Spermatorrhœa.
See Seminal Discharges.
Spleen, Enlargement of, "Ague Cake."
Give Sulphate of Iron and purgatives, as advised in Paragraph 176, or Papaw juice (296), or, better still, Cinchona Febrifuge (402). Extract of Gulancha (353) is worth a trial. Quinine, in doses of five to eight grains thrice daily, produces the best effect in these cases; it may be advantageously combined with Sulphate of Iron (176). The most effectual local application is Biniodide of Mercury Ointment (16 grains of the Biniodide to simple Ointment, one ounce). In obstinate cases change of air is the best and only remedy.
Sprains, Blows, and Bruises.
Solution of Sal Ammoniac (332), Hot Water Fomentations (393), or Evaporating Lotion (380) are most suitable applications for the early stages. Should there be much swelling and heat of skin, Leeches (212) may be necessary. When the active symptoms have subsided, Liniments of Camphor (68), Opium (291), Lemon-grass Oil (217), or Turpentine (366), are indicated. In Sprains, warm applications, with perfect rest of the part, are best suited for the first few days. The sprained part should be kept in a raised position, well supported, and should on no account be allowed to hang down. The following treatment is highly spoken of in cases of Sprained Ankle. As soon after the accident as possible immerse the foot in a tub of hot water for ten minutes, and then into a tub of cold water for a similar period. Afterwards put on a wet bandage pretty tight, and cover with oil-silk, plantain leaf, or other impermeable covering. To remove subsequent swelling, apply Alum Lotion (32). To remove discoloration, Solution of Sal Ammoniac (332).
Stiff Neck.
Apply Opium Liniment (291).
Stomach, Acidity of.
Give Lime Water (221). Bleeding from. See Hæmorrhage from internal organs. Pains in. See Flatulence, Flatulent Colic, and Bowels, Spasmodic Affections of.