Persistent Vomiting.

As a routine remedy for vomiting, that obstinate, persistent kind that attends a great many different conditions, I have found the following to give relief more certainly than any other single remedy I have ever employed.

I add aromatic spirits of ammonium, one dram to four ounces of water, and give a teaspoonful of this after each act of vomiting, or in severe cases I give one teaspoonful every fifteen to thirty minutes until nausea ceases.

The remedy is most correctly adapted to those conditions of the stomach where there is excessive acidity with extreme sourness of the vomitus, but it will be found useful in nearly all cases. The size of the dose may be increased until the remedy acts as a stimulant in cases where more or less of a diffusible stimulant is desired.

Where the specific remedies can be determined by the specific symptoms, I always give that remedy, but I have found this remedy to be so pleasant and of such universal value, that I now depend on it in all cases where the specific symptoms do not readily appear.

In cases of meningitis, intestinal obstruction and other serious disorders, the physician must not neglect to adopt the rational treatment adapted to these conditions in the case at hand. In many cases of persistent vomiting, it is necessary also to obtain a movement from the bowels as quickly as can be done with safety to the patient. This is sometimes necessary for a permanent cure.

E. MEYERS, M. D.

Ellingwood's Therapeutist, Vol. 2, 1908, was edited by Finley Ellingwood M.D.