EMPIRICAL APPLICATIONS.

In dealing with authors who have gone to their reward, it has always

seemed to me a duty to give their own words as far as possible. It

brings them face to face with the reader, and is as if one brushed the

moss from their gravestones, or perhaps, like Old Mortality, carved

afresh a half-obliterated name.

It is not the briefest way, but it has the merit of showing from whence

the bricks came of which the edifice is built. I shall, then, cite the

authorities in chronological order, and copiously enough to include

essentials.

_Cutler._--The roots dried and powdered are an excellent medicine in

asthmatic cases, and often give relief when other means are ineffectual.

It may be given with safety to children as well as to adults; to the

former, in doses of four, five or six grains, and to the latter in doses

of twenty grains and upwards. It is given in the fit, and repeated as

the case may require. This knowledge is said to have been obtained from

the Indians, who, it is likewise said, repeat the dose, after the

paroxysm (_sic_) is gone off, several mornings, then miss as many, and

repeat it again; thus continuing the medicine until the patient is

perfectly recovered. It appears to be anti-spasmodic, and bids fair to

be useful in many other disorders.--_Op. cit._, 1,409.

_Schoepf._--I am obliged to cite at second hand, as I have never been

able to find a copy of his _opus_. One may judge of its rarity, when a

foreign advertisement by a German bookseller some years since failed to

obtain it for me.

Prof. W. P. C. Barton, _op. cit._, gives the gist of the Hessian

surgeon's contribution in a style and manner as prim and orderly as that

of Surgeon Schoepf himself on a dress parade.

"Pharm. _Dracontii Radix._

Qual. _Acris_, _alliacea_, _nauseosa_.

Vis. _Incidens_, _califaciens_, _expectorans_.

Usus: _fol. contrita ad vulnera recentia et ulcera._

_Tussis consumptiva._ _Scorbutus et elii morbi radix._

_Ari officin. utilis._"

"Incidens": Young reader, you must go back more than a century to

understand the "pathology" that is wrapped up in that word like a mummy

in its cerements. Don't laugh at _that_ "pathology," for some graceless

graduate will laugh at yours in 1989. Note, however, in passing, that

Schoepf says nothing, save _tussis_, that suggests the _vis

anti-spasmodica_ of Cutler.

_Thacher._--The roots and seeds, when fresh, impart to the mouth a

sensation of pungency and acrimony similar to Arum.

It may be ranked high as an anti-spasmodic, experience having evinced

that it is not inferior to the most esteemed remedies of that class. In

cases of asthmatic affections, it alleviates the most distressing

symptoms, and shortens the duration of the paroxysms. * * * Rev. Dr.

Cutler experienced in his own particular case very considerable relief

from this medicine, after others had disappointed his expectations. * *

* The seeds of this plant are said by some to afford more relief in

asthmatic cases than the root.

In obstinate hysteric affections this medicine has surpassed in efficacy

all those anti-spasmodics which have generally been employed, and in

several instances it has displayed its powers like a charm. In one of

the most violent hysteric cases I ever met with, says a correspondent,

where the usual anti-spasmodics, and even musk had failed, two

teaspoonfuls of the powdered root procured immediate relief; and on

repeating the trials with the same patient, it afforded more lasting

benefit than any other medicine. In those spasmodic affections of the

abdominal muscles during parturition, or after delivery, this root has

proved an effectual remedy. In chronic rheumatism, and erratic pains of

a spasmodic nature, it often performs a cure, or affords essential

relief.

It has in some cases of epilepsy suspended the fits, and greatly

alleviated the symptoms.

In whooping cough, and other pulmonic affections, it proves beneficial

in the form of syrup.

During every stage of nervous and hysteric complaints, and in cramps and

spasms, this medicine is strongly recommended as a valuable substitute

for the various anti-spasmodic remedies commonly employed. It is free

from the heating and constipating qualities of Opium. [Yet Schoepf

endowed it with the _vis colifaciers_.]

Having in a few instances tested its virtues in subsultus tendinum,

attending typhus fever, its pleasing effects will encourage the future

employment of it in similar cases.

Two instances have been related in which this medicine has been supposed

to be remarkably efficacious in the cure of dropsy.

The roots should be taken up in the autumn or spring, before the leaves

appear, and carefully dried for use. Its strength is impaired by long

keeping, especially in a powdered state.--_Mat. Med._, 4th ed., p. 249.

A young woman, about eighteen years of age, was harassed by severe

convulsive and hysteric paroxysms, almost incessantly, insomuch that her

friends estimated the number at seven hundred in the course of a few

weeks; her abdomen was remarkably tumefied and tense, and there was a

singular bloatedness of the whole surface of her body, and the slightest

touch would occasion intolerable pain. At length her extremities became

rigid and immovable (_sic_), and her jaw was so completely locked that

she was unable to articulate, and liquids could only be introduced

through the vacuity of a lost tooth. She had been treated with a variety

of anti-spasmodic and other medicines, by an experienced physician,

without relief. Having prepared a strong infusion of the dried root of

skunk cabbage, I directed half a teacupful to be given every few hours,

without any other medicine; the favorable effects of which were soon

observable, and by persisting in the use of it about ten days the

muscular contractions were removed, the jaw was relaxed, and her faculty

of speech and swallowing, with the use of all her limbs, were completely

effected.

Another young woman had been exercised with the most distressing

paroxysms of hysteria for several days, without obtaining relief by the

medicines prescribed, when the skunk cabbage infusion was so

successfully directed that her fits were immediately arrested, and in a

few days a cure was completely effected.

The brother of this patient was seized with violent convulsions of the

whole body, in consequence of a cut on his foot; the skunk cabbage was

administered, and he was speedily restored to perfect health.

A woman was affected with violent spasmodic pains, twenty-four hours

after parturition; six doses of skunk cabbage entirely removed her

complaints.--_American Modern Practice_, p. 530.

_Barton._--The smell from spathe and flowers is pungent and very subtle.

Experience leads me to believe they possess a great share of acridity;

_having been seized with a very violent inflammation of my eyes_ (for

the first time in my life), which deprived me of the use of them for a

month, by making the original drawings of these plates. The pungency of

the plant was probably concentrated by the closeness of the room, in

which many specimens were at the time shut up.--_Veg. Mat. Med._, 1,

128. [The italics are not in the original text.]

The seeds are said to afford more relief in asthmatic cases than the

root; and this I believe very probable, for they are remarkably active,

pungent, and, as has before been mentioned, exhale the odor of

Asafoetida.--_Op. cit._, p. 131.

The bruised leaves are frequently applied to ulcers and recent wounds,

and, it is said, with good effect. They are also used as an external

application in cutaneous affections; and I have heard of the expressed

juice being successfully applied to different species of herpes. The

leaves are also used in the country to dress blisters, with the view of

promoting their discharge. * * * For this purpose I can recommend them

where it is desirable to promote a large and speedy discharge, and no

stimulating ointment is at hand.

_Colden_ recommends the skunk cabbage in scurvy.--_Op. cit._, p. 132.

_Bigelow._--The odor of the Ictodes resides in a principle which is

extremely volatile. I have not been able to separate it by distillation

from any part of the plant, the decoction and the distilled water being

in my experiments but slightly impregnated with its sensible character.

Alcohol, digested on the plant, retains its odors for a time, but this

is soon dissipated by exposure to the air.

An acrid principle resides in the root, even when perfectly dry,

producing an effect like that of the Arum and the Ranunculi. When chewed

in the mouth, the root is slow in manifesting its peculiar taste; but

after some moments a pricking sensation is felt, which soon amounts to a

disagreeable smarting, and continues for some time. This acrimony is

readily dissipated by heat. The decoction retains none of it. The

distilled water is impregnated with it, if the process be carefully

conducted, but loses it on standing a short time.--_Amer. Med. Bot._, 2,

45.

To insure a tolerably uniform activity of this medicine, the root should

be kept in dried slices, and not reduced to powder until it is wanted

for use.--_Op. cit._, p. 49.

A number of cases have fallen under my own observation of the catarrhal

affections of old people, in which a syrup prepared from the root in

substance has alleviated and removed the complaint.--_Op. cit._, p. 48.

In delicate stomachs I have found it frequently to occasion vomiting

even in a small quantity. In several cases of gastrodynia, where it was

given with a view to its anti-spasmodic effect, it was ejected from the

stomach more speedily than common cathartic medicines. I have known it

in a dose of thirty grains to bring on not only vomiting, but headache

(_sic_), vertigo and temporary blindness.--_Op. cit._, pp. 48-49.

_Hand._--The root is a pungent anti-spasmodic in colics and griping of

the bowels.

Leaves bruised relieve painful swellings, whitlows, etc.--_House Surg.

and Phys._, p. 250.

_Eberle._--In chronic cough attended with a cold, phlegmatic habit of

body, I have employed the powdered root of this plant with the most

decided benefit. In an old man who had been for many years afflicted

with a very troublesome cough and difficulty of breathing, I found

nothing to give so much relief as this substance.

In cases of chronic catarrhal and asthmatic affections, and very

generally with evident advantage.--_Mat. Med. and Thur._, 2, 154.

_Ives._--The root loses its pungent taste, and appears to be nearly

inert in a few weeks after it is gathered. I prepared, however, an

alcoholic extract some years ago, by digesting the fresh roots and

evaporating the tincture in the sun, which possessed and retained all

the acrimony of the recent root. The fresh leaves are actively

rubefacient.--_Pharmacologia_, p. 147.

_Smith._--Skunk cabbage is not only a good anti-spasmodic in all cases

where such are indicated, but it is also a powerful emmenagogue,

anthelmintic, and a valuable remedy in dropsy, in spasms, rheumatism,

palpitations, etc. It is frequently used in childbed to promote the

birth. * * * * For expelling worms, the pulverized root should be

administered in molasses for a sufficient length of time, following it

up with a purge.--_Op. cit._, p. 511.

_Rafinesque._--Powerful anti-spasmodic, expectorant, incisive,

vermifuge, menagogue, sudorific, etc. Used with success in spasmodic

asthmas and coughs, hysterics, pertussis, epilepsy, dropsy, scurvy,

chronic rheumatism, erradic and spasmodic pains, parturition,

amenorrhoea, worms, etc.--_Op. cit._, 2, 230.

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