One prominent indication for the use of Podophyllin was omitted in the notice of this remedy last month—fullness of superficial veins. It is a very positive indication, and the remedy will always give good results when the symptom is marked.
It is hardly worth while to speculate upon the wrong represented by venous fullness, but it is evidently an impairment of sympathetic innervation. We have noticed that Podophyllin reached this system of nerves directly, and probably gives the necessary stimulation.
In some cases of typhoid, with constant disease of Peyer's glands and diarrhoea, I have used it in combination with Bismuth as heretofore named—Rx Podophyllin, gr. j.; Bismuth Sub-Nitrate, ℨj.; make ten powders; one every three or four hours. Its action has been very kindly, relieving the diarrhoea.
This is a year in which Podophyllin acts very efficiently in many cases, and I want to give it all the credit it deserves, as I have said many harsh things against it. But I won't take anything back—given the pinched skin, features, tongue, or any where, and I should not want any Podophyllin in mine.
The Eclectic Medical Journal, Vol. XXXIV, 1874, was edited by John M. Scudder, M.D.