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
TREATMENT.--The acute outbursts of inflammatory disturbance occurring
during the course of chronic cystitis require the same means for their
relief as those already indicated when considering the treatment of
acute cystitis--all the prohibition of stimulants, the use of bland
mineral waters, demulcent decoctions, infusions, and alkaline draughts.
The anodynes, the rest, the heat, the hip-bath, are all indicated here
for the acuter symptoms, just as they are in the acute malady, but very
much more can be done both in a prophylactic and in a curative way. A
milk diet, even an exclusive milk diet, is an element of great value in
cases of chronic cystitis. I have two patients, both old men, now under
observation, one of whom recovered entirely from cystitis with complete
atony, necessitating the constant use of the catheter, by means of an
exclusive milk diet. He takes one gallon of milk a day, and nothing
else, and lives among his fellow-men at his work and amusements in
entire contentment. He has remained absolutely well on this diet during
many years. The other patient could not take milk after fair trial, but
gradually emerged from the very jaws of death, due to prolonged chronic
cystitis and double pyelitis, by the free use of koumiss, which his
wife daily prepared for him. Vichy and milk in equal parts, taken cold,
is another form of using the milk diet, and the more modern peptonized
milk another.
Light white and red wines, or even a little gin or old brandy, are of
decided advantage in the majority of enfeebled old men with chronic
cystitis. The patient should be clothed with the utmost care. The feet
and legs should be clad in wool unless in the very hottest season, and
flannel should constantly encase the belly and loins. Nothing is more
detrimental to chronic cystitis than chilling the legs.
Another word is necessary in favor of the internal use of alkaline
remedies. Even where the urine is alkaline, ammoniacal, putrid, if the
stomach will take an alkaline medicine kindly the effect is generally
beneficial, for the urine, especially in old men who are prone to these
maladies, is quite certain to be acid at the fountain-head. And even if
the urine is immediately altered by chronic pyelitis through ammoniacal
decomposition before it enters the ureter, yet it will generally
irritate the pelvis of the kidney and the ureter and the bladder less
if it be secreted in a bland alkaline state than if it be discharged
into the irritated area full of uric acid.
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