Resorcin, 3 grains.
Hydrochlorate of quinine, 5 grains. Precipitated sulphur, 30 grains. Pure vaselin, 1 ounce.
Should the falling of the hair be as sociated with seborrhceic eczema, a mer curial ointment, such as that of yellow oxide of mercury, varying in strength from 1 in 25 to 1 in 10, according to the severity of the trouble, should be used. This is only to he rubbed upon isolated patches at a time. After it has been employed and an alterative effect upon the skin produced, resorcin may again be resorted to:— Resorcin, 4 grains.
Salicylic acid, 7 grains. Pure vaselin, 1 ounce.
When the scalp is excessively greasy the ointment previously employed and the natural oil of the skin should be removed by washing the scalp with a weak solution of ammonium acetate or by using Castile soap and warm water. Under no circumstances should the oily preparations be used continuously with out occasional cleansing of the scalp. (Brocq.) For seborrhcea of scalp with beginning alopecia following procedure should be carried out daily or once or twice weekly according to the severity of the ease. 1. Wash scalp with tar-soap for ten min utes. 2. After rinsing, wash scalp with V,-per-cent. solution of corrosive subli mate in hot water. 3. Dry scalp, and rub into it a 5-per-cent. naphthol pomade, removing any excess of the same. Bayet (Med. News, May 21, '93).
The following lotion sometimes proves beneficial at the beginning of the affec tion:— I; Acetic acid, 1/2 ounce.
Pulverized borax, 1 drachm. Glycerin, 3 drachms. Alcohol at GO°, ounce. Bose-water, pint.
Another procedure that proves oc casionally effective is to rub the scalp lightly twice or thrice weekly, for three or five minutes, with a soft brush or sponge dipped in 4 Sodium bicarbonate, 1 drachm. Distilled water, 5 ounces.
A small amount of oil is to be put upon the hair the first or second day following each of the above applications. (Pincus.) The head may be washed with the yelks of eggs, or white almond-oil soap or with tar-naphthol or ichthyol soap, according to the degree of tolerance of the scalp.
Any alcoholic preparation to which has been added a small amount of tinct ure of cantharides, tincture of nux vomica, acetic acid, salicylic acid, or citric acid, from to 5 per cent., is recommended by Besnier and Doyon.
It is applied with a piece of absorbent cotton after carefully drying the scalp.
The tinctura saponis viridis, often used to shampoo the scalp, is sometimes too strong. An ordinary soda-soap, made by dissolving about 1 ounce in 1 pint of water, and adding some soda or potassa, may be used instead. When the scalp is cleansed, 1 part of benzol (from coal tar), mixed with 10 parts of alcohol, is to be applied.
If this fails a 1- to 3-per-cent. alco holic solution of naphthol, or the follow ing formula may be 11 Resorcin, 5 parts.
Alcohol, 150 parts.
Castor-oil, 2 parts.
Other formulae of value are:— Pc Quinine sulphate, 1 part.
Alcohol, GO parts.
Cologne-water, 1 part.
Either of these may be applied locally, after carefully washing the scalp.
After cutting the hair short and wash ing with soap the following lotion is applied. Perchloride of mercury, '/, part; acetic acid, 1 part: alcohol, 100 parts; ether and alcoholic solution of lavender, of each, 50 parts. After dry ing the head is rubbed with lactic acid, about 30 per cent. Balzer (Jour. des I'ratic., Aug. 24, 1901).
Alopecia Following Acute and Chronic General Diseases. — Any general treat ment appropriate to the primary disease naturally tends to improve the local process. A tonic treatment further assists the curative efforts.
After careful brushing out of the hair the head should be washed with a decoc tion of saponaria, or three yelks of eggs beaten up with one part of lime-water, or with warm water and good soap, and then carefully dried. This should be followed by the following lotion rubbed in daily: 4 Alcohol at S0°, 2 ounces.
Camphorated alcohol, Bum, Tincture of cantharides, Glycerin, of each, 75 minims. Santal-wood essence, Wintergreen-essence, of each, 5 minims.