Apocynum and Exophthalmic Goitre
In the treatment of irregular and too frequent menstruation at any age Prof. Trowbridge of Chicago has for several years had uniformly good success in the use of apocynum. He adds a dram of the specific medicine to four ounces of water and gives a teaspoonful four times each day.
The doctor in his ear and eye special work, has had quite a number of early cases of exophthalmic goitre in ladies. Whether it has been a coincidence or not he has found with the above frequent and irregular menstruation in every case. The nervous excitability, the irritable and frequent heart action has caused him to prescribe a dram each of specific gelsemium and veratrum in four ounces of water to be given in teaspoonful doses four times each day in alternation with the apocynum mixture above referred to, and he asserts with positiveness that a complete cure has resulted. The doctor lays great stress upon an exact diagnosis. He is a conservative but closely observing man and I have reason to have confidence in his conclusions. If others have made similar observations I should like to have a report.
Dr. Ellingwood regards cactus grandiflorus superior to digitalis as a heart stimulant. It has no cumulative effect and does not irritate the stomach. It is indicated in atonicity of the heart, but is contraindicated in case of violent heart action due to temporary cause.