't^S 5. 22^:5 5 :r ^ c' -1 2 2 i nmm ^g^CDoS, ^>2c^c^- p ;!•<; ::• ■=.■ 0 i— 1 ^ W t> SJ « W ■^ -^ <: \-~ •^ .>.>.^P > !2! "^ ^rt^^-r" p 3-5 ^ S" 2. 1— 1 1-^ or Vena Cava IS Arteriosus. Pulmonary )nary Artery. < '/^ t^ t-^w p?tit^ttf>b Ul ><'<W>\> -■^4.?i-'-S^>> 0 <:2 >o =• B ii r+ i^ ^ ^, >-! 0' re" >► a> T:r ■-! T! T! ffi Q S S "< a i_, T » r-cH.^=!> - c:?:^? ^-3 "C V3 -? S;' ^' 2 *=i >■ - -~^ .— ' 0 r^ — • p — k-* c* ^ CD ^ w M O! ,^ •-72 ft ^ HHrft^ H ?2^n!3^Fi ^- ;:-J2 :f • „- H^S.--. 1— 1 ;^ ?■ o !^ e •-^ .73 >'-5 1 — I C X '^ '^ 2?SP>ri r'l i- — ^ 0 '0 ': c ji •"*-2 S,§ n Can ing Ce ian. trans. S? ^5: •^ S'.— ' -• s. THE FAMILY DOCTOR 33 How shall we stop it ? Tell the patient to avoid blowing his nose. Clotting (coagii- lationj is the natural wa}^ of stoppage of all hemorrhages. Bathe the forehead and out- side of the nose and cheeks with cold water, or apply ice to the forehead (not too long at once, but enough to cause the impression of decided cold) ; or, if this does not sufl&ce, to the back of the neck. Put a plug of cotton well into the nostril from which the blood comes. If first dipped lightly in a strong solution of alum, it will be more effectual. Let the person keep quiet, with the head and shoulders raised. Holding both hands high above the head is said to help to stop bleeding at the nose.

AI-modernized reading of the original text

After loosening, a wearisome cough may need to be quieted. This must be done with care, since to stop secretion and dry up a cough will make things worse. Opium and its preparations, including of course morphia, have the most power of this kind. They are often added to cough-mixtures, to be used after free expectoration of phlegm has come on. Wistar's cough lozenges, when made after the regular formula, are composed chiefly of licorice, with a little opium added. Syrup of lactucarium, also, is quieting to cough, and is a milder narcotic than opium. It may be used sooner and with less apprehension of excessive effect. Compound tincture of benzoin often has a very good effect, in fifteen to twenty drop doses, each dose taken on a lump of sugar. Hemorrhage. What causes bleeding must always be the first question. If it is a symptom of a disease, the necessity of treating the disease rather than the bleeding is plain. In such a case, only a large and weakening hemorrhage calls for special measures on its account. This is true of the bleeding at the nose in the first week of typhoid fever, spitting of blood in consumption of the lungs, vomiting of blood in ulcer of the stomach, and bleeding from hemorrhoids ox piles. It is well to state clearly that there are no remedies which are always certain to stop bleeding from any internal cavity of the body. Nose-Bleeding. — Often this is rather relieving than otherwise, in full- blooded young people, who without it would have had headache. The occasion for stopping it comes when it is so large in amount, or continues so long as to weaken by loss of blood. ptir^ r?r r^'Ph ^h p>--p<<^ SPtr^r^t^j^^ -' fS O • • -i r. "■•-■tr't^S 5. 22^:5 5 :r ^ c' -1 2 2 i nmm ^g^CDoS, ^>2c^c^- p ;!•<; ::• ■=.■ 0 i— 1 ^ W t> SJ « W ■^ -^ <: \-~ •^ .>.>.^P > !2! "^ ^rt^^-r" p 3-5 ^ S" 2. 1— 1 1-^ or Vena Cava IS Arteriosus. Pulmonary )nary Artery. < '/^ t^ t-^w p?tit^ttf>b Ul ><'<W>\> -■^4.?i-'-S^>> <:2 >o =• B r+ i^ ^ ^, >-! 0' re" >► a> T:r ■-! T! T! ffi Q S S "< a i_, T » r-cH.^=!> - c:?:^? ^-3 "C V3 -? S;' ^' 2 *=i >■ - -~^ .— ' 0 r^ — • p — k-* c* ^ CD ^ w M O! ,^ •-72 ft ^ HHrft^ H ?2^n!3^Fi ^- ;:-J2 :f • „- H^S.--. 1— 1 ;^ ?■ o !^ e •-^ .73 >'-5 1 — I C X '^ '^ 2?SP>ri r'l i- — ^ 0 '0 ': c ji •"*-2 S,§ n Can ing Ce ian. trans. S? ^5: •^ S'.— ' -• s. How shall we stop it ? Tell the patient to avoid blowing his nose. Clotting (coagulation) is the natural wa}^ of stoppage of all hemorrhages. Bathe the forehead and outside of the nose and cheeks with cold water, or apply ice to the forehead (not too long at once, but enough to cause the impression of decided cold); or, if this does not suffice, to the back of the neck. Put a plug of cotton well into the nostril from which the blood comes. If first dipped lightly in a strong solution of alum, it will be more effectual. Let the person keep quiet, with the head and shoulders raised. Holding both hands high above the head is said to help to stop bleeding at the nose.

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