In the _treatment_ of Rachitis, the chief indication to be fulfilled
is to support and increase the powers of the system; and this may
be accomplished by affording the patient a generous diet, keeping
the bowels in good order, enjoining gentle exercise and exposure to
pure air, by the assiduous use of frictions, and by supporting the
softened bones by properly applied and light machinery. Much mischief
may be done by clumsy and heavy apparatus which confine the movements
of the patient; the muscles are wasted, consequently the spinal
column is weakened, the general health is impaired, and the disease
is aggravated. Some have recommended the internal administration of
the phosphate and muriate of lime, but their efficacy is extremely
doubtful. Preparations of iron seem to answer much better in the
greater number of cases. In cases of curved spine, apparently arising
from bad habit, the patient should be in no degree confined at writing,
or drawing, or music; her posture while at work or play ought to be
attended to, as well as her mode of walking or standing; and, if
awkward, prohibited. Gymnastic exercises of the more gentle kinds ought
to be enjoined, such as those with poles and light wooden clubs, the
turning of a wheel, the exercise with balls, &c. Carrying weights on
the head can only be applicable in certain cases. The shoulders, in
some instances, ought to be kept back by means of a light back-board;
and in aggravated cases the weight of the shoulders, and sometimes also
of the head, must be taken off the spine by a light and well-contrived
apparatus. Sea-bathing, good air, out-of-door exercise, and attention
to diet, are of material importance. Frequently advantage will result
from the patient’s sleeping on a hard mattress; and, in bad cases, from
lying down, when tired, on an inclined plane.
In great softening, it will be necessary to confine the patient
entirely to the recumbent position, and to support the head and
shoulders by a light and firm machine. The causes, symptoms,
appearances, and treatment of caries of the spine, in its different
regions, with or without curvature, will be afterwards considered.
OF INFLAMMATORY AND OTHER AFFECTIONS OF THE ARTERIAL SYSTEM.
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