Calculi, Biliary

—( Gall-stones. )— See also, Colic, Jaundice. Acid, Nitric: hepatic stimulant and alterative. Acid, Nitro-hydrochloric: same as nitric acid. Aliment: absence of starch and fat recommended. Anesthetics: during the pa age of the calculus. Belladonna: relief during spasm. Carlsbad Waters: prophylactic. Chloral Hydrate: to relieve pain during paroxysm; good in combination with morphine. Chloroform: inhalation from tumbler, most useful to relieve paroxysm. Counter-Irritation: to relieve pain during pa age. Emetics: of doubtful value in aiding the expulsion of the calculus. Ferri Succinas: as a resolvent for existing stones, and prophylactic. Ferri Perchlor. Tinctura: like creosote, as an astringent. Useful if renal changes complicate. Iridin: in doses of 1 grn. for its cholagogue properties. Mercury: the green iodide, with manna and soap as a pill. Morphine: 1/5 grn. (repeated if nece ary) with 1/120 grn. atropine subcutaneously, to relieve pain and vomiting in paroxysm. Nitro-hydrochloric Bath: to cause expulsion of calculus and to relieve pain. Oil: in large doses has been followed by the expulsion of gallstones. Salicylate of Sodium: as prophylactic. Sodium Carbonate: in large quantity of hot water during pa age of stone. At first there is usually vomitting but this soon ceases. Sodium Phosphate: in 20 or 30 grn. doses before each meal as prophylactic. Should be given in plenty of water. Turpentine Oil and Ether (Durande's remedy): Equal parts to relieve pain during paroxysm; also occasionally as prophylactic along with a course of Carlsbad or Vichy water.