Disturbances of the Heart: Discussion of the Treatment of the Heart in Its Various Disorders, With a Chapter on Blood PressureOsborne, Oliver T. (Oliver Thomas)
Science
Disturbances of the Heart: Discussion of the Treatment of the Heart in Its Various Disorders, With a Chapter on Blood Pressure
Osborne, Oliver T. (Oliver Thomas)
Blood pressure; Heart -- Diseases
At Nauheim, under the direction of Dr. Theodore Schott, baths form
an important part of the treatment. These baths are of two kinds,
the saline and the carbonic acid. The medicinal constituents of the
saline bath are sodium chlorid and calcium chlorid, the strength of
each varying from 2 to 3 percent The baths at first arc given at a
temperature of 95 F., and as the patient becomes used to them and
can take them without discomfort, the temperature is gradually
reduced. The patient remains in the bath from five to ten minutes.
After the bath he is dried with towels and rubbed until the
cutaneous circulation becomes active. He must then lie down for an
hour. These baths are repeated for two or three days, and are
omitted on the third and fourth days, to be resumed on the following
day. After a few baths have been taken, the carbon dioxid baths are
commenced, beginning with a small quantity of the gas which is later
gradually increased. This course of baths should be continued from
four to eight weeks. Unless there is some special reason for taking
them at some other period of the year, they are taken more
advantageously during the warm months.
Besides the baths, all important part of the treatment at Nauheim
consists in the exercises against resistance. These are usually
given an hour or more after a bath, and are taken with great
deliberation; their effect is carefully watched by an intelligent
attendant so that no harm may be done by the exercise.
During this treatment the food is, of course, carefully regulated
with the aim of giving a mixed, sufficient, easily digestible and
easily assimilated diet. All highly seasoned dishes, all
effervescent drinks and anything that tends to cause gas in the
stomach and intestines are prohibited. Coffee and tea are not
allowed, except coffee without caffein; and it may be noted that it
has recently been shown that caffein is one of the surest of drugs
to raise the blood pressure, and is therefore generally not
desirable when the heart muscle requires strengthening. Because of
its tendency to raise blood pressure and weaken cardiac muscle,
tobacco is entirely forbidden at Nauheim, except in a few individual
instances, and then the amount allowed is a minimum one. Large
amounts of liquid are not allowed because they distend the stomach,
raise the blood pressure and increase the pumping work of the heart.
Public-domain text, read in full here on John Shaqi.
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