A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Science
A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Medicine -- Practice
At that early age we treat of here, digestive disorders are more
frequently the results of improper diet than of a primary gastric
disturbance. But when the latter is once established it furnishes its
own indications. A frequent occurrence, together with a general gastric
catarrh, is the presence of fat acids in the stomach, such as an
improper amount of lactic, acetic, butyric, etc. acids. Before
digestion can be anything like normal they must be neutralized. For
that purpose calcined magnesia, carbonate and bicarbonate of sodium,
prepared chalk, and lime-water have been found useful. The latter, as
it contains but a trifle of lime, in order to neutralize must be given
in larger doses than is usually done; a tablespoonful contains but a
quarter of a grain of lime. And all of the alkalies must not be given
in the food only, but also between meals. For when given in the former
way alone it neutralizes the abnormal and injurious acids, together
with the normal digestive secretion, the lactic and muriatic. Not
infrequently, when the infants have suffered for some time, general
anæmia will set in, and result in diminishing the normal secretions of
the mucous membranes (and glands). In those cases which do not produce
their own gastric juice in sufficient quantity or quality pepsin and
muriatic acid may be given to advantage. In these cases the plan
suggested by me is particularly favorable--viz. to add a fair amount of
chloride of sodium (one-half to one drachm daily) to the infant's food.
Also that of I. Rudisch referred to by me previously,[20] who mixes one
part of dilute muriatic acid with two hundred and fifty of water and
five hundred of milk, and then boils (one-half teaspoonful of dil. mur.
acid, one pint of water, one quart of milk). Again, there are the cases
in which wine and the bitter tinctures, which are known to increase the
secretion of gastric juice, render valuable service. The addition of
bismuth to any of the proposed plans is quite welcome. As a
disinfectant and a mild cover on sore and eroded mucous membranes it
has an equally good effect.
[Footnote 20: _Am. Jour. Obstet._, July, 1879.]
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