A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
Another measure, employed by Bence Jones, was abdominal pressure by
means of a belt. This also, in his experience, relieved the lumbar
pain. In his case, which was about eight years under observation,
Dickinson applied the pressure by a sort of tourniquet about an inch
below the umbilicus. This lessened, though it did not stop, the
pulsation in the femoral arteries. It also was successful at first, the
chylosity lessening, and finally ceasing, but on the removal of the
belt the chylous character gradually returned, and in sixteen hours was
as bad as before. Repeated trials were followed by the same transient
effect, but no cure. Under this treatment, however, combined with a
liberal diet and rest, the patient gained many pounds in weight, and
was able to leave the hospital and resume her occupation as dressmaker,
the pursuit of which, and the absence of the favorable conditions of
hospital-life, as invariably caused a return of the symptom and its
resulting debility, which again caused her to seek admission.
Rest, therefore, and an abundance of good nourishing food, tend at
least to counteract the exhausting effects of the disease, and even to
cause the discharge to cease. Tonics, and especially chalybeates, are
indicated for the former purpose.
As the relaxing effects of warm climates and warm weather seem to
predispose to the condition and to aggravate it, removal to cooler
latitudes and places is indicated.
Astringents, internally administered, naturally suggested themselves at
an early date, and were used by Prout, Priestley, and Bence Jones. The
latter especially thought gallic acid useful. He reports a case in
which the disease did not return after its long-continued use. Goodwin
of Norwich, England, also reports a case in which the chyluria was
controlled by the gallic acid, but returned in four or five days after
the remedy was discontinued. It again disappeared on resuming the drug,
and the patient could at any time render the urine nearly normal in
appearance by taking it. The case was lost sight of before it could be
regarded as cured. Waters also reports a case which apparently
recovered completely after nine weeks' treatment by gallic acid. He
gave at first 30 grains a day, which were gradually increased to 135 a
day, and then gradually reduced.
Other astringents which have been used are tannic acid, matico, or
acetate of lead, nitrate of silver, the mineral acids.
Public-domain text, read in full here on John Shaqi.
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