| Rx. | Resinæ Podophylli | gr. j; |
| Sacchari | scruple j. M. | |
| Ft. in chart. | No. v.-x. |
S. Give one powder, and repeat according to circumstances.
In the treatment of one of the cases reported above it will be recollected that the mild chloride of mercury mite was given with the podophyllin, with a good result.
After the use of laxative agents the kidneys, being less congested on account of the diversion that has occurred, often begin to excrete urine more freely. But if the patient be anæmic or enfeebled and the symptoms are not urgent, it is frequently better to avoid active catharsis, which more or less reduces the strength, and employ remedies of a sustaining character, as in the following case, which occurred in my practice: A little boy, pallid and scrofulous, began to have anasarca after scarlet fever, chiefly in the scrotum, accompanied by a moderate degree of ascites. The urine, which was passed in nearly the normal quantity, contained albumen, but not in large amount. This patient gradually and fully recovered, with no treatment except the use of an oil-silk jacket over the kidneys and abdomen to promote diaphoresis, and the use of iron. Such a patient, treated by the powerful eliminatives which we employ for the more urgent and robust cases, would probably have been injured rather than benefited. No treatment can therefore be recommended in a treatise on scarlatinous nephritis which will be strictly applicable for all cases. Variations are demanded according to the state of the patient and the form and gravity of the disease.
Diuretics which do not stimulate the kidneys are proper at an early as well as late period of the renal malady, and digitalis is the one usually prescribed. I do not hesitate to order it from the first day in combination with the acetate of potassium. One teaspoonful of the infusion may be given every third hour to a child of five years. The following formula is for one of this age in good general condition:
| Rx. | Potass. Acetatis | oz. ss; |
| Infus. Digitalis | fl. oz. vi. M. |
The following formulæ are recommended by Meigs and Pepper:
| Rx. | Potass. Bitart. | drachm i; |
| Spt. Junip. Comp. | fl. drachm ii; | |
| Spt. Æther. Nitros. | fl. drachm i; | |
| Tr. Digitalis, | minim xv; | |
| Syrupi | fl. drachm v; | |
| Aquæ | fl oz. ii. M. |
Dose one teaspoonful every two hours to a child of two to four years.
| Rx. | Potass. Acetat. | drachm i; |
| Tr. Digitalis | fl. drachm ss; | |
| Syr. Scillæ, | fl. drachm i-ii; | |
| Syr. Zingib. | fl. drachm v; | |
| Aquæ q. s. ad | fl. oz. iii. M. |