[In chronic cases, a truss will be required; in strangulation operation must not be delayed;
but in the absence of a surgeon relief may be given by
the timely internal administration of medicine. The effect of posture will, of course, be studied.
The patient will be made to lie on the back with the hips raised above the level of the shoulders.]
Nux V. 1, 4h. Pain in an old hernia. Threatened strangulation, Nux V. 1, every ten minutes (the lower part of the body to be raised).
Nux V. 3, 1h. If the child has pain in the hernia.
Calc. C. 6, 8h. Hernia in children, if fat.
Silic. 6, 8h. Hernia in children, in thin, rickety children.
Aescul. 1, 4h. Inguinal hernia with cutting and neuralgic pains up right side. [In umbilical hernia a pad must be used, and the skin drawn by strips of plaster from both sides so as to make it lap over the tumour, which will then contract.] Surgical advice should always be sought when possible.