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There are indeed aperients which do more than this, as grey powder and calomel act upon the liver, and so by promoting an increased flow of bile cause a more permanent excitement of the bowels, and consequently their more prolonged activity; or as Epsom salts or citrate of magnesia, which by their action on the blood cause a greater secretion or pouring out of fluid from the coats of the intestines, and in this way have in addition to their purgative property a special influence in abating various feverish conditions.
Common sense will guide in using heat or cold by watching the effect. Where heat fails try cold. This is the simple rule. It is good also to give the patient some simple purgative medicine, and some warm drink. Avoid all doses of alcoholic drinks. We have known the flickering flame of life almost extinguished by a teaspoonful of brandy. Feeding, Over.
All local remedies will be ineffectual, and consequently the purgative should be given in large doses until a copious vacuation is produced. If soda, taken in small quantities after meals, does not relieve the distress, one may rest assured that the fluid is an alkali and requires an acid treatment.
The berries were supposed by the ancients to have a purgative and emetic quality; later writers have recommended them in small doses, as diaphoretics and alexipharmics; and Mr. Boyle tells us, that in the London plague the powder of them was given with vinegar, with good success, as a sudorific. It is probable the virtue of the composition was rather owing to the vinegar than to the powder.
It was a bitter pill to swallow; but it had to be swallowed under pain of penalty for even a grimace. Some of the patients could not let the purgative down; they deliberately let nature take its course the sequel to which was the mobilisation of the Trapper Reserves for active service. And still the slimness of the native contrived to dodge the wiles of civilisation.
Thanks to that, I am going to make you drink something a little less purgative than the so-called wine which is turning blue in that carafe, and of which I advise you to be suspicious. I say, Lebuffle, my friend here, Monsieur Amedee Violette, will be, sooner or later, a celebrated poet. Treat him accordingly, my good fellow, and go and get us a bottle of Moulins-Vent."
L. E. D.-About forty years ago, the anthelmintic virtues of the root of this plant were discovered by the Indians; since which time it has been much used here. I have given it in hundreds of cases, and have been very attentive to its effects. I never found it do much service, except when it proved gently purgative.
Our Blessed Father speaks of this purgative way in his Philothea as follows: "We can never be wholly pure from venial sins, at least, never for any continuous length of time, but we can and may get rid of any sort of affection for these lesser faults.
If the external application of a purgative will have the desired effects it will in such cases, be better than the internal administration of aperients. Castor Oil used as a Liniment is a good one for the purpose. Let the bowels be well rubbed, every night and morning, for five minutes at a time with the oil.
The frequent repetition of opening medicines, then, in any shape or form, very much interferes with digestion, they must, therefore, be given as seldom as possible. Let me, at the risk of wearying you, again urge the importance of your avoiding, as much as possible, giving a babe purgative medicines.
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