The Enema as a Nervine
In all severe prostrations such as apoplexy, meningitis, lockjaw and similar conditions, the enema to which has been added powerful, but non-poisonous nervines, is of great importance. Among the very best of these agents is Cypripedium.
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To each quart of warm water, 30 to 60 drops of Tincture Cypripediunt (Lady Slipper) should be added and the enema repeated every two to three hours. Where the nervous condP-tion is extreme, 15 drops of the tincture may be added to three ounces of water, or even less, and this retained to be absorbed. In appendicitis, when there is great nervousness or irritability, Cypripedium should be added to the enema. Other good nervines may be used instead when Cypripedium is not procurable.
Antiseptic Enemas
In all conditions where an internal antiseptic is indicated, Tincture of Echinacea is the best. If this is to be reinforced, then Tincture of Myrrh may be added. As already mentioned, Potassium Permanganate is also a splendid antiseptic but in large doses is a poison. Plain water should at no time be employed as an enema as it is weakening.
Astringent Enemas
In dysentery, cholera morbus and like complaints, it is desirable and of great value to administer astringent and tonic enemas. In mild cases, Tincture Hamamelis is the choice, or, if this is not handy, an infusion of cherry bark will serve to good purpose. When there is danger of, or the indication of pus, Tincture Myrrh must be added. In cases where blood is present, 15 to 60 drops of Tincture Myrica (Bayberry) must be added. To recapitulate: In ordinary dysentery, Tincture Hamamelis in cool water, or cherry bark infusion instead. When pus is present, Tincture Myrrh and Tincture Hamamelis and even Tincture Echinacea. When blood is present in the stool, all the above and the addition of Tincture Myrica. All enemas in cool water and repeated every one, two or three hours, according to the severity of the case.
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