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
The permanganate of potassium is a recent addition to emmenagogues, and
the testimony in its favor is already sufficient to make it probable
that it is the most efficient of the list. The indications for its use
are want of action or atony of the organs. It should be administered
during a few days or a week preceding the time for menstruation, in
doses of from two to four grains three times daily; or two grains three
times daily may be administered during the whole month. The union of
its elements is but feeble, so that in pills as ordinarily made it
would be very likely to undergo decomposition, while in solution it is
unpleasant. Compressed tablets of the pure drug are now placed at
command of the profession, and are an unexceptionable form for
administration. The best time for taking the medicine is toward the
close of the digestive process, and each dose should be followed by
drinking at least a wineglassful of water. Pain in the stomach has been
sometimes observed even when every precaution has been taken. The
liability of the remedy to decomposition and its irritating powers are
objections to it, but the testimony in favor of its power to bring on
or promote the menstrual flow is at present very strong.
More decided measures of local stimulation than those already given may
be resorted to, and are far more reliable than drugs. They are--tents,
cupping the uterus, and electricity. A sea-tangle or tupelo tent may be
kept in the uterus over night just previous to the time of the flow. In
cases where stimulation rather than dilatation is needed a tent of
slippery-elm bark may be used. Thomas recommends a rubber exhauster for
cupping the cervix uteri. Simpson fashioned one for acting on the
lining membrane of the body. These measures are most likely to be
efficacious just before an expected period.
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