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What is Down syndrome?

Down syndrome is a condition in which a person has an extra chromosome or an extra piece of a chromosome. This extra copy changes how a baby's body and brain develop. It can cause both mental and physical challenges during their lifetime. Even though people with Down syndrome might act and look similar, each person has different abilities.

What causes Down syndrome?

Chromosomes are tiny "packages" in your cells that contain your genes. Genes carry information, called DNA, that controls what you look like and how your body works. People with Down syndrome have an extra copy of chromosome 21. In some cases, they may have an extra copy of part of the chromosome. Having an extra copy of a chromosome is called trisomy. So sometimes Down syndrome is also called trisomy 21.

Down syndrome is usually not inherited. It happens by chance, as an error when cells are dividing during early development of the fetus. It is not known for sure why Down syndrome occurs or how many different factors play a role.

One factor that increases the risk of having a baby with Down syndrome is the age of the mother. Women ages 35 and older are more likely to have a baby with Down syndrome.

What are the symptoms of Down syndrome?

The symptoms of Down syndrome are different in each person. And people with Down syndrome may have different problems at different times of their lives. They usually have mild to moderate intellectual disabilities. Their development is often delayed. For example, they may start talking later than other children.

Some of the common physical signs of Down syndrome include:

  • A flat face
  • Eyes that slant up
  • A short neck
  • Small hands and feet
  • Poor muscle tone
  • Loose joints
What other problems does Down syndrome cause?

Many people with Down syndrome have the common physical signs and have healthy lives. But some people with Down syndrome might have one or more birth defects or other health problems. Some of the more common ones include:

  • Hearing loss
  • Sleep apnea (a disorder that causes you to repeatedly stop breathing during sleep)
  • Ear infections
  • Eye diseases
  • Congenital heart defects (heart defects that are present at birth)
  • Digestive problems
  • Problems with the upper part of the spine
  • Obesity
How is Down syndrome diagnosed?

Health care providers can check for Down syndrome during pregnancy or after a child is born.

There are two basic types of tests that help find Down syndrome during pregnancy:

  • Prenatal screening tests can show whether your unborn baby has a higher or lower chance of having Down syndrome. If a screening test shows that your baby could have Down syndrome, you'll need another test to find out for sure.
  • Prenatal diagnostic tests can diagnose or rule out Down syndrome by checking the chromosomes in a sample of cells.

These tests have a small risk of causing a miscarriage, so they're often done after a screening test shows that an unborn baby could have Down syndrome.

After a baby is born, the provider may make an initial diagnosis of Down syndrome based on the physical signs of the syndrome. The provider can use a karyotype genetic test to confirm the diagnosis. The test can check for extra chromosomes in a sample of the baby's blood.

What are the treatments for Down syndrome?

There is no single, standard treatment for Down syndrome. Treatments are based on each person's physical and intellectual needs, strengths, and limitations.

Services early in life focus on helping children with Down syndrome develop to their full potential. These services include speech, occupational, and physical therapies. They are typically offered through early intervention programs in each state. Children with Down syndrome may also need extra help or attention in school, although many children are included in regular classes.

Since people with Down syndrome can have birth defects and other health problems, they will need regular medical care. They may need to have certain extra health screenings to check for problems that happen more often in people with Down syndrome.

Centers for Disease Control and Prevention

Extra FDA Approved Drugs

ASPIRIN [AspirinC9H8O4]
Plx PharmaJan 14, 2013
  • Temporary reduction of fever.
  • Temporary relief of minor aches and pains.
  • Treatment/prevention of cardiovascular disease.
efficacy
4.1  (12)
side effects
2.0  (2)
danger
2.5  (4)

UNK

BSS PLUS [Calcium ChlorideCa2Cl2H2O : Dextrose : Glutathione Disulfide : Magnesium Chloride2ClMg6H2O : Potassium ChlorideClK : Sodium BicarbonateCHO3Na : Sodium ChlorideClNa : Sodium Phosphate]
RX
-
0.154mg/ml : 0.92mg/ml : 0.184mg/ml : 0.2mg/ml : 0.38mg/ml : 2.1mg/ml : 7.14mg/ml : 0.42mg/ml (irrigation solution)
AlconApproved Prior To Jan 1, 1982
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

DEXFERRUM [Iron DextranHO(C6H10O5)nFe3HO]
RX
-
eq 50mg iron/ml (injection injectable)
LuitpoldFeb 23, 1996
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

DURLAZA [AspirinC9H8O4]
RX
-
162.5mg (oral capsule, extended release)
New Haven PharmsSep 4, 2015
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

ENDOSOL EXTRA [Calcium ChlorideCa2Cl2H2O : Dextrose : Glutathione Disulfide : Magnesium Chloride2ClMg6H2O : Potassium ChlorideClK : Sodium BicarbonateCHO3Na : Sodium ChlorideClNa : Sodium Phosphate]
RX
-
0.154mg/ml : 0.92mg/ml : 0.184mg/ml : 0.2mg/ml : 0.38mg/ml : 2.1mg/ml : 7.14mg/ml : 0.42mg/ml (irrigation solution)
AkornNov 27, 1991
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

EXTRANEAL [IcodextrinC6H9O5(C6H10O5)n(C6H10O5)n(C6H10O5)n]
RX
-
7.5gm/100ml (intraperitoneal solution)
Baxter HlthcareDec 20, 2002
  • Peritoneal dialysis solution.
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

INFED [Iron DextranHO(C6H10O5)nFe3HO]
RX
-
eq 50mg iron/ml (injection injectable)
Allergan Sales LlcApproved Prior To Jan 1, 1982
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

MEN'S ROGAINE [MinoxidilC9H15N5O]
Johnson And JohnsonJan 20, 2006
  • Topical aerosol hair regrowth treatment.
efficacy
3.5  (2)
side effects
2.0  (1)
danger
2.0  (1)

UNK

MINOXIDIL [MinoxidilC9H15N5O]
RX / OTC
-
10mg (oral tablet)
2.5mg (oral tablet)
5% (topical aerosol, foam)
Par PharmNov 14, 1988
Sun Pharm IndsDec 14, 1995
Watson LabsMar 3, 1987
Mutual PharmDec 14, 1995
Perrigo IsraelApr 28, 2011
efficacy
5.0  (1)
side effects
1.0  (1)
danger
0.0  (0)

UNK

MINOXIDIL (FOR MEN) [MinoxidilC9H15N5O]
OTC
-
2% (topical solution)
5% (topical aerosol, foam)
Actavis Mid AtlanticApr 5, 1996
Hi Tech PharmaDec 24, 1996
L Perrigo CoJul 30, 1999
WockhardtFeb 28, 1997
Watson Labs IncFeb 17, 2017
efficacy
3.0  (1)
side effects
0.0  (0)
danger
0.0  (0)

UNK

MINOXIDIL (FOR WOMEN) [MinoxidilC9H15N5O]
OTC
-
2% (topical solution)
Hi Tech PharmaMay 11, 2005
L Perrigo CoJul 30, 1999
efficacy
4.0  (1)
side effects
2.0  (1)
danger
1.0  (1)

UNK

MINOXIDIL EXTRA STRENGTH (FOR MEN) [MinoxidilC9H15N5O]
Actavis Mid AtlanticNov 17, 2000
Avacor ProdsNov 17, 2000
PerrigoJun 13, 2001
Perrigo New YorkMar 15, 2002
WockhardtFeb 27, 2003
efficacy
5.0  (2)
side effects
1.0  (1)
danger
0.0  (0)

UNK

PHOTREXA [Riboflavin 5'-phosphate SodiumC17H20N4O9PNa2H2O]
RX
-
0.146% (ophthalmic solution/drops)
Avedro IncApr 15, 2016
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

PHOTREXA VISCOUS IN DEXTRAN 20% [Riboflavin 5'-phosphate SodiumC17H20N4O9PNa2H2O]
RX
-
0.146% (ophthalmic solution/drops)
Avedro IncApr 15, 2016
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

PROFERDEX [Iron DextranHO(C6H10O5)nFe3HO]
RX
-
eq 50mg iron/ml (injection injectable)
New RiverApproved Prior To Jan 1, 1982
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

ROGAINE (FOR MEN) [MinoxidilC9H15N5O]
OTC
-
2% (topical solution)
Johnson And JohnsonFeb 9, 1996
efficacy
4.0  (2)
side effects
0.0  (0)
danger
2.0  (2)

UNK

ROGAINE (FOR WOMEN) [MinoxidilC9H15N5O]
OTC
-
2% (topical solution)
Johnson And JohnsonFeb 9, 1996
efficacy
5.0  (1)
side effects
0.0  (0)
danger
0.0  (0)

UNK

ROGAINE EXTRA STRENGTH (FOR MEN) [MinoxidilC9H15N5O]
OTC
-
5% (topical solution)
Johnson And JohnsonNov 14, 1997
efficacy
2.0  (2)
side effects
2.0  (1)
danger
0.0  (0)

UNK

THEROXIDIL [MinoxidilC9H15N5O]
OTC
-
2% (topical solution)
5% (topical solution)
Ei IncNov 9, 2007
efficacy
3.0  (1)
side effects
1.0  (1)
danger
0.0  (0)

UNK

TOTECT [Dexrazoxane HydrochlorideC11H16N4O4ClH]
RX
-
eq 500mg base/vial (injection injectable)
Clinigen HlthcareSep 6, 2007
  • Treatment of extravasation resulting from iv anthracycline chemotherapy.
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

WOMEN'S ROGAINE [MinoxidilC9H15N5O]
Johnson And JohnsonFeb 28, 2014
  • Topical aerosol hair regrowth treatment.
efficacy
4.0  (2)
side effects
1.0  (1)
danger
1.0  (1)

UNK

WARNING: Consult a licensed physician in the appropriate field for medical treatment and drug prescription. Do not self medicate.


WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for reference only. Many of these treatments may be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field. The owner of this website will not be held liable for any injuries and deaths cause by following any home remedies. We have no control of what is posted.

Home Remedies for Extra

IMPOTENCE [erectile dysfunction]
   Don't lose your mojo in the bedroom. If you don't have a prescription to buy Viagra, there are more natural testosterone boosters on the market that can increase your libido and stamina.
Mechanism - Horny Goat Weed, Tongkat Ali Extract, Saw Palmetto Extract
Antonchekov | July 15th, 2018
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

SORE THROAT [Pharyngitis]
   Mix 1 teaspoon of powdered Osha (Ligusticum porteri) with boiling water. Let steep until it reaches room temperature. Gargle with tea.
Alternatively, buy Osha root extract. Follow recommended by directions.Shizs | August 9th, 2020
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

DRY CHAPPED SKIN [Dermatitis]
   Squeeze a small amount of Plantain (Plantago major) weed leaves to extract the liquid. Apply liquid to chapped skin.
Mechanism - allantoin
Jlaiii | August 12th, 2020
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK

COVID-19 [severe acute respiratory syndrome corona]
   Citriodiol® consists mainly of p-menthane-3,8-diol or PMD and has anti-viral activity against... / ...tus citriodora oil, hydrated, cyclized (abbreviated for informal use as EC Oil (H/C)) - European Union
Leaves and branches are harvested and oil is extracted from a distilling process.
"We convert the high citronellal content in the essential oil into the naturally occurring substance PMD (p...
Mechanism - PMD (p-menthane-3,8-diol)
JackR | August 26th, 2020
efficacy
0.0  (0)
side effects
0.0  (0)
danger
0.0  (0)

UNK


WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for historical reference only. Many of these treatments are now known to be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field.

Felter's Materia Medica on Extra

ABSINTHIUM (Artemisia absinthium)ARAB3
   The flowering tops and leaves of Artemisia Absinthium, Linné (Nat. Ord. Compositae); Europe, Siberia, Barbary, Newfoundland, and the United... / ...rachms. 2. Oleum Absinthii, Oil of Wormwood. Dose, 1 to 5 drops., Action.—Both oil of wormwood and extract of absinth act as nerve depressants upon man. Small doses at first stimulate, larger ones pr... / ...used for the expulsion of the intestinal parasites-Ascaris vermicularis and Ascaris lumbricoides. The oil may be given in doses of 1 to 5 drops. 3

ASPIDOSPERMA
   The dried bark of Aspidosperma Quebracho-blanco, Schlechtendal... / ...ermine is a mixture probably of all the alkaloids or is chiefly Aspidosamine. Preparations—1. Fluidextractum Aspidospermatis, Fluidextract of Aspidosperma, (Fluidextract of Quebracho). Dose, 5 to 60 ....... It relieves the cough of la grippe, when associated with dyspnoea. From 5 to 60 drops of the fluidextract may be given in water or plain or aromatized syrup. 3

BELLADONNA (Atropa belladonna)ATROP
   ...ul every 1 to 3 hours. 2. Unguentum Belladonnae. Ointment of Belladonna. (This is prepared from the Extract of Belladonna, which in turn is prepared from Belladonna leaves. Tincture of Belladonna is a......red from Belladonna leaves. Tincture of Belladonna is also prepared from the leaves, while the fluidextract is prepared from the root.) Specific Indications.—Dull expressionless face, with dilated or...3

CAFFEA
   The seeds of Caffea arabica, Linné (Nat. Ord. Rubiaceae). Native of Arabia-Felix and Ethiopia; and extensively cultivated in Asia and America... / ...bowels. Coffee slightly accelerates the circulation. Under its use the intellect is quickened to an extraordinary degree, thinking is facilitated, ideas flow freely, the reasoning faculty is sharpened... / ...preferably without sugar or cream; for use in narcotic poisoning very strong, “black coffee” may be given freely, both by mouth and per rectum.3

CALAMUSACCA4
   The rhizome of Acorus Calamus, Linné (Nat. Ord. Acoraceae). Common in wet and muddy grounds everywhere in the Northern Hemisphere. Dose, 5 to 40 grains. Common Name: Sweet-flag. Principal... / ... of the local conditions named it has been much overrated, and its real medicinal worth obscured by extravagant praise.3

CALENDULA
   The florets of Calendula officinalis, Linné (Nat. Ord. Compositae). Southern Europe and the Orient; largely cultivated as a garden flower. Dose, 1 to 60 grains. Common Names: Marigold,... / ... of the local conditions named it has been much overrated, and its real medicinal worth obscured by extravagant praise.3

CASCARA SAGRADA
   ...gulin obtained from Frangula. Preparations.—1. Specific Medicine Cascara. Dose, 15 to 60 drops. 2. Extractum Cascarae Sagradae, Extract of Cascara Sagrada. Dose, 4 to 8 grains. 3. Fluidextractum Casc......Sagradae, Extract of Cascara Sagrada. Dose, 4 to 8 grains. 3. Fluidextractum Cascara Sagradae, Fluidextract of Cascara Sagrada. Dose, 10 to 60 minims. 4. Fluidextractum Cascarae Sagradae Aromaticum, A......scara Sagrada. Dose, 10 to 60 minims. 4. Fluidextractum Cascarae Sagradae Aromaticum, Aromatic Fluidextract of Cascara Sagrada. Dose, 10 to 60 minims. Specific Indications.—Constipation due to neglec...3

CASTANEA
   ...ed in Europe and America. Common Name: Chestnut. Principal Constituents.—A mucilaginous principle, extracted by hot and cold water, but not by alcohol; an astringent body, a sweet substance, and pota......fusion of Castanea. (Leaves, 1 ounce, Boiling Water, 16 ounces.) Dose, 1/2 - 2 fluidrachms. 2. Fluidextractum Castaneae, Fluid Extract of Castanea. Dose, 1/2 - 2 fluidrachms. Action and Therapy.—The ...3

CINCHONACINCH
   I. Cinchona.-The dried bark of Cinchona Ledgeriana, Moens; Cinchona Calisaya, Weddell, and hybrids of these with other species of Cinchona... / ...ose, 1 to 30 drops. (This preparation is prepared from Cinchona Calisaya or Calisaya Bark.) 2. Fluidextractum Cinchona, Fluidextract of Cinchona. Dose, 5 to 30 drops. 3. Tinctura Cinchona, Tincture of... / ...chronic suppuration; and to arrest profuse and debilitating night sweats in one suffering from general debility with poor recuperative powers.3

COCAERYTH5
   ...hili. Dose, 60 to 240 grains. Common Name: Coca. Principal Constituents—Cocaine Preparation.—Fluidextractum Coca, Fluidextract of Coca. Dose, 5 to 30 minims. Specific Indications.—Defective innerva...... of miseries to which the victim finally succumbs. An occasional dose of 10 to 15 drops of the fluidextract will sometimes overcome insomnia caused by gloom and worry, and very rarely it helps one ove...3

COLOCYNTHIS
   The dried, peeled pulp of the fruit of Citrullus Colocynthis (Linné,) Schrader. (Nat. Ord. Cucurbitaceae.) Mediterranean basin of Europe, Asia,... / ...nt of causing purging. It is commonly administered with other cathartics in pill form, the compound extract of colocynth being preferred, and its violence controlled by hyoscyamus or belladonna. When ... / ...of the fifth nerve, when the characteristic cutting pain prevails. It should be given also when colicky pain precedes or accompanies amenorrhoea.3

CONDURANGO
   ...onstituent.—A supposed glucoside condurangin, giving also alkaloidal reactions. Preparation.—Fluidextractum Condurango, Fluidextract of Condurango. Dose, 5 to 30 drops. Action and Therapy.—A drug o......tric debility. It is usually administered in the form of a wine (1/2 to 1 fluidounce), or the fluidextract (5 to 30 drops.); sometimes a decoction (bark, 1/2 ounce to Water, 16 ounces, boiled down to...3

CONIUM
   ...fusible stimulants, to sustain respiration and the circulation. Therapy.—External. Locally applied extract of conium, or the powdered drug, relieves the pain of cancerous growths and ulcers. Locke ad......or the powdered drug, relieves the pain of cancerous growths and ulcers. Locke advised, Rx. English Extract of Conium, 2 drachms; Petrolatum, 6 ounces. Mix. Apply locally. Internal. Conium is a remedy...3

CONVALLARIACONVA
   The rhizome and rootlets of Convallaria majalis, Linné (Nat. Ord. Liliaceae.) Common Name: Lily of the Valley. Principal Constituents.—Two... / ...s is the more often indicated, sometimes convallaria is more effective on account of the disturbing extravascular effects of the former. Convallaria appears to act best in those cases of circulatory f... / ...carditis and endocarditis, using it in fractional doses. Convallaria is of less service in stenosis of the aorta than in mitral disorders.3

CUSSO
   The female inflorescence of Hagenia abyssinica (Bruce), Gmelin (Nat. Ord. Rosaceae). Abyssinia. Dose, 4 to 5 drachms. Common Names: Kousso, Kusso,... / ...ion, and taken in two or three doses at short intervals upon an empty stomach. Some prefer the fluidextract in doses of 2 to 4 fluidrachms. Kousso is liable to fail unless made fresh and in prime cond...3


WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for historical reference only. Many of these treatments are now known to be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field.

Physician's Materia Medica on Extra

ANTISEPTINE
   A solution in a somewhat alcoholic menstruum of Oils of Eucalyp tus and Gaultheria, Thymoi, Menthol and Benzoic and Boric Acids, together with Fluid Extract of Baptisia. A non-irritant, non-toxic antiseptic, used internally in teaspoon ful doses as a gastric or intestinal antiseptic, but more commonly in the form of spray, gargle or lotion wherever a local antiseptic action is desired. For a gargle, mix one part with one of glycerin and two to four of water; for a nasal douche, 1 part with 3 to 4

BEEF EXTRACT
   A stimulant rather than a food; promotes appetite and increases the activity of the emunctories. Equally useful in the form of a hot broth or "tea” or combined with an alcoholic stimulant" wine. whis key or brandy.4

CATECHU
   An extract from the wood of ACACIA CATECHU. (Lin.f.) Willd. A powerful astringent. Used to control passive fluxes and hemorrhages, both internally and as a local application.4

DUBOISIADUBOI
   The leaves of DUBOISIA MYOPOROIDES, R. Br. Resembles Bella donna in its medicinal properties, but more distinctly hypnotic and calmative. The extract, also the alkaloid derived from the leaves, is used to produce mydriasis, its action being more prompt than that of atropine, and the effect passing off more quickly.4

MANZANITAARCTO3
   The leaves of ARCTOSTAPHYLOs GLAUCA, Lindl. Astringent diuretic, anti-lithic, having the same range of use as Uva Ursi. Fluid Extract Manzanita. Dose, 1.3 to 4.0 c. c. (20 to 60 M).4

NUTRIENT PEPTONES
   A preparation representing the nitrogenous elements of beef, milk and cereal grains in a vinous vehicle. The nutrient value of such a preparation is far higher than that of a wine or elixir of beef prepared from the extract of beef. Taken in connection with meals, the preparation serves to assist digestion by a direct stimulant action on the glands of the stom ach. It is of use, therefore, not only in convalescence from acute illness, but in enfeebled conditions of the system generally where the4

PANCREATIN
   An extract from the PANCREATIC gland of an animal, generally the hog. It has the power of peptonizing albuminoids, of converting starch into sugar and of emulsifying fats. 1t has therefore a... / An extract from the PANCREATIC gland of an animal, generally the hog. It has the power of peptonizing a... / ...to prepare predigested foods for the use of invalids. To peptonize a pint of milk, warm the milk to a blood heat, add 1.3 Grm. ( 20 grains) sodium bicarbonate and 0.3 Grm. (5 grains) “pure” p4

SAGE (Salvia)SALVI
   The leaves of SALVIA OFFICINALIS, Lin. Astringent, tonic. aro matic. carminative; in hot infusion diaphoretic; used in astringent gargles and washes and to repress night sweats. Fluid Extract Sage. Dose, 1 to 4 c. c. (15 to 60 M).4

SCAMMONYCOSC10
   Resinous exudate from the root of CONVOLVULUS SCAMMONIA, Lin. Hydragogue cathartic, notoriously uncertain in its action, and almost invariably combined with other cathartics. A constituent of Extract Colocynth Compound.4

SUNDEWDROSE
   The entire plant of DROSERA ROTUNDIFOLIA, Lin. Antispasmodic, acting especially on the respiratory apparatus; useful in obstinate coughs, asthma, pertussis and in flatulent dyspepsia. Fluid Extract Sundew. Dose, 0.3 to 1.3 c. c. (5 to 20 M).4


WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for historical reference only. Many of these treatments are now known to be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field.

Physician's Therapeutics Memoranda on Extra

ABORTION
   Habitual abortion may be due to syphilis, to endo-metritis or uterine displacement. to undue... / ...Sedative; avoid large doses of quinine. - If abortion seems imminent, keep the patient at rest and give an opiate (morphine hypodermatically or opium extract by injection or suppository). If these measures fail, an aseptic tampon must be introduced and fluid extract of ergot must be given, the after...4

ACNE
   Ascertain whether constitutional disease or disordered dhrestion is present and modify treatment... / ...bly in lozenges, or Fluid Cascara Aromatic, N., B. & Co. Locally, lotions containing milk of sulphur and glycerin, sometimes with a base of distilled extract witch hazel, or ointments containing sulphur. sulphur iodide, resor cin, ichthyol or Iodosyl. Give attention to the diet, which should be simp...4

ASTHMA
   For immediate relief, the smoke from mixtures of stramonium or henbane leaves with nitre and a little extract of opium,... / For immediate relief, the smoke from mixtures of stramonium or henbane leaves with nitre and a little extract of opium, or from nitre paper or tobacco; belladonna or henbane, lobelia, morphine (used with due caution); in selected cases, amyl nitrite or... / ...N., B. & Co.; if arising from gastric irrita tion, trea cause. In any case consider question of a change of residence.4

BRUISES
   Distilled Extract Witch Hazel, Tincture Arnica, Glyceroplasma to reduce swelling, solution of ammonium chloride in diluted alcohol.4

CONSTIPATION
   Medicate no more than is necessary. Prescribe regular open air exercise, regularity in going to... / ... there is simply inertia of the rectum; 2, senna (particularly a cold infusion, or the oflicial compound liquorice pow der) or cascara sagrada (fluid extract aromatic or jellules); 3, com binations of aloin, belladonna and strychnine, or of podophyllin with nux vomica and belladonna; 4, saline water...4

CORYZA
   Treat early stage as in acute bronchitis. The local congestion may be relieved by application of a 4 per cent. solution of cocaine, or a solution of suprarenal extract. Spray or vapor of camphor and menthol or use by inhaler of a little Phenol Camphor gives much relief. Alkal-Antiseptine with nasal douche is a useful remedy.4

CYSTITIS
   In Acute Cystitis, aconite and spirit of nitrous ether, supposi tories (or hot rectal injections) of belladonna or... / In Acute Cystitis, aconite and spirit of nitrous ether, supposi tories (or hot rectal injections) of belladonna or extract opium, hot sitz bath, Glyceroplasma over bladder. Avoid highly seasoned foods and remedies which may irritate the bladder. If urine becomes pu... / ...of the bladder with mercuric chloride, 1;10,000 or silver nitrate, 1;2500 is sometimes the best treatment.4

DIABETES INSIPIDUS
   If dependent on vaso-motor relaxation, ergot, extract suprarenal glands; astringents, particularly gallic acid and rhus aromatica. If due to nervous irritability, belladonna, nervines, bromides. Tonics are generally indicated, particularly iron and strychnine.4

EPISTAXIS
   In severe cases, surgical measures must be resorted to (plugging anterior and posterior nares).... / ...ptic solutions (alum, tannin, vegetable astringents, Monsel’s solution, vinegar) may be used, or else remedies that contract the capillaries (fluid extract ergot, anti pyrin, extract suprarenal capsule or internally fluid extract ergot). The hot foot bath to draw the blood away from the head, cold...4

GASTRIC ULCER
   Nourish patient by enemas so that stomach may have complete rest. Internally, silver nitrate and resorcin with codeine or morph ine, antacids, especially sodium bicarbonate with bismuth subcar bonate; counter-irritation by tincture iodine or mustard leaves; antiemetics as needed; for hematemesis, emulsion of oil turpentine, antipyrin, alum or other styptic; suprarenal extract. Bowels must be regulated by enemata.4

GOITRE
   In simple Goitre (Bronchocele), ointment of mercuric iodide or tincture iodine externally; creosotide or potassium iodide and extract of thymus gland internally. In Exophthalmic Goitre, belladonna, strophanthus. ergot and sparteine are among the remedies that have been found serviceable. Extract of suprarenal capsules promises good results.4

HEMATEMESIS
   Astringents, particularly Monsel’s Solution (3 minims well dilut ed), tincture ferric Chloride, tannin, opium and lead acetate; ice swallowed frequently; extract suprarenal capsules; ergot; distilled extract witch hazel.4

HEMATURIA
   For hemorrhage from the bladder, the most eflicient remedies are fluid extract ergot, oil erigeron, gallic acid, cannabis indica and camphor (5 to 10 gr. doses). Astringent injections are not to be ad vised except in extreme cases, but epinephrine hydrochloride may be used thus. In malarial hematuria, sodium hyposulphite is recom mended, 5 to 15 grains four or five times a day.4

HEMOPTYSIS
   At the outset give aconite as arterial sedative (not if patient is exsanguinated). Later apply Esmarch bandages to limbs. Cold to serotum or vulva. Gallic acid and fluid extract ergot are often pre scribed but are of doubtful value. In favorable cases use a fine spray of epinephrine hydrochloride.4

HEMORRHAGE. POST PARTUM
   Give fluid extract ergot in drachm doses and cause uterus to contract by mechanical stimulation as by introducing the hand into the cavity or byuinjections of cold and hot water.4


References

1) Bergner, Pal., Griswold, Alexandra F., Hufford, David J., et al. . Morton Grove, Il: Publications International, 2017.
2) "Citriodiol® Nature's Most Effective Insect Repellent", www.citrefine.com/citriodiol/.
3) Felter, Harvey Wickes, 1922, The Eclectic Materia Medica, Pharmacology and Therapeutics, Cincinnati, Ohio.
4) Nelson, Baker & Co., 1904, Physician's Handy Book of Materia Medica and Therapeustics, Detroit, Michigan.