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
Rx. Tr. belladonnæ, fluidrachm j;
Sodii bicarbonatis, drachm iij;
Spts. etheris nitrosi, fluidounce j;
Mist. potass. citratis, q. s. ad fluidounce vj.
M.--Sig. Dessertspoonful three or four times a day, or half the
quantity oftener. I have also known this combination to relieve the
persistent nausea which often accompanies this disease.
As soon as the skin becomes moist the remedy should be given at longer
intervals, and if sweating is induced it should be discontinued
entirely for the time, as that only serves to weaken the patient.
If the pulse does not beat oftener than 112, and the temperature does
not rise above 102°, nothing more in the way of medication will be
required. The patient will recover best if not treated too much. On the
other hand, should the pulse be strong and rapid and the temperature
high, quinine becomes a valuable remedy. It is more efficient when
given in large doses at long intervals than when given in small doses
at short intervals. If the temperature rises above 102°, it is my rule
to administer ten grains and wait six hours, when, if it has not
decreased, the quinine is repeated. If, however, the temperature has
increased instead of diminishing, twenty grains are given at the second
dose, and the effect carefully noted. Should marked cinchonism result,
the remedy must be withheld, even though it has had no influence on the
temperature. Quinine is said to have the power of so contracting the
capillaries as to prevent the migration of the white blood-corpuscles.
If this is true, the remedy ought to have great value in modifying or
limiting the third or suppurative stage of the disease.
The tincture of aconite-root is also of value in controlling the pulse
and lowering the temperature in certain cases. But its use should be
limited to those cases of marked sthenic character, for, as a rule, the
tendency of the disease is toward depression. It may be given in doses
of two to five drops, repeated every two hours until three or four
doses are taken, when, sometimes, the pulse will be found to have
decreased ten to twenty beats per minute. The remedy should then be
withheld until the effect is shown to have passed off by an increase of
pulse-rate, when it may be again exhibited; provided always that the
heart continues strong and vigorous and that it has shown no sign of
weakness. In the latter circumstance the continued use of the medicine
would be extremely dangerous. Under any circumstances its use should be
limited to the first and early part of the second stage of the disease.
The diet should be carefully attended to, and should be of the most
nutritious character, as milk, eggs, beef-essence, etc.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account