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
During an attack of menorrhagia the first remedy, and one without which
all others are useless, is rest in the recumbent position. If the
attack be severe recumbency should be absolute. Food should be light in
quality and moderate in amount, while all drinks are to be taken cold,
as ice-water, iced lemonade, or water acidulated with sulphuric acid
and sweetened to the taste, the beneficial effect of acids in addition
to cold being generally recognized. The bed should be hard and the
clothing light, and the foot of the bedstead may be raised some inches.
Many cases require no more active measures of repression. In subjects
about the menopause, in some cases of malignant tumor, and in some
others the hemorrhage seems to be a vent, and in moderate degree is
rather beneficial. Such cases are to be watched, but need not
necessarily be actively treated, certainly not with repressants and
astringent applications, until regimen and mild measures have been
tested.
In proceeding to medication the state of the general system first
demands consideration. If there be increased vascular action and
temperature, with evidences of active congestion of the pelvic region,
manifested by pain, distension, and tenderness of the hypogastric
region, with heat and throbbing of the passages, arterial sedatives and
relaxants will be demanded. Aconite or veratrum viride may be given
until an effect is produced on the pulse, and they may be combined to
advantage with salines, as the liquor ammonii acetatis. It is in these
conditions, of rare occurrence, that nauseants, such as ipecacuanha,
are of service.
Medicines having a more direct action in checking uterine hemorrhage
produce their effect by exciting contraction of the uterine walls and
blood-vessels, moderating congestion, and modifying the condition of
the nervous system. They are ergot, digitalis, bromide of potassium,
quinine, cannabis indica, and cinnamon.
Ergot stands at the head of the list from its well-known effect in
causing uterine contraction, and although reliable in proportion to the
increased size of the uterus and the distension of its cavity, it is
indicated in almost all cases for its hæmostatic action on the
capillaries, as well as for its specific action on the uterus.
Digitalis slows the action of the heart and excites the contractility
of the arterioles, while experience has proved it to be an efficient
remedy for menorrhagia. Bromide of potassium moderates vascular and
nervous excitement of the pelvic organs, and is especially indicated in
cases having an ovarian origin. Several of the French writers give very
strong testimony in favor of the efficacy of cinnamon as a remedy,
having tested it in a large number of cases without other medicines. It
may always be used as an adjuvant.
Public-domain text, read in full here on John Shaqi.
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