Treatment of internal diseases : for physicians and students / by Norbert Ortner ; ed., with additions, by Nathaniel Bowditch Potter ; tr. by Frederic H. Bartlett.

  • Ortner, Norbert, 1865-1935.
Date:
[1913], [©1913]
Catalogue details

Licence: Public Domain Mark

Credit: Treatment of internal diseases : for physicians and students / by Norbert Ortner ; ed., with additions, by Nathaniel Bowditch Potter ; tr. by Frederic H. Bartlett. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    Caff em has a stronger effect when injected subcutaneously, and is naturally given in this way, or per rectum, when it causes gastric symp- toms if given by the mouth. AVe prescribe as follows: B Caffeines sodii-benzoatis 2.00 3s*. Aq. dest., Glycerini 5a 5.00 3iTT|,xv M. et sig.—15-20 min. subcutaneously. Caffein and digitalis are often combined either as a mixture or a powder: B Inf. digitalis 180.00 gvi Caffeinae sodii-benzoatis 1.00 gr. xv Syr. simp 15.00 gss M. fiat mist. Sig.—1 tablespoonful every 2 hours. This combination of digitalis and caffein appears exceedingly rational, as Braun has shown from experiments on animals that caffein fully counterbalances the tendency of digitalis to contract the coronary vessels of the heart. [I frequently use digitalis and caffein at the same time, but usually prescribe two separate solutions so that I may alter the dose of one or the other drug at will.] Semen Colae.—Kola is similar in its effect to caffein, its action being due in fact principally to its content of the latter. It has, besides, a markedly stimulating effect on the nervous system, and is for this reason used by the Soudanese as we use coffee and tea. Its peculiar therapeutic field is neurasthenia, but it may be used in cardiac insufficiency instead of caffein, although personally the author has not been successful with it. It is prescribed as follows: Ifc Tinct. colse 120.00 giv Sig.—2 tablespoonfuls twice a day. (20% tincture.) R Vin. colse 120.00 j$iv Sig.—A wineglassful twice a day. (10% wine.) IJ Sem. colse pulv 5.00 3i gr. xv Ext. glycyrrhizaa q. s. M. fiat pil. no. 1. Sig.—9-10 pills a day. B Sem. colse pulv 3.00 gr.xlv Massse cacao q. s. M. et fiat trochisci no. xxx. Sig.—1-10 pastilles a day. [Continental physicians prescribe kola frequently for neurasthenics. I do not believe that it is wise to stimulate so constantly a weak nervous system. It requires a long time for an overstimulated neurasthenic to recover from its effects and the withdrawal of its stimulation.] Or: Or: