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In this day of compact pharmaceuticals one can carry a complete equipment of medicines in a vest pocket almost. The old day of ponderous powders and nauseating liquids has passed. The physician now who prescribes for his patients immense bottles of "shotgun" mixtures writes himself down a back number. This manner of administering drugs can be taken advantage of by the man who wishes to carry with him upon his outing a supply of remedies for the relief of such ailments as may befall him.

Oliver Wendell Holmes once said in delivering an address to the graduating medical class of Harvard, "Young men, you have been taught here at least twenty remedies for every disease; after you have practiced medicine twenty years you will have one remedy for twenty diseases."

The genial autocrat was nearly right. The longer one continues in the practice of medicine, the fewer remedies he learns to depend upon. An Irish medical friend of mine once put the thing in very apt form when he said, "If I had to practice medicine on an island where I could have only three remedies, I should choose castor oil, opium, and strychnia. I'd physic them with the castor oil, constipate them with the opium, and stimulate them with the strychnia."

These remarks are a little beside the subject, but I am constrained to quote them to illustrate that but few medicines are needed, if these be well understood, and the indications for their use can be mastered by anyone in a short time.

For the past several years my emergency medical case has contained only ten remedies, and with these I have not hesitated to make professional trips of many miles. The case should be made of sole leather with a pocket for a small note book and loops for a clinical thermometer. The bottles should hold half an ounce and have screw caps. Have the glazier etch with his diamond the numbers from 1 to 10 on the sides of the bottles. The reason for this is that numbers pasted on are liable to rub off, and as many tablets look much alike confusion may occur. Then fill them in this manner:

No. I: Calomel, gr. 1/4. Make this entry in the little note book that is contained in the pocket. "No. 1, calomel gr. 1/4. Dose, one tablet every thirty minutes for four hours. Indications, biliousness, headache from disordered stomach, diarrhea, colds, and the beginning of all fevers."

No. 2: Dosimetric trinity (Full strength). Dose, one granule every half hour until skin becomes moist. Indications, all fevers, colds, threatened pneumonia, and threatened typhoid.

No. 3: Chlorodyne. Dose, one tablet every hour to relief. Indications, any gastric pain, cramps, diarrhea (after cleaning out the bowels), colic, acute indigestion.

No. 4: Intestinal antiseptic. Dose, one tablet every hour for four hours; then one every three hours. Indications, after bowels have been cleaned out to correct any disorder of the tract, as a routine treatment of typhoid; always valuable in diarrhea and other inflammatory conditions of the bowels.

No. 5: Quinine sulphate, gr. 5. Dose, one tablet every four hours. Indications, colds and catarrh, bilious fevers, specific in malaria.

No. 6: Elaterin, gr. 1/16. Dose, one tablet. Indications, to remove all fermenting food matters in the stomach and bowels, produces excessive watery evacuations. Valuable in dropsy; especially applicable where you want to get rid of the entire contents of the bowels.

No. 7: Phenacetine, gr. 5. Dose, one tablet every three hours to profuse perspiration. Indications, reduce fever where pulse is full and bounding. Relieves headache; taken early cures severe cold.

No. 8: Sun Cholera. Dose, one every three hours. Indications, similar to No. 3, only more powerful, valuable in severe summer complaint due to eating fresh fruit, meat, drinking too much water. Relieves gastric pain.

No. 9: Apomorphia hydrochlorate, gr. 1/10. Dose, two tablets followed by swallow of hot water. Indications, as an emetic in poisoning. Use cautiously.

No. 10: Digitalin, gr. 1/100. Dose, one tablet every hour to effect. Indications, the most powerful heart tonic and reconstructive. Must be used cautiously. Valuable in loss of blood, excessive heart action from altitude, and all conditions where heart is not performing properly.

It will be noted that I did not mention morphine, strychnia, or cocaine, as they were spoken of in connection with the hypodermic. In the case I also place a one-minute clinical thermometer. All of these instruments are now. made self-registering and must be shaken down after each using. This should be done, not by a jar, but with a long sweep of the arm. Too sudden a jar will snap the instrument in two. Shake until the mercury column stands below the A mark. This A mark indicates the body heat at normal condition, that is, 98.40 F.

Moody, Charles Stuart. Backwoods Surgery & Medicine. New York: Outing Pub., 1916. Print.

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