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Varicose Veins

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VARICOSE VEINS. --Ahnormal dilatation of veins, usually situated on the inner side of the leg. For causes, description, ctc., see TIIE STANDARD PHYSICIAN, pages ioo5-loo6.

Treatment. Palliative treatment is that which that checks the increase of the varicose state of the veins and prevents their ulceration. This is done largely by correcting the habits of life that have brought the condition about. I:elieve constipation at once ; remove all tight bandages as garters, zuld avoid standing more than is necessary. In pronounced cases woven elastic bandages are used to support the superficial veins, and can be discarded when soiled by perspiration. They are generally applied over a thin stocking, whiCh may be kept in place by a suspender, and not by a lighl band or garler. The radical treatment consists of a surgical operation by which the dilated portion of the veins is removed. This usually leads to complete and rapid cure of the ulcers.

VERTIG0.—Dizziness and " swimming " in the head. For causes, de scription, and constitutional treatment, see TIIE STANDARD PHYSICIAN, pages io17-lorS.

Treatment. This condition may be aural, cardiac, gastric, nervous, or senile, and each variety must receive zt separate and distinct treatment, which cannot be prescribed without a thorough knowledge of the cause. NVliere it is due to an affection of the stomach, an emetic may be given. Bromides in small doses are sometimes effective in checking dizziness.

VOMITING.—The emptying of the contents of the stomach by way of the mouth ; a condition usually preceded by nausea. For causes, diagnosis, constitutional treatment, etc., see THE STANDARD PHYSICIAN, page 'oil.

Treatment.—Find the cause.

The swallowing of small pieces of cracked ice will very often control vomiting. Hot poultices on the stomach may be used to advantage (see

ABDOMINAL PAINS).

In yeasty vomitus, sodium sulphite, from 5 to 12 grains, is especially useful. In vomiting of pregnancy, finely powdered charcoal, To grains, diluted in water, may secure arrest. Or 1; teaspoonful of glycerine, to be repeated every hour until four doses have been taken. Or take 5 drops of tincture of calumba on a piece of sugar, to be repeated every hour until 20 (11.01/S have been taken.

In general vomiting, ipecaculiana is often useful. Four or five drops of the wine or grain of the powder will in some cases work wonders. Sweet spirit of nitre, with or without aromatic spirit of ammonia, of each ro drops, or, if alone, 15 drops, is another remedy.

WARTS.—For causes, diagnosis, constitutional treatment, etc., see THE STANDARD PHYSICIAN, page 1022.

Treatment.—The home treatment consists in removal by the use of caustics, such as silver nitrate (as a pencil). Hydrochloric acid is often used to remove warts on the hands of children, also sulphuric or glacial acetic acid ; but these, being powerful caustics, should be employed with great caution, and only by a medical man. Trichloracetic acid is probably the best caustic. Great care should be taken with the application of these caustics, as only the affected area, the wart, is to be touched. The following remedy is taken from the " Bulletin Generale de Therapeutique " : Chloral hydrate, 15 grains ; salicylic acid, 1 drachm ; acetic acid, 15 grains ; ether, 1 drachm ; collodion, ounce. The warts should be painted every night with this mixture.