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Proceedings of the Academy of Natural Sciences of Philadelphia. Part H., 1871. Complete Report of the Board of Health, of Lowell, Mass. Pp. 18. Anajsthetics. By Walter Coles, M. D. St. Louis, Mo., pp. 14. Proceedings of the Royal Society, vol. xix., Nos. 123-129. 204 REPORTS ON THE PROGRESS OF MEDICINE. S^|jarts 0it iht "^xoQxtm of gtx^bknTi^. MATEEIA MEDICA. 1. — Nitrite of Amyl j can you buy abilify online its Physiological Action and Medi- cinal Uses. no prescription abilify Bj Talfourd Jones, M. B., Lond., University Medical Scholar. [Practitioner.] My attention Avas abilify mg size first drawn to this ncAV remedy by reading in the Medical Times and Gazette for September 3, 1870, an editorial paper on "The Progress of Therapeutical Science." It gave tiie results of Dr. Eichardson's experiments with nitrite of amyl, and described a case of Dr. Brunton's, in which the remedy had been most successfully employed in angina pectoris; also one of Dr. Anstie's, in which it had given most marked relief to an asthmatic gentleman who suffered from angina. Two or three other instances of its therapeutical value were mentioned. Hap- pening at the time to have under ray care a most distressing case of angina in an elderly lady, I sent for a couple of ounces of the nitrite; but, un- fortunately, the day before the supply arrived my patient died, and I had no opportumity of trying it upon her, and of affording her that relief from pain which my subsequent use of the remedy tells me she would most cer- tainly have had. Shortly after, October 23d, buy abilify 5mg online I had an opportunity of try- ing it in a sever<^ case of spasmodic asthma ; and the immediate and almost magical relief it afforded convinced me that in nitrite of amyl we have a most powerful and valuable medicinal agent. Nitrite of amyl, do, IIn O, NO3, is an aml)cr-colored fluid, smelling like the essence of rijje pears. The experiments of Dr. Richardson show- that it causes paralysis of the chain of organic nerves which supplies the contractile power of the blood-vessels; that, applied to the olfactory fila- ments by inhalation, tlie impression is conveyed along the ganglionic ner- vous tract, and causes more or less pai'alysis of the vaso-motor nerves, and induces muscular and arterial relaxation. Though it produces its characteristic effects directly upon the walls of small arteries, yet it is highly probable that it also acts upon most, if not upon all, unst.riped muscular fibres. I have now given it experimentally to some fifty friends and patients, and have found that its inhalation invariably causes increased frequency of cardiac pulsation, accompanied with flushing of the face, Avarmth of head, face, and neck, and perspiration — the warmth and perspiration often being general. The pulse is the first tell-tale of its effects: in from eight to twelve seconds its frequency rapidly increases. A pulse of twenty iu the quarter-minute will often rise in ten or can i buy abilify online fifteen seconds to forty. The beating of the heart and of the carotids is in some persons very marked. The reddening of the face sets in later ; it usually takes from thirty to forty seconds before there is much flushing. It sometimes causes a little abilify order canada breathlessness and coughing. abilify prescription coupon Now and then it gives rise to giddiness; and, in some, to a feeling of intoxication — girls who have inhaled it have often complained tliat it has given them a headache. It may be administered by inhalation, by the mouth, or by subcuta- neous injection. The best and safest way is by inhalation. 1 usually pour five drops on a piece buy abilify online of lint the size of a crown-piece, or larger, and hold it close to the nostrils for ten or twenty seconds, or until buy generic abilify online I feel an accelera- tion of the pulse, or see the face buy abilify online no prescription beginning to redden; or the niti'ite may be dropped on to a pocket-handkerchief, and then held to the nose just like chloroform ; or, order abilify online canada lastly, it may be inhaled directly from the bottle. I have never seen any bad effect result from its use. There is just one important MATERIA order generic abilify MEDICA. 205 point that should be borne in mind, and this lias been insisted upon by Dr. Anstie — it is, tliat judgment and caution should be exercised in its employ- ment in the aged or in persons the subjects of arterial degeneration. It abilify prescription program must not be forgotten that, just as the cerebral abilify mg congestion induced by stooping down may cause rupture of -weakened or damaged cerebral arte- ries, so also abilify order online may the sudden alteration in the cerebral circulation by amyl be followed by similar ill results. I will now successively describe every case in which I Iiave employed it in disease : I. Spasmodic Asthma. — At twelve o'clock on the night of October 23, 1870, a woman begged I would instantly go and see her daughter, who, she said, "was in a dying state." On entering her bedroom, I saw the patient, a young married woman, half undressed, sitting on the corner of the bed, and holding on to tlie bed-post. There was a dusky, leaden hue about iier face, neck, chest, and hands, and a cold, damp sweat clung to her. Her body generally was cold, but her feet and legs were of an icy coldness. Her pulse could scarcely be felt. She was making violent efforts to breathe, and each inspiration was accompanied with marked recession of the supra-clavicular and the intercostal spaces. Loud sibilant rules with sonorous buy abilify online canada rhonchus could be lieard over the greater part of the chest. She tried to speak, but could only make faint gasps. The thought instantly occurred order abilify no prescription to me that the nitrite of nmyl which I had procured only a short while before might be of use. I ran back to my house, which was close by, and returned with the bottle. Five drops of amvl were applied, on a piece of lint, to her nostrils. In half a minute lier face began to redden, and in less than a minute it was deeply flushed; her heart palpitated, her carotids throbbed, buy 20 mg abilify online warmth of body quickly returned, and her breathing became easy. The effect was marvellous, and I felt nearly as much astonished as the patient and her mother. She now became able to con- verse, and told me that she had been subject to asthma buy 2mg abilify online for many years, that her father also was asthmatical, and that she had never before had such a severe attack as this. She accounted for it thus: In the early part of the day she was as well as usual ; but that evening she remained out for

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